Ce Bai Ye

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Platycladus orientalis (L.) Franco

Not yet clinically reviewed

Genus: Platycladus Species: orientalis Pinyin: Ce Bai Ye
Arborvitae Leaf侧柏叶

Traditionally used for

  • Nose & throat
  • Cough & breathing
  • Bowel health
  • Menstrual & women's health

Cautions & contraindications

  • Pregnancy
Moderate evidence · 9 studies

☯ TCM Properties

Category: regulating blood
Temperature: cold
Taste: bitter
Meridians: lung, liver, spleen
Functions:

Cools the Blood and Stops Bleeding; Resolves Phlegm and Stops Cough; Promotes hair growth and darkens hair

Traditional Chinese Uses

Ce Bai Ye (Chinese arborvitae leaf) is a cool herb used in Chinese medicine to cool the Blood and stop bleeding, especially bleeding from Heat in the Blood. It addresses nosebleeds, coughing up blood, and heavy menstrual bleeding, and its astringent properties make it effective for hemorrhoidal bleeding. In its charred form, its hemostatic properties are enhanced. It also relieves cough and transforms Phlegm-Heat, and was historically used topically and internally for hair loss — a use preserved in classical hair-care formulas.

Western Herbalism Properties

Actions:
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Botanical Description

Platycladus orientalis (Cupressaceae), Chinese arborvitae or Ce Bai, is an evergreen coniferous shrub or small tree 5-20 m tall with a dense ovoid to columnar crown and reddish-brown, vertically fissured bark that peels in thin strips. The flattened branchlets are arranged in vertical, fan-shaped sprays, distinguishing it from the related Thuja. Scale-like leaves 1-3 mm long are tightly appressed in opposite decussate pairs, fragrant when crushed. The plant is monoecious with small terminal cones; mature seed cones are distinctive, fleshy when young (glaucous blue-green with hooked scales), maturing to woody and brown 1.5-2.5 cm long. Cultivated across temperate Asia and widely planted globally as an ornamental. The leafy twigs (Ce Bai Ye), harvested year-round, are dried for medicinal use. (Sources: POWO; Wikipedia)

Active Constituents

Quercitrin (quercetin-3-O-rhamnoside)

Flavonol glycoside

Concentration: the Chinese Pharmacopoeia quality marker for Platycladi Cacumen; content falls sharply on carbonisation, so charred Ce Bai Tan cannot be assayed against the raw specification

The official marker compound of the drug and one of the flavonoids enriched in the extracts that promote hair growth. Extract batches with higher quercitrin gave better human dermal papilla cell viability. Because carbonising the herb destroys most of it, the raw and charred drugs are chemically different articles even though both are used to stop bleeding.

Myricitrin

Flavonol glycoside

Concentration: one of seven flavonoids quantified simultaneously for quality evaluation of the drug

A major flavonol glycoside of the leaf, enriched alongside quercitrin and myricetin in the gradient extracts used for hair-loss work. Contributes to the antioxidant capacity of the drug.

Isoquercitrin (quercetin-3-O-glucoside)

Flavonol glycoside

Concentration: one of the seven flavonoids in the fingerprint assay

Part of the flavonol glycoside group that dominates the leaf and is used with the others to distinguish geographic batches of the drug.

Afzelin (kaempferol-3-O-rhamnoside)

Flavonol glycoside

Concentration: one of the seven flavonoids in the fingerprint assay

A kaempferol rhamnoside of the leaf, quantified as part of the quality fingerprint.

Amentoflavone

Biflavone

Concentration: one of the seven flavonoids quantified for quality evaluation

A biflavone characteristic of Cupressaceae and other gymnosperms, with anti-inflammatory and antioxidant activity in preclinical work. Because it is shared across the family, it is a poor marker for distinguishing this drug from its Cupressaceae adulterants.

Hinokiflavone

Biflavone

Concentration: one of the seven flavonoids quantified for quality evaluation

Another Cupressaceae biflavone quantified in the standard fingerprint of the drug.

Cupressuflavone

Biflavone

Concentration: one of the seven flavonoids quantified for quality evaluation

Completes the biflavone group used, with the four flavonol glycosides, to fingerprint and cluster batches of Platycladi Cacumen by geographic origin and climate.

