The invention provides an automatic knee joint massage device. The automatic knee joint massage device comprises a base, a leg fixing part, a mechanical massage hand and a push rod cam unit, wherein the push rod cam unit comprises a push rod, at least one sliding sleeve, at least one first upright post, a cam, a motor and a second upright post, the lower end of the at least one first upright post is fixedly arranged on the base, and the upper end of each first upright post is fixedly provided with a sliding sleeve; the lower end of the second upright post is fixedly arranged on the base, and a motor is fixedly mounted at the upper end of the second upright post; the cam is fixedly mounted on a rotation shaft of the motor; the push rod is movably inserted in the sliding sleeve, the mechanical massage hand is fixedly mounted at the front end of the push rod, a roller is fixedly arranged at the rear end of the push rod, and the roller is butted to the outer edge of the cam. The automatic knee joint massage device can imitate the seating knee adjusting method adopted by a massage doctor, the push rod cam unit drives the mechanical massage hand to perform reciprocating motion, mechanical hand fingers perform pressing and releasing movements on the acupuncture points of the inner knee eye and the outer knee eye of the knee of a user, so that the massage movements of the fingers of the doctor are well simulated, and a very good treatment effect is achieved on the knee joint osteoarthritis.