The invention discloses a cutter reciprocating type granulation machine, which comprises a packing auger, a packing auger installing tube, a double-edge cutter, a sieve plate, a push rod, a push block, a return spring, an elliptical push block and an electric motor, wherein the packing auger is arranged in the packing auger installing tube, the back end of the packing auger is connected with the electric motor through a packing auger rotating shaft, the sieve plate is arranged at the front end of the packing auger installing tube, a upper row of through holes and a lower row of through holes are formed in the sieve plate, the cutter surface of the double-edge cutter is arranged in a way of being tightly attached to the plate surface of the sieve plate, double edges of the double-edge cutter are respectively positioned at the top edge and the bottom edge of the double-edge cutter, the double-edge cutter is connected with the top end of the vertically extending push rod, the bottom end of the push rod is connected with the return spring fixedly arranged on the ground, the push block is fixedly arranged among the push rod, the return spring and the double-edge cutter, the push block ground is tightly attached to the elliptical push block in an epitaxy way, and the elliptical push block is connected with the electric motor through a push block rotating shaft. The cutter reciprocating type granulation machine has the advantages that powder materials are cut by the cutter, the shape and the dimension regularity of particles are ensured, the subsequent package is convenient, and the identical particle medicine content is ensured.