Pinusolide

Labdane-type diterpene

Concentration: isolated from the LEAF; not quantified in the crude drug and not a Pharmacopoeia marker

A potent and unusually selective platelet-activating factor receptor antagonist. It inhibited PAF-induced aggregation of rabbit platelets with an IC50 of about 5 micromolar but had NO inhibitory effect on aggregation induced by ADP, thrombin or collagen, and it dose-dependently blocked PAF-induced hypotension in rats without affecting hypotension from acetylcholine, histamine or serotonin. This selectivity matters clinically: the antiplatelet action of this herb is confined to the PAF pathway and is not the broad-spectrum antiplatelet effect seen with, for example, safflower.

Pinusolidic acid

Labdane-type diterpene

Concentration: obtained from the chloroform extract of the leaf

The corresponding acid, also a PAF inhibitor, blocking PAF-induced rabbit platelet aggregation with an IC50 of about 2.3 x 10-5 M, roughly five times weaker than pinusolide.

Hinokiol

Abietane-type diterpene

Concentration: isolated from the chloroform fraction of the leaf

With acacetin, one of the two compounds from the leaf shown to significantly inhibit formation of 5-HETE and leukotriene B4 in intact cells, giving a lipoxygenase-pathway mechanism for the traditional use in cough, excess mucus, chronic bronchitis and asthma.

Acacetin

Flavone (4'-methoxyflavone)

Concentration: isolated from the chloroform fraction of the leaf

Inhibited 5-HETE and leukotriene B4 formation in intact cells alongside hinokiol, supporting the anti-inflammatory airway indications of the leaf.

⚠ Drug Interactions

Cupressaceae adulterants: Chamaecyparis obtusa, Cupressus funebris, Juniperus virginiana, Juniperus chinensis (Sabina chinensis) and Juniperus formosana leaves

Major Evidence: Established

Five species are documented as frequently misused for Platycladus orientalis leaves in the Chinese market because of closely similar scale-leaf morphology: Chamaecyparis obtusa, Cupressus funebris, Juniperus virginiana, Sabina chinensis (Juniperus chinensis) and Juniperus formosana. Authentication requires combined morphological and microscopic characters with TLC and HPLC, because the shared Cupressaceae biflavones (amentoflavone, hinokiflavone) do not separate them. This is a substitution hazard, not a taxonomic footnote: none of the five carries the haemostatic evidence or the flavonol glycoside profile of the genuine drug, and Juniperus species as a group have a poor safety record in medicinal use.

Clinical note: Buy from a supplier who identifies the species and can show a TLC or HPLC identity test. Genuine Ce Bai Ye should present as flattened fan-like sprays of scale leaves in a single plane; rounded or prickly juvenile foliage points to a Juniperus substitution.

Bai Zi Ren (Semen Platycladi, the seed kernel of the same tree)

Minor Evidence: Established

Platycladus orientalis yields two separate Pharmacopoeia drugs. This record is Ce Bai Ye / Cacumen Platycladi, the dried leafy twig, which cools Blood and stops bleeding, transforms Phlegm and stops cough, and is used for hair. Bai Zi Ren is the ripe seed kernel, which nourishes the Heart, calms the spirit and moistens the intestines, and is a mild laxative in the oily doses used. Substituting the seed for the leaf in a bleeding formula both removes the haemostatic action and adds an unwanted purgative effect in a patient who may be debilitated. Note also that essentially all the modern pharmacology cited for this species, including the pinusolide platelet-activating factor work, the hair-growth studies and the anti-inflammatory diterpene work, was done on LEAF, so it belongs to this record and not to Bai Zi Ren.

Clinical note: Check the plant part on the label. Leaf arrives as green flattened scale-leaf sprays; the seed arrives as pale oily oblong kernels. They are not interchangeable.

Ce Bai Tan (charred Ce Bai Ye) versus the raw leaf

Minor Evidence: Established

The leaf is used both raw and stir-fried to carbon, the charred form being preferred where the intention is purely to stop bleeding. Quantitative comparison of raw and processed batches shows the flavonoid content differs greatly between them, and quercitrin, the Pharmacopoeia marker, falls to a small fraction of its raw level on carbonisation. Everything described in this monograph, including the flavonol glycosides, the hair-growth work and the diterpene pharmacology, is for the RAW leaf. A charred sample will not meet the raw specification and its pharmacology has not been separately characterised.

Clinical note: Specify raw or charred on the prescription. Do not expect the raw drug's flavonoid-based effects, including the hair-growth activity, from charred material.

