The invention relates to the field of livestock breeding, in particular to a medicament for reducing somatic cell count in milk and a preparation method. The milk produced by treated cows does not contain medicine residues, so that the quality of the milk is improved. The medicament for reducing somatic cell count in milk comprises the following main ingredients: 90-110 parts of raw astragalus membranaceus processed with honey, 50-70 parts of codonopsis pilosula, 30-50 parts of bighead atractylodes rhizome, 20-40 parts of fructus schisandrae, 20-40 parts of medlar, 20-40 parts of jujube, 50-70 parts of radix scutellariae processed with wine, 50-70 parts of sophora and 10-30 parts of tropaeolum. The preparation method of the medicament for reducing somatic cell count in milk specifically comprises the following steps of: mixing the raw astragalus membranaceus processed with honey, the codonopsis pilosula, the bighead atractylodes rhizome, the fructus schisandrae, the medlar, the jujube, the radix scutellariae processed with wine, the sophora and the tropaeolum, and crushing into 60-80-mesh fine powder; adding water into the prepared fine powder, and evenly stirring; implanting saccharomycetes; fermenting for 12-14 hours; and drying.