The invention discloses a medical medicine stripping machine and a medicine stripping method, and belongs to the technical field of medical instruments. The medical medicine stripping machine comprises a medicine tamping device and a medicine feeding mechanism. The medicine tamping device comprises a base plate, hole sites are formed in the base plate in an array mode, a medicine tamping rod and a micro motor are installed in each hole site, and the output end face of each micro motor and one end of the corresponding medicine tamping rod are both inclined planes. The medicine feeding mechanism is installed on the inner wall of a cylindrical shell, the medicine feeding mechanism comprises an annular cylinder, a conductive sliding ring, a driver and a clamping device, and the conductive sliding ring is electrically connected to the clamping device. A circle of the clamping device is installed in the annular cylinder, and the output end of the driver is connected with the annular cylinder. A mounting hole is formed in the shell wall of the cylindrical shell, the medicine tamping device is fixed in the mounting hole, a notch corresponding to the driver is formed in the annular cylinder, and when the annular cylinder rotates, the notch is intermittently communicated with the mounting hole. According to the medical medicine stripping machine and the medicine stripping method, medicine stripping is conducted in the mode that medicine plates are clamped and then tamps medicine on the front face, manual adjustment is avoided, and the medicine stripping yield is increased.