To investigate the therapeutic effect of Tongbi capsule on rheumatoid arthritis (RA) and its influence on microcirculation index, matrix metalloproteinase-1 (MMP-1) and serum matrix metalloproteinase-3 (MMP-3). 90 patients with RA admitted to our hospital from January 2016 to September 2018 were selected, they were divided into study group (n=45), control group (n=45) according to the random number table method. The control group was treated with leflunomide and methotrexate. The study group was treated with Tongbi capsule on the basis of the control group. The therapeutic effect, microcirculation indexes before and after treatment [Vascular resistance index (RI), diastolic peak velocity (EDV) and systolic peak velocity (PSV)], MMP-1, MMP-3, Rheumatoid factor titer (RF), C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), antistreptolysin "O" (ASO) of the two groups were compared, adverse reactions were recorded. The total clinical effective rate of the study group was higher than that of the control group (P<0.05). The RI, MMP-1, MMP-3, CRP, RF, ESR and ASO of the two groups decreased after 4 months of treatment, and the study group was lower than the control group (P<0.05); EDV and PSV increased, and the study group was higher than the control group (P<0.05). There was no difference in the incidence of adverse reactions between the two groups (P>0.05). on the basis of routine treatment, Tongbi capsule can effectively alleviate RA, improve microcirculation, reduce the levels of MMP-3 and MMP-1 in serum, and the drug safety is good. [ABSTRACT FROM AUTHOR]