Chi Fu Ling

Star

Wolfiporia cocos (F.A. Wolf) Ryvarden & Gilb.

Not yet clinically reviewed

Genus: Wolfiporia Species: cocos Pinyin: Chi Fu Ling
Red poria赤茯苓

Traditionally used for

  • Urinary & fluids
  • Sleep
  • Mood & calm
  • Heart & circulation
Moderate evidence · 4 studies

☯ TCM Properties

Category: transforming dampness
Temperature: neutral
Taste: sweet, bland
Meridians: heart, spleen
Functions:

Promotes Urination and Drains Damp-Heat; Clears Heat from the Heart and Small Intestine; Promotes Urination; Promotes Urination and Relieves Stranguria

Traditional Chinese Uses

Chi Fu Ling (red poria, cinnabar-colored poria) is a neutral, sweet substance derived from the reddish-brown outer portion of Fu Ling (poria mushroom). In Chinese medicine, it has a stronger Spirit-calming action than the white interior portions, making it specifically indicated for insomnia, palpitations, anxiety, and Heart-Shen disturbance. It simultaneously drains Dampness and calms the Heart, making it useful for conditions where both fluid accumulation and Shen disturbance are present.

Western Herbalism Properties

Actions:
diuretic

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Botanical Description

Chi Fu Ling is the dried reddish outer layer of the sclerotium of Wolfiporia cocos (formerly Poria cocos), a wood-decay polypore fungus in the Polyporaceae family that grows in association with the roots of conifers, especially pines, across East Asia and North America. The sclerotium is a compact subterranean fungal storage body, irregularly globose to oblong, 10-30 cm or more across, with a thin wrinkled dark brown to reddish-brown rind and a dense white to pale pink interior. In trade the sclerotium is cut into several products: the central pine-root-bearing piece is Fu Shen, the white interior tissue is the well-known Fu Ling, and the reddish layer immediately beneath the outer rind is Chi Fu Ling, harvested as thin reddish-brown irregular slabs or wedges with a slightly granular texture.

Active Constituents

beta-(1→3)-D-Glucan

Fungal polysaccharide

Concentration: Present as the same polymer found in the white portion, with a closely comparable relative molecular mass distribution of about 9.13 x 10 to the 4th to 1.04 x 10 to the 5th, but at a lower content: the ranking across the sclerotium's parts is White Poria, then Poria cum Radix Pini, then Rubra Poria, then Poriae Cutis

This is the single most useful chemical fact for telling Chi Fu Ling apart from the drugs cut from the same sclerotium. The polysaccharide is not a different molecule in the red layer, only a scarcer one, which is consistent with the traditional position that the red portion does not carry the supplementing action of the white. The polysaccharide fraction is the part of the sclerotium associated with immune modulation.

Poricoic acid D

Lanostane-type triterpene acid

Concentration: One of 51 triterpenes profiled across the four botanical parts of the sclerotium; determined absolutely in a comparative UHPLC-MS study

One of four triterpenes that a four-part comparative metabolomic analysis of the sclerotium singled out as likely contributors to the diuretic effect, which is the action Chi Fu Ling is dispensed for. Attribution to a diuretic mechanism is inferential from the metabolomic comparison rather than from a diuresis assay on the isolated compound.

16alpha-Hydroxydehydrotrametenolic acid

Lanostane-type triterpene acid

Concentration: Quantified among the eight triterpenes measured absolutely across the four parts of the sclerotium

A second of the four triterpenes linked in that comparison to the diuretic effect of the drug. Along with the other three it forms the chemical rationale for using triterpene rather than polysaccharide markers when the intended action is drainage rather than supplementation.

3-Epidehydrotumulosic acid

Lanostane-type triterpene acid

Concentration: Among the triterpenes distinguishing the botanical parts in comparative UHPLC-MS profiling

Third of the four diuresis-associated triterpenes identified in the four-part comparison. It is an epimer of a compound also present elsewhere in the sclerotium, which is why chromatographic rather than gross-morphological identification matters when the pieces have already been cut.

25-Hydroxypolyporenic acid C

Lanostane-type triterpene acid

Concentration: Among the triterpenes distinguishing the botanical parts in comparative UHPLC-MS profiling

The fourth compound in that diuresis-associated group. Taken together these four are the most specific published chemical handle on why the parts of this sclerotium are dispensed for different purposes.

