The invention discloses a traditional Chinese medicine pill making machine, which comprises a support frame, a hopper, a drug tube, an adjustment device and a pharmaceutical roller. An adjustment device is provided on the outside of the block hole, and the adjustment device includes a placement slot, a first telescopic rod and a block, a second motor is installed on the lower side of the support frame, and the second motor is connected to the pharmaceutical roller through a rotating shaft, so The medicine roller is located directly below the medicine strip tube, the middle part of the inner cavity of the medicine roller is provided with a fixing piece, the surface of the medicine roller is provided with a first medicine groove, and the groove is provided with a second medicine groove, and The bottom of the second pharmaceutical tank is connected to one end of the second telescopic rod, the bottom side of the support frame is equipped with a controller, and the bottom inner cavity of the support frame is provided with a pill output pipeline, which has many functions and is easy to use without manual labor. Operation, double drug tubes and double drug rollers work at the same time, high work efficiency.