The invention discloses a shearing type pushing-out type automatic traditional Chinese medicine picking device. The shearing type pushing-out type automatic traditional Chinese medicine picking device comprises a medicine rack, medicine bag pushing-out devices, a tray and a controller. The medicine rack is in a hollow cylinder shape. Medicine bag storage chambers are arranged at the upper portion of the medicine rack and provided with the medicine bag pushing-out devices respectively, the storage chambers incline towards the center of the medicine rack by a certain angle, each storage chamber is provided with a medicine bag pushing-out port, and a photoelectric sensor is arranged above each medicine bag pushing-out port. A funnel-shaped medicine bag falling port and a shearing type pushing-out mechanism are arranged at the lower portion of the medicine rack, the shearing type pushing-out mechanism is located below the funnel-shaped medicine bag falling port, and a through groove is formed in the lower portion of the medicine rack. The shearing type pushing-out mechanism and all the medicine bag pushing-out devices are controlled to act through a controller. All the photoelectric sensors are connected with the controller to achieve information feedback. By means of the device to pick up medicine, medical workers can be released from the complex medicine picking procedure, the medicine picking error rate is reduced, the medicine picking efficiency is improved, the medicine picking interval is shortened, and the risk of medicine cross contamination is reduced.