The invention discloses a tuberculosis prevention and treatment drug preparation device which comprises a support frame fixedly mounted on a bottom plate and an inlaying seat body mounted on the rightend surface of the support frame by a lifting device, foot columns are fixedly arranged around the bottom end surface of the bottom plate, rollers are cooperatively disposed in the bottom end surfaces of the foot columns in a rolling manner, and the bottom end surface of the inlaying seat body is provided with a buffer cavity. A preparation seat body is slidably cooperatively disposed in the buffer cavity, suppressing members are left-right symmetrically disposed on the top end of the preparation seat body, and the top ends of the suppressing members are fixedly connected to the inner wall ofthe buffer cavity. The inner wall of the preparation seat body is provided with a transfer chamber, the upper side of the transfer chamber is provided with a guiding cavity, the inner bottom wall ofthe transfer chamber is provided with a steering chamber in a communication manner, the steering chamber penetrates the bottom end surface of the preparation seat body, a steering column is rotatablycooperatively disposed in the steering chamber, and the bottom portion of the steering column extends out of the bottom end surface of the preparation seat body, and is cooperatively provided with a grinding wheel.