The invention relates to a multistage combined flocculation device and a process for selectively removing aconitine type toxic ingredients from traditional Chinese medicine processing wastewater by using the same. The device comprises adjusting tanks and flocculation sedimentation tanks which are connected with one another in sequence, wherein a stirrer is arranged in each of the adjusting tanks and the flocculation sedimentation tanks. The device also comprises a hydrochloric acid storage tank, a sodium polyacrylate storage tank, a sodium hydroxide storage tank, a polyacrylamide storage tank, a polyaluminum chloride storage tank and a polymeric ferric sulfate storage tank which are connected with every adjusting tank or flocculation sedimentation tank. The process provided by the invention is particularly suitable for treating alkaloid in processing wastewater of aconite type traditional Chinese medicines including common monkshood mother root, kusnezoff monkshood root and the like, and can be used for realizing selective removal of alkaloids including hypaconitine, mesaconine, benzoyl mesaconine, benzoyl aconine, aconitine and the like; and moreover, a flocculant is easy to obtain and low in price, a constructed substance is small in volume, the cost is saved, the processing cycle is short, the operation is simple and convenient, the effect is obvious, and the stability is strong.