The invention discloses a breathable hemostatic alginate dressing and a preparation method thereof. The dressing consists of the following components in parts by mass: 46-62 parts of potassium alginate, 15-29 parts of carboxymethyl chitosan, phosphoric acid 3‑12 parts of ammonium dihydrogen, 2‑12 parts of hydrogenated lecithin, 8‑21 parts of polyvinyl alcohol, 6‑17 parts of sorbitol, 3‑9 parts of acetyl tributyl citrate, 15‑24 parts of butylene glycol , 2‑10 parts of sodium hyaluronate, 5‑13 parts of licorice extract. The preparation method is as follows: mix potassium alginate, carboxymethyl chitosan and butanediol, and ultrasonicate; then add the remaining components, mix, heat, stir evenly, keep warm, and cool to room temperature; soak degreasing gauze in it, dry Machine dried, sealed, packaged and sterilized by ultraviolet light. The dressing prepared by the invention achieves the effect of hemostasis and improvement of water vapor transmission rate through the synergistic effect of the components, and can be widely used for wound healing.