The invention discloses traditional Chinese medicine granules for treating intractable coughs and a preparation method and belongs to the field of traditional Chinese medicines. The traditional Chinese medicine granules are prepared from raw materials of effective ingredients of medicines as follows: sericea lespedeza, Dioscorea opposite, Chinese pholidota herbs, solomonseal rhizomes, perny false fairybells rhizomes, liquorice roots, paulownia flowers, Chinese dates, longspurred fairybells rhizomes, Pilose asiabell roots, malaytea scurfpea fruits, Chinese thorowax roots, Goodyera schlechtendaliana, orange fruits, walnut kernels, Veronica linariifolia, loquat seeds, nutgrass galingale rhizomes, perilla fruits, loofah sponges, pepperweed seeds, ephedra, pummelo peels and oroxylum seeds. Medicinal materials adopted by the granules conform to the monarch, minister, assistant and guide principle, and the granules suit the remedy to the case according to the pathogenesis, have effects of tonifying the kidney, absorbing qi, soothing the liver, regulating qi, strengthening the spleen, supplementing the lung, harmonizing construction and defense, nourishing yin, moistening the lung, freeing the lung, relieving asthma, reducing phlegm, relieving coughs, clearing the lung, relieving the sore throat, clearing heat and removing toxins, are good in absorbing effect, significant in curative effect and free of toxic and side effects and clinical adverse effects, and have the higher cure rate for the intractable coughs according to clinical verification.