The invention relates to a preparation method of intelligent traditional Chinese medicine fever abatement paste. Hot compress paste comprises a back lining layer, a gel layer and a meshed membrane, wherein the meshed membrane and the back lining layer are respectively located on the upper layer and the lower layer of the gel layer, the back lining layer is nonwoven fabric, the meshed membrane is a PET membrane, a PC film or a PC membrane, and the gel layer is formed by mixing distilled water, polymer substances, humectant, traditional Chinese medicine extract, natural cooling agent and heat absorbing agent according to a certain proportion. The intelligent traditional Chinese medicine fever abatement paste has the advantages that the humectant, the traditional Chinese medicine extract, the natural cooling agent and the heat absorbing agent are loaded into polymer gel to achieve effects of cooling and bringing down the fever and tonifying the brain and soothing the nerves, the paste is nontoxic and free of side effect, fever is brought down through a physical and medicinal manner, and the evident effects of tonifying the brain, soothing the nerves and bringing down the fever are achieved.