The invention discloses a hot pack for treating pain of the neck, the shoulders, the waist, the stomach and the four limbs and arthralgia and a preparation method thereof. The hot pack for treating pain of the neck, the shoulders, the waist, the stomach and the four limbs and arthralgia is prepared from the following formula components by weight: lake salt (bluish white salt), Chinese mugwort moxa, 15-30 parts of rhizoma chuanxiong, 10-20 parts of Chinese angelica, 10-20 parts of radix salviae miltiorrhizae, 8-15 parts of safflower, 5-10 parts of herba asari, 10-20 parts of clematidis radix etrhizoma, 10-20 parts of gentianae macrophyllae radix, 5-10 parts of aconiti lateralis radix praeparata, 10-20 parts of eucommiae cortex, 10-20 parts of nutgrass galingale rhizome, 10-20 parts of herba eupatorii, 10-20 parts of herba agastachis, 10-20 parts of radix aucklandiae, 15-30 parts of paeoniae radix rubra, 10-20 parts of cassia twig, 5-10 parts of acori calami rhizoma, 5-10 parts of pericarpium citri reticulatae viride, 10-20 parts of achyranthis bidentatae root, 10-20 parts of dipsaci radix, 15-30 parts of rhizoma homalomenae and 10-20 parts of mulberry twig. According to the hot pack for treating pain of the neck, the shoulders, the waist, the stomach and the four limbs and arthralgia and the preparation method thereof, by means of the hot pack, pain of the neck, the shoulders,the waist, the stomach and the four limbs and arthralgia can be cured, the body quality can be improved, meanwhile, the hot pack can be suitable for diseases of pain, fear of cold, and the like causedby stagnant movement of qi and blood due to cold uteri of women and fear of wind chill such as fear of chill, and the conditioning and treatment effects are good.