Objective： To observe the distribution of Chinese medicine syndrome types in 280 patients that receivedhemodialysis and the difference of laboratory indexes among patients with different syndromes and accompanied syndromes.Methods：Differentiated patterns of the 280 patients that received hemodialysis with questionnaire and four diagnostic methods of Chinese medicine， recorded distribution of basic syndromes and accompanied symdrones of the patients，analyzed relationship of Chinese medicine syndrome with penetration time，primary disease，laboratory indexes.Results：Among 280 patients with hemodialysis，pattern of most patients was qi deficiency in spleen and kidney type，while other patterns were in sequance of qi-yin deficientcy type＞ yin deficiency of liver and kidney type＞ yang deficiency of spleen and kidney type＞yin-yang deficientcy type.Blood stasis type and damp heat type were the most common in accompanied syndromes，while other patterns were in sequance of damp turbidity type＞ liquid-qi type＞ wind type.From the aspect of Chinese medicine syndrome types，patients with qi deficiency in spleen and kidney type mostly accompanied by damp turbidity type；patients with yin deficiency of liver and kidney type mostly accompanied by blood stasis type；patients with yang deficiency of spleen and kidney type mostly accompanied by damp heat type；patients with qi-yin deficientcy type mostly accompanied by damp heat type.Patients with dialysis-time less than or equal to 6 months，and those between 13 to 36 months mainly suffered from qi deficiency in spleen and kidney type，while patients with dialysis-time over 36 months were mainly qi deficiency in spleen and kidney type and qi-yin deficiency type.Chinese medicine syndrome types of patients with chronic nephritis or diabetes mellitus were mainly qi deficiency in spleen and kidney type and qi-yin deficiency type，while patients with hypertension and obstructive nephropathy were mainly qi deficiency in spleen and kidney type，patients with polycystic kidney disease were mainly qi deficiency in spleen and kidney type and yin deficiency of liver and kidney type.The PTH levels of patients with yin deficiciency of liver and kidney type were higher than those of the patients with yangdeficiency of spleen and kidney type(P＜0.05).PTH levels of patients with wind type were higher than those of the patients with liquid-qi type(P＜0.05).Conclusion：Pathogenesis features of patients with hemodialysis is fundamental deficiency and incidental excess.Fundamental deficiency is mainly characterized by deficiency of qi，yin and yang，and incidental excess is characterized by blood stasis and damp heat and damp turbidity，while deficiency and excess coexist syndrome always exists.