OBJECTIVE: To study the effect of Wenyang zhenshuai granules on myocardial MEF2 in model rats with chronic heart failure (CHF). METHODS: 10 rats were randomly selected in 60 rats as normal control group (normal saline), the remaining 50 rats were randomly divided into model control group (normal saline), positive control group [enalapril, 1.8 mg/(kg·d)], Wenyang zhenshuai granules low-dose, medium-dose, high-dose groups [0.72, 1.44, 2.88 g/(kg·d)] after induced to CHF models by adriamycin, intragastrically administrated twice a day, for 4 weeks. After administration, heart function indexes [left ventricular ejection fraction (LVEF), left ventricular fractional shortening (LVFS), left ventricular end-diastolic diameter (LVSD) and left ventricular end-diastolic diameter (LVDD)] of rats in each group were detected, protein expressions of myocardial MEF2 and phosphorylated MEF2 (p-MEF2) and mRNA expression of MEF2 were determined. RESULTS: Compared with normal control group, LVEF, LVFS of rats in model control group and each administration group were significantly reduced (P<0.05), LVSD, LVDD were significantly increased (P<0.05); protein expression of myocardial p-MEF2 was significantly down-regulated (P<0.05), and there were no statistical significances in protein or mRNA expressions of MEF2 (P>0.05). Compared with model control group, heart function indexes of rats in each administration group were significantly improved (P<0.05);protein expression of myocardial p-MEF2 was significantly up-regulated (P<0.05), and there were no statistical significances in protein or mRNA expressions of MEF2 (P>0.05). CONCLUSIONS: Wenyang zhenshuai granule can antagonize the down-regulation effect of adriamycin-induced MEF2 protein phosphorylation, which may be one of the mechanisms of its treatment for CHF.