Panax notoginseng is the root of the Chinese traditional herb, Panax notoginseng (Burk) F.H. Chen. This study was aimed to investigate the inhibitory effect of Panax notoginseng saponins (PNS) on the leukocyte adhesion and the expression of adhesion molecules in rat mesentery venules. Male Sprague-Dawley rats were anesthetized with urethane. These were divided into control, LPS (perfused with lipopolysaccharide), and PNS group (perfused with PNS). The mesenteric microcirculation was observed under a videomicroscope. The number of adherent leukocytes, which attached to the vascular wall during more than 10 seconds, was counted along single venules (30-50 microm in diameter, 200 microm in length). The expression of adhesion molecules was examined using flow-cytometry in blood which was taken from the abdominal aorta and incubated with FITC-labeled CD11b (or CD18) antibodies. The results showed that different changes in the leukocyte adhesion and the expression of adhesion molecules among three groups. In LPS group, the leukocyte adhesion increased significantly after 20 minutes during the observation time, while it was reduced markedly in PNS group. The expression of CD11b and CD18 on the neutrophils was induced in LPS group, while it was reduced significantly in PNS group. It was suggested that PNS could reduce leukocyte adhesion in venules under the inhibitory effect on the expression of adhesion molecules (CD11b and CD18) on neutrophils.