Herb Whole plant / Aerial parts (全草 quán cǎo)

Yu Xing Cao

Houttuynia herb · 鱼腥草

Houttuynia cordata Thunb. · Houttuyniae Herba

Also known as: Heartleaf Houttuynia Herb, Fish mint, Fishy-smelling herb,

Images shown are for educational purposes only

Yu Xing Cao, known as fish mint or houttuynia, is a strongly antimicrobial herb primarily used for respiratory infections and Lung conditions. It is the go-to herb in Chinese medicine for lung abscesses and is also widely used for urinary tract infections and skin infections with Heat and pus. In southwestern China, the fresh root (called 'fold-ear root') is eaten as a popular vegetable.

TCM Properties

Temperature

Slightly Cool

Taste

Acrid / Pungent (辛 xīn)

Channels entered

Lungs

Parts used

Whole plant / Aerial parts (全草 quán cǎo)

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What This Herb Does

Every herb has a specific set of actions — here's what Yu Xing Cao does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Yu Xing Cao is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Yu Xing Cao performs to restore balance in the body:

How these actions work

'Clears Heat and resolves toxins' means this herb has a strong ability to counteract infections and inflammatory Heat conditions in the body, particularly those caused by what TCM calls 'Heat toxins.' This makes it especially useful for conditions involving pus, swelling, and infection. It is sometimes called a 'natural antibiotic' in Chinese medicine because of its broad-spectrum antimicrobial effects.

'Reduces abscesses and expels pus' refers to the herb's special affinity for treating Lung abscesses (a condition called 'Lung abscess' or fèi yōng in TCM). When Heat toxins accumulate in the Lungs, they can cause tissue breakdown and pus formation. Yu Xing Cao is considered THE key herb for this pattern, able to clear the infection and help the body discharge the pus. It is used for conditions like coughing up foul-smelling yellow or bloody phlegm.

'Promotes urination and frees strangury' means the herb helps clear Damp-Heat from the urinary system, relieving painful, difficult, or burning urination. This action is why it is used for urinary tract infections with symptoms of urgency, burning, and cloudy urine.

Patterns Addressed

In TCM, symptoms cluster into recognizable patterns of disharmony. Yu Xing Cao is used to help correct these specific patterns.

Why Yu Xing Cao addresses this pattern

Yu Xing Cao is acrid and slightly cold, entering the Lung channel. Its acrid taste disperses congestion, while its cold nature clears Heat. Together, these properties make it ideally suited for Phlegm-Heat accumulating in the Lungs. When Heat toxins combine with Phlegm in the Lungs, they cause thick, yellow, foul-smelling sputum, cough, and chest pain. Yu Xing Cao directly clears Lung Heat, resolves the toxins fueling the infection, and expels the purulent discharge. It is considered the foremost herb for Lung abscess (fèi yōng).

A practitioner would look for one or more of these signs

Hypochondrial Pain That Is Worse On Coughing And Breathing

Coughing up thick yellow or foul-smelling phlegm, possibly with blood or pus

Chest Pain

Chest pain that worsens with coughing

Fever

Low-grade or persistent fever

Shortness Of Breath

Laboured breathing with a feeling of fullness in the chest

Commonly Used For

These are conditions where Yu Xing Cao is frequently used — but only when they arise from the specific patterns it addresses, not in all cases

TCM Interpretation

In TCM, pneumonia is understood as Heat toxins invading the Lungs, causing Phlegm and Heat to accumulate and obstruct the Lung's normal descending and dispersing function. When Heat and Phlegm congeal together, they produce thick yellow or greenish sputum, fever, chest pain, and laboured breathing. If the condition progresses, the Heat can cause tissue breakdown (what TCM calls 'rotting flesh'), leading to Lung abscess with foul-smelling purulent discharge. The key pathogenic factors are Heat, toxins, and Phlegm, often combined with Blood stasis in the chest.

Why Yu Xing Cao Helps

Yu Xing Cao's cold, acrid nature directly targets the Lung channel, clearing the Heat toxins that drive the infectious process. Its ability to both resolve toxins and expel pus addresses the two core problems in pneumonia: the infection itself and the resulting accumulation of infected material in the Lungs. Modern research supports this traditional use, showing that compounds in Yu Xing Cao have antibacterial activity against pneumococcus and other respiratory pathogens. It is typically combined with herbs like Jie Geng (Balloon Flower Root) and Lu Gen (Reed Rhizome) to enhance its Lung-clearing and pus-expelling effects.

