Fu Rong Ye

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Hibiscus mutabilis L.

Not yet clinically reviewed

Genus: Hibiscus Species: mutabilis Pinyin: Fu Rong Ye
Cotton Rose Hibiscus Leaf芙蓉叶

Traditionally used for

  • Cough & breathing
Moderate evidence · 5 studies

☯ TCM Properties

Category: clearing heat
Temperature: cool
Taste: pungent, bitter
Meridians: lung, liver
Functions:

Clears Lung Heat; Cools the Blood; Clears Heat and Resolves Toxicity; Disperses Swelling and Dissipates Nodules; Expels Pus; Alleviates Pain

Traditional Chinese Uses

Fu Rong Ye (hibiscus or cotton rose leaf) is a cool, mild herb used in Chinese medicine primarily as an external remedy. Topically it clears Heat toxin, reduces swelling, and relieves pain — making it applicable for carbuncles, abscesses, burns, and scalds. Its cooling, anti-inflammatory properties are most prominently deployed in external preparations, and it is less commonly used in internal formulas. Classical texts describe its use for lung conditions internally, but external application remains its primary modern use.

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Botanical Description

Hibiscus mutabilis, the Confederate rose or cotton-rose hibiscus, is a large deciduous to semi-evergreen shrub or small tree of the family Malvaceae native to southern China and Taiwan and widely cultivated as an ornamental in warm temperate to subtropical regions. It typically reaches 2-4 m in height with stout, stellate-pubescent branches and alternate, long-petiolate, broadly ovate to orbicular leaves 10-20 cm across, palmately 5-7 lobed with crenate-dentate margins and softly stellate-hairy on both surfaces. The conspicuous solitary axillary flowers, 8-12 cm in diameter, open white or pale pink in the morning and gradually deepen to crimson by evening, with five obovate petals and the staminal column characteristic of Hibiscus. The fruit is a hairy, globose, five-valved capsule containing several reniform seeds.

Active Constituents

Tiliroside

Acylated flavonol glycoside (kaempferol 3-O-beta-D-(6''-p-coumaroyl)glucoside)

The compound bioassay-guided fractionation identified as the anti-influenza principle of the leaf. It inhibited four influenza A strains in MDCK cells with EC50 values from 3.87 to 27.61 micromolar by suppressing viral ribonucleoprotein activity, downregulated cytokines and chemokines in A549 cells, and at 800 mg/kg per day protected half of PR8-infected BALB/c mice from death while improving lung oedema.

Ferulic acid

Hydroxycinnamic (phenolic) acid

Identified with caffeic acid by bioassay-guided fractionation as one of the two alpha-glucosidase inhibitors of the leaf, partitioning into the ethyl acetate fraction. The authors validated an HPLC-DAD method for quantifying both as standardisation markers for the leaf extract.

Caffeic acid

Hydroxycinnamic (phenolic) acid

The second alpha-glucosidase inhibitor isolated from Hibiscus mutabilis leaf, and the basis of the (so far in vitro only) claim that this leaf has antidiabetic potential.

Mutabiloside (quercetin 3-O-[beta-D-xylopyranosyl(1-2)-alpha-L-rhamnopyranosyl(1-6)]-beta-D-galactopyranoside)

Flavonol triglycoside

A flavonol triglycoside described from the petals of the cultivar Hibiscus mutabilis 'versicolor'. It showed significant allergy-preventive activity in a mouse tail-vein blood flow assay after hen egg-white lysozyme sensitisation. Note that this was petal, not leaf, and a named cultivar.

Quercetin 3-O-[beta-D-xylopyranosyl(1-2)]-beta-D-galactopyranoside

Flavonol diglycoside

Isolated from the petals alongside mutabiloside and also showed significant allergy-preventive activity in the same in vivo mouse assay.

Hyperoside

Flavonol glycoside (quercetin 3-O-galactoside)

One of the known flavonols identified in Hibiscus mutabilis alongside quercetin and the kaempferol and quercetin xylosyl-galactosides. It is a common marker compound and is not specific to this species.

Kaempferol 3-O-[beta-D-xylopyranosyl(1-2)]-beta-D-galactopyranoside

Flavonol diglycoside

A known flavonol glycoside of the petals, isolated in the allergy-preventive fractionation work but without significant activity itself.

⚠ Drug Interactions

Acarbose and other alpha-glucosidase inhibitors

Theoretical Evidence: Possible

Bioassay-guided fractionation of the methanolic leaf extract identified ferulic acid and caffeic acid as its alpha-glucosidase inhibitors, both concentrating in the ethyl acetate fraction. The mechanism is the same one acarbose uses, so the effects would be expected to add, but the evidence is an enzyme assay only, with no animal or human glycaemic study of the leaf.

Clinical note: Ask about postprandial hypoglycaemia and gastrointestinal upset if the leaf is used regularly by a patient on acarbose, and take a fasting glucose before assuming the herb is metabolically neutral.

Fupo Ganmao Granules and other proprietary cold remedies containing Fu Rong Ye

Moderate Evidence: Established

The leaf of Hibiscus mutabilis is the major herbal component of Fupo Ganmao Granules, a patent medicine for the common cold, and its anti-influenza activity has been traced to tiliroside. A patient self-medicating with the proprietary granules while also being prescribed the crude herb receives the same active material twice, which is a straightforward dosing problem rather than a pharmacological interaction.

