The invention discloses a B-ultrasonic coupling agent and a preparation method, and belongs to the field of traditional Chinese medicines. The B mode ultrasonic coupling agent is prepared from the following raw materials with effective ingredients of cherry, sansevieria, rubus parvifolius, leaf of purpleflower holly, baeckea frutescens, zornia diphylla, eucalyptus robusta, garlic, piper betle, polygonum hydropiper, leaves of mussaenda pubescens, agastache rugosus, leaves of camphor trees, dried orange peel, plum kernel and costustoot. The B mode ultrasonic coupling agent has the characteristics that the selected natural herbal Chinese medicines are compounded, and the particular effects of lubricating skin, activating blood circulation and removing blood stasis, inhibiting bacteria and diminishing inflammation, preventing corrosion and relieving itching, and regenerating tissue and closing sores are realized; the disinfection and sterilization are efficient, the safety and non-toxic effect are realized, the skin allergy and irritation are avoided, and the crossing infection of ultrasonic examination in clinics is avoided; the cost is low, and the preparation is simple; when the B mode ultrasonic coupling agent is used for ultrasonic examination, the acoustical transmission effect is more obvious, and the ultrasonic imaging is clearer.