Objective To observe the effect of Tongxinluo on vascular endothelial growth factor( VEGF) expression in rats with early stage of diabetic nephropathy. Methods The rat model of type 2 diabetes mellitus was induced by injection of low-dose of streptozocin after having high-fat diet for 4 weeks,40 rats were randomly divided into 4 groups-normal group,diabetic group,valsartan treated group( 10 mg /kg / d) and Tongxinluo treated group( 0. 4mg / kg / d); After 8 weeks,the level of urinary albumin excretion rate( UAER),creatinine clearance rate( Ccr),kidney weight / body weight ratio( KW / BW) and plasma VEGF was measured and the renal expression of VEGF and Flt1 was determined by western blot and realtime PCR. Results The level of UAER,Ccr,KW / BW,VEGF an Flt1 expression in Tongxinluo treated group was lower than it in diabetic group( P 0. 05),while FBG had no significant difference. Conclusion Tongxinluo can improve glomerular hyperfiltration and albuminuria excretion in rats with early stage of diabetic nephropathy; The mechanism could be related to inhibition of VEGF and Flt1 expression.