This study aimed to clarify the mechanism of Sal B, a compound found in willow bark, in drug-resistant gastric cancer cells. Methods used included cell clone formation, flow cytometry to measure reactive oxygen species levels, TUNEL staining to visualize apoptotic cells, and western blot to identify AKT and mTOR proteins involved in apoptosis. Results showed that Sal B and the chemotherapy drug DDP promoted apoptosis in gastric cancer cells. The combination of Sal B and DDP further induced apoptosis in drug-resistant cells. Sal B was found to decrease levels of phosphorylated AKT and mTOR proteins, which regulate proliferation and apoptosis. The study suggests that Sal B enhances the effects of chemotherapy by promoting apoptosis via inhibition of the AKT