Seventeen compounds, including three new pairs of coumarinolignoid enantiomers, (7′S,8′S)-sapiumins A−C (1a−3a) and (7′R,8′R)sapiumins A−C (1b−3b), six new taraxerane triterpenoids, sapiumic acids A−F (4−9), and five known taraxerane triterpenoids (10−14), were isolated from an ethanol extract prepared from the stems and leaves of Sapium discolor. The structures of 1−9 and their relative configurations were determined by spectroscopic data analysis, and the absolute configurations of the coumarinolignoids 1a/1b−3a/3b and triterpenoids 6−9 were assigned using experimental and calculated ECD data. Compounds 1a/1b−3a/3b are the first coumarinolignoids to be reported from the genus Sapium. Among all the isolates, compounds 1b, 2a/2b, 3a/3b, and 6−9 inhibited nitric oxide production in lipopolysaccharide-stimulated BV-2 microglial cells, with IC 50 values of 1.7−15.3 μM.C oumarinolignoids are a class of natural products in which a phenylpropanoid unit is linked to a coumarin moiety through a 1,4-dioxane bridge. 1 These substances are relatively rare and exhibit a wide variety of biological properties, such as anti-inflammatory, antioxidant, and hepatoprotective effects. 2−4 Taraxeranes, a type of triterpenoids derived biosynthetically from oleananes, 5 display cytotoxic and allelopathic activities. 6−8 Both coumarinolignoids and taraxerane triterpenoids occur in plants in the family Euphorbiaceae. 9−12 Sapium discolor (Champ. ex Benth.) Muell. Arg., which is distributed widely in southern mainland China, is a tree or shrub belonging to the family Euphorbiaceae. 13 The root bark and leaves of this plant have long been used in folk medicine to treat snakebites, allergic dermatitis, and eczema. 13,14 Previous phytochemical research has indicated the presence of four diterpenoids and other constituents in this species. 15,16 In an ongoing search for antineuroinflammatory agents from folk medicines, 17,18 the EtOAc-soluble fraction of a 95% aqueous EtOH extract of S. discolor was shown to inhibit the production of nitric oxide (NO) in lipopolysaccharide (LPS)-stimulated BV-2 microglial cells. Thus, a bioassay-guided phytochemical study of the active fractions led to the isolation of three new pairs of coumarinolignoid enantiomers, (7′S,8′S)-sapiumins A−C (1a−3a) and (7′R,8′R)-sapiumins A−C (1b−3b), and six new taraxerane triterpenoids, sapiumic acids A−F (4−9), along with five known taraxeranes (10−14). This is the first report of the isolation of coumarinolignoids from the genus Sapium. Herein, we report the isolation, structural elucidation, and NO inhibitory effects of the new compounds.