The invention discloses an automatic cotton swab packaging machine which comprises a cotton swab taking and placing mechanism, a cotton swab collecting mechanism, a bottom label placing mechanism anda cotton swab boxing mechanism. The cotton swab collecting mechanism comprises a first pushing structure, a second pushing structure, a cotton swab equipartition groove, a collecting moving plate, a lifting bottom baffle and a T-shaped partition plate; the bottom label placing mechanism comprises a bottom label charging barrel, a label placing lifting cylinder, a vertical swing rotating seat, a mounting seat and a lifting column alignment assembly; and the cotton swab boxing mechanism comprises a packaging taking and placing frame, a packaging lifting motor, a packaging overturning motor, a packaging swing motor, a vertical moving frame and a packaging gripper. According to the automatic cotton swab packaging machine, cotton swabs are grabbed and placed into the equipartition groove so asto be aligned through a pushing mechanism, then bottom label paperboards are accurately added, boxing treatment is carried out, the whole process is automatically carried out, manual participation isnot needed, and the bottom label paperboards and the cotton swabs are stably combined and placed into packaging boxes so as to be collected, so that the production efficiency is improved, and production errors are reduced.