The invention discloses truffle-tartary buckwheat health care wine and a preparation method thereof. The truffle-tartary buckwheat health care wine is composed of the following components in parts by mass: 3-8 parts of truffle, 3-8 parts of tartary buckwheat bran and 92-97 parts of tartary buckwheat distilled liquor. The preparation method comprises the following steps: at first, cleaning, primary steaming, grain cooling, grain sealing, secondary steaming, cooling, cultivating bacteria, allocating slot, fermenting and distilling to obtain the tartary buckwheat distilled liquor, then uniformly mixing the tartary buckwheat distilled liquor with truffle, ultrasonically extracting the mixture for 1 hour, sequentially filtering by using rough kieselguhr and fine kieselguhr to obtain the truffle-tartary buckwheat health care wine. The truffle-tartary buckwheat health care wine provided by the invention has quite high nutrition and health care values, and has the functions of supporting Yang, conditioning endocrine, preventing Alzheimer disease, atherosclerosis and tumor cytotoxicity, enhancing immunity and resisting aging and fatigue and the like. The truffle-tartary buckwheat health care wine has the advantages of being quick to become effective, obvious in effect, high in safety, and simple and convenient preparation method, etc.