Abstract: Objective: To investigate the curative effect of Yiqi Zhenxin (YQZX) Decoction on H2O2-induced mitochondrial injury in H9c2 cardiocyte and its mechanism. Methods: A H2O2-induced cardiocyte injury model was established and divided into nine groups (n=5) as follows: the normal group (H2O2-free treatment), the model group (H2O2-treated H9c2 cardiocyte), the high-dose YQZX group [3.5 g(/ kg·d)],the medium-dose YQZX group [1.2 g(/ kg·d)],the low-dose YQZX group [0.4 g(/ kg·d)],the high-dose YQZX+phosphoinositide 3-kinase (PI3K) inhibitor( LY294002) group,the high-dose YQZX+cysclic guanosine monophosphate( cGMP) inhibitor( ODQ) group, the high-dose YQZX + protein kinaseCε2 (PKCε2) inhibitor (Epsilon-V1-2) group, and the high-dose YQZX+ mitochondrial permeability transition pore (mPTP) opener (Atractyloside) group. Cell viability was measured using the cell counting kit-8 (CCK-8) assay, cGMP expression was detected by the enzyme-linked immunosorbent assay (ELISA),and expression levels of PI3K,AKT,and PKCε2 mRNA were detected by the reverse transcriptionpolymerase chain reaction (RT-PCR), and protein levels of phosphorylated PI3K (p-PI3K)/PI3K, p-AKT/AKT, and PKCε2 were analyzed by the Western blot. Results:Compared with the normal group,the model group showed a decreasing trend in cardiocyte viability, cGMP expression, expression levels of PI3K, AKT, and PKCε2 mRNA, and protein levels of p-PI3K/PI3K,p-AKT/AKT and p-PKCε2/PKCε2 (P<0.05);compared with the model group, the high-dose YQZX group presented an increasing trend in cardiocyte viability,cGMP expression,expression levels of PI3K, AKT, and PKCε2 mRNA, and protein levels of p-PI3K/PI3K, p-AKT/AKT and p-PKCε2/PKCε2 (P< 0.05); the protective effects of YQZX medicated serum were reversed to varying degrees in the high-dose YQZX + LY294002 group,the high-dose YQZX + ODQ group,the high-dose YQZX + Epsilon-V1-2 group,and the high-dose YQZX + Atractyloside group(P<0.05). Conclusion: YQZX exerts a significant protective effect on H2O2-induced mitochondrial injury in H9c2 cardiocyte, whose mechanism is related to the regulation of mRNA and protein phosphorylation expression related to PKCε2 and PI3K/AKT signaling pathway,and the inhibition of mPTP opener.