Liver cancer is a common clinical malignant tumor, which seriously threatens human health due to its hidden onset, difficult treatment, and poor prognosis. To achieve the "Healthy China 2030" goal, it is particularly important to prevent the occurrence of cancer. Liver precancerous lesions are an important period that needs to be experienced in the evolution of liver cancer, and preventing the formation of precancerous lesions is a key step in the prevention and treatment of liver cancer. Different from Western medicine for the treatment of causes and the characteristics of large side effects of Western medicine, Chinese medicine pays attention to the holistic concept and treatment based on syndrome differentiation, and strives to prevent diseases before they occur, and prevent changes from existing diseases, so it has unique advantages in the treatment of difficult diseases. In recent years, the prevention and treatment of liver precancerous lesions by traditional Chinese medicine has attracted more and more attention. In this paper, by reviewing relevant literature, combing the etiology and pathogenesis of liver precancerous lesions, the application and research of single flavor Chinese medicine, traditional Chinese medicine compound, acupuncture and moxibustion in the prevention and treatment of liver precancerous lesions are summarized as follows.