The invention discloses a preparation method of a cold heat-clearing tablet. The preparation method comprises the following steps: (1) weighing raw materials; (2) preparing three traditional Chinese medicines of schizonepeta spikes, mint and perilla leaves, adding water which is 8-12 times of mass of weights of the traditional Chinese medicines, distilling to extract volatile oil for 1.0-2.0 hours, and collecting a distilled water solution; adding water into decoction residues and other medicines, and carrying out decoction twice, namely adding water which is 8-12 times of mass of the all traditional Chinese medicines, carrying out decoction for 1.0-2.0 hours, and filtering, so as to obtain a filtrate; adding water which is 6-10 times of mass of the all traditional Chinese medicines into the filtered decoction residues, carrying out decoction for 1.0-2.0 hours, and filtering, so as to obtain a filtrate; combining two filtrates with the distilled solution; and (3) combining decoction solutions, carrying out reduced pressure concentration, adding auxiliary materials, carrying out granulation, spraying the volatile oil obtained in the step (2), and carrying out tabletting, so as to form a base tablet, or a coated film or a sugar coating, namely the cold heat-clearing tablet. The preparation method has the beneficial effects that the extraction temperature is low, the energy consumption is low, the extraction time is short, the loss of temperature-sensitive components is low, and the recovery rate of effective components is high.