The invention provides a traditional Chinese medicine hot compress bag, in particular to a traditional Chinese medicine hot compress bag for curing gynecologic abdominal mass and a preparation method of the traditional Chinese medicine hot compress bag. The traditional Chinese medicine hot compress bag comprises the following traditional Chinese medicines by weight ratio: 15 g of dragon's blood, 20 g of safflower, 20 g of red paeony root, 15 g of myrrh, 15 g of frankincense, 20 g of Chinese angelica, 20 g of angelica dahurica, 20 g of Chinese hydrangeavine root-bark, 20 g of homalomena occulta, 20 g of acanthopanacis cortex, 20 g of pubescent angelica root, 20 g of divaricate saposhnikovia root, 20 g of notopterygium root, 250 g of garden balsam stem, 20 g of loranthus parasiticus, 20 g of teasel root, 20 g of prickly ash and 20 g of mugwort leaf. Being used for curing gynecologic abdominal mass, the traditional Chinese medicine hot compress bag is compressed on a focus correspondingly in a hot state, the medicines are absorbed by local skin to effect fast, load on the liver can be reduced, and stimulation on the stomach and the intestine is also reduced. Moreover, when traditional Chinese medicine hot compress bag is compressed on an abdomen in a hot state, local blood circulation can be accelerated due to medicine efficacies and heat, the focus can be cured directly, the retrogression of abdominal mass is facilitated, the curing period can be shortened, and pain of a patient can be reduced.