The invention relates to a granular traditional Chinese medicine decoction piece dispensing cabinet, which comprises a cabinet main body, a granular medicine dispensing unit and a discharging unit, wherein the cabinet main body is hollow, more than one granular medicine dispensing unit is obliquely arranged in the cabinet main body, the interior of each granular medicine dispensing unit is hollow, one side of each granular medicine dispensing unit is provided with an upper opening, the top of the other side of each granular medicine dispensing unit is provided with a scattering port, more than one dispensing screw rod is arranged in each granular medicine dispensing unit in a penetrating manner, the dispensing screw rods rotate, medicines are conveyed from bottom to top along the dispensing screw rods and are scattered from the scattering ports, the discharging unit is fixedly arranged on the cabinet main body, the upper end of the discharging unit is communicated with the scattering ports, the lower end of the discharging unit is a mixed medicine discharging port, and more than one granular medicine dispensing unit is integrated in the same cabinet main body, so that the use efficiency is high, the disassemble and assemble are convenient, the space utilization rate is increased, the blanking amount per unit time is controlled, and material falling is more accurate; and the dispensing screw rod rotates to be matched with the bending structure so as to reduce the material falling impact, and the material falling channels correspond to the material falling units one to one so as to effectively improve the integration level of the equipment.