The invention belongs to the field of traditional Chinese medicine and specifically relates to a spherical or spheroidic traditional Chinese medicine granule decoction piece and a preparation method of the same. The method of the invention aims at the prior art granulation process and traditional Chinese medicine materials with a high viscosity such as donkey-hide gelatin, turtle shell gelatin, tortoise plastron gelatin, dragons blood, Chinese dragons blood, propolis, deerhorn gelatin, etc., provides a new production technique which can make traditional Chinese medicine materials with a high viscosity into a spherical or spheroidic granule decoction piece with a regular shape and good fluidity. The method comprises steps of, A, grinding the traditional Chinese medicines and sieving by a sieve of 60-80 meshes; B, preparing soft materials (using purified water to mix soft materials is preferred.); C, using a compression granulator to extrude, shear and granulate into spherical or spheroidic shape granules; D, drying the granules and obtaining the product. The prepared granules are spherical or spheroidic, and are granule traditional Chinese medicine decoction pieces with a regular and smooth shape, a good visibility, a small specific surface area and good fluidity, are not easy to absorb moisture and convenient to be subpackaged automatically, and satisfy the clinical request that compatibility of medicines according to the traditional Chinese medicine theory and co-decoction of the traditional Chinese medicines more facilitate to exert therapeutic effects.