The invention discloses a small efficient medicinal rubbish pyrolysis incinerator, which belongs to rubbish burning treatment equipment and solves the problems that a gas combustion chamber has simple structure, an auxiliary fuel is needed, the temperature cannot be accurately measured or controlled, and defects are produced in cloth bag dust removal and the like. The hearth of the incinerator consists of a pyrolysis and gasification chamber, a solid-phase burn-out chamber, a gas-phase combustion chamber and a flue gas treatment chamber; the solid-phase burn-out chamber is positioned below the pyrolysis and gasification chamber and communicated through a netlike fire grate; the gas-phase combustion chamber is arranged in parallel to the pyrolysis and gasification chamber, and the top of the gas-phase combustion chamber is communicated with a flue; the flue gas treatment chamber is arranged in parallel to the gas-phase combustion chamber and the pyrolysis and gasification chamber; and the gas-phase combustion chamber is communicated with the lower part of the flue gas treatment chamber, the gas-phase combustion chamber and the flue gas treatment chamber are provided with a fireproof baffle plate respectively, and the lower part of the gas-phase combustion chamber is provided with the netlike fire grate. The temperature in the incinerator is measured and controlled in real time through an electric heating and automatic temperature measurement and control system. A high-temperature granule dust removal and filter device avoids regeneration of dioxin, and the cost is reduced. The incinerator effectively and cleanly burns the medicinal rubbish on the aspects of incinerator shape design, ignition and combustion modes, temperature measurement and control, high-temperature flue gas treatment and the like.