Objective To investigate the current research status, hotspots, and trends in Traditional Chinese Medicine for the treatment of renal fibrosis (RF) based on CiteSpace and VOSviewer software. Methods Chinese and English literature related to Traditional Chinese Medicine for treating RF published between 2004 and 2024 was retrieved from the China National Knowledge Infrastructure and Web of Science databases. CiteSpace and VOSviewer software were used to perform a visual analysis of the annual publication volume, publishing journals, authors, institutions, and keywords of the included literature. Results A total of 703 Chinese and 437 English literature was included. From 2004 to 2024, the annual publication volume of literature related to Traditional Chinese Medicine for treating RF exhibited an overall increasing trend. The author with the highest number of publications in both Chinese and English literature were He Liqun and Liu Xinhui, respectively. The institutions with the highest publication output were Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine and Shanghai University of Traditional Chinese Medicine. The journals with the highest publication volume were Chinese Journal of Integrated Traditional and Western Nephrology and Frontiers in Pharmacology. High-frequency keywords included chronic renal failure, diabetic nephropathy, signaling pathway, and Traditional Chinese Medicine compound formulas. Research hotspots primarily focused on Traditional Chinese Medicine drugs, mechanistic studies, and research methods. Conclusion Research on Traditional Chinese Medicine for treating RF reveals an overall fluctuating upward trend. Domestically, a core group of authors has formed, while the international collaboration network remains relatively loose, highlighting the need for strengthened international exchanges and cooperation. Current research hotspots mainly focus on Traditional Chinese Medicines, mechanistic studies, and research methods, etc. Exploring the effective components and mechanisms of Traditional Chinese Medicine for treating RF through experimental studies combined with bioinformatics and multi-omics technologies represents a future research trend.