The invention discloses gout treating traditional Chinese medicine decoction pieces, and a preparation method thereof. The preparation method comprises: A, material selection, wherein 5-10 parts of achyranthes bidentata blume, 5-10 parts of frankincense, 8-13 parts of lavender, 18-25 parts of papaya, 10-20 parts of clematis chinensis osbeck, 10-15 parts of cortex phellodendri, 10-15 parts of salvia miltiorrhiza, 1-2 parts of cortex fraxini, 8-10 parts of licorice root, 10-15 parts of codonopsis pilosula, 12-18 parts of dried tangerine peel, 5-10 parts of Chinese wolfberry, 5-12 parts of asarum sieboldii miq, 3-9 parts of dried fructus mume, 6-18 parts of phaseolus calcaratus, and 2-6 parts of radix puerariae are weighed. According to the present invention, the traditional Chinese medicine decoction pieces capable of being conveniently used by patients are prepared by treating and mixing a variety of Chinese herbs through the tableting technology, and the drugs are completely mixed and crushed, such that the traditional Chinese medicine production method is simplified, and the advantages of low impurity, safety and health are provided; and in the field of the use effect, achyranthes bidentata blume, frankincense, lavender, clematis chinensis osbeck, cortex phellodendri and other traditional Chinese medicines are matched, such that the effects of blood circulation activation, meridian promoting and waist and knee tonifying can be provided, and rheumatic arthralgia, spasm, traumatic injury, carbuncle swelling, sores ulceration and other illnesses.