The invention discloses a bee venom rheumatism ointment and a preparation method and use thereof, and relates to the field of Chinese herbal medicine. The ointment is made by taking bee venom as a monarch drug, selecting 15-20 parts of rhizoma chuanxiong, 15-20 parts of radix saposhnikoviae, 10-15 parts of myrrh, 15-20 parts of radix angelicae, 10-15 parts of radix scrophulariae, 10-15 parts of radix angelicae pubescentis, 10-15 parts of flos carthami, 2 parts of menthol, 3 parts of camphor and 1 part of borneol to serve as raw materials to be decocted, and adding 0.2 gram of dry bee venom into every 100 grams of the ointment. The ointment can be prepared through decoction with water or decoction with oil, the added dry bee venom and the components of the ointment can assist in the absorption of the bee venom, and the anaphylactic reaction of the human body to the bee venom is eliminated; the functions of inflammatory resistance and neuroregulation of the bee venom can enhance the effects of relieving pain and inflammation of the ointment; the ointment has the effects of antiphlogosis, relieving pain, promoting blood circulation to remove blood stasis, and dispelling wind and eliminating dampness.