The present invention provides a periploca forrestii schltr extract preparation method, which comprises: (1) taking a periploca forrestii schltr herb, crushing, extracting with ethanol with a volume ratio of more than 90%, and drying the extract to obtain an ethanol concrete; (2) taking the ethanol concrete, adding water to disperse, extracting by sequentially adopting petroleum ether and ethyl acetate, mixing the ethyl acetate layer, and removing the solvent to obtain an ethyl acetate concrete; and (3) taking the ethyl acetate concrete, adding to a silica gel column, sequentially carrying out gradient elution by adopting chloroform and methanol according to a ratio of (10-5):(0-1), collecting the elution segment at a ratio of chloroform to methanol of 5:1, removing the solvent, and drying to obtain the periploca forrestii schltr extract. The present invention further provides the extract prepared through the method, and a use thereof. The periploca forrestii schltr extract has characteristics of good anti-inflammatory activity, good anti-rheumatoid arthritis activity, significantly increased efficacy activity superior to other extraction sites, and no significant rebound after drug withdrawal, and provides a new selection for clinical medication.