The invention relates to a five-axis cement-soil mixing pile device and a construction method. The device comprises a walking-type and crawler-type host machine, a winding machine, a guide rod, a steel wire rope, a slurry inlet, a power head, a speed change box, a speed reducer, drill stems, a middle support frame, a lower support frame, drill stems with wings, hoops, a multifunctional drill head, a slurry spraying opening and a background cement slurry mixing system, wherein the winding machine and the guide rod are fixed on the host machine; the power head is connected with a pulley on the top of the guide rod through the steel wire rope; the steel wire rope drives the power head to rise and fall in a vertical direction; the power head is connected with five drill stems sequentially through the speed change box and the speed reducer; the middle support frame is arranged on the middle parts of the five drill stems, and the lower support frame is arranged on the lower parts of the five drill stems; the drill stems with wings are connected to the lower ends of the drill stems; the hoops are arranged on the drill stems with the wings; the lower ends of the drill stems with the wings are connected with the multifunctional drill head; and the slurry spraying opening is formed in the multifunctional drill head. Compared with the prior art, the five-axis cement-soil mixing pile device has the advantages of guaranteeing the safety and the quality, reducing the cost, shortening the work period and the like along with no noise, no vibration and high efficiency.