The invention relates to an apple pear ginseng jam and a preparation method. The jam consists of 0.8 to 8 percent of ginseng powder, 40 to 70 percent of apple pear blocks, 25 to 60 percent of cane sugar, 0.34 to 0.8 percent of citric acid, and 0.01 to 0.05 percent of preservative. The preparation method comprises the following processes of: preparing apple pear syrup from the apple pear and the cane sugar, preparing suspension from ginseng powder, adding the ginseng powder suspension into the apple pear syrup, mixing, heating and concentrating, adding the citric acid solution and the preservative, stirring the mixture uniformly to obtain jam, and performing vacuum degassing, filling, sealing and sterilization to obtain a finished product. All nutritional components of ginseng are kept; and the apple pear and the ginseng are compatible to regulate the functions of lung, intestines and stomach, protect trachea, relieve cough and reduce sputum, so that the jam becomes nutritious, health-care, delicious and convenient integrated health food and is ideal health-care food for middle-aged and old people, convalescence patients and over-fatigue brain workers.