OBJECTIVE: To study the effects of Astragali radix injection combined with entecavir on serum inflammatory cytokines and liver function of model mice with hepatitis B. METHODS: 60 mice were randomly divided into normal control group (normal saline), model group (normal saline), Astragali radix injection group (0.5 mL/10 g), entecavir group (45 μg/kg) and combination group (0.5 mL/10 g Astragali radix injection+45 μg/kg entecavir), 12 in each group. Except for normal control group, mice in other 4 groups were induced for hepatitis B models. After modeling, all mice were intragastrically administrated once a day, for 4 weeks. After administration, tumor necrosis factor α (TNF-α), interferon γ (IFN-γ), interleukin 8 (IL-8), aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (TBIL) levels in serum were detected, and the pathological changes in liver tissue in each group were observed. RESULTS: Compared with normal control group, TNF-α, IFN-γ, IL-8, AST, ALT, TBIL levels in serum of mice in model group were significantly increased (P<0.05); and liver cells were diffuse and severe steatosis. Compared with model group, TNF-α, IFN-γ, IL-8, AST, ALT, TBIL levels in serum of mice in each administration group were significantly decreased (P<0.05), pathological changes in liver tissue were improved to varying degrees, and the index improvement degree in combination group was superior to Astragali radix injection group and entecavir group (P<0.05). CONCLUSIONS: Astragali radix injection combined with entecavir helps to down-regulate the expressions of inflammatory cytokines of model mice with hepatitis B, and improve the liver function. The combination use has better effect than single use.