Feng Huang Yi

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Gallus gallus domesticus Linnaeus

Not yet clinically reviewed

Pinyin: Feng Huang Yi
Inner Shell of

Traditionally used for

  • Nose & throat
  • Cough & breathing
  • Skin

Cautions & contraindications

  • Allergy risk
Moderate evidence · 3 studies

☯ TCM Properties

Category: transforming phlegm
Temperature: warm
Taste: sweet
Meridians: lung
Functions:

Nourishes Yin and cleanses the Lungs

Traditional Chinese Uses

Feng Huang Yi is the thin inner membrane of the hen's eggshell (Gallus gallus domesticus; Membrana Follicularis Ovi), a sweet substance entering the Lung channel. It nourishes Yin and clears the Lungs, moistening dryness of the respiratory tract, and is used chiefly for chronic and lingering dry cough and for Lung Yin deficiency with a dry, scratchy throat. A characteristic traditional application is hoarseness and loss of voice (aphonia), where it soothes and moistens the throat.

It is also applied to scrofula and, topically, to non-healing sores and ulcers, the powder being sprinkled on the affected area. Internally it is decocted at about 3-9 g or taken as powder. A gentle, food-grade animal substance, it is typically used as an adjunct within moistening, Yin-nourishing formulas under professional guidance.

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Botanical Description

Feng Huang Yi (凤凰衣) is most commonly recorded in Chinese materia medica not as a plant at all but as the thin inner membrane of the hen's eggshell (the chorioallantoic membrane peeled from the inside of a chicken egg after the contents are removed), used as a folk remedy for chronic cough and to promote healing of ulcerations. Some regional sources apply the same name to flower-bract structures of certain ornamental plants, but without a corroborating Latin name the identification cannot be made with confidence. Because the substance is most likely an animal-derived material rather than a plant — and possibly not in standard pharmacopoeial use — the record follows the unidentifiable/non-plant null-pattern.

Active Constituents

Type I collagen

Fibrillar structural protein (collagen)

Concentration: The dominant protein of the membrane; the fibre network is predominantly type I collagen with types V and X also reported

Forms the interwoven fibre scaffold that gives the membrane its structure. Its hydroxyproline-rich composition is what distinguishes the shell membranes from the organic matter of the shell itself in amino acid analysis, and it is the basis of the material's use as a wound and ulcer dressing.

Type X collagen

Network-forming (non-fibrillar) collagen

Concentration: Present in significant quantity alongside type I

A short-chain network collagen normally associated with hypertrophic cartilage. Its presence is part of the rationale for testing eggshell membrane in joint and connective tissue disorders.

Glycosaminoglycans (hyaluronic acid and a chondroitin sulfate-dermatan sulfate copolymer)

Glycosaminoglycan

Concentration: Two glycosaminoglycans are documented in the membrane; uronic acid, their structural marker, occurs at similar levels in inner and outer shell membranes and about fivefold lower than in the organic matter of the shell

These are the constituents that the joint-health supplement literature is built around, being the same classes used as standalone osteoarthritis supplements. In the membrane they are present as native, unstandardised amounts, not as a measured dose.

Sialic acid (N-acetylneuraminic acid)

Amino sugar (nonulosonic acid)

Concentration: Higher in the inner shell membrane than the outer, and highest of all in the organic matter of the shell

A terminal sugar on the membrane glycoproteins. Its uneven distribution between inner membrane, outer membrane and shell organic matter means that how carefully the membrane is separated from adherent shell changes the composition of the finished drug.

Desmosine and isodesmosine

Crosslinking amino acids (tetrafunctional lysine-derived)

Concentration: About 28 micrograms per 100 mg dry weight of membrane

These crosslinks give the membrane its elastic, tear-resistant character. They are constituents of the shell membrane protein itself and do not indicate contamination with elastin, which was established by specific enzymatic and chemical hydrolysis.

Ovalbumin, ovotransferrin and lysozyme

Egg white proteins (major egg allergens)

Concentration: Inherent and abundant residues of egg white carried on the membrane; not removed by ordinary drying

These are the clinically important constituents of Feng Huang Yi, because they are the named major egg allergens: ovalbumin is Gal d 2, ovotransferrin is Gal d 3 and lysozyme is Gal d 4. Proteomic work on eggshell membrane identifies them directly, along with ovoinhibitor, ovostatin and ovalbumin-related protein X. Their presence means the drug is an egg product for allergy purposes, whatever the preparation.

Cystine-rich shell membrane proteins

Disulfide-crosslinked structural protein

Concentration: Cystine is a prominent component of the membrane amino acid profile

The disulfide crosslinking makes the membrane poorly soluble and resistant to digestion, which is why commercial preparations are hydrolysed enzymatically or with subcritical water rather than used whole.

⚠ Drug Interactions

Any therapy in a patient with egg allergy, including egg-cultured vaccines and egg-derived lysozyme preparations

Major Evidence: Probable

Feng Huang Yi is the membrane lining a chicken eggshell, and proteomic analysis of eggshell membrane identifies ovalbumin, ovotransferrin and lysozyme among its proteins — these are Gal d 2, Gal d 3 and Gal d 4, three of the four principal egg white allergens, and together they account for the large majority of egg white allergenic protein. The drug is therefore an egg protein exposure. There is no published assay of residual allergen in medicinal eggshell membrane to say how much survives decoction, so the exposure cannot be quantified, but absence of an assay is not evidence of absence. In a patient already sensitised, this adds an allergen source alongside any other egg-derived exposure they are managing.

