Epimedium sagittatum (Berberidaceae), a medicinal plant with a documented history of over 2,000 years in China for the treatment of kidney yang deficiency and rheumatism, has been cultivated in Tongren City, Guizhou Province (108.79°E, 27.54°N). During the period of 2023-2024, rhizome rot disease was detected in 1- to 2-year-old E. sagittatum plants within local plantations. The initial symptoms manifested as darkening of the stem base and scales, eventually leading to complete wilting and rhizome rot. A total of twelve symptomatic plants were collected for pathogen isolation. The diseased rhizome tissues underwent surface sterilization using 5% sodium hypochlorite for 30 seconds, followed by 75% ethanol for 30 seconds, and were then rinsed three times with sterile water before being cultured on potato dextrose agar (PDA) at 25°C. After 3-5 days, hyphal tips were transferred to fresh PDA for purification. This process resulted in the isolation of two distinct Fusarium species. Pathogenicity tests on 10-month-old cultivated E. sagittatum confirmed that the isolate JFB-2 induced rhizome rot symptoms identical to those observed in the field. Following a five-day incubation period at 25°C under dark conditions, the isolate JFB-2 developed dense, cottony mycelia, with colonies exhibiting a coloration ranging from white to pale purple or light pink. The macroconidia were hyaline and falcate (sickle-shaped), possessing 3-5 septa, and measured 36.5 (29.5-42.5) × 3.6 (3-4.5) μm (n=50). For molecular identification, the internal transcribed spacer (ITS) region, translation elongation factor 1-alpha (TEF), and RNA polymerase II subunit B2 (RPB2) genes of JFB-2 were amplified using the primers ITS1/ITS4, EF1-R6/F6, and RPB2-5F/7cR, as described by Zhang et al. (2024). The sequences obtained for ITS (GenBank accession PV546364), TEF (PV550274), and RPB2 (PV550273) exhibited greater than 98.9% identity and at least 98% query coverage when compared to F. oxysporum reference sequences (MN856306.1 for ITS, PP737057.1 for TEF, and ON316723.1 for RPB2). Phylogenetic analysis, employing Bayesian methods on concatenated ITS and TEF sequences (Zhang et al., 2020), positioned JFB-2 within the F. oxysporum clade with a posterior probability of 100%. The pathogenicity of the JFB-2 strain was confirmed in healthy E. sagittatum plants. The roots of three replicate plants were wounded and inoculated with 150 mL of a conidial suspension at a concentration of 1×106 conidia/mL. These plants were then maintained in a humid chamber at a temperature of 25±1°C and 85% relative humidity. Control plants were treated with sterile double-distilled water. After a period of 15 days, the inoculated plants exhibited symptoms consistent with those observed in the field, and F. oxysporum was successfully reisolated from the diseased tissues. The internal transcribed spacer (ITS) sequence of the reisolated pathogen (accession number PQ656171.1) was identical to that of the JFB-2 strain, thereby satisfying Koch's postulates. F. oxysporum has previously been identified as a pathogen responsible for rhizome rot in various plants, including onions (Wesoly et al., 2024), Polygonatum cyrtonema (An et al., 2024), and Polygonatum odoratum (Xu et al., 2022). To the best of our knowledge, this study represents the first documented instance of F. oxysporum infecting E. sagittatum in China, offering valuable insights for the management of diseases in medicinal plant cultivation.