The invention discloses massaging paste based on Chinese medicinal herbs, which is used for treating neck, shoulder, waist and leg pain, numbness of the limbs and gynecological diseases. The massaging paste comprises a Chinese medicinal material and a substrate, wherein the Chinese medicinal material is prepared from the following components in certain parts by mass: frankincense, elderberry, ipomoea cairica, garden balsam stem, honeysuckle flower, pseudo-ginseng, Chinese thorowax root, leech, stiff silkworm, scorpio, uncaria, puncturevine caltrop fruit, cochinchina momordica seed, ground beetle, astragalus, myrrh, caulis erycibes, bitter orange, tree peony bark, large-leaved gentian, turmeric root-tuber, white paeony root, suberect spatholobus stem, double-teeth pubescent angelica root, kadsura coccinea, artemisia anomala, garden balsam, dahurian angelica root, rhubarb, clove, wild ginger, szechuan lovage rhizome, belvedere fruit, cowherb seed and the like. The massaging paste is simple and practical, and can be used for treating neck, shoulder, waist, leg and foot pain, breast, cyst, numbness of the limbs and gynecological diseases during massaging; and meanwhile, the invention further provides a preparation method.