The invention relates to a traditional Chinese medicine preparation for presbycusis and a preparation method. The raw materials of the active ingredients of the traditional Chinese medicine preparation are composed of: Mutong, Kudingcha, sunflower receptacle, Gong Laozi, Abutilon, quinoa, Qingniangzi, mountain Piaoercao, rock broom, Baichang, Mopancao, wild goose fat, rosin, Zhemu white bark, Tian Nanxing and Bamboo leaf ginseng; the traditional Chinese medicine preparation of the present invention has the functions of invigorating the kidney, protecting the liver, nourishing the heart and strengthening the brain, clearing the meridians and opening the orifices, dispelling wind, clearing heat and detoxifying It can reduce the pressure of blood vessels in the ear and promote the blood circulation in the ear, so as to achieve a unique therapeutic effect, and achieve the purpose of treating both the symptoms and the root causes of deafness; the traditional Chinese medicine preparation of the present invention is used for the treatment of presbycusis, which conforms to the theory of traditional Chinese medicine and modern pharmacological research. The selected medicinal materials are suitable for compatibility, obvious curative effect, high safety performance, no side effects and low price, and are worthy of widespread application.