Echinacoside（ECH) is a phenylethanol glycoside compound that exists in a variety of plants and is a promising traditional Chinese medicine ingredient with broad application prospects.Modern pharmacological studies have shown that ECH has many biological effects,such as neuroprotective,myocardial protective,liver protective,anti-tumor,antioxidant anti-aging,as well as immunomodulation,hypoglycemic and lipid reduction,promotion of reproduction and bone formation,protection of pulmonary blood vessels and prevention of atherosclerosis and other pharmacological effects,which can be used for the treatment of multiple system diseases,and the further exploration and development of its pharmacodynamic mechanism is of great significance.Therefore,this paper summarizes the pharmacological effects and mechanism of ECH in recent years,and puts forward suggestions on its research status and future direction,in order to provide some reference for its further in-depth research,development and utilization.