Embodiments of the present invention relate to a policy control method and device. The method includes: receiving, by a PCRF, NAT entry information sent by a NAT device; obtaining, by the PCRF, a first PCC rule according to the NAT entry information, where the first PCC rule is a PCC rule including an IP address to be translated by the NAT device; and sending, by the PCRF, the first PCC rule to a gateway device, so that the gateway device executes the first PCC rule. According to the embodiments of the present invention, it can be ensured that the gateway device correctly executes the PCC rule.