The invention relates to the technical field of insole structures, in particular to a therapeutic massage insole. The therapeutic massage insole comprises a body, and the body is provided with at least three small through holes. Large through holes are formed in the heel of the body. Small button cushion bodies are embedded in the small through holes, and large button cushion bodies are embedded in the large through holes. Each small button cushion body is composed of a medicine block and a cotton cloth wrapping the medicine block, and the shape of the medicine blocks is identical with that of the button cushion bodies. Compared with the prior art, the therapeutic massage insole has the advantages that through combination of the energy medicine and the traditional Chinese medicine, anions, far infrared rays and other components facilitating human health can be continuously released to a human body through the sole; the therapeutic massage insole has the effects of dispelling wind and eliminating dampness, clearing away heat and toxic materials, promoting blood circulation to remove blood stasis, clearing and activating the channels and collaterals, strengthening the spleen and stomach, tonifying Qi, improving the body blood circulation system and the like, and has the dual effect of the medicine health care and traditional Chinese medicine massage; the therapeutic massage insole is simple in structure, reasonable in arrangement, low in manufacturing cost and the like.