Finasteride, dutasteride and topical minoxidil

Theoretical Evidence: Theoretical

Cacumen Platycladi extract inhibits 5-alpha-reductase activity and, in testosterone-treated mice, promoted hair regrowth with effects on androgen metabolism and 5-alpha-reductase type II expression in hair follicles. It also upregulates the PI3K/Akt/mTOR pathway and VEGF, overlapping mechanistically with minoxidil's vascular action. No study has combined it with a pharmaceutical 5-alpha-reductase inhibitor, so additivity, and any additive antiandrogenic side effects, are inferred from mechanism only.

Clinical note: There is no evidence of harm, and topical use alongside minoxidil is common. Note the theoretical androgen overlap in a male patient already on finasteride or dutasteride, and avoid the herb in pregnancy on general antiandrogen grounds.

Anticoagulant and antiplatelet drugs (warfarin, aspirin, clopidogrel)

Theoretical Evidence: Theoretical

Pinusolide and pinusolidic acid from the leaf are platelet-activating factor receptor antagonists, but the selectivity data argue against a broad bleeding risk: pinusolide inhibited PAF-induced platelet aggregation at an IC50 of about 5 micromolar while having no effect at all on aggregation induced by ADP, thrombin or collagen, the pathways that aspirin, clopidogrel and thrombin inhibitors act on. The herb is also traditionally haemostatic, which cuts the other way. No human interaction study exists.

Clinical note: No routine restriction. Do not assume the general Blood-moving herb bleeding caution applies here; the platelet pharmacology of this leaf is PAF-selective and the traditional indication is to stop bleeding, not to move Blood.

Dosage

Form Amount Frequency Duration Population Notes
decoction 6–12 g Daily — — 中国药典 2020 【用法与用量】6~12g。外用适量。 【性味与归经】苦、涩,寒。归肺、肝、脾经。 — Chinese Pharmacopoeia 2020, quoted verbatim; route and cautions preserved. Replaces a cleared category-filler value.

Dui Yao — Herb Pairs

The classical two-herb combinations this herb appears in, each with an action neither herb has alone.

with Ai Ye 艾叶

The combination stops bleeding while the warmth of one moderates the coldness of the other, so bleeding is checked without congealing blood.

Persistent hematemesis from deficiency cold; the formula also contains dried ginger.

Core pair of a classical formula — Bai Ye Tang, Jin Gui Yao Lue (Zhang Zhongjing)

with Huai Hua 槐花

The combination cools the blood and stops bleeding more strongly than either alone, for heat-type intestinal bleeding.

Intestinal wind and toxic accumulation with bright red rectal bleeding; the formula also contains Jing Jie and Zhi Ke.

Core pair of a classical formula — Huai Hua San, Pu Ji Ben Shi Fang (Xu Shuwei)

Evidence Tier

Moderate evidence · 9 studies

Recorded studies by study design, strongest design at the top. This is a study-design tier only, not a GRADE rating: it does not weigh risk of bias, consistency or precision.

Verified: design read from PubMed for a DOI that resolves to the cited paper Unverified: taken from the study's recorded description

Clinical Studies

Pinusolide from the Leaves of Biota orientalis as Potent Platelet Activating Factor Antagonist

Kyung A. Kim, Tae Chul Moon, Shin Woong Lee, Kyu Charn Chung, Byung Hoon Han, Hyeun Wook Chang (1999) Planta Medica animal Verified: In vitro / animal

Pinusolide, a labdane diterpene isolated from the leaves of Biota orientalis (Platycladus orientalis), inhibited platelet-activating-factor-induced aggregation of rabbit platelets with an IC50 of about 5 micromolar, while having no inhibitory effect on aggregation induced by ADP, thrombin or collagen. It also dose-dependently inhibited PAF-induced hypotension in rats, without affecting hypotension induced by acetylcholine, histamine or serotonin. This establishes both that the leaf contains a genuinely potent PAF antagonist and that its antiplatelet action is confined to that one pathway. Note the study is on LEAF, not on the seed.

Pinusolidic Acid: A Platelet-Activating Factor Inhibitor from Biota orientalis

Hyun Yang, Byung Han (1998) Planta Medica in vitro Verified: Other / unclassified

Pinusolidic acid, obtained from the chloroform extract of Platycladus orientalis, inhibited PAF-induced aggregation of rabbit platelets with an IC50 of about 2.3 x 10-5 M, roughly five-fold weaker than pinusolide from the same source. Confirms that the PAF-antagonist activity of the leaf rests on a series of related labdane diterpenes rather than a single compound.

