The challenge of mixing high-viscosity materials is a common issue encountered in the manufacturing process of food materials. The advantages of the internal meshing screw mixer have led to its adoption in various manufacturing processes, but it has yet to be implemented in the food industry. The paper presents a design method for an internal meshing screw mixer based on kinematic principles. The mixer features a helical chamber created by alternating volumes formed by the stator and rotor, establishing an extension-dominated environment for mixing high-viscosity fluids. A kinematic model based on the internal cycloid principle was established, providing trajectories and equations for key points on the rotor, simulating both its rotation and revolution processes, and revealing the velocity variations at different points on the rotor. Based on the kinematic analysis results, a stator and rotor design method was developed according to relevant functional divisions. To achieve the desired motion effects, transmission and support devices were designed, and the relationship between the transmission device and the internal cycloid surface of the fixed rotor was established. The mixer’s application and mixing effectiveness in the food industry were validated using corn syrup and flour. Experimental results showed that the extensional mixer described in the paper effectively mixed high-viscosity fluids while also efficiently blending fine powders. Slurry viscosity was tested with a rheometer at different speeds with an eccentric rotor mixer. Results showed that viscosity decreased with increasing shear rate, with a more pronounced decrease at higher shear rates. The apparent viscosity trend remained consistent at different speeds, although variations were observed at lower shear rates, especially concerning speed. The non-Newtonian fluid index exhibited minimal variations at different speeds, while the consistency coefficient showed significant fluctuations. The mixing uniformity index of the slurry was used to evaluate the mixing uniformity and dispersion uniformity of this extensional mixer. At different rotational speeds, the density of the slurry changes little. The uniformity index of mixing decreases gradually with the increase of rotational speed, reaching its maximum at 15 r/min. The overall trend of the uniformity index decreases with increasing rotational speed, indicating a decrease in density uniformity. A peak appears at 45 r/min, possibly due to the maximum values of elongation rate and shear rate at this speed. As the rotational speed increases, the residence time of the material in the mixer decreases, which may be the main reason for the decrease in mixing uniformity. These findings provide valuable insights into the design and utilization of extension-dominated screw mixers within the food industry, laying a solid foundation for future research and practical applications in this field.