Background: Lamiophlomis rotata (Benth.)Kudo, also known as Duyiwei in China, is considered to be one of the most common Tibetan medicine. It is famous for the significant effects on improving blood circulation and relieving pain. Due to the environmental deterioration and excessive consumption, the wild resources of L.rotata is decreasing year by year. However, its artificial cultivation has not been realized. This study aimed to initially explore the adaptation mechanism of L.rotata to degraded alpine grassland, and provide reference for its wild tending and artificial cultivation.Methods: In this study, we used a sample method to conduct a population ecological survey of plants and collect plant leaf samples from mildly, moderately, and extremely degraded grassland. The content of SOD, POD, CAT, PRO, MDA, SS, SP, carotene, chlorophyll A and chlorophyll B in different sample leaves was measured by colorimetry. Microscopic characteristics of the cross-section, epidermis and submicroscopic structure of the leaves were observed and compared.Results: The density of L. rotata in moderately degraded grassland was the highest,where L. rotata had the strongest resistance. And the analysis of seven physiological indicators combined with stress resistance showed that the average content of MDA, SOD, POD, CAT and SS is the highest in L. rotata of the moderately degraded grassland. The microscopic observation showed that, by increasing the thickness of the epidermis, the density of the glandular scales, the proportion of palisade tissue and the number of gland scales, L. rotata was able to adapt to the degraded grassland. Meanwhile, morphological studies have shown that L. rotata could enhance root growth in the degraded grassland. Furthermore, in response to the degradation of alpine grassland on the Qinghai-Tibet Plateau, L. rotata population and biomass distribution in the underground parts have increased. However, L. rotata does not have a competitive advantage in mildly degraded grassland. Compare with the mildly and moderately habitat, the population of L. rotata is small in the extremely degraded habitat.Conclusion: The results showed that among the 3 levels of degraded grassland, L. rotata in the moderately degraded grassland shows the strongest resistance. This study can provide a reference for breeding and ecological planting of L. rotata, suggests that in the nursery stage, the medium degraded grassland should be chosen for ecological breeding to enhance the survival rate of seedlings. While after large-scale planting, reasonable community interventions, like the P. fruticosa+F. rubra community, should be built to simulate the yield of medicinal materials.