The invention discloses a pure traditional Chinese medicine acne-removing cream. The cream is prepared from the following medicinal components in parts by mass: 20-40 g of rheum officinale, 10-20 g ofcoptis chinensis, 20-40 g of golden cypress, 20-40 g of angelica dahurica, 2-8 g of realgar, 10-20 g of rhizoma atractylodis, 3-5 g of musk, 10-14 g of borneol, 10-20 g of pericarpium citri reticulatae and 20-40 g of tsuchiuri roots. The preparation method comprises the following steps: weighing desired parts by mass of the above traditional Chinese medicinal materials, grinding the traditional Chinese medicinal materials into wall-broken powder, and conducting sieving with a 140-mesh sieve to form ultrafine powder, thereby obtaining crude medicine powder; and weighing the crude medicine powder and Vaseline according to a ratio of 3: 10 to 1: 3, heating the Vaseline to 60 DEG C, adding the crude medicine powder, and conducting uniform stirring to obtain the acne-removing cream. Accordingto the invention, rheum officinale, coptis chinensis, golden cypress, angelica dahurica, realgar, atractylodes lancea, musk, borneol, pericarpium citri reticulatae and tsuchiuri roots are adopted as aprescription, and Vaseline is adopted as a solvent for the crude medicine powder prepared from traditional Chinese medicinal materials; after the prepared acne-removing cream is used, acne papules become light in color, pain is relieved, papules are reduced, and remarkable effect is obtained; and since the pure traditional Chinese medicinal materials are used in the invention, the acne-removing cream is green and safe and and can practically solve troubles caused by pimples to patients.