The invention relates to the technical field of ultrasonic processing and discloses an ultrasonic main shaft, which is characterized in that on one hand, a wireless transmitting assembly and a wireless receiving assembly are arranged on the ultrasonic main shaft, and non-contact type electrical conduction is formed between a rotating shaft and a cylinder seat, so that the abrasion of a conductivestructure can be avoided, the service life of the main shaft is prolonged, and the cutting operation effect of high-frequency vibration is improved; and on the other hand, since conductive pieces areall concentrated on a rod body, the double para-position is converted into a single para-position, which greatly reduces the difficulty of the alignment, therefore, in the process of sleeving an ultrasonic knife handle and a rotating shaft, only the rod body is butted with a blind rivet, the conductive pieces and a conductive body can form effective electric connection, and furthermore, stable electrical conduction can be formed between the ultrasonic knife handle and the rotating shaft, and no contact failure occurs. In addition, the invention also provides an ultrasonic machine tool which also has the advantages of stable electrical conduction, good processing effect and the like.