OBJECTIVE: To optimize the best crushing particle size of Agkistrodon decocting powder, and study its effect on apoptosis of human rheumatoid arthritis fibroblast-like synoviocytes. METHODS: Pre-column derivatization RP-HPLC was adopted. Using the total decoction amounts of 4 main amino acids (aspartic acid, glutamic acid, L-hydroxyproline, glycine) that decocted once as index, the Agkistrodon decoction pieces and those through No.1-8 seive were screened, and the best crushing particle size of Agkistrodon decocting powder was optimized. The human rheumatoid arthritis fibroblast-like synoviocytes were divided into negative control group, positive control group (1 μmol/L methotrexate) and the best crushing particle size of Agkistrodon decocting powder group (2.0 mg/mL), flow cytometry was used to determine the cell apoptosis after cultured for 48 h. RESULTS: The best crushing particle size was through No.6 seive, when the total amount of 4 main amino acids was (61.27±0.02) mg/g (n=3). Compared with negative control group, the apoptosis rate in the best crushing particle size of Agkistrodon decocting powder group was significantly increased (P<0.05), which was slightly higher than positive control group. CONCLUSIONS: The best crushing particle size is through No.6 seive; and Agkistrodon decocting powder shows effect on reducing the apoptosis of human rheumatoid arthritis fibroblast-like synoviocytes.