The invention relates to a traditional Chinese medicine coffee beverage with health-care effect and a preparation method of the traditional Chinese medicine coffee beverage. The traditional Chinese medicine coffee beverage comprises the following components in parts by weight: 350-420 parts of semen cassia, 150-200 parts of medlar, 200-320 parts of prepared rehmannia roots, 200-300 parts of jujubes, 180-280 parts of almonds, 150-220 parts of sophora japonica, 250-320 parts of pagodatree flower buds, 200-300 parts of roots of kudzu vine, 100-150 parts of flos puerariae, 50-80 parts of hovenia dulcis thumb, 60-70 parts of tangerine peel, 100-150 parts of coffee powder and 50-80 parts of plant fat powder. The preparation method comprises the following steps: cleaning traditional Chinese medicines, adding water, heating, decocting, filtering so as to obtain extracting liquor, adding the coffee powder, the plant fat powder and the pure water into the extracting liquor, mixing, filtering, stewing, sterilizing and canning; or adding the coffee powder and the plant fat powder into the extracting liquor, concentrating, drying and milling to prepare particles. The traditional Chinese medicine coffee beverage disclosed by the invention adopts easily available materials, is simple to process, various in function and suitable for wide crowds; the essence of traditional Chinese medicine extract plants with a health-care function not only keeps refreshing and relaxing characteristics, but also has a function of treating and preventing diseases, so that adverse effects including palpitation, insomnia, headache and habituation generated by drinking raw coffee are avoided.