Disclosed are an insulin secretagogue peptide multi-dose hydro-injection pharmaceutical composition and use thereof. A long-term storage formulation of insulin secretagogue peptide can be obtained via the method of the present invention. The pharmaceutical composition of the present invention comprises: insulin secretagogue peptide, insulin secretagogue peptide analog and derivative; pharmaceutically acceptable osmotic pressure modifier (stabilizer); pharmaceutically acceptable antiseptic; pharmaceutically acceptable dissolution promotor and pharmaceutically acceptable buffer solution. The pharmaceutical composition of the insulin secretagogue peptide is used in the preparation of drugs for treating diabetes and adiposis.