The invention discloses a healthcare traditional Chinese medicine composition with functions of asthenopia prevention and improvement and a preparation method of the healthcare traditional Chinese medicine composition with the functions of asthenopia prevention and improvement. The healthcare traditional Chinese medicine composition is composed of semen cuscutae, fructus lycii, fructus ligustri lucidi steamed with wine, herba ecliptae, glycine max seed coat, rhizoma polygonati, flos chrysanthemi, parched semen cassiae, poria cocos, pericarpium citri reticulatae, radix puerariae and fructus chaenomelis lagenariae. The healthcare traditional Chinese medicine composition has efficacies of kiver and kidney nourishing, liver-fire removing, eyesight improving and tendon and vessel regulating and smoothing, mainly has prevention and improvement effects on hepatic asthenia (asthenopia) caused by failure in rising of Qi, blood, saliva and essence to eyes due to liver and kidney deficiency, and is worthy of clinical popularization and application.