The invention discloses traditional Chinese medicine pyretic moxibustion paste and a preparation method thereof, and relates to the technical field of warm moxibustion therapies. The traditional Chinese medicine pyretic moxibustion paste is prepared from traditional Chinese medicine components and a mud moxibustion matrix according to the weight ratio of (1.8-4):(6-8.2),wherein the traditional Chinese medicine components are selected from unprocessed radix aconiti kusnezoffii, semen brassicae, rhizoma zingiberis, herba asari, euphorbia kansui, borneol, macaca mulatta bone, rhizoma arisaematis,alum, raw turtle shell, Sichuan rhizoma pinelliae, garden balsam stem, frankincense, myrrh, trogopterus dung, ground beeltle, dragon's blood, pseudo-ginseng, cortex eucommiae, rhizoma cibotii, rhizoma drynariae, radix cudramiae, cortex periplocae, cutch, zaocys dhumnade and tortoise plastron. The traditional Chinese medicine pyretic moxibustion paste provided by the invention integrates multipleexternal therapies such as moxibustion therapy, medical therapy, thermal therapy and the like, traditional Chinese medicine components are added, thus the effects of dispelling cold, removing dampness, promoting blood circulation and removing blood stasis through monarch, minister, assistant and guide compatibility, local blood circulation of a patient can be promoted, metabolism of cells in bloodis accelerated, the functions of internal organs of a human body are regulated, qi and blood of the human body are regulated to run normally, meridians are dredged, blood circulation is promoted, andbody immunity is regulated.