The invention relates to a traditional Chinese medicine preparation for treating gynecological dysmenorrhea and a preparation method thereof. The traditional Chinese medicine preparation comprises the following raw material medicines in parts by weight: 190-210 parts of caulis spatholobi, 190-210 parts of rhizoma polygonati, 140-160 parts of galangal, 140-160 parts of teasel root, 140-160 parts of fructus amomi, 90-110 parts of leonurus, 70-90 parts of coptis chinensis, 70-90 parts of dried rehamnnia root, 70-90 parts of corydalis tuber, 50-70 parts of root of common peony, 70-90 parts of cinnamon and 40-60 parts of platycodon grandiflorum. The traditional Chinese medicine preparation provided by the invention is exact in clinical curative effect, and has the functions of reinforcing Qi and nourishing blood, dispersing blood stasis and relieving pain, and warming channel and expelling cold. The traditional Chinese medicine preparation is clinically used for dysmenorrhea gynecological patients with the main symptom of Qi and blood deficiency and cold coagulation and blood stasis syndromes, and has a relatively obvious clinical effect. The preparation process provided by the invention is simple and stable in operation method, and has a wide industrial application prospect.