The invention relates to a TCM pharmacy manual grinding device, and belongs to the technical field of medical instruments. The TCM pharmacy manual grinding device comprises a machine body, an arc grinding groove is formed in the lower side of the machine body, a grinding fixed base is arranged on the lower side of the arc grinding groove, a powder outlet is formed in the left side of the arc grinding groove, a powder filter sieve is arranged in the powder outlet, a moving roller is arranged in the machine body, an annular grinding wheel is arranged on the outer side of the moving roller, a wheel body fixed frame is arranged on the upper side of the moving roller, a pressing telescopic arm is arranged on the upper side of the wheel body fixed frame, a pressing fixed casing pipe is arrangedon the upper side of the pressing telescopic arm, a grinding counter is arranged on the right side of a grinding fixed rotating shaft, a grinding reset device is arranged on the left side of the pressing fixed casing pipe, a grinding drive guide rod is arranged on the right side of the pressing fixed casing pipe, a swing driver is arranged on the right side of the grinding drive guide rod, and a swing arm is arranged in the swing driver. The device is simple in structure and convenient to use, when traditional Chinese medicines are manually ground in the traditional TCM pharmacy, grinding pressure can be flexibly adjusted, operation is easy, convenient and labor-saving, the grinding effect is good, and the device can be applied and popularized in the traditional TCM pharmacy.