Clinical note: Contraindicated in known egg allergy. Ask about egg allergy before prescribing, including in children, and record the herb as an egg-containing product so that it is visible to other clinicians assessing an allergic reaction. If a patient on Feng Huang Yi develops urticaria, angioedema, wheeze or gastrointestinal symptoms, stop it and treat as an egg reaction.

Glucosamine and chondroitin sulfate joint supplements

Minor Evidence: Theoretical

Eggshell membrane contains hyaluronic acid and a chondroitin sulfate-dermatan sulfate copolymer natively, and the commercial supplements built on it are marketed for the same indication as glucosamine and chondroitin. Taking both duplicates the same class of material at an unmeasured combined dose. No adverse interaction has been reported; the concern is cost and unmonitored intake rather than toxicity.

Clinical note: No action beyond noting the duplication. Do not treat the TCM decoction as interchangeable with a standardised eggshell membrane supplement — the doses and preparations are not comparable.

Dui Yao — Herb Pairs

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

with Chan Tui 蝉蜕

Disperses wind-heat and benefits the throat while nourishing and restoring the voice, for hoarseness and loss of voice.

Named pairing — Lü Jingshan, Shi Jinmo Dui Yao

Evidence Tier

Moderate evidence · 3 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

Eggshell membrane in the treatment of pain and stiffness from osteoarthritis of the knee: a randomized, multicenter, double-blind, placebo-controlled clinical study

Ruff, Kevin J.; Winkler, Anne; Jackson, Robert W.; DeVore, Dale P.; Ritz, Barry W. (2009) Clinical Rheumatology RCT Verified: Randomized controlled trial

Sixty-seven patients with knee osteoarthritis randomised to 500 mg/day of a proprietary Natural Eggshell Membrane preparation or placebo for eight weeks, with WOMAC pain and stiffness as the primary endpoint. This is the strongest human evidence for the material, but two qualifications matter for a TCM reference: the indication tested is knee osteoarthritis, not the Lung and Yin-nourishing indications Feng Huang Yi is prescribed for, and the corresponding author is affiliated with ESM Technologies LLC, the manufacturer of the tested product.

A Randomized, Double-Blind, Placebo-Controlled, Prospective Clinical Trial Evaluating Water-Soluble Chicken Eggshell Membrane for Improvement in Joint Health in Adults with Knee Osteoarthritis

Hewlings, Susan; Kalman, Douglas; Schneider, Luke V. (2019) Journal of Medicinal Food RCT Verified: Randomized controlled trial

Eighty-eight adults with knee osteoarthritis randomised to 450 mg/day of a water-soluble chicken eggshell membrane hydrolysate or placebo for 12 weeks. The honest reading is negative on the pre-specified analysis: without normalisation, no statistically significant improvement was seen in WOMAC, six-minute walk test or range of motion, and the positive findings the paper reports come from a normalised improvement-over-baseline analysis. The product was safe. Two authors received funding from the sponsor and a third is a paid consultant to it.

Eggshell membrane: A possible new natural therapeutic for joint and connective tissue disorders. Results from two open-label human clinical studies

Ruff, Kevin J.; DeVore, Dale P.; Leu, Michael D.; Robinson, Mark A. (2009) Clinical Interventions in Aging cohort Verified: Other clinical trial

Two small single-centre open-label studies, 11 and 28 patients, given 500 mg/day of Natural Eggshell Membrane for four weeks, reporting reductions in joint pain and gains in flexibility with no adverse events. Uncontrolled and unblinded, so the effect sizes cannot be separated from placebo and regression to the mean; the useful content is the tolerability signal. The corresponding author is employed by the product manufacturer.

Historical Texts

Ming Yi Bie Lu (Miscellaneous Records of Famous Physicians), entered as luan zhong bai pi, the white skin within the egg

attributed to Tao Hongjing, c. 500 CE
Earliest listing of the drug, recorded as treating long-standing cough with binding — the chronic cough and loss of voice indication it still carries. The later name Feng Huang Yi, phoenix robe, is a decorative renaming of the same material.

Bi Xiao Fang (Formulas of Certain Efficacy), Meng Shen, cited under the name ji zi bai pi

Tang dynasty, 7th-8th century
Records the membrane under the name chicken egg white skin, one of the earliest of the several alternative names the drug accumulated.

Ben Cao Meng Quan (Enlightenment of Materia Medica), Chen Jiamo

Ming dynasty, 1565
Records the drug under the name feng huang tui, phoenix moult — the name from which the modern Feng Huang Yi derives.

References

  1. Nakano, T; Ikawa, N I; Ozimek, L. Chemical composition of chicken eggshell and shell membranes . Poultry Science (2003) [DOI]
  2. Ahlborn, G. J.; Clare, D. A.; Sheldon, B. W.; Kelly, R. W.. Identification of Eggshell Membrane Proteins and Purification of Ovotransferrin and β-NAGase from Hen Egg White . The Protein Journal (2006) [DOI]
  3. Leach, R. M.; Rucker, R. B.; Van Dyke, G. P.. Egg shell membrane protein: A nonelastin desmosine/ isodesmosine-containing protein . Archives of Biochemistry and Biophysics (1981) [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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