Pharmaceutical Latin: Fructus Aristolochiae
Common English: Aristolochia Fruit
Birthwort Fruit
Dutchman's Pipe Fruit
Obsolete Substances: Herbs that Transform Phlegm and Stop Coughing; Herbs that Stop Cough and Wheezing (Anti-Asthmatics
Taste Temperature Entering Meridians Dosage
(Slightly Acrid)
Slightly Cold
Large Intestine
Tincture: 1-3ml
Actions Indications/Syndromes

Clears the Lungs, transforms Phlegm, stops coughing and calms wheezing

Cough or wheezing due to Lung Heat with rebellious Qi

Lung Deficiency Heat

Lung Deficiency chronic asthma

Clears and drains Large Intestine Heat and reduces swelling and pain

Large Intestine Heat with swelling and pain in and around the anus

Bleeding hemorrhoids and fistula

Lowers Blood pressure

Hypertension due to Liver Yang Rising
  • Contraindicated for those with diarrhea due to Spleen Deficiency.
  • Contraindicated for those with cough or wheezing due to Deficiency Cold.
  • Contraindicated for those with Lung Qi Deficiency.
  • Large doses or prolonged use may cause nausea or vomiting.
  • This herb is toxic and has been shown to cause cancer use with great caution.

Rx. Platycodi
Jie Geng
Rx. Glycyrrhizae
Gan Cao

Rx. Anemarrhenae
Zhi Mu
Bul. Fritillariae
Bei Mu
Rx. Asparagi
Tian Men Dong

Sm. Armeniacae
Xing Ren
Colla Corii Asini
E Jiao
(Fr. Arctii)
Niu Bang Zi)

Lung Heat cough and wheezing with rough breathing from Phlegm.

Cough with scanty sputum, thirst and irritability from Lung Heat injuring the Fluids.

Dry cough or coughing up Blood- streaked sputum from Blazing Fire due to Yin Deficiency.

Fructus Sophorae
Huai Jiao
Rx. Sanguisorbae
Di Yu
Rx. Scutellariae
Huang Qin

Sp. Prunellae
Xia Ku Cao
Ram. cum Uncis Uncariae
Gou Teng

(Rx. Scutellariae)
(Huang Qin

Cx. Mori
Sang Bai Pi
Rx. Scutellariae
Huang Qin
Sm. Armeniacae
Xing Ren

Bleeding hemorrhoids.

Hypertension in patients with ascending Liver Yang.

Coughing and wheezing due to accumulation of Phlegm or Lung Heat.

Spina Gleditsiae
Zao Jiao Ci
Peony Decoction
Yao Tang


True Man Decoction to Revitalize Life
Zhen Ren Huo Ming Yin





  1. This herb has recently used to treat hypertension with light-headedness and flushing.
  2. Because this herb is extremely bitter, Fr. Trichosanthis Gua Lou is often substituted.
  3. Rx. Aristolochiae Qing Mu Xiang (Ma Dou Ling Gen) is acrid, bitter and cool or Cold, enters the Liver and Stomach, moves Qi, alleviates pain, clears Heat, reduces swellings and relieves Fire toxins. It is used for pain and distention in the pit of the Stomach, dysenteric diarrhea from poor eating habits in the summer, hernial disorders, carbuncles, and toxic swellings, including snakebite. It is toxic and should be used with extreme caution. In combination with Rz. Cyperi Xiang Fu and Fr. Toosendan Chuan Lian Zi, it treats Liver and Stomach Qi Stagnation. In combination with Rz. Coptidis Huang Lian and Sm. Arecae Bing Lang, it treats diarrhea and abdominal pain. In combination with Rx. Angelicae Dahuricae Bai Zhi, it treats snake bites and can be taken internally or used topically. The dosage is 6-9g.
  4. Some sources say that this herb disperses and descends Qi.
  5. Both Ma Dou Ling and Fol. Eriobotryae Pi Pa Ye enter the Lungs and Stomach, cool Heat, descend Qi and are used for Lung Heat cough. Ma Dou Ling is especially indicated for Lung Heat and Yin Deficiency blazing Fire with coughing up of Blood. It also cools the Large Intestine to treat hemorrhoids. Pi Pa Ye is especially indicated for Phlegm that is difficult to expectorate with a superior ability to descend Qi, transform Phlegm and alleviate cough, but is less cooling. It also treats Stomach Heat with thirst.
  6. Prepared Birthwort Fruit Zhi Ma Dou Ling is prepared with honey and is less bitter, prevents nausea and vomiting, but is able to moisten the Lungs and transform Phlegm. it is good for Lung Deficiency with Heat leading to cough and wheezing.
  7. Herba Aristolochiae Birthwort Stem Tian Xian Teng is bitter, warm enters the Liver and Spleen channels, regulates Qi, transforms Dampness, invigorates the Blood and stops pain. It is used for epigastric pain from Liver/Stomach disharmony, pain from bulging disorders and postpartum pain. It is less frequently used for Bi pain of the arms with a dosage of 3-9g.
  8. Qing Mu Xiang is the root of the plant Ma Dou Ling.