Polygonum multiflorum (He Shou Wu) — Hermetica Encyclopedia
Herbs (Global Traditional) · Traditional Chinese Medicine

Polygonum multiflorum (He Shou Wu)

Provisional Moderate Scorebotanical

Hermetica Superfood Encyclopedia

Evidence review status: unreviewed

Legacy index-continuity record: the score and narrative are provisional and must not be represented as validated or human-approved.

Review flags: AWAITING_SEMANTIC_VALIDATION

Provisional Summary

Polygonum multiflorum (He Shou Wu) contains anthraquinones and stilbene glycosides that provide antioxidant and cholesterol-lowering effects. The compound 2,3,5,4'-tetrahydroxystilbene-2-O-β-D-glucoside (TSG) modulates lipid metabolism through HMG-CoA reductase inhibition.

Screened PMID Records
Reported Benefits
Pending
Synergy Review
At a Glance
CategoryHerbs (Global Traditional)
GroupTraditional Chinese Medicine
Public Score StatusProvisional Moderate
Primary KeywordHe Shou Wu benefits
Polygonum multiflorum close-up macro showing natural texture and detail — rich in antioxidant, anti-aging, hepatoprotective
Polygonum multiflorum (He Shou Wu) — botanical close-up

Origin & History

Polygonum multiflorum growing in China — natural habitat
Natural habitat

He Shou Wu (Polygonum multiflorum Thunb.) is sourced from the dried roots of a perennial climbing plant native to China and other east Asian regions. The roots are typically harvested and processed either raw or steamed, then used as powder, decoction, or extract, with water and alcohol extractions being common preparation methods.

Documented in the ancient Chinese text 'Kai Bao Ben Cao,' He Shou Wu has been used in traditional Chinese medicine for centuries to treat hair loss, aging, insomnia, sores, and anemia. It remains popular in China and East Asia as a tonic herb for longevity and vitality.Traditional Medicine

Research Narrative (Provisional)

Despite traditional use and preclinical data, the research dossier reveals a significant lack of human clinical trials, RCTs, or meta-analyses with no PubMed PMIDs provided for human studies. While one review summarizes clinical studies of Polygonum multiflorum and its isolated compound tetrahydroxystilbene glucoside, specific trial designs, sample sizes, or outcomes are not detailed in the available research.

Preparation & Dosage

Dosage guidance is withheld because the publication gate has not recorded adequate support for this profile.

Nutritional Profile

Polygonum multiflorum (He Shou Wu) is not consumed as a macronutrient food source; its pharmacological value derives from its bioactive phytochemical profile. Key Bioactive Compounds: • Stilbene glycosides: 2,3,5,4'-Tetrahydroxystilbene-2-O-β-D-glucoside (THSG) is the principal active marker compound, typically standardized at 1.0–3.0% in dried root preparations (Chinese Pharmacopoeia requires ≥1.0% THSG in processed root). Raw/unprocessed root may contain higher THSG levels (~2–7% dry weight depending on source and age of root). • Anthraquinones: Emodin (0.1–1.5% dry weight), physcion, rhein, chrysophanol, and their glycosides (e.g., emodin-8-O-β-D-glucoside). The ratio of free anthraquinones to combined (glycoside-bound) anthraquinones shifts significantly with processing (Pao Zhi): raw root is richer in free anthraquinones (associated with laxative and hepatotoxic effects), while processed root contains reduced free anthraquinone content. • Tannins & Polyphenols: Catechin, epicatechin, gallic acid, and condensed tannins (proanthocyanidins); total polyphenol content reported at approximately 5–12% dry weight depending on extraction. These contribute significant DPPH and ABTS radical scavenging activity. • Phospholipids: Lecithin is present in notable amounts (~1.2–3.7% dry weight), historically cited as contributing to lipid-modulating effects. • Polysaccharides: Water-soluble polysaccharides (~3–5% dry weight), including rhamnose, arabinose, and galactose units, with reported immunomodulatory activity in vitro. Minerals (approximate, per dried root): Iron (Fe) ~50–150 mg/kg, zinc (Zn) ~15–40 mg/kg, manganese (Mn) ~10–30 mg/kg, selenium (Se) trace amounts variable by soil. Calcium and potassium present but not in pharmacologically significant quantities. Vitamins: Not a meaningful source of vitamins; trace amounts of B-vitamins may be present but are not clinically relevant at typical dosage (3–12 g dried root/day in decoction). Fiber/Protein: Crude fiber ~10–15% and crude protein ~5–8% are present in the whole dried root but are incidental to its medicinal use. Bioavailability Notes: THSG demonstrates moderate oral bioavailability in animal models (~30–50% in rats), with rapid absorption (Tmax ~0.5–1 hr) and glucuronide/sulfate conjugation as primary Phase II metabolites. Emodin has poor oral bioavailability (~<5% in rats) due to extensive first-pass glucuronidation. Processing (steaming with black soybean juice, Pao Zhi) significantly alters the chemical profile: it reduces free anthraquinone and tannin content while increasing THSG stability, gallic acid release, and sugar-conjugated forms, which is believed to reduce toxicity and improve tolerability. Co-administration with lipid-rich meals or formulations may modestly enhance absorption of lipophilic anthraquinones.

Reported Mechanism (Provisional)

Mechanism of Action

TSG inhibits HMG-CoA reductase enzyme activity, reducing cholesterol synthesis in hepatic cells. Anthraquinones including emodin and physcion provide antioxidant effects through DPPH radical scavenging and metal chelation. The stilbene compounds also activate AMPK pathways involved in lipid metabolism regulation.

Clinical Narrative (Provisional)

Animal studies demonstrate 20-30% reductions in total cholesterol and triglycerides with standardized extracts containing 10-20% TSG. In vitro antioxidant studies show IC50 values of 15-25 μg/mL for DPPH scavenging activity. Human clinical data remains limited with only small observational studies in traditional medicine contexts. Most evidence comes from preliminary animal models rather than controlled human trials.

Also Known As

Polygonum multiflorum Thunb.Fallopia multifloraChinese knotweedFleeceflower rootFo-tiShou WuChinese cornbindTuber fleeceflowerMultiflower knotweedRed-haired man root

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