OBJECTIVE: To study the preventive effect and mechanism of Wei medicine Kunlun snow chrysanthemum polysaccharides (KSCP) on carbon tetrachloride (CCl4)-induced acute liver injury in mice. METHODS: 96 mice were randomly divided into normal group (normal saline), model group (normal saline), Biphenyl diester dropping pill (positive control, 1.5 mg/10 g) and KSCP low-dose, medium-dose, high-dose groups (0.3, 0.6, 1.2 mg/10 g), 16 in each group, with intragastric administration, once a day, for 10 d. Except for normal group, mice in other groups were intraperitoneally injected 1%CCl4 rapeseed oil solution to induce liver injury. After 24 h of modeling, the levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), tumor necrosis factor α (TNF-α), interleukin 1 (IL-1) in serum, levels of malondialdehyde (MDA), superoxide dismutase (SOD) in liver tissue were detected; the liver, spleen indexes were calculated. Pathological changes of liver tissue were observed, pathological scoring was conducted. The protein expressions of apoptosis-related genes Caspase-3, Bcl-2, Bax in liver tissue were detected. RESULTS: Compared with normal group, levels of ALT, AST, TNF-α, IL-1 in serum, MDA level in liver tissue and liver, spleen indexes in model group were obviously increased (P<0.01); SOD level in liver tissue was decreased (P<0.01); pathological changes in hepatocellular necrosis, degeneration and inflammatory cell infiltration, and pathological score in model group was obviously increased (P<0.01); caspase-3 protein expression and Bcl-2/Bax ratio in liver tissue in model group were obviously decreased (P<0.01). Compared with model group, above-mentioned indexes in each administration group were obviously improved (P<0.05 or P<0.01). CONCLUSIONS: KSCP has certain preventive effect on CCl4-induced acute liver injury in mice, and its mechanism may be associated with anti-oxidation, anti-inflammation and regulation of apoptosis-related protein expressions.