A telemedicine auscultation consultation system belongs to the technical field of electronic information and telemedicine. The invention includes a doctor terminal computer, a user terminal computer, an electronic stethoscope, a hardware switching device and a network. The doctor terminal computer has a voice microphone and a camera, and has interface design, network communication, real-time display, auxiliary diagnosis, database and help system sub-modules; The doctor's terminal computer can receive audio data from the network, and can play and realize the data waveform, and obtain auxiliary diagnosis parameters; the user terminal computer has a voice microphone and a camera, and has interface design, real-time display, network communication and help system sub-modules , the user terminal computer can transmit audio data to the network; the electronic stethoscope is used to collect the heart sound data of the patient, and is connected with the stethoscope interface of hardware switching and transposition; the hardware switching device is used for switching between voice and heart sound; the network is used to connect the user terminal and doctor terminal, and can transmit audio data.