Background: Extract of Euphorbia fischeriana S. and Ziziphus jujuba M. (ESZM) is a formula preparation, was composed of Euphorbia fischeriana S. (E. fischeriana) and Ziziphus jujuba M. (Z. jujuba). The aim of the current research was to examine for the first time the pharmacological effects and the underlying molecule mechanism of ESZM extract on the growth inhibition and apoptosis in human ER(-) or ER(+) breast cancer in vivo, and enrich and innovate the theory of traditional Chinese medicine of combating poison with poison. Methods: Growth inhibition, cell cycle arrest and apoptosis in tumor tissues were determined by tumor inhibition rates, cycle analysis kit, Annexin V-FITC/PI staining, Hoechst 33342/PI staining, TUNEL test and TEM observation. Related genes and proteins expression levels were identified by qRT-PCR assay, Western Blotting method, immunohistochemistry and immunofluorescence means. Drug toxicity was analysised by serum biochemistry detection and H&E staining.Results: We found that ESZM extract can inhibite growth, block cell cycle at G2/M phase and induce apoptosis of subcutaneously transplanted tumor, especially ER(-) breast cancer transplanted tumor. Furthermore, we demonstrated that the polyjuice can down-regulate or up-regulate the expression of Bcl-2 family and PI3k/Akt pathway -related signaling molecules proteins and genes in vivo. ESZM extract or E. fischeriana extract increased the levels of ALT, AST, Cr and BUN, and increased liver and kidney toxicity in tumor-bearing mice by serum biochemistry detection and H&E staining.Conclusion: The pharmacological detection suggested that ESZM extract had significant anti-breast cancer effect, especially ER(-) breast cancer xenograft, and this process may be implement through the mitochondrion dependent pathway and the PI3k/Akt signaling pathway. Drug toxicity detection proved that ESZM extract because of compatibility with Z. jujuba was lower toxicity than E. fischeriana extract, was no significant difference in hepatorenal toxicity between ER(-) or ER(+) tumor-bearing mice.