The invention discloses a preparation method of an active extract gel product taking Hirudinaria Manillensis freeze-dried powder as a raw material. The method includes cleaning all fresh living Hirudinaria Manillensis, homogenizing, and freeze-drying to obtain freeze-dried powder; adding appropriate amount of pure water into the freeze-dried powder, stirring for extraction, filtering, collecting a filtrate, adding appropriate amount of pure water into residues, stirring for extraction, filtering, collecting the filtrate, and mixing the filtrate; adding appropriate amount of anhydrous ethanol into the filtrate, centrifuging, and collecting a supernatant as an active extractive solution for later use; and preparing carbopol gel matrix, adding sodium hydroxide to adjust pH value, slowly adding the active extractive solution into the prepared gel matrix, and stirring to obtain 20-40 antithrombin active units/g gel. The freeze-dried powder extract of Hirudinaria manillensis has very high activity, so that the extract can be made into cosmetics with high activity to ensure good effect; in addition, the extract is configured into cosmetics with different active units; and the gel product is convenient to manufacture, use and carry, and can further be applied locally and on the whole face as required.