OBJECTIVE: To establish a method for simultaneous determination of gamabufotalin, arenobufagin, telocinobufagin, desacetylcinobufotalin, bufotalin, cinobufotalin, bufalin, cinobufagin and resibufogenin in Liushen pills. METHODS: HPLC method was adopted. The determination was performed on ODS-2 C18 column with mobile phase consisted of acetonitrile-0.15% phosphoric acid (gradient elution) at the flow rate of 1.0 mL/min. The detection wavelength was set at 296 nm, and column temperature was 40 ℃. The sample size was 10 μL. RESULTS: The linear ranges of gamabufotalin, arenobufagin, telocinobufagin, desacetylcinobufotalin, bufotalin, cinobufotalin,bufalin, cinobufagin and resibufogenin were 1.10-70.39 μg/mL(r=0.999 6), 4.03-257.78 μg/mL(r=0.999 9),4.09-261.89 μg/mL(r=0.999 9),0.67-42.96 μg/mL(r=0.999 9),3.36-214.73 μg/mL(r=0.999 9), 5.73-366.44 μg/mL (r=0.999 9), 3.77-241.56 μg/mL (r=0.999 9),7.31-468.11 μg/mL (r=0.999 9),5.18-331.56 μg/mL(r=0.999 9). The limits of quantitation were 1.10, 0.85, 1.02, 0.34, 0.84, 1.43, 0.94, 3.66, 2.59 μg/mL; the limits of detection were 0.27, 0.21, 0.51, 0.17, 0.42, 0.72, 0.47, 0.91, 1.30 μg/mL, respectively. RSDs of precision, stability and reproducibility tests were all lower than 3.0%. The recoveries were 96.35%-103.10%(RSD=2.72%,n=6), 96.76%-103.24%(RSD=2.49%,n=6), 97.01%-101.39%(RSD=1.64%,n=6), 97.32%-104.01%(RSD=2.61%,n=6), 95.76%-103.60%(RSD=2.92%,n=6), 95.07%-102.59%(RSD=2.92%,n=6), 95.77%-101.43%(RSD=2.03%,n=6), 95.11%-103.72%(RSD=3.19%,n=6), 95.23%-103.34%(RSD=3.24%,n=6), respectively. CONCLUSIONS: The method is simple, rapid, accurate, reliable and can be used for the determination of bufadienolide in Liushen pills .