The invention discloses a traditional Chinese medicine preparation for treating apoplectic hemiplegia and a preparation method of the traditional Chinese medicine preparation. The traditional Chinese medicine preparation comprises the following raw materials: ash bark, ruddle, dragonwort, selfheal, tribulus terrestris, uncaria macrophylla, cassia seeds, oriental wormwood, panax notoginseng, turtle shells, mother-of-pearl, rhizoma sparganii, fossil fragments, wormwood, valerian, resina liquidamberis, rhizoma smilacis glabrae, myrobalan, madder, rhizoma corydalis, mulberries, herba lycopi, magnetite, aloe, aristolochia fordiana, nux vomica, pangolin, calamint, radix curcumae, ginseng, euonymus carnosus hemsl, dragonwort, red-knees herb, radix paeoniae rubra, armeniaca mume, dianthus superbus, lemmaphyllum microphyllum and rosette thistle. The preparation has the benefits that the preparation has effects of calming a liver to stop wind, clearing away heat, promoting blood circulation and tonifying a liver and a kidney, and mainly treats the liver yang hyperactivity and upward wind-fire disturbance apoplectic hemiplegia. The preparation employs traditional Chinese medicine theories, focuses on a total concept, has multiple target spots, can achieve functions of anticoagulation, thrombolysis, blood vessel maintenance, establishment of collateral circulation and cranial nerve restoring. At the same time, the preparation has the advantages of rapid effect, high effective rate, exact curative effect, short treatment course, no toxic or side effects, low price and the like.