Feng Wei Cao

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Pteris multifida Poir.

Not yet clinically reviewed

Genus: Pteris Species: multifida Pinyin: Feng Wei Cao
Chinese Brake Herb凤尾草

Traditionally used for

  • Bowel health
  • Urinary & fluids
  • Skin
Moderate evidence · 6 studies

☯ TCM Properties

Category: clearing heat
Temperature: cold
Taste: bitter, bland
Meridians: large intestine, heart, liver
Functions:

Clears Heat and Resolves Toxicity; Drains Dampness; Cools the Blood and Stops Bleeding; Clears Heat and Stops Diarrhea; Promotes Urination

Traditional Chinese Uses

Feng Wei Cao (pteris herb, fern herb) is a cool herb used in Chinese medicine to clear Heat toxin, cool the Blood, and promote healing of sores. It is applied for carbuncles, burns, inflammatory skin conditions, dysentery with blood, and urinary tract infections from Heat accumulation. Topically it is used in washes for skin infections, burns, and insect bites. As a cooling detoxifying herb, it reflects the rich tradition of Chinese folk medicine in utilizing widely available plant species.

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Botanical Description

Pteris multifida, the spider brake or Chinese ladder brake, is a small evergreen fern of the Pteridaceae family forming dense tufts 30 to 70 cm tall. The slender stipes are straw-colored to dark brown at the base, smooth above. Fronds are dimorphic: sterile fronds are once-pinnate with broadly winged rachises and lanceolate to narrowly oblong pinnae with finely serrated margins, while fertile fronds are taller, more divided, with narrowly linear pinnae bearing continuous marginal sori protected by the reflexed leaf margin. The rhizome is short, creeping, and clothed in dark brown lanceolate scales. The species grows on shaded walls, limestone crevices, well-margins, and damp banks throughout China, Japan, Korea, the Himalayas, and parts of Southeast Asia, and is widely naturalized as a weed of greenhouses elsewhere.

Active Constituents

Pterosin C and its glycosides (pterosides), including (2S,3S)-pterosin C 3-O-beta-D-(4'-(E)-caffeoyl)-glucopyranoside

Illudane-type (pterosin) sesquiterpenoid and sesquiterpenoid glycoside

Twelve pterosin compounds have been isolated from the roots of this fern, of which the caffeoyl glycoside was moderately antiproliferative against HCT116 colorectal cancer cells with an IC50 of 8.0 plus or minus 1.7 micromolar, upregulating caspase-9 and increasing annexin V/PI-positive cells. These compounds matter for a second reason: pterosins are the stable breakdown products of ptaquiloside, the illudane glucoside that makes bracken carcinogenic, so their abundance shows that Pteris multifida runs the biosynthetic pathway that produces ptaquiloside elsewhere in this family. Ptaquiloside itself has been found across the genus Pteris, but I could not verify any published quantification of it in Pteris multifida specifically, in either direction.

Pterokaurane M1 2-O-beta-D-glucopyranoside and related ent-kaurane diterpenoid glycosides

ent-Kaurane diterpenoid glycoside

Three new ent-kauranes were isolated from the roots with nine known compounds; two of the isolates significantly inhibited nitric oxide production in LPS-activated BV-2 microglia and reduced COX-2 protein, prostaglandin E2, TNF-alpha, IL-1beta and IL-6. This is the clearest laboratory correlate of the clearing heat and resolving toxicity action.

Rutin

Flavonol glycoside

One of the flavonoids of the whole herb. A total flavonoid extract characterised by HPLC and tandem mass spectrometry contained ten flavonoids as its key constituents and, at 180 mg/kg by gavage for 60 days, reduced the prostate index in mice with benign prostatic hyperplasia.

Luteolin and luteolin-7-O-glucoside

Flavone and flavone glycoside

Among the flavones reported from the whole plant, alongside apigenin-7-O-beta-D-glucoside and apigenin 4-O-alpha-L-rhamnoside. Flavones of this class carry most of the antipyretic and anti-inflammatory activity attributed to the herb.

Hyperin and isoquercitrin

Flavonol glycoside

Quercetin galactoside and glucoside respectively, both reported from the whole plant of Pteris multifida.

Quercetin and kaempferol

Flavonol aglycone

The free aglycones reported from the whole herb, consistent with the flavonoid-rich profile of the total flavonoid extract used in the prostate and toxicity work.