Inhibitory activities of some traditional Chinese herbs against testosterone 5α-reductase and effects of Cacumen platycladi on hair re-growth in testosterone-treated mice

Bei Zhang, Rong-weng Zhang, Xi-quan Yin, Zi-zhao Lao, Zhe Zhang, Qing-guang Wu (2016) Journal of Ethnopharmacology animal Verified: In vitro / animal

Nine traditional Chinese medicines extracted with 75% ethanol or water were screened against 5-alpha-reductase from rat epididymis, and Platycladus orientalis leaves were then taken forward for in vivo evaluation in testosterone-treated mice. Hair regrowth was scored daily and hair follicle morphogenesis assessed on longitudinal and transverse sections, alongside effects on androgen metabolism and 5-alpha-reductase type II expression in follicles. Supports the classical use of the leaf for hair, with an antiandrogenic mechanism. Animal model of androgen-driven hair loss; no human outcome data in this paper.

Evaluation of Cacumen Platycladi Extract for Hair Loss Prevention: Mechanisms, Efficacy, and Clinical Application

Xue-Dong Bai, Yu-Chen Liu, Hong-Yun Zhao, Yi-Zhou Luo, Li-Jun Xu, Feng Luo (2026) Cosmetics RCT

A gradient extract of Cacumen Platycladi made with 1,3-butanediol, ethanol and water and enriched in quercitrin, myricetin and myricitrin was characterised by LC-MS, then tested mechanistically and clinically. In vitro the extract inhibited 5-alpha-reductase, raised antioxidant capacity in human dermal papilla cells, and upregulated PI3K/Akt/mTOR signalling with increased VEGF and collagen type XVII expression. A 12-week clinical trial found the extract significantly reduced hair loss and increased local hair density compared with placebo, with no adverse effects reported. This is the only human controlled evidence for the leaf; it is a topical cosmetic extract, not the oral decoction, and the trial is small and industry-adjacent.

Water extract of cacumen platycladi promotes hair growth through the Akt/GSK3β/β-catenin signaling pathway

Hangjie Fu, Wenxia Li, Zhiwei Weng, Zhiguang Huang, Jinyuan Liu, Qingqing Mao, Bin Ding (2023) Frontiers in Pharmacology animal

A water extract of Cacumen Platycladi, closest of the tested preparations to a traditional decoction, promoted hair growth through Akt/GSK3-beta/beta-catenin signalling. Complements the 5-alpha-reductase and PI3K/Akt/mTOR mechanisms reported elsewhere and shows that the aqueous fraction, not only alcoholic or butanediol extracts, carries activity. A corrigendum was published in 2023; the paper is not retracted.

The anti-inflammatory activities of an extract and compounds isolated from Platycladus orientalis (Linnaeus) Franco in vitro and ex vivo

Si-Yang Fan, Hua-Wu Zeng, Yue-Hu Pei, Li Li, Ji Ye, Yue-Xin Pan, Ji-Gang Zhang, Xing Yuan, Wei-Dong Zhang (2012) Journal of Ethnopharmacology in vitro Verified: In vitro / animal

The chloroform fraction of Platycladus orientalis leaves and pure compounds from it were tested against pro-inflammatory enzymes and against TNF-alpha and nitric oxide production in LPS-stimulated RAW 264.7 macrophages, with arachidonic acid metabolites measured by HPLC after calcium ionophore A23187 stimulation. For the first time in intact cells, the chloroform fraction, hinokiol and acacetin significantly inhibited formation of 5-HETE and leukotriene B4, with supporting cell-free assays on 5-lipoxygenase, leukotriene A4 hydrolase and cyclooxygenase. Gives a lipoxygenase-pathway basis for the traditional use of the leaf in cough, excess mucus, chronic bronchitis, bronchiectasis and asthma.

Platycladus orientalis Leaf Extract Promotes Hair Growth via Non-Receptor Tyrosine Kinase ACK1 Activation

Jaeyoon Kim, Jang Ho Joo, Juhyun Kim, Heena Rim, Jae young Shin, Yun-Ho Choi (2024) Current Issues in Molecular Biology in vitro

Platycladus orientalis leaf extract stimulated proliferation of cultured human dermal papilla cells, with the highest viability from extract batches richer in quercitrin. It reduced the senescence markers p16 (CDKN2A) and p21 (CDKN1A), activated FGFR1, VEGFR2/3 and the non-receptor tyrosine kinases ACK1 and HCK, raised the Wnt/beta-catenin transcription factor LEF1 while downregulating the inhibitor DKK1, and increased bFGF, KGF and VEGF expression. Cell-based work that identifies quercitrin content as a practical potency determinant for the leaf.

