To screen the antithrombotic effective components group of Trichosanthes extract, and to verify its pharmacodynamics and analyze its mechanism, the HPLC fingerprint of Trichosanthes extract (0.09, 0.45, 0.9 g·kg^-1) was established, and the pharmacodynamic indexes of antithrombosis in rats with aspirin (0.01 g·kg^-1) as positive control group were determined (the animals used in this experiment were approved by the Medical Ethics Committee of Wannan Medical College). The antithrombotic spectrum-activity relationship of Trichosanthes extract was studied and the effective antithrombotic ingredients group was screened by grey relational analysis. The monomer compound mixed solution (0.006, 0.03, 0.06 g·kg^-1) was prepared according to the content of each component in the active component group, and the pharmacodynamics and action mechanism were studied to verify the correctness of the spectrum-effect relationship. The correlation between the 22 components of Trichosanthes extract and antithrombotic efficacy was different and showed dose-effect relationship. Cytosine, uracil, guanine, hypoxanthine, xanthine, adenine, guanosine, and adenosine are the main antithrombotic components of Trichosanthes extract. The ratio of cytosine, uracil, guanine, hypoxanthine, xanthine, adenine, guanosine and adenosine was 3:12:10:5:2:8:13:14. Compared with the model group, the thrombus dry weight of each effective components group could be effectively reduced (P < 0.01 or P < 0.05), but there was no significant difference between each effective components group and the Trichosanthes extract group. Compared with the model group, the TXB₂ content in group (0.06 g·kg^-1, 0.03 g·kg^-1) could be effectively reduced (P < 0.01 or P < 0.05), and the content of 6-keto-PGF_1α could be increased in each group (P < 0.01), and the TXB₂/6-keto-PGF_1α tended to be normal and showed a dose-effect relationship. The effect was better than that in the Trichosanthes extract group (0.45 g·kg^-1) (P < 0.01). The effective ingredients group has a good antithrombotic effect, its mechanism is to inhibit platelet aggregation and improve vascular endothelial function.