The invention discloses a peristaltic solid-state fermentation technology and device for traditional Chinese medicine. The technical scheme is to lay 2-8 silicone rubber gasbags at the bottom of a fermenter, wherein, the gasbags are presented Tai Chi shape, U-shape, M-shape, semicircle shape or bar shape; on the gasbags, a bubble prominence is arranged; the gasbags are connected with a compressorto periodically open or close a solenoid valve through a controller; the gasbags go up or down during the solid-state fermentation of the traditional Chinese medicine, thereby realizing a periodic peristalsis stimulation, playing a role in mixing, loosening and resisting agglomeration of the traditional Chinese medicine agglomeration during solid-state fermentation, strengthening the heat and mass transfer during solid-state fermentation, shortening the fermentation period, and improving the fermentation efficiency and the yield.