Abstract: With the continuous development of microecological research, the regulation of gut microbiota has become an important approach to improving health status. Eliminating pathogens and reinforcing healthy qi is a fundamental therapeutic principle in traditional Chinese medicine (TCM). Among the healthy qi-reinforcing herbs, yin-nourishing herbs are widely used in clinical practice to treat various diseases such as diabetes,palpitations,yin deficiency-induced exogenous fever, and constipation. Modern pharmacological and clinical studies have shown that polysaccharides contained in yin-nourishing herbs serve as important sources for maintaining the structure and function of gut microbiota, exhibiting multiple effects including immunomodulation, anti-inflammation, anti-tumor activity, and improvement of glucose and lipid metabolism disorders. This review summarizes research on how polysaccharide components from yin-nourishing herbs regulate gut microbiota homeostasis in vivo and in vitro,promote the production of metabolites such as short-chain fatty acids (SCFAs),and modulate signaling pathways. It also analyzes the potential of these polysaccharides as prebiotics combined with probiotics, providing a scientific basis for developing polysaccharide components from yin-nourishing herbs into prebiotics.