The invention provides an online and offline health service multi-union promotion processing method. The method comprises the following steps: constructing a plurality of digital unions by all merchant terminals, wherein each digital union comprises a preset number of merchant terminals; calculating the number of multi-union two-dimensional codes received by each merchant terminal from a mobile terminal within a preset time period and the total amount of e-payment; and according to the number of multi-union two-dimensional codes received by each merchant terminal from the mobile terminal within the preset time period and the total amount of e-payment, adjusting health service product information provided by each merchant terminal in the multi-union two-dimensional codes. By implementing the method, health services can be promoted among the digital unions, and merchants in each digital union perform profit sharing in online and offline promotion processes, so that the promotion positivity of the merchant terminals of each digital union is improved; and meanwhile, according to the consumption status of each merchant terminal, resource configuration of the merchant terminal in each digital union is optimized.