Objective Meta-analysis was conducted to evaluate the efficacy of Chinese medicine combined with shock wave and Chinese medicine alone in the treatment of osteonecrosis of the femoral head(ONFH), and to determine whether there is any difference in efficacy between the two methods, so as to further provide evidence-based medical evidence for guiding clinical practice. Methods Based on the principle of integrity, the original clinical studies in accordance with the subject were retrieved from 7 electronic literature databases. The time limit was from the establishment of the database to April 2021. Independent literature screening and data extraction were carried out in the whole process according to the principle of blind method. Results A total of 6 RCTS were included, including 334 patients with early ONFH. Meta-analysis results showed that: In terms of clinical response rate, RR was 1.11, 95% confidence interval (95%CI) was 1.01-1.22, P=0.04. Harris score, SMD value was 1.12, 95% confidence interval(95%CI) was 0.88-1.35, P<0.05, the difference was statistically significant. Conclusion The clinical efficacy of TCM combined with shockwave therapy in early ONFH is obviously better than that of TCM alone. However, the quality of the published literature is not satisfactory, and this conclusion needs to be further confirmed by more large-sample multi-center RCT trials, and the heterogeneity of the patient population needs to be further reduced, and the follow-up time should also be longer.