The invention discloses a Chinese medicinal herb feed additive for controlling nutritional type hepatobiliary syndrome of cultured freshwater fishes. The additive is prepared from the following raw materials by weight (on the basis of one ton of feed): 2,000 to 4,000g of silibinin, 500 to 1,500g of root of red-rooted salvia, 500 to 2,000g of cassia seed, 1,000 to 6,000g of hawthorn, 1,500 to 3,000g of rhubarb, 800 to 2,500g of notoginseng root, 500 to 2,000g of astragalus, 1,000 to 4,000g of motherwort herb, and 1,000 to 4,000g of garlic. A preparation method comprises the following steps of: drying all raw materials, accurately weighing according to the weight, performing ultrafine crushing, sieving with a 60-mesh screen, and mixing uniformly to obtain the Chinese medicinal herb feed additive for controlling nutritional type hepatobiliary syndrome of the cultured freshwater fishes. Through culture experiments on feeds of the cultured freshwater fishes such as grass carps, black carps, carps, crucian carps, bream fish, Tilapia mossambica and the like, the Chinese medicinal herb feed additive has a good effect of treating or preventing nutritional type hepatobiliary syndrome of various freshwater fishes which are cultured at high density; and the Chinese medicinal herb feed additive is safe and efficient after being used for a long time, cultured objects have bright body color and strong vitalities and grow rapidly, the feed conversion rate is high, and the culture benefit is good.