The invention relates to the technical field of medical supplies, in particular to a medical cold compress paster, comprising a back lining layer, a gel layer and a covering layer which are sequentially connected from top to bottom, wherein the gel layer is prepared from the following raw material by mass percent: 5-20% of macromolecular substance, 3-10% of fresh ginger extract, 3-10% of radix angelicae pubescentis extract, 2-8% of cortex phellodendri extract, 3-8% of philippine violet herb extract, 3-12% of fructus forsythiae extract, 1-7% of indigo naturalis powder, 2-8% of ethyl alcohol, 1-10% of humectant, 0.25-9% of auxiliary agent and the balance of water. The medical cold compress paster has the advantages that 1, the medical cold compress paster is capable of evenly cooling for a long time and is obvious in an effect of abatement of fever; 2, the medical cold compress paster is good in biocompatibility and free from irritation and toxic or side effect; 3, the medical cold compress paster has functions of carrying out cold compress physical therapy, physically cooling, bringing down a fever, cooling blood to remove stasis and relieving pain; the medical cold compress paster is safe and convenient to use.