The invention discloses a traditional Chinese medicine preparation for treating apoplexia, facial paralysis and hemiplegia, which is prepared from angelica, hemlock parsley, radix astragali, gastrodia tuber, radix sileris, coptis, notopterygium root, figwort, wrinkled gianthyssop, red radix linguae, radix angelicae, tuckahoe, ephedra, moss, curcuma, cinnamon, Amomum Cardamomnm seed, fleece-flower root, amber, rhubarb, tsaoko, male rat manure, radix rehmanniae preparata, pangolin, scorpion, lumbricus, radix clematidis, kudzu root, mistletoe, asarum, red paeonia, radix linderae, green tangerine orange peel, rhizoma atractylodis, stiff silkworm, frankincense, myrrh, cinnabar, rhizoma drynariae, rhizoma cyperi, tabasheer, rhizoma typhonii, tortoise plastron, agilawood, clove, elephantopus scaber, safflower, antler stem, celastrus orbiculatus, lucid ganoderma, rhinoceros horn, Mangnolia officinalis, rosin, costus root, borneol, bezoar, draconis sanguis, tiger bone, Solanum torvum Swartz and Eupatorium chinense. The preparation method is simple and convenient to operate; and the preparation has the advantages of low production cost, high safety and no side effect, and is convenient for patients to take.