Also commonly used for

Lung Abscess

The primary classical indication: coughing up foul-smelling pus and blood

Bronchitis

Acute bronchitis with Heat signs such as yellow phlegm and fever

Skin Abscess

External application of fresh herb for skin infections

Dysentery

Hot dysentery with bloody or purulent stools

Whooping Cough

Used in combination with other herbs for pertussis

Bronchiectasis

Chronic productive cough with infected sputum

Cystitis

Bladder inflammation with burning urination

Eczema

External wash for damp, weeping skin lesions

Herb Properties

Every herb has an inherent temperature, taste, and affinity for specific channels — these properties determine how it interacts with the body

Temperature

Slightly Cool

Taste

Acrid / Pungent (辛 xīn)

Channels Entered

Lungs

Parts Used

Whole plant / Aerial parts (全草 quán cǎo)

Dosage & Preparation

These are general dosage guidelines for Yu Xing Cao — always follow your practitioner's recommendation, as dosages vary based on the formula and your individual condition

Standard dosage

15-25g (dried herb in decoction); fresh herb: double the dose

Maximum dosage

Up to 50-60g of dried herb (or 100-120g fresh) in acute Lung Heat or abscess conditions, under practitioner supervision. Should not be decocted for extended periods.

Dosage notes

Standard decoction dose is 15-25g of the dried herb. For acute Lung Heat conditions, Lung abscess, or severe infections, doses up to 50-60g may be used. Fresh herb is used at double the dried dose and may be juiced directly. Because Yu Xing Cao contains volatile oils that are key to its therapeutic action, it should not be boiled for a long time. Add it to the decoction in the last 5-10 minutes of cooking to preserve its active aromatic compounds. For external use, fresh herb can be mashed and applied as a poultice in appropriate quantities.

Preparation

Do not decoct for a long time. Add to the pot in the final 5-10 minutes of cooking (后下, hou xia) to preserve the volatile oils that are essential to its therapeutic effect. Fresh herb can be juiced directly or mashed for external poultice application.

Common Herb Pairs

These ingredients are traditionally combined with Yu Xing Cao for enhanced therapeutic effect

Jie Geng
Jie Geng Yu Xing Cao 30g : Jie Geng 12-15g

Yu Xing Cao clears Lung Heat toxins and expels pus, while Jie Geng (Balloon Flower Root) opens the Lung, raises Lung Qi, and guides other herbs upward to the chest. Together they form the classic pairing for Lung abscess: Yu Xing Cao eliminates the infection while Jie Geng helps discharge the purulent material from the Lungs.

When to use: Lung abscess or severe pneumonia with coughing up foul-smelling purulent phlegm or phlegm streaked with blood, chest pain, and fever.

Lu Gen
Lu Gen 1:1 (both at 15-30g)

Both herbs are cold and clear Lung Heat, but they work from different angles. Lu Gen (Reed Rhizome) is sweet and cold, generating fluids while clearing Heat, and it helps promote urination. Yu Xing Cao is acrid and cold, excelling at resolving toxins and expelling pus. Together they provide a comprehensive approach to Lung Heat: clearing the infection, protecting the fluids, and draining pathological products downward.

When to use: Phlegm-Heat cough with yellow sputum, thirst, and dry mouth. Also for early-stage lung abscess before pus has fully formed.

Jin Yin Hua
Jin Yin Hua 1:1 (both at 15-30g)

Jin Yin Hua (Honeysuckle Flower) and Yu Xing Cao are both premier Heat-clearing, toxin-resolving herbs. Jin Yin Hua excels at clearing Wind-Heat and Heat toxins in the upper body and skin, while Yu Xing Cao targets the Lungs specifically. Together they create a powerful broad-spectrum antimicrobial combination suitable for both internal and external infections.

When to use: Severe respiratory infections, skin abscesses, or any Heat-toxin condition requiring strong anti-infective action.

