The invention discloses a physiotherapy pharmaceutical composition for treating gout and swelling and a preparation method thereof. The physiotherapy pharmaceutical composition includes, by weight parts, paris polyphylla, pinellia ternate, black-white radix aconiti lateralis praeparata slice, rhizoma arisaematis, common threewingnut root, sargentg loryvine stem, castor, leycesteria formosa stem orroot, forrest silkvine stem or root, garden balsam stem, common club moss herb, pyritum, prepared kusnezoff monkshood root, coriaria nepalensis root, green mud, wild chrysanthemum, marsdenia tenacissima, radix sophorae flavescentis, physaliastrum makino, nightshade, flos carthami, Chinese alangium root and brooklet anemone root. The physiotherapy pharmaceutical composition has effects of stoppingbleeding and dispersing phlegm, reducing inflammation, dispersing blood stasis, calming the adverse-rising energy, dissipating cold, relieving pain, relaxing tendons, performing spasmolysis, activating blood, setting a bone to relieve pain, softening hard mass, clearing away heat and performing disintoxication, tendon spasm and pain are timely removed, the elimination of swelling caused by gout such as water accumulation, blood accumulation, gas accumulation and acid accumulation in the affected part is promoted, both principal and secondary aspects of disease are treated in curative effect,and the affected part is not subjected to lesion recurrence.