As a traditional Chinese medicine, C. pilosula has been widely recorded in many ancient books. It has been mainly used for strengthening the spleen, moistening the lung, nourishing blood, engendering fluid, enhancing immune function, and modulating antitumor effect (Bai et al., 2018; Zou et al., 2014). At present, the commonly used polysaccharide extraction methods include hot water extraction, acid-base extraction, and ultrasonic-assisted extraction (Dou et al., 2019; Yilmaz & Sebnem, 2017). These methods have their advantages and disadvantages. We use yeast to grow and use the characteristics of oligosaccharides such as glucose and fructose. After fermenting C. pilosula, the yeast consumes monosaccharides and disaccharides in C.pilosula to improve the extraction efficiency and purity of polysaccharides and explore a new type of polysaccharide extraction method. In this study, RSM was employed to estimate the influence of different extraction parameters (fermentation temperature, time, and yeast addition) on the yields of polysaccharides from C. pilosula. Column chromatography was used to purify water-extracted polysaccharides and fermentation polysaccharides. Then, NMR, FTIR,