The invention relates to a food therapy pearl milk tea preparation for strengthening spleen, helping digestion and nourishing stomach, and the formula comprises pilose Asiabell root, common yam rhizome, largehead atractylodes rhizome, Indian buead, pollen, fragrant solomonseal rhizome, geranium strictipes, nutmeg, tsaoko amomum fruit, costustoot, areca seed, hawthorn fruit, malt, rice-grain sprout, medicated leaven, sweet potato starch, cold fruit starch, white lotus root starch, zizania aquatica starch, Chinese yam starch, milk tea medicinal and food materials and packaging material. The food therapy pearl milk tea preparation has the advantages and effects that raw materials are abundant, the preparation and the processing of the medicinal and the food materials are relatively easy, the food therapy dosage for prevention is low, the administration is convenient, the targeting force is strong, the onset of action is fast, the efficacy is good, the food therapy pearl milk tea preparation has no toxicity or side effects, the total effective rate of the food therapy achieves 100% and the like, thereby particularly filling in a blank in the topic field of developing the pearl milk tea preparation with the traditional food therapy for patients with weakness of the spleen and the stomach, dyspeptic retention, gastrointestinal sub-health symptom postures and the like, and being innovative progress in food therapy medicinal tea culture research of human beings at present.