Arsenic (accumulated from the soil, not a plant metabolite)

Metalloid contaminant

Pteris multifida is an arsenic hyperaccumulator studied alongside Pteris vittata and Pteris cretica for phytoremediation of arsenic-contaminated water and soil. It stores arsenic chiefly in the fronds, which are the part used medicinally, and keeps accumulating down to 10 degrees Celsius while Pteris vittata slows. Provenance therefore matters more for this herb than for most: material gathered from mine spoil or arsenic-contaminated ground can carry a real arsenic burden regardless of how the fern itself is prepared.

⚠ Drug Interactions

Arsenic trioxide, realgar (Xiong Huang) and other arsenical medicines

Moderate Evidence: Possible

This species is a documented arsenic hyperaccumulator, used experimentally to strip arsenic from contaminated water, and it deposits arsenic mainly in the fronds with some in the root. The interaction is not pharmacodynamic in the usual sense; it is a cumulative-dose problem. A patient receiving arsenic trioxide for acute promyelocytic leukaemia, or taking a realgar-containing proprietary formula, already has an arsenic burden to which contaminated fern material could add.

Clinical note: Use only cultivated or heavy-metal-tested Feng Wei Cao, refuse wild-collected material of unknown provenance, and avoid it entirely in patients on arsenical therapy or with any other reason to limit arsenic intake.

Statins, ezetimibe and bile acid sequestrants

Theoretical Evidence: Possible

Lyophilised spider brake powder substituted at 10 percent of the diet in rats fed a high-cholesterol diet lowered plasma triglycerides by about 37 percent, LDL cholesterol by about 21 percent and liver cholesterol and triglyceride, while raising faecal weight, nitrogen compounds, neutral steroid excretion and bile acid excretion. The mechanism, increased faecal sterol and bile acid loss, is the same one bile acid sequestrants and ezetimibe use. This is a rat feeding study at a large dietary substitution, not a study of a therapeutic decoction.

Clinical note: No routine action at ordinary decoction doses. If a patient takes the herb as a habitual daily beverage, as is common in Taiwan, note it before interpreting an unexpected improvement in a lipid panel.

Bracken (Pteridium aquilinum) crosiers sold as a fern medicine or fern food

Major Evidence: Established

Bracken, a different fern in the same family, is a proven carcinogen: ptaquiloside is an unstable illudane glucoside with a reactive cyclopropane ring that induces bladder and intestinal carcinoma in cattle. It is not a hypothetical exposure route in this field. A 2021 survey measured ptaquiloside in commercial dried crosiers sold for food at 44 to 666 micrograms per gram, at 294 to 736 micrograms per gram in bracken crosier material prepared as Hong Kong traditional Chinese medicine, and at about 6300 micrograms per gram in fresh crosiers. A 2023 Toxicon survey found 6 to 4326 micrograms per gram, mean 644, across ten Pteris species. Ptaquiloside and its analogues occur in 19 of 31 Pteridaceae ferns tested, including Pteris species, so a fern supplied as Feng Wei Cao that is in fact another Pteridaceae member is a genuine carcinogenic exposure.

Clinical note: Verify the botanical identity of any fern drug rather than accepting it on the pinyin name, do not accept crosiers or unopened fronds as Feng Wei Cao, and treat prolonged high-dose use of any unidentified Pteridaceae fern as unsafe.

Evidence Tier

Moderate evidence · 6 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

28-Day oral toxicity study of the aqueous extract from spider brake (Pteris multifida Poiret) in rats

Wang TC, Su YP, Hsu TY, Yang CC, Lin CC (2007) Food and Chemical Toxicology animal Verified: In vitro / animal

Sprague-Dawley rats received the aqueous extract by oral gavage at 100, 500 and 1000 mg/kg per day for 28 days. There were no adverse effects on general condition, growth, feed and water intake, red cell or clotting parameters, clinical chemistry or organ weights, except slightly reduced neutrophils in males and lymphocytes in females at the top dose, and necropsy and histopathology showed no treatment-related change. The authors concluded that the herb used in the traditional oral way is likely free of toxic risk. This is a 28-day study and therefore says nothing about the long-term carcinogenicity question that hangs over the Pteridaceae.

