The invention discloses an intelligent medicine pushing and discharging device, a dispensing control system and a medicine management dispensing method. The intelligent medicine pushing and discharging device is used for an intelligentized dispensing control system, comprises a medicine slot capable of placing medicines and also comprises a pushing device for pushing medicines out of the medicine slot; when the medicines need to be discharged, the pushing device pushes the medicines towards the direction of a medicine outlet for discharging, and the moving distance of the pushing device is the distance, occupied in the medicine slot, of the medicines needing to be discharged; when the medicines do not need to be discharged, the pushing device does not form an enough thrust force to push the medicines out of the medicine slot. The intelligent medicine pushing and discharging device can be placed at a small angle or even a zero angle, the occupation space is smaller, the space utilization rate is greatly improved, the counting basis of medicine discharging is reliable, the medicine inventory information is in real time, real-time expiry date management of the medicines is realized, and the maintenance cost is low. Preferably, the pushing device comprises a motor and a pushing member; the middle of the medicine slot is hollowed to form a passage; the motor drives a pushing block on the pushing member to reciprocate and linearly move in the passage.