Objective To explore the correlation between adult patients with upper urinary tract calculi and TCM syndrome types and urinary color Doppler ultrasound characteristics， and provide the objective basis for the formulation of integrated traditional Chinese and Western medicine prevention of urinary tract calculi. Methods 269 cases of adult patients with upper urinary tract calculi were selected into 4 groups according to syndrome differentiation including damp heat syndrome， qi stagnation and blood stasis， liver kidney yin deficiency and kidney yang deficiency group， urinary color Doppler ultrasound parameters comparison of different TCM syndrome types. Results The course of disease in patients in the typing of liver kidney yin deficiency and kidney yang deficiency was much longer and older age than other types’. then compared with other types of syndrome， the renal parenchymal thickness， the number of stones， stone size， number of aorta， renal segmental artery， interlobar artery， arcuate artery had significant differences（P＜0.05）. Conclusion There are some intrinsic relationships between adult upper urinary tract calculi in urinary system of TCM syndrome type and color Doppler imaging and clinical parameters. It can be used as a clinical way to provide objective basis for syndrome differentiation of TCM types.