Chemical Fingerprint and Quantitative Analysis for the Quality Evaluation of Platycladi cacumen by Ultra-performance Liquid Chromatography Coupled with Hierarchical Cluster Analysis

Mingqiu Shan, Sam Fong Yau Li, Sheng Yu, Yan Qian, Shuchen Guo, Li Zhang, Anwei Ding (2017) Journal of Chromatographic Science in vitro

Twenty-seven batches of Platycladi Cacumen from different regions were fingerprinted by UPLC with diode array detection, yielding 20 common peaks, of which seven flavonoids (myricitrin, isoquercitrin, quercitrin, afzelin, cupressuflavone, amentoflavone and hinokiflavone) were identified and quantified simultaneously. Regressions were good (R at least 0.9995) with recoveries of 96.4-103.3%. Hierarchical clustering split the batches into five groups that corresponded closely to geographic position and climate, which is the practical basis for expecting real potency differences between sourcing regions.

Chemical profiling and quantitation of bioactive compounds in Platycladi Cacumen by UPLC-Q-TOF-MS/MS and UPLC-DAD

Bo Zhuang, Zhi-Ming Bi, Zi-Yuan Wang, Li Duan, Chang-Jiang-Sheng Lai, E-Hu Liu (2018) Journal of Pharmaceutical and Biomedical Analysis in vitro

UPLC-Q-TOF-MS/MS with diagnostic ion filtering identified 43 compounds in Platycladi Cacumen, including organic acids and derivatives, flavonoids and phenylpropanoids, with coumarin and lignan reported in the drug for the first time. Nine major flavonoids were then quantified across 39 raw batches from different origins and 10 batches of the PROCESSED product, showing that flavonoid content differs greatly between samples. This is the evidence base for treating raw and charred Ce Bai Ye as chemically distinct articles.

Historical Texts

Jin Gui Yao Lue

Eastern Han dynasty, Zhang Zhongjing, c. 200 CE
Bai Ye Tang, the Cypress Leaf Decoction, pairs the leaf with Gan Jiang and Ai Ye for incessant haematemesis on a background of deficiency-cold in the middle. This is the earliest clinical use of the leaf and it establishes the pattern still followed today, that the leaf's cooling haemostatic action is combined with warming herbs when the bleeding arises from cold rather than heat.

Ming Yi Bie Lu

Han to Six Dynasties compilation, attributed to Tao Hongjing, c. 500 CE
The formal materia medica entry for the leaf (Bai Ye). The Shen Nong Ben Cao Jing before it had entered only the seed, Bai Shi, in its superior class, so the leaf and the kernel enter the tradition as separate drugs from the outset.

Chinese Pharmacopoeia

Modern, 2020 edition
Ce Bai Ye is listed as Cacumen Platycladi, the dried twig with leaf, in the class of herbs that cool the Blood and stop bleeding, with quercitrin as the assay marker. The seed of the same tree is listed separately as Bai Zi Ren.

References

  1. Jin-Hua Hao, Ping-Ting Xiao, Peng-Bo Duan, Dan-Yang Miao, Xiao-Yu Jiang, Yu-Jia Kuang, E-Hu Liu. Authentication of Platycladus Orientalis Leaves and Its Five Adulterants by Combination of Morphology and Microscopic Characteristics, TLC, and HPLC Analysis . Journal of AOAC International (2023) [DOI]
  2. Jing Xian Lim, Phaik Har Yong, Zhi Xiang Ng. A comprehensive review of mechanistic insights into Platycladus orientalis (L.) Franco: integration of phytochemistry and pharmacology . Phytochemistry Reviews (2026) [DOI]
  3. Ming-Qiu Shan, Jing Shang, An-Wei Ding. Platycladus orientalis Leaves: A Systemic Review on Botany, Phytochemistry and Pharmacology . The American Journal of Chinese Medicine (2014) [DOI]

This information is for educational purposes only and is not intended to replace professional medical advice. Always consult a qualified healthcare provider before using any herbal remedy, especially if you are pregnant, nursing, or taking medications.

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