Huang Qin
Huang Qin Yu Xing Cao 20-30g : Huang Qin 10-15g

Huang Qin (Scutellaria Root) is bitter and cold, excelling at drying Dampness and clearing Heat from the upper body, especially the Lungs. Combined with Yu Xing Cao, the pair delivers strong Lung Heat-clearing from two angles: Huang Qin dries the Damp-Heat and stops cough, while Yu Xing Cao resolves the toxins and expels pus. The combination is stronger for productive cough with Damp-Heat than either herb alone.

When to use: Lung Heat or Damp-Heat in the Lungs with thick yellow phlegm, cough, and possible fever. Commonly used together in modified formulas for pneumonia and bronchitis.

Comparable Ingredients

These ingredients have overlapping uses — here's how to tell them apart

Bai Jiang Cao
Yu Xing Cao vs Bai Jiang Cao

Both Yu Xing Cao and Bai Jiang Cao (Patrinia Herb) clear Heat, resolve toxins, and expel pus. The key difference is their target area: Yu Xing Cao primarily enters the Lung channel and is the foremost herb for Lung abscess, while Bai Jiang Cao is bitter and enters both Qi and Blood levels, excelling at clearing Heat from the Stomach and Intestines. Bai Jiang Cao is the preferred choice for intestinal abscess (appendicitis) and pelvic Blood stasis, whereas Yu Xing Cao is chosen when the infection is centred in the Lungs.

Pu Gong Ying
Yu Xing Cao vs Pu Gong Ying

Both are major Heat-clearing, toxin-resolving herbs used for infections and abscesses. Pu Gong Ying (Dandelion) is bitter and sweet, entering the Liver and Stomach channels, and is the premier herb for breast abscess (mastitis) and Liver-Stomach Heat conditions. Yu Xing Cao is acrid, enters the Lung channel, and is specifically suited for Lung infections and urinary Damp-Heat. Choose Pu Gong Ying for breast, skin, or digestive tract infections. Choose Yu Xing Cao for respiratory infections.

Jin Yin Hua
Yu Xing Cao vs Jin Yin Hua

Both are top-tier Heat-clearing, toxin-resolving herbs, but they differ in breadth and target. Jin Yin Hua (Honeysuckle Flower) is sweet and cold, with a broader scope: it treats Wind-Heat at the exterior level, clears Heat toxins internally, and cools the Blood. Yu Xing Cao is narrower in focus but more potent for its specialty: Lung abscess and Lung Heat with pus. For general febrile illness or broad anti-infective action, Jin Yin Hua is more versatile. For Lung-specific infections with purulent discharge, Yu Xing Cao is the stronger choice.

Common Substitutes & Adulterants

Related species and common adulterations to be aware of when sourcing Yu Xing Cao

Yu Xing Cao is generally not subject to major adulteration problems because its strong characteristic fishy odour makes it easy to identify and difficult to fake. However, quality can vary significantly between wild-harvested and intensively cultivated material. Intensively farmed specimens grown with chemical fertilizers tend to have longer stems, less leaf material, and weaker aroma compared to wild or semi-wild high-altitude specimens. The above-ground portion (地上部分) used medicinally may sometimes be mixed with excessive root and rhizome material, diluting the therapeutic quality. The fresh herb sold as a vegetable (折耳根, primarily the rhizome) is a different commercial product from the dried medicinal herb (primarily aerial parts). Buyers should verify that the material matches the intended use.

Educational content — always consult a qualified healthcare provider or TCM practitioner before using any herb.

Toxicity Classification

Classical Chinese pharmacopoeia toxicity rating for Yu Xing Cao

Non-toxic

Yu Xing Cao has very low oral toxicity. Animal studies show the oral LD50 of houttuynin (its key active compound) in mice is approximately 1.6 g/kg, indicating a wide safety margin. Dogs given daily oral doses of 80-160 mg/kg of houttuynin for one month showed excessive salivation and occasional vomiting but no significant effects on appetite, blood parameters, or liver and kidney function. The herb contains trace amounts of aristolactam-BII, aristolactam-AII, and aristolactam-FII (total approximately 0.016 g/kg), which are structurally related to but distinct from the nephrotoxic aristolochic acid I. Scientific consensus holds that these aristolactam compounds cannot be equated with aristolochic acid in terms of carcinogenicity, and no evidence of aristolochic acid I has been found in the plant. The Chinese Pharmacopoeia and Ministry of Health both classify Yu Xing Cao as safe for food and medicinal use. Note: the injectable forms of Yu Xing Cao (now a separate product category) historically caused severe allergic reactions including anaphylaxis, primarily due to formulation issues rather than the herb itself. Oral decoction use at standard doses has not been associated with significant adverse effects.