Anti-hyperlipidemic activity of spider brake (Pteris multifida) with rats fed a high cholesterol diet

Wang T-C, Lin C-C, Lee H-I, Yang C, Yang C-C (2010) Pharmaceutical Biology animal Verified: In vitro / animal

Hyperlipidaemic Sprague-Dawley rats fed a high-cholesterol diet were given lyophilised spider brake powder, with beta-sitosterol as comparator. At 10 percent dietary substitution, liver, adipose and relative adipose weights fell by 6, 15.9 and 14.3 percent, and plasma triglycerides, LDL cholesterol, LDL/HDL ratio and liver cholesterol and triglyceride fell by 36.8, 21, 18.7, 10.2 and 14.3 percent. Wet and dry faecal weight, nitrogen compounds, neutral steroid excretion and bile acid excretion all rose, indicating increased intestinal loss of lipid.

Chemical characterization, anti-benign prostatic hyperplasia effect and subchronic toxicity study of total flavonoid extract of Pteris multifida

Dai GC, Hu B, Zhang WF, Peng F, Wang R, Liu ZY, Xue BX, Liu JY, Shan YX (2017) Food and Chemical Toxicology animal Verified: In vitro / animal

HPLC with tandem mass spectrometry identified ten flavonoids as the key constituents of a total flavonoid extract. Given at 180 mg/kg by gavage for 60 days it clearly reduced the prostate index in mice with benign prostatic hyperplasia, with immunohistochemistry showing suppressed VEGF and activated TGF-beta1 in prostate tissue. A 90-day subchronic study in male Sprague-Dawley rats set the no-observed-adverse-effect level at 200 mg/kg body weight per day.

Cytotoxic pterosins from Pteris multifida roots against HCT116 human colon cancer cells

Kim JW, Kim HP, Sung SH (2017) Bioorganic & Medicinal Chemistry Letters in vitro

Two new pterosin glycosides were isolated from the roots with ten known pterosins and tested against HCT116 colorectal cancer cells. The caffeoyl glucoside of (2S,3S)-pterosin C showed moderate antiproliferative activity with an IC50 of 8.0 plus or minus 1.7 micromolar, upregulated caspase-9 and procaspase-9 on Western blot and increased the annexin V/propidium iodide-positive population.

Anti-Neuroinflammatory ent-Kaurane Diterpenoids from Pteris multifida Roots

Kim JW, Seo JY, Oh WK, Sung SH (2016) Molecules in vitro Verified: In vitro / animal

An 80 percent methanolic extract of the roots inhibited nitric oxide production in LPS-activated BV-2 microglia. Three new ent-kaurane diterpenoids were isolated with nine known compounds; two isolates significantly inhibited nitric oxide production and reduced COX-2 protein, prostaglandin E2, TNF-alpha, IL-1beta and IL-6.

Pteris multifida, Cortex phellodendri, and probiotics attenuated inflammatory status and immunity in mice with a Salmonella enterica serovar Typhimurium infection

Yin MC, Chang CH, Su CH, Yu B, Hsu YM (2018) Bioscience, Biotechnology, and Biochemistry animal

Mice infected with Salmonella Typhimurium ST21 received aqueous extracts of Pteris multifida or Cortex phellodendri, or lactic acid bacteria, for four days. Pteris multifida and Cortex phellodendri both reduced the bacterial count in blood, intestine and liver; Pteris multifida lowered serum TNF-alpha, IL-1beta and IgG. A macrophage infection model suggested TNF-alpha was only partly responsible. This is the closest published support for the traditional use in dysentery and diarrhoea.

References

  1. Harinantenaina L, Matsunami K, Otsuka H. Chemical and biologically active constituents of Pteris multifida . Journal of Natural Medicines (2008) [DOI]
  2. Saito K, Nagao T, Takatsuki S, Koyama K, Natori S. The sesquiterpenoid carcinogen of bracken fern, and some analogues, from the pteridaceae . Phytochemistry (1990) [DOI]
  3. Aguirre LS, Martínez OG, Gardner DR, Barbeito CG, Micheloud JF. Determination of ptaquiloside in ten species of Pteris in northwestern Argentina . Toxicon (2023) [DOI]
  4. Rasmussen LH. Presence of the carcinogen ptaquiloside in fern-based food products and traditional medicine: Four cases of human exposure . Current Research in Food Science (2021) [DOI]
  5. Rahman F, Sugawara K, Wei S, Kohda YH, Chien MF, Inoue C. Influence of low temperature on comparative arsenic accumulation and release by three Pteris hyperaccumulators . Journal of Environmental Science and Health, Part A (2021) [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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