Clinical note: Ask specifically about over-the-counter Chinese cold granules before prescribing Fu Rong Ye, since patients rarely report proprietary products as medicines.

Hibiscus sabdariffa (Luo Shen Hua, roselle) confused with this herb in the interaction literature

Moderate Evidence: Theoretical

Almost everything published on herb-drug interactions with hibiscus concerns Hibiscus sabdariffa, the sour red calyx used as a beverage, for which human pharmacokinetic interactions have been reported. Hibiscus mutabilis is a different species, a different part (the leaf), and has no comparable interaction dataset. Neither the presence nor the absence of an interaction with roselle tells you anything about Fu Rong Ye.

Clinical note: When a database or a patient reports a hibiscus interaction, establish which species is meant before acting on it, and do not record roselle interaction data against this monograph.

Dosage

Form Amount Frequency Duration Population Notes
decoction 10–30 g Daily — — 中国药典 2020 monograph 【木芙蓉叶】【用法与用量】10~30g。外用适量。 【性味与归经】辛,平;归肺、肝经。 — Matched by hand: Hibiscus mutabilis leaf; same article. Chinese Pharmacopoeia 2020, quoted verbatim.

Evidence Tier

Moderate evidence · 5 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

Anti-influenza properties of tiliroside isolated from Hibiscus mutabilis L.

Xiao M, Zhang T, Cao F, Liang W, Yang Y, Huang T, Tang YS, Liu B, Zhao X, Shaw PC (2023) Journal of Ethnopharmacology animal

Working explicitly on Fu Rong Ye, the leaf of Hibiscus mutabilis, and the major herbal component of Fupo Ganmao Granules, the authors used bioassay-guided isolation to obtain tiliroside. It inhibited four influenza A virus strains in MDCK cells with EC50 values of 3.87 to 27.61 micromolar by suppressing viral ribonucleoprotein activity, downregulated cytokine and chemokine expression in A549 cells, and at 800 mg/kg per day protected 50 percent of PR8-infected BALB/c mice from death and improved lung oedema. This is the first identification of the anti-influenza principle of this leaf.

Comprehensive analysis of Hibisci mutabilis Folium extract’s mechanisms in alleviating UV-induced skin photoaging through enhanced network pharmacology and experimental validation

Chen W, Deng Q, Deng B, Li Y, Fan G, Yang F, Han W, Xu J, Chen X (2024) Frontiers in Pharmacology animal

Network pharmacology identified 22 active constituents of the dried leaf extract, with enrichment in inflammatory signalling. In HaCaT keratinocytes the extract reduced UV-induced inflammatory mediators and improved survival. In UV-exposed mice treated transdermally for seven days it reduced dermatitis severity, epidermal and dermal thickening and inflammatory infiltration, lowered MMP-9, TNF-alpha, IL-6, IL-17 and EGFR, and inhibited over-activation of AKT-STAT3. This supports the traditional topical use for burns, mastitis and inflamed skin.

Bio-assay Guided Isolation of α-Glucosidase Inhibitory Constituents from Hibiscus Mutabilis Leaves

Kumar D, Kumar H, Vedasiromoni JR, Pal BC (2012) Phytochemical Analysis in vitro

The methanolic leaf extract was partitioned between water, n-butanol and ethyl acetate and fractionated on alpha-glucosidase inhibition. Ferulic acid and caffeic acid were identified as the active constituents and were concentrated in the ethyl acetate fraction, and a validated RP-HPLC-DAD method was developed for quantifying them as standardisation markers. The work is entirely enzymatic; no glycaemic effect was measured in an animal or a person.

Allergy-Preventive Effects of Hibiscus mutabilis 'Versicolor' and a Novel Allergy-Preventive Flavonoid Glycoside

Iwaoka E, Oku H, Takahashi Y, Ishiguro K (2009) Biological and Pharmaceutical Bulletin animal Verified: In vitro / animal

The methanol extract of the petals of the cultivar Hibiscus mutabilis 'versicolor' showed allergy-preventive activity in mice sensitised with hen egg-white lysozyme, assayed by the fall in tail-vein blood flow. Bioassay-directed fractionation yielded a new flavonol triglycoside, mutabiloside, with four known flavonols; mutabiloside and quercetin 3-O-[beta-D-xylopyranosyl(1-2)]-beta-D-galactopyranoside had significant activity. The material was petal from a named cultivar, not the leaf that constitutes Fu Rong Ye.

A novel anti-inflammatory flavonoid from flowers of Hibiscus mutabilis L

Hu P, Wang Y, Ye L, Yan X, Zeng Y, Jiang Z, Gong Y, Huang P, Xia H (2025) Natural Product Research in vitro Verified: In vitro / animal

One new and nine known flavonoids were isolated from the FLOWERS, not the leaves, of Hibiscus mutabilis. The new compound at 6.25 micromolar significantly inhibited LPS-induced nitric oxide and TNF-alpha production in RAW264.7 macrophages, outperforming dexamethasone as positive control. Fu Rong Hua (the flower) and Fu Rong Ye (the leaf) are distinct drugs, so this activity should not be attributed to the leaf without further work.

Historical Texts

Ben Cao Gang Mu

Ming dynasty
Li Shizhen gives mu fu rong its own entry and records the leaves and flowers being pounded and applied externally to sores, boils, swellings and burns, drawing out heat and toxin and reducing swelling. This external, drawing use, later formalised in the Fu Rong plaster, is still the herb's primary role, and the internal lung-heat indication is secondary to it.

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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