The invention relates to a processing method of pinellia rhizome fermented mass. The processing method comprises the following steps of: taking 11-13kg of flour, 32-36kg of wheat bran, 1-3kg of bitter almonds, 1-3kg of small red beans and 0.1-0.4kg of dry polygonum according to each 10kg of rhizoma pinellinae praeparata; grinding and sieving the dry polygonum, the bitter almonds and the rhizoma pinellinae praeparata; grinding the small red beans, adding water and boiling the small red beans into porridge, and fermenting and foaming; pouring rhizoma pinellinae praeparata powder, the flour, the wheat bran, the crude powder of the bitter almonds and the crude powder of the dry polygonum into a mixer for stirring; adding the fermented small red bean porridge to the mixer for stirring together; taking the mixture out of the mixer to form a pile, tamping, and covering the mixture with plastic cloth to ferment for later use; molding the broken pinellia rhizome fermented mass, drying the molded pinellia rhizome fermented mass in a drying oven, and cooling to obtain the finished product. The invention has the advantages of advanced technique, scientific and reasonable process design, specific technological parameters, easy operation control and increased production efficiency. The invention is applicable to scale production and automatic production, and has a demonstration effect on the optimization of an industrial structure and the technological upgrading in the production of traditional Chinese oral tablets.