The characteristics of wastewater from the pharmaceutical industry is complex and difficult to be treated. In addition，there are a wide variety of current treatment technologies，which increases the difficulty of rationally determining the pharmaceutical industry wastewater treatment process. In this paper，in view of the different sewage nodes and production processes in the pharmaceutical industry such as fermentation，extraction，traditional Chinese medicine，bioengineering，mixed preparations and chemical synthesis，the characteristics of different types of wastewater in their respective workshops were analyzed firstly. Secondly，based on the technical specifications for the treatment of fermentation industrial wastewater，and the principle that high-concentration and special wastewater should be pretreated in the workshop firstly，and then mixed and treated uniformly，a general treatment technical route for pharmaceutical industry wastewater was proposed. In addition，a general mathematical model（P_General）was also established to determine the workshop pretreatment technology route（X_i）for high-concentration wastewater and special wastewater（i），and the biochemical treatment process（Y_aj）under different conditions. Finally，the practical application cases of the general treatment technical route（P_General）in some enterprises，including the technical parameters，operating performances and costs were summarized，which confirmed the rationality and effectiveness of P_General. Meanwhile，the prospects of several novel technologies in the construction or expansion of pharmaceutical wastewater treatment were also put forward.