The invention discloses a non-invasive extracorporeal shock wave cardiovascular therapy machine. The invention includes a sofa therapy bed (1), a mobile bedstead (2), a shock wave generator (3), a type-B color ultrasonic probe (4), a probe positioning mechanism (5), a type-B color ultrasonic machine (6), an operation control table (7), a bedstead three-dimensional movement mechanism (8) and a main machine rack (9), wherein, the shock wave generator (3) includes a frame (30), an electromagnetic pulse coil (31), a vibration reset membrane-plate (32), an internal reflective cup (33), a water bag (34), a reflector (35) and a reflector frame (36), the electromagnetic pulse coil (31) and the vibration reset membrane-plate (32) are positioned at an opening which is arranged at one end of a shock wave channel (301) of the frame (30), the other end of the shock wave channel (301) is communicated with an internal cavity (330) of the internal reflective cup (33), the reflective surface of the internal reflective cup (33) is an ellipsoidal surface, and the reflector (35) is arranged at a first focus of the internal reflective cup (33). The invention can be widely applied in the field of medical equipments.