Background: Rhizosphere microbiome play important roles in promoting plant growth. However, it is not well understood how rhizosphere microbiome were driven by medical plants during growth stages and whether they contribute the accumulation of medical values. Panax notoginseng is a perennial medicinal plant, which belowground biomass and saponin contents are the important indicators of its value. Here, we use high-throughput sequencing method to study the temporal dynamics of perennial P. notoginseng rhizosphere microbiomes and the relationship between the indicators and core rhizosphere microbiomes.Results: The results show that the diversity, composition and network structures of the bacterial and fungal communities are mainly driven by the developmental stages. And succession characteristics of bacterial and fungal diversity show similar parabolic patterns during the developmental stages. Enrichment and depletion of the bacterial and fungal communities are active at the 3-year root growth (3YR) stage. From samples collected at a large-spatial P. notoginseng production area at the 3YR stage, we obtained 639 bacterial and 310 fungal core operational taxonomic units (OTUs). Analysis of the data indicate that the microbiome diversity is related to the belowground biomass and total saponin contents. Some genera, such as Pseudomonas, Massilia, Sphingobium, and Phoma are positively correlated to the belowground biomass, and genera likely Staphylotrichum, Chaetosphaeria, and Podospora are positively correlated with total saponin contents. Additionally, we identified 36 microbial functions involving in plant-microbe and microbe-microbe interactions, nutrition acquisition, and disease resistance. They are related to belowground biomass and saponin contents. Conclusions: In short, this study provides a detailed and systematic survey of rhizosphere microbiome in P. notoginseng and reveals that P. notoginseng rhizosphere microbiomes are largely driven by the developmental stages, while the core microbiomes are related to the belowground biomass and saponins contents of the plant. The finding may enhance our understanding of the interaction between microbes and perennial plants and improve our ability to manage root microbiota for sustainable production of the herb medicine.