astragaloside iV (aS-iV) has various pharmacological effects, including antioxidant and immunoregulatory properties, which can improve myasthenia gravis (MG) symptoms. However, the potential mechanism underlying the effects of aS-iV on MG remains to be elucidated. The present study aimed to investigate whether aS-iV has a therapeutic effect on MG and its potential mechanism of action. By subcutaneously immunizing rats with r97-116 peptide, an experimental autoimmune (ea) MG rat model was established. aS-iV (40 or 80 mg/kg/day) treatment was then applied for 28 days after modeling. The results demonstrated that aS-iV significantly ameliorated the weight loss, Lennon score and pathological changes in the gastrocnemius muscle of eaMG rats compared with the model group. additionally, the levels of acetylcholine receptor antibody (AChR-Ab) were significantly decreased, whereas mitochondrial function [aTPase and cytochrome c (cyt-c) oxidase activities] and ultrastructure were improved in the aS-iV treated rats. Moreover, the mrna and protein expression levels of phosphatase and tensin homolog-induced putative kinase 1, Parkin, lc3ii and Bcl-2, key signaling molecules for mitophagy and apoptosis, were upregulated, whereas the mrna and protein expression levels of p62, cyt-c, Bax, caspase 3 and caspase 9 were downregulated following aS-iV intervention. in conclusion, aS-iV may protect against eaMG in a rat model by modulating mitophagy and apoptosis. These findings indicated the potential mechanism underlying the effects of aS-iV on MG and provided novel insights into treatment strategies for MG.