Abstract:[Objective] To explore the effect of Bi-Tong decoction on spinal cord injury (SCI) in rats by using network pharmacology and animal experiments. [Methods] The active chemical components and targets of Bi-Tong decoction were retrieved from TCMSP and Uniprot databases. SCI-related genes were obtained from GeneCards, CTD, and DrugBank databases. The drug-gene-disease network was constructed using Cytoscape 3.10.0 software. Protein-protein interaction analysis was performed using the String database. GO analysis, and then KEGG pathway enrichment analysis were conducted using the David database. In addition, thirty-five SD rats were randomly divided into the sham operation group, model group, low-dose group, medium-dose group, and high-dose group. SCI models were established in the model group and each drug administration group. The Basso-Beattie-Bresnahan (BBB) score of rats was recorded, and blood parameters were measured. [Results] In term of network pharmacology, a total of 350 drug targets were screened, with 258 intersection targets between drugs and diseases. Core targets included TNF-α, IL-1β, TP53, ALB, and PPARG, and core components included quercetin, kaempferol, caffeic acid, luteolin, and formononetin. In term of animal experiments, the BBB score in the high-dose group was significantly increased compared with that in the model group at 21 days [points, (13.3±1.0) vs (14.9±0.7), P<0.001], whereas which in the medium-dose group [points, (13.7±1.0) vs (15.6±1.0), P<0.001] and the high-dose group [points, (13.7±1.0) vs (16.1±1.1), P<0.001] were significantly increased compared with that in the model group at 28 days. Regarding blood tests, TNF-α, IL-1β, IL-6, PLA2, MDA, and PGE2 were significantly increased (P<0.05), while SOD was significantly decreased (P<0.05) in the model group, low-dose group, medium-dose group, and high-dose group compared with that in the sham group. Compared with those in the model group, the TNF-α, IL-1β, PLA2, MDA, and PGE2 were significantly decreased in the medium-dose group and high-dose group (P<0.05), whereas the IL-6 was significantly decreased in the high-dose group (P<0.05), and SOD was significantly increased in the medium-dose group and high-dose group (P<0.05). [Conclusion] The Bi-Tong decoction does eliminate oxygen free radicals and promote the recovery of spinal cord function to a certain extent.