The prevalence of chronic uric acid nephropathy (UAN), characterized by elevated serum uric acid levels leading to renal system damage, has been on the rise, significantly impacting patient quality of life and physical health. This trend is particularly concerning among athletes, whose rigorous training schedules and dietary habits may predispose them to higher risks of developing hyperuricemia and subsequent UAN. The modernization of society and changes in lifestyle and dietary habits have contributed to the increasing incidence of this condition, underscoring the need for focused prevention and treatment strategies. In the symptoms and underlying pathogenesis align with documented syndromes, such as "hot blood being dirty and stagnant," which indicates a disturbance in the body's internal environment leading to pain, particularly pronounced at night. Through a blend of clinical observation and experimental research, modern practitioners have gained deeper insights into UAN, paving the way for innovative approaches to treatment grounded in TCM principles. This review aims to elucidate the classification and distribution of TCM syndromes specific to uric acid nephropathy in athletes, exploring how these typologies correlate with the unique physical demands placed on this population. By summarizing contemporary treatment experiences and integrating TCM diagnostic principles, the paper seeks to contribute to the development of standardized clinical pathways for managing UAN, with a particular emphasis on enhancing the physical health and clinical outcomes of athletic patients. Through this focused lens, the review provides valuable insights and references for healthcare professionals tasked with treating uric acid nephropathy in a population where optimal physical health is paramount.