You don't really need Mercurial patches for this. If you have outstanding uncommited changes when you pull, they will be merged with the tip.
Example:
C:\>hg init db
C:\>cd db
C:\db>echo >file1
C:\db>echo >file2
C:\db>echo >file3
C:\db>hg ci -Am codebase # Create a code base with 3 files.
adding file1
adding file2
adding file3
C:\db>echo a change >>file2 # Outstanding change to file2.
C:\db>hg st
M file2
At this point we'll clone the database and commit a change that we can pull.
C:\db>hg clone . \db2
updating to branch default
3 files updated, 0 files merged, 0 files removed, 0 files unresolved
C:\db>cd \db2
C:\db2>echo a change >>file3
C:\db2>hg ci -m "file3 change" # Commit a change to file3.
Back in the original database...
C:\db2>cd \db
C:\db>hg st # Still have uncommitted change
M file2
C:\db>hg pull \db2
pulling from \db2
searching for changes
adding changesets
adding manifests
adding file changes
added 1 changesets with 1 changes to 1 files
(run 'hg update' to get a working copy)
C:\db>hg st # We have the new history, but haven't updated.
M file2 # file2 has uncommitted change.
C:\db>type file3 # file3 is unchanged.
ECHO is on.
C:\db>hg update
1 files updated, 0 files merged, 0 files removed, 0 files unresolved
C:\db>hg st # We've updated, and file2 *still* has
M file2 # uncommitted change.
C:\db>type file2
ECHO is on.
a change
C:\db>type file3 # But file3 now has committed change
ECHO is on. # that was pulled.
a change
So the moral is, you can just pull and update, even with uncommitted changes. If there are merge conflicts, normal merge behavior occurs as well.
For patch exporting hg export <rev>
will export patches for review.