The invention belongs to the technical field of building construction, and particularly relates to a substrate water gushing and sand gushing treatment method. The treatment method comprises the following steps that S1, surveying and setting out are carried out, and the position of a secondary excavation foundation pit is determined; S2, supporting piles and a waterproof curtain are constructed; S3, a foundation pit is excavated; S4, the soil surface is excavated to a preset elevation and flattened, and a submersible pump is placed to pump and drain accumulated water; S5, water and sand gushing points on the soil surface of the substrate are found out, and a water flowing pipeline is built by using bricks, so that water flowing out of the water gushing points is collected to a middle dewatering well to be discharged; S6, a formwork and plastic cloth are laid on the top faces of the bricks; S7, a water stop steel shaft is installed in the dewatering well, and a cushion layer is poured;S8 a waterproof layer is laid, and concrete is poured; and S9, the dewatering well is plugged. According to the substrate water gushing and sand gushing treatment method, the bottom surface of the foundation pit can be rapidly and effectively sealed, the harmful effect of water gushing and sand gushing of the substrate on the foundation pit is restrained to a large extent, and safe and smooth construction of a main body reinforced concrete structure is guaranteed; and the construction method is simple, low in cost and remarkable in effect.