⚠ Drug Interactions

Fu Ling (white Poria), Fu Ling Pi (Poriae Cutis) or Fu Shen (Poria cum Radix Pini) supplied in place of Chi Fu Ling

Moderate Evidence: Established

All four are cut from the same Wolfiporia sclerotium, so no species test can separate them and the substitution passes any identity check based on the organism. They are nonetheless chemically distinct: the four parts carry different triterpene profiles, with Poriae Cutis and Poria cum Radix Pini separating cleanly from the others on principal component and OPLS-DA analysis of 51 triterpenes, and beta-(1→3)-D-glucan content falls in the order White Poria, Poria cum Radix Pini, Rubra Poria, Poriae Cutis. Chi Fu Ling is the reddish layer immediately under the peel, dispensed for draining damp-heat, and it is not a source of the supplementing or spirit-calming actions for which the white portion and Fu Shen are prescribed.

Clinical note: Specify the dispensing piece by name on the prescription and check the colour of the cut material on receipt; once sliced, red and white pieces are the only practical visual cue. If a formula was written for Chi Fu Ling to drain damp-heat, substituting white Poria weakens that intent rather than causing harm, but the prescription no longer does what was written.

Diuretics (furosemide, thiazides, spironolactone)

Theoretical Evidence: Theoretical

Comparative metabolomic profiling of the sclerotium's four parts attributed the diuretic effect to poricoic acid D, 16alpha-hydroxydehydrotrametenolic acid, 3-epidehydrotumulosic acid and 25-hydroxypolyporenic acid C, all of which are present in the red layer. There is no controlled human diuresis study of Chi Fu Ling, so the size of any additive effect on top of a loop or thiazide diuretic is unknown.

Clinical note: Not a contraindication. In an elderly patient or one on a loop diuretic, check electrolytes and volume status as you would when adding any drainage herb, and stop the herb if the patient becomes orthostatic or hyponatraemic.

Immunosuppressants (ciclosporin, tacrolimus, azathioprine)

Theoretical Evidence: Theoretical

The immunomodulating activity of this sclerotium sits in its beta-(1→3)-D-glucan fraction. That fraction is chemically the same polymer in the red layer as in the white but is present at lower content, so a theoretical opposition to immunosuppressive therapy is weaker for Chi Fu Ling than for the white portion. No interaction has been demonstrated in animals or humans for any part of the sclerotium.

Clinical note: Flag rather than avoid. For transplant recipients, keep the herbal regimen stable and monitor drug levels through any change, and prefer to document which dispensing piece is being used.

Evidence Tier

Moderate evidence · 4 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

Comparison of triterpene compounds of four botanical parts from Poria cocos (Schw.) wolf using simultaneous qualitative and quantitative method and metabolomics approach

Zhang G; Wang H; Xie W; Wang Q; Wang X; Wang C; Du Y; Huo C; Wang Q (2019) Food Research International in vitro

A UHPLC-MS and metabolomics comparison of the four parts of the sclerotium that are dispensed as separate drugs: Poriae Cutis, Rubra Poria (Chi Fu Ling), White Poria and Poria cum Radix Pini. Eight triterpenes were quantified absolutely and 51 identified in total; Poriae Cutis and Poria cum Radix Pini separated clearly on PCA and OPLS-DA with twelve differential compounds, and poricoic acid D, 16alpha-hydroxydehydrotrametenolic acid, 3-epidehydrotumulosic acid and 25-hydroxypolyporenic acid C were proposed as the compounds behind the diuretic effect. This is the principal analytical evidence that the four dispensing pieces are not interchangeable.

Comparative study on composition and content of beta-(1→3)-D-glucan in different medicinal parts of Poria cocos

Yang CX; Wang WW; Feng WH; Liu XQ; Zhang YX; Mao HJ; Wang ZM; Yan LH (2026) Zhongguo Zhong Yao Za Zhi (China Journal of Chinese Materia Medica) in vitro

High-performance gel permeation chromatography and NMR showed that the alkali-soluble polysaccharide of Rubra Poria (Chi Fu Ling) is the same beta-(1→3)-D-glucan found in White Poria, with a comparable relative molecular mass distribution of roughly 9.13 x 10 to the 4th to 1.04 x 10 to the 5th. Quantitatively the parts ranked White Poria above Poria cum Radix Pini, above Rubra Poria, above Poriae Cutis. The authors also optimised the pharmacopoeial assay, cutting acid hydrolysis from six hours to 1.5 hours after finding that harsher hydrolysis generates 5-hydroxymethylfurfural as a by-product. Analytical work; no clinical endpoint.