Contraindications

Situations where Yu Xing Cao should not be used or requires extra caution

Caution

Deficiency-Cold patterns (Spleen-Stomach Yang deficiency with cold limbs, loose stools, poor appetite). Yu Xing Cao is acrid and cold in nature and will worsen cold-type conditions.

Caution

Yin-type sores and abscesses (non-inflamed, pale, slow-healing lesions without Heat signs). Classical sources explicitly caution against use in these cases.

Avoid

Known allergy or hypersensitivity to Houttuynia cordata. Some individuals experience nausea, vomiting, or skin reactions after contact or ingestion. Houttuynia cordata injection products have historically caused severe allergic reactions including anaphylaxis.

Caution

Prolonged or excessive use. The Ming Yi Bie Lu warns that excessive consumption causes shortness of breath, and the Tang-dynasty physician Meng Shen cautioned that long-term use damages Yang Qi and depletes essence.

Caution

Women during menstruation who have cold-type dysmenorrhea, as the herb's cold nature may worsen cramps and stagnation from cold.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

No specific pregnancy contraindication is listed in the Chinese Pharmacopoeia or classical texts. However, Yu Xing Cao's cold nature (微寒) means it should be used cautiously during pregnancy, particularly in women with underlying Spleen-Stomach deficiency cold. There are no documented teratogenic effects, and it has a long history of food use in southwestern China. Nonetheless, as with most cold-natured medicinal herbs, it is prudent to use only when clinically indicated and at conservative doses during pregnancy, under practitioner guidance.

Breastfeeding

No specific contraindication during breastfeeding has been documented. Yu Xing Cao is classified as a medicine-food dual-use herb and is commonly eaten as a vegetable in southwestern China, suggesting general safety. However, its cold nature could theoretically affect maternal digestion and milk quality in women with weak Spleen Qi. It is advisable to use only at moderate doses and for short durations when clinically needed. Some individuals are sensitive to the herb's volatile compounds and may experience gastrointestinal discomfort, which could indirectly affect nursing comfort.

Children

Yu Xing Cao can be used in children at reduced doses proportional to age and body weight, typically one-third to one-half of the adult dose. It is considered relatively safe given its classification as a food-medicine dual-use herb. For young children (under 5), use cautiously and at lower doses, as the herb's cold nature may be harsh on a developing digestive system. Watch for signs of loose stools or reduced appetite indicating cold damage to the Spleen. The herb has been used in pediatric formulas for respiratory infections and whooping cough (百日咳) in combination with other herbs.

Drug Interactions

If you are taking pharmaceutical medications, be aware of these potential interactions with Yu Xing Cao

No major drug interactions are well-documented for oral use of Yu Xing Cao in decoction form. However, given its demonstrated antibacterial properties (inhibition of S. aureus, Streptococcus pneumoniae, and other pathogens), theoretical additive effects may occur when combined with antibiotic medications.

The herb's diuretic action (via quercetin and potassium salts that dilate renal arteries) suggests caution when combined with pharmaceutical diuretics or potassium-sparing agents, as electrolyte imbalances could theoretically occur with high doses.

Important historical note: Houttuynia cordata injection products (a separate pharmaceutical preparation, not traditional decoction) were associated with severe adverse reactions including anaphylactic shock and were temporarily banned in China in 2006. These reactions were attributed to the injectable formulation rather than the herb itself. This concern does not apply to oral decoction use.

Dietary Advice

Foods and dietary considerations when taking Yu Xing Cao

When taking Yu Xing Cao for Heat-clearing purposes, avoid greasy, fried, and heavily spiced foods that may generate further internal Heat and counteract the herb's cooling action. Cold and raw foods should be consumed in moderation, especially if the person's digestion is not robust, since the herb is already cold in nature and combining it with cold foods could burden the Spleen and Stomach. Those using Yu Xing Cao as a fresh vegetable (as is common in southwestern Chinese cuisine) should be aware that daily long-term consumption is not recommended due to its medicinal potency.

