The invention discloses a pharmaceutical composition, a patch, and preparation methods and application of the pharmaceutical composition and the patch. The pharmaceutical composition comprises a simplex anesthetic active ingredient, wherein the anesthetic active ingredient is composed of anesthetic active components dissolved in water and anesthetic active components in undissolved state; mass percentage of the anesthetic active ingredient in the pharmaceutical composition is higher than 2%; mass percentage of the anesthetic active components dissolved in water in the pharmaceutical composition is lower than 1%; and the anesthetic active ingredient is selected from lidocaine, tetracaine, bupivacaine, atecaine, cincocaine, dibucaine, eticaine, levobupivacaine, mepivacaine, propivacaine, ropivacaine, trimethylcaine, benzocaine or procaine. The pharmaceutical composition and the patch are capable of achieving continuous analgesic effects for 12-30 hours; moreover, the patch is capable ofresisting certain external pressing force so as to protect the covered formula layers from being squeezed out, thereby maintaining thickness of the formula layers.