The invention discloses a small square type rheumatoid swelling diminishing and pain eliminating plaster, and belongs to the field of Chinese medicinal preparations. The plaster includes Chinese medicinal ingredients, a matrix and a carrier, and is characterized in that: the Chinese medicinal ingredients are mainly prepared through compatibility of processed kusnezoff monkshood root, processed monkshood, Chinese wild ginger, cinnamon, corydalis tuber, paniculate swallowwort root, frankincense, myrrh, borneol, wild celery, notopterygium root, angelica, ephedra, szechuan lovage rhizome, acanthopanax bark, bark of eucommia, divaricate saposhnikovia root, root of largeleaf gentian, loose knot and the like, and has the effects of promoting blood circulation and removing obstruction in channels, dispelling wind-evil, eliminating pain and diminishing swelling. The plaster has a better curative effect on neck and shoulder pain, lumbocrural pain, rheumatoid pain, hyperostosis and acute and chronic injury of soft tissues. The plaster has the advantages of quickly relieving pain and promoting local blood circulation, along with durable efficacy, less allergy, good clinical curative effect, no toxic or side effect, obvious effect, effectiveness ratio of 81.3-94.4 percent and broad market prospect.