Botanical Description

Physical characteristics and morphology of the Yu Xing Cao source plant

Houttuynia cordata Thunb. (family Saururaceae) is a perennial herbaceous plant growing 15 to 80 cm tall. The entire plant emits a distinctive fishy odour when fresh. The lower stems creep along the ground and root at the nodes, while the upper portions grow upright and often turn purplish-red. The leaves are alternate, heart-shaped (cordate) to broadly ovate, 3 to 10 cm long and 3 to 11 cm wide, with a dark green upper surface dotted with fine glands and a frequently purplish-red underside. Leaf stalks are slender with sheath-like stipules at the base.

The flowers appear as dense terminal spikes subtended by four conspicuous white, petal-like bracts that are often mistaken for petals. The actual flowers are tiny and lack sepals or petals. Flowering occurs from May to August, with fruit ripening from July to November. The fruit is a small, flask-shaped capsule containing ovoid seeds.

The plant thrives in moist, shady environments at elevations of 300 to 2,600 metres, commonly found along mountain slopes, stream banks, field ridges, and forest understories. It spreads vigorously via underground rhizomes and can become invasive in favourable conditions. It is widely distributed across southwestern and central China, the Yangtze River basin and southward, as well as Japan, Korea, and Southeast Asia.

Sourcing & Harvesting

Where Yu Xing Cao is sourced, when it's harvested or collected, and how to assess quality

Harvesting season

Summer, when stems and leaves are luxuriant and flower spikes are abundant. Fresh herb can be harvested year-round.

Primary growing regions

Yu Xing Cao is widely distributed across the Yangtze River basin and all provinces south of it, with particularly abundant production in the southwestern provinces of Sichuan, Guizhou, Yunnan, and Hunan. Hubei province (especially Dangyang city in Yichang prefecture) has become the largest modern production centre, with over 100,000 mu under cultivation and accounting for over 40% of national market supply. The classical Ben Cao Pin Hui Jing Yao identified Yangzhou and the Guanzhong region (Shaanxi) as the original dao di (terroir) producing areas. The herb also grows wild and is cultivated in Guangxi, Jiangxi, Zhejiang, Fujian, and extends to Taiwan. Outside China, it is found in Japan, Korea, Vietnam, and other parts of Southeast Asia.

Quality indicators

Good quality dried Yu Xing Cao should have abundant intact leaves that are green to dark yellowish-green, with visible flower spikes (穗状花序) still attached. The stems should be pale reddish-brown, flattened cylindrical, and easily snapped (indicating crispness, not dampness). When rubbed or crushed, the dried herb should still release a noticeable fishy odour, though milder than the fresh plant. The taste should be slightly astringent. According to the Chinese Pharmacopoeia and multiple classical quality references, the standard is: "leaves abundant, colour green, flower spikes present, fishy smell strong" (以叶多、色绿、有花穗、鱼腥气浓者为佳). Avoid material that is predominantly stems with few leaves, excessively dark or mouldy, mixed with excessive dirt or root material, or lacking in characteristic aroma.

Classical Texts

Key passages from the classical Chinese medical texts that describe Yu Xing Cao and its therapeutic uses

Ming Yi Bie Lu (名医别录, Supplementary Records of Famous Physicians)

Chinese: 主蠼螋溺疮。多食令人气喘。

Translation: "Treats sores caused by earwig secretions. Excessive consumption causes panting and shortness of breath."

Note: This is the earliest recorded medicinal reference for Yu Xing Cao.

Ben Cao Gang Mu (本草纲目, Compendium of Materia Medica, Li Shizhen)

Chinese: 散热毒痈肿,疮痔脱肛,断痁疾,解硇毒。

Translation: "Disperses Heat-toxin, carbuncles and swelling; treats sores, hemorrhoids and rectal prolapse; stops malarial fevers; resolves nao [arsenic-type] poisoning."

Ben Cao Jing Shu (本草经疏)

Chinese: 为治痰热壅肺,发为肺痈吐脓血之要药。

Translation: "This is the essential herb for treating Phlegm-Heat congesting the Lungs, which develops into Lung abscess with expectoration of pus and blood."

