An automatic medication dispensing device for bottled medication includes a frame, a medication collection device and medication dispensing units; wherein: the bottled medications are arranged in a single column in the medication container; a medication outlet is set on the bottom wall at the medication discharging end of the medication container; the medication discharging mechanism includes a medication stopper and a push rod; the medication stopper is set at the medication outlet and one end of the medication stopper is hinged to the medication container, and the medication stopper has two working states of blocking the medication outlet and opening and a primary elastic element acts on the medication stopper; the drive device drives the primary pressing portion to act on the medication stopper and the secondary pressing portion acts on the first bottled medication at the medication discharging end.