The invention the invention relates to a capsule for treating hyperpiesis and apoplexy and a preparation method thereof. The capsule comprises the active ingredients made of the raw materials based on parts by weight: 6-12 parts of scorpion, 4-8 parts of centipede, 9-20 parts of the larva of silkworm with botrytis, 4-10 parts of leech, 6-12 parts of earthworm, 15-40 parts of turtleback, 20-30 parts of radix puerariae, 30-90 parts of radix astragali, 9-12 parts of peach kernel, 9-12 parts of safflower, 9-12 parts of angelica, 9-12 parts of szechuan lovage rhizome, 9-15 parts of red paeonia, 9-15 parts of notoginseng, 9-20 parts of salvia miltiorrhiza, 20-40 parts of prepared rhizome of rehmannia, 9-15 parts of rhizoma gastrodiae and 15-30 parts of uncaria. The raw materials are sliced, dried, crushed, extracted, concentrated, dried, processed by ball milling and filled in the capsule. The capsule can be used for treating hyperpiesis, apoplexy and coronary heart disease, and the preparation method is simple and easy to implement.