Dian Nan Ben Cao (滇南本草, Materia Medica of Southern Yunnan)

Chinese: 治肺痈咳嗽带脓血,痰有腥臭,大肠热毒,疗痔疮。

Translation: "Treats Lung abscess with coughing of pus and blood, phlegm with a foul fishy smell, Heat-toxin in the Large Intestine, and treats hemorrhoids."

Meng Shen (Tang Dynasty physician, recorded in classical sources)

Chinese: 久食之,发虚弱,损阳气,消精髓。

Translation: "Prolonged consumption causes weakness, damages Yang Qi, and depletes essence and marrow."

Historical Context

The history and evolution of Yu Xing Cao's use in Chinese medicine over the centuries

Yu Xing Cao (鱼腥草) literally means "fishy-smelling herb," named for the strong fish-like odour released when the fresh leaves and stems are crushed. Its older formal name is Ji Cai (蕺菜), first documented in the Han-dynasty text Wu Yue Chun Qiu (吴越春秋) under the name Cen Cao (岑草). Li Shizhen explained in the Ben Cao Gang Mu that the character Ji (蕺) and Zu (菹) are phonetically related, and that the folk name "fish-smelling herb" arose from its distinctive leaf aroma. In southwestern China, it is universally known as Zhe Er Gen (折耳根, "broken-ear root") and is deeply embedded in the culinary cultures of Guizhou, Sichuan, and Yunnan.

The herb's medicinal use was first recorded in the Han-dynasty Ming Yi Bie Lu (名医别录). Over the centuries, its clinical scope expanded significantly. By the Ming dynasty, it was recognized as the premier herb for Lung abscess (肺痈), as stated in the Ben Cao Jing Shu. In 2002, the Chinese Ministry of Health officially classified it as a "medicine-food dual-use" (药食同源) substance. In modern times, a synthetic form of its key active compound, houttuynin (鱼腥草素, decanoyl acetaldehyde), was developed in the 1970s for injection therapy against respiratory infections. These injection preparations were widely used during the 2003 SARS outbreak but were suspended nationally in 2006 following reports of serious allergic reactions, then gradually reintroduced after safety re-evaluation and reformulation.

Modern Research

3 published studies investigating the pharmacological effects or clinical outcomes of Yu Xing Cao

1

Comprehensive review of traditional applications, phytochemistry, pharmacology and safety of H. cordata (2023)

Wu Z et al., Frontiers in Pharmacology, 2023 (Epub ahead of print Nov 2023)

A comprehensive review covering the traditional uses, chemical composition, and pharmacological effects of Houttuynia cordata. The review found that the main bioactive constituents are volatile oils, flavonoids, polysaccharides, and alkaloids. In vitro and in vivo studies demonstrated antioxidant, anti-inflammatory, antitumor, antibacterial, hepatoprotective, immunomodulatory, and antiviral effects through mechanisms including MAPK pathway inhibition and AMPK pathway activation.

PubMed
2

Therapeutic potentials of Houttuynia cordata against inflammation and oxidative stress: A review (2018)

Shingnaisui K, Dey T, Manna P, Kalita J. Journal of Ethnopharmacology, 2018, 220: 35-43

This review examined the evidence for anti-inflammatory and antioxidant properties of H. cordata extracts and isolated bioactive molecules. Both in vitro and in vivo studies showed that the herb's extracts exhibited significant anti-inflammatory effects without observable toxicity across various experimental models, supporting its traditional use for inflammatory conditions.

PubMed
3

The therapeutic potential of Houttuynia cordata: A current review (2022)

Heliyon, 2022, 8(10): e11386

A review published in Heliyon summarizing the broad pharmacological activity of H. cordata including effects against inflammation, cancer, viruses, bacteria, hyperglycemia, and obesity. The review emphasized that the plant's phytoconstituents (flavonoids, phenolic acids, volatile oils, alkaloids) have significant therapeutic potential that warrants further clinical investigation.

PubMed

Research on individual TCM herbs is growing but still limited by Western clinical trial standards. These studies provide emerging evidence and should be considered alongside practitioner expertise.