The invention relates to a hot extrusion type traditional Chinese medicine deoiling and frost-making process, which can effectively solve the problem of frost making of the traditional Chinese medicines and ensure the quality. The adopted technical scheme for solving the problem comprises the following steps of: measuring the content of fatty oil in the raw medicine materials, crushing the original medicine materials, heating, extruding the medicine materials to deoil, then crushing again and the like, setting and controlling the pressure for extruding the medicine materials in the process of extruding and deoiling the medicine materials, measuring the extruded fatty oil, calculating the oil content in the extruded medicine materials, when the oil content in the extruded medicine materials reaches the specified requirements of medicine cream, stopping extrusion and deoiling, and collecting the obtained fatty oil and frost. The production is carried out by the method, the frost-making process is mechanized completely, so that human factor interference is reduced furthest. For the finished product produced by adopting the technique, the quality is homogeneous and stable, the appearance characteristic and the content of the fatty oil are in controllable range, the curative effect is guaranteed, the toxic and side effects are reduced, the medicine use safety is guaranteed, and the clinic need to frost-making decoction pieces is effectively met. Therefore, the hot extrusion type traditional Chinese medicine deoiling and frost-making process is beneficial to development of industrial and normalized production of the traditional Chinese medicine decoction pieces.