The invention relates to a nourishing and skin beautifying health care composition, a beverage and a preparation method of the composition. Active components of the composition are prepared from, by weight, 0.3-3 parts of donkey-hide gelatin, 1-15 parts of Indian bread, 1-20 parts of red dates, 1-15 parts of longan pulp, 1-15 parts of mulberry, 1-15 parts of trilobedleaf kudzuvine roots, 1-15 parts of barbary wolfberry fruits, 1-15 parts of lotus seeds, 1-15 parts of fragrant solomonseal rhizomes, 0.5-15 parts of lanceleaf lily bulbs, 20-70 parts of honey and 10-50 parts of multi-crystal sugar. According to the nourishing and skin beautifying health care beverage composition, the formula ratio of the components is selected by the aid of a lot of creative experiments, various raw materials are scientifically matched according to specific proportion, kidney deficiency symptoms of women are coordinately improved, and the composition has the coordinated functions of nourishing yin, enriching blood, replenishing blood, engendering liquid, moistening dryness, calming mind, soothing nerves, improving immunity, delaying senescence, strengthening and consolidating body resistance, maintaining beauty, keeping young, enlarging breasts and building bodies of the women.