Characteristics, origin, and processing of Poria in Qing Dynasty Palace: evidence of both historical relics and documents

Yao T; Peng HS; Guan XL; Jin Y; Li FY; Yuan Y; Huang LQ (2023) Zhongguo Zhong Yao Za Zhi (China Journal of Chinese Materia Medica) cohort

Trait identification and textual research on six surviving Poria specimens in the Palace Museum, cross-checked against Qing imperial medical records. Bai Fu Ling, Chi Fu Ling and Zhu Fu Ling (Poria processed with cinnabar) appear as separate dispensed materials in the royal records, and whole sclerotia (Fu Ling Ge) were processed into Poriae Cutis, Bai Fu Ling and the other pieces within the palace. Material for the imperial pharmacy came chiefly as tribute from Yunnan and Guizhou. This is documentary and specimen evidence that Chi Fu Ling has long been a distinct dispensing item rather than a modern trade grade.

Spatial metabolic heterogeneity in Poria cocos (Schw.) Wolf (Fushen): Insights from quantitative analysis and widely targeted metabolomics

Yin M; Yang M; Han X; Yin L; Peng H; Huang L (2025) Food Chemistry: X in vitro

Segmenting the sclerotium into seven concentric zones and profiling 359 metabolites showed that triterpene and water-soluble polysaccharide content changes systematically with distance from the centre, while total amino acids accumulate progressively. The finding matters for Chi Fu Ling because it demonstrates that where a piece is cut from within the sclerotium, not only which species it is, determines its chemistry. The study material was Fushen, so the zone-by-zone numbers are not directly transferable to the red layer.

Historical Texts

Tai Ping Hui Min He Ji Ju Fang (Imperial Grace Formulary of the Tai Ping Era), Wu Lin San

Northern Song dynasty, 1107
Chi Fu Ling is the lead ingredient of Wu Lin San, a formula for the five stranguries given with Dang Gui, Gan Cao, Chi Shao and Zhi Zi. That a Song formulary names the red portion specifically, rather than Fu Ling, shows the two were already dispensed as separate items.

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

Ming dynasty, 1596
Records Chi Fu Ling as restricted to draining heat and moving water, without the wider set of actions credited to the white portion. This is the classical statement of the position the modern chemistry supports, that the red layer is a drainage drug and not a supplementing one.

Qing imperial medical records and the Palace Museum Poria specimens

Qing dynasty, 1644-1912
Six surviving specimens, including a separate Chi Fu Ling, are held by the Palace Museum and match the royal medical archives, which list Bai Fu Ling, Chi Fu Ling and Zhu Fu Ling as distinct materials. Whole sclerotia arrived as tribute from Yunnan and Guizhou and were divided into the dispensing pieces inside the palace pharmacy.

Pharmacopoeia of the People's Republic of China, Poria monograph and its decoction-piece specifications

Modern standard, 2020 and 2025 editions
The pharmacopoeial monograph and its beta-(1→3)-D-glucan assay are written for Poria, the sclerotium, since Chi Fu Ling, Fu Ling Pi and Fu Shen are not separate organisms but portions of the same fungal body separated during processing. Identity testing at the species level therefore cannot confirm which piece has been supplied.

References

  1. Liu Q; Tang H; Xie P; Huang J; Zuo Y; Wen M. Comparative analysis of volatile organic compounds in different parts of Poria cocos . Frontiers in Chemistry (2026) [DOI]
  2. Yu Y; Li TT; Deng ZY; Ma SQ; Tao JS; Sun YP; Wang GK; Wu DL; Liu JS. Unraveling the Antimelanogenic Potential of Poria cocos: Component Characterization, Spatial Distribution, and Inhibitory Mechanisms . Journal of Agricultural and Food Chemistry (2026) [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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