Aim To study the chemical constituents of the root and rhizome of Rheum tanguticum Maxim. ex Balf. Methods Chemical constituents were isolated and purified by many chromatographic methods, and their structures were elucidated by MS, NMR, and others. Results Twenty compounds were isolated and their structures were identified as β-sitosterol, chrysophanol, aloe-emodin, physcion, rhein, emodin, etc. Conclusion Among these compounds, 4-(4'-hydroxyphenyl)-2-butanone, 4-(4'-hydroxyphenyl)-2-butanone-4'-O-β-D-(2''-O-cinnamoyl-6''-O-galloyl)-glucopyranoside and 4-(4'-hydroxyphenyl)-2-butanone-4'-O-β-D-(2''-O-galloyl-6''-O-p-coumaroyl)-glucopyranoside were isolated from the root and rhizome of Rheum tanguticum for the first time.