The invention provides a pregnant sow traditional Chinese medicine health feed and a preparation method thereof, and belongs to the technical field of feeds. The pregnant sow traditional Chinese medicine health feed is suitable for Xiangxi black pigs. The pregnant sow traditional Chinese medicine health feed includes, by weight: corn, soybean meal, wheat bran, folium eucommiae, a pregnant sow compound premix, compound probiotics, yeast cell walls and compound traditional Chinese medicine additives. The compound Chinese medicine additives include radix astragali, radix codonopsis, radix angelicae sinensis, radix achyranthis bidentatae, rhizoma atractylodis macrocephalae, liquorice root, poria cocos and fructus amomi. The preparation method is as below: smashing the corn, the soybean meal, the folium eucommiae, the wheat bran, and the compound traditional Chinese medicine additives to obtain mixed powder, mixing the mixed powder with the pregnant sow compound premix, the compound probiotics and the yeast cell walls, and conducting granulating. The pregnant sow traditional Chinese medicine health feed prepared through the preparation method has the effects of tranquilizing mind, preventing miscarriage, regulating spleen and stomach functions, activating intestinal flora, and reducing constipation. The pregnant sow traditional Chinese medicine health feed tends not to exhibit residuals, or cause drug resistance and toxic side effects, and is safe and reliable.