The invention discloses a preparation method of a traditional Chinese medicine feed additive for reducing somatic cells of cows and preventing and treating recessive mastitis. The traditional Chinese medicine feed additive is prepared through the following steps of (1) weighing the following components in parts by weight: 50-60 parts of heartleaf houttuynia herbs, 30-40 parts of common andrographis herbs, 20-30 parts of airpotato yams, 20-30 parts of oriental stephania roots, 15-20 parts of honeysuckle flowers, 5-10 parts of cowherb seeds, 20-30 parts of radix scutellariae, 20-30 parts of radix gentianae, 10-20 parts of herba epimedii, 20-30 parts of radix astragali, 25-30 parts of dried orange peel and 20-25 parts of thunberg fritillary bulbs; (2) mixing the materials weighed in the step (1), and performing crushing to obtain 40-mesh powder; and (3) weighing the following components in parts by weight: 70 parts of the powder prepared in the step (2), 20 parts of wheat middlings, 10 parts of soybean meal powder and an appropriate amount of water, performing uniform mixing, performing granulation, and performing baking so as to obtain the traditional Chinese medicine feed additive. The traditional Chinese medicine feed additive disclosed by the invention can quickly reduce the quantity of the somatic cells of the cows, heal the recessive mastitis, enable the cows to rapidly recover the healthy production state, improve the immune functions of the organisms of the cows at the lactation period, effectively prevent the occurrence of various diseases and strengthen the stress resistance of the cows at the perinatal period.