The invention discloses a traditional Chinese medicine processing and grinding device. The traditional Chinese medicine processing and grinding device comprises a box body, the top of an inner cavityof the box body is provided with a crushing chamber, a first motor is fixedly connected to the top of the box body, a rotating shaft is fixedly connected to an output end of the first motor, the bottom of the rotating shaft penetrates through the box body and extends to an inner cavity of the crushing chamber, a crushing blade is fixedly connected to the surface of the rotating shaft, and a grinding chamber is formed in the bottom of the inner cavity of the box body. According to the traditional Chinese medicine processing and grinding device, the box body, the crushing chamber, the first motor, the rotating shaft, the crushing blade, the grinding chamber, the second motor, a first grinding roller, a third motor, a second grinding roller, a sound insulation board, sound absorption cotton,a control panel, an alarm, a single-chip microcomputer and a decibel sensor are arranged and cooperate with one another, so that the problems that in the case of a conventional traditional Chinese medicine grinding device, the grinding efficiency is relatively low mostly, moreover, noise can be generated in the using process, and therefore, hearing of workers is prone to being influenced to a certain degree are solved.