Gua Lou Ren

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Trichosanthes kirilowii Maxim.

Genus: Trichosanthes Species: kirilowii Pinyin: Gua Lou Ren
Trichosanthes seed瓜蒌仁

☯ TCM Properties

Category: transforming phlegm
Temperature: cold
Taste: sweet
Meridians: lung, stomach, large intestine
Functions:

Clears Phlegm-Heat from the Lungs; Broadens the Chest and Dissipates Nodules; Moistens the Intestines and Unblocks the Bowels; Promotes Tissue Regeneration and Heals Sores

Traditional Chinese Uses

Gua Lou Ren (trichosanthes seed) is a cool, oily herb that clears Phlegm-Heat from the Lungs and moistens the Intestines to relieve constipation. It is used for coughs with thick, yellow, difficult-to-expectorate phlegm from Lung Heat, chest tightness from Phlegm-Heat obstruction, and constipation from intestinal dryness. Unlike the peel of the same fruit (Gua Lou Pi), which focuses on chest Qi, the seed has a stronger moistening and Intestine-lubricating action alongside its Lung Phlegm-clearing properties.

Western Herbalism Properties

Actions:
expectorantdemulcent

Botanical Description

Trichosanthes kirilowii Maxim. (Cucurbitaceae) is a dioecious perennial climbing vine native to China, Korea, and Japan, with palmately 3-7 lobed leaves, branched tendrils, and small white flowers bearing deeply fringed petals. The orange-yellow ovoid fruits, 7-10 cm long, contain numerous flattened tan seeds known in Chinese medicine as Gua Lou Ren. Seeds are harvested in autumn from ripe fruits, rinsed, sun-dried, and often dry-fried before use. In TCM, Gua Lou Ren is sweet in flavor and cold in nature, entering the Lung, Stomach, and Large Intestine channels; it moistens the Lungs, transforms hot phlegm, moistens the intestines, and unbinds the chest.

Active Constituents

Trichosanic acid (punicic acid)

Conjugated fatty acid (conjugated linolenic acid)

Concentration: ~18-49% of seed oil

The characteristic conjugated fatty acid of Trichosanthes seed oil, with reported hypolipidemic and antioxidant activity in animal models.

Linoleic acid

Polyunsaturated fatty acid (omega-6)

Concentration: ~25-40% of seed oil

Major essential fatty acid of the seed oil; the oil content underlies the seed's traditional intestine-moistening, bowel-unblocking action.

Oleic acid

Monounsaturated fatty acid (omega-9)

Concentration: ~6-42% of seed oil

A principal monounsaturated fatty acid contributing to the lubricating, emollient quality of the fatty seed.

Palmitic acid

Saturated fatty acid

Concentration: ~3-8% of seed oil

A minor saturated fatty acid component of the seed oil.

α-Tocopherol (vitamin E)

Tocopherol / antioxidant vitamin

Concentration: ~248-702 mg/kg of seed oil

Fat-soluble antioxidant enriched in the seed kernel oil; contributes to the oil's radical-scavenging and lipid-protective activity.

Phytosterols (β-sitosterol, stigmasterol, campesterol)

Sterols

Concentration: present, higher in kernel than shell oil

Plant sterols with cholesterol-lowering potential, consistent with the reported hypolipidemic effects of the seed oil.

Triterpenoid saponins

Triterpenoid saponins

Concentration: minor constituents of the seed/fruit

Contribute expectorant and phlegm-transforming activity associated with the broader Gua Lou drug.

Flavonoids

Flavonoids

Concentration: minor constituents

Antioxidant polyphenols isolated from the seed that add to its lipid-lowering and antioxidant profile.

⚠ Drug Interactions

Aconite herbs — Chuan Wu / Cao Wu / Fu Zi (Aconitum spp.)

Major Evidence: Established

Gua Lou (including Gua Lou Ren) belongs to the classical “Eighteen Incompatibilities” (十八反) and must not be combined with aconite-family herbs. Modern co-decoction studies indicate combining the two can raise the concentration of toxic diester-type aconitine alkaloids in the decoction.

Clinical note: The Chinese Pharmacopoeia lists this pair as incompatible; avoid combining Gua Lou Ren with any Wu Tou/Fu Zi preparation.

Dosage

FormAmount Frequency Duration Population Notes
decoction 6-15g Daily

Preparation Methods

Water decoction (crushed seed)

Parts: Ripe seed

Usually 9-15 g of seeds crushed just before decoction to release the fatty oil that moistens the intestines and clears phlegm-heat.

Gua Lou Ren Shuang (defatted seed “frost”)

Parts: Ripe seed (oil partly pressed out)

The seeds are pressed to remove much of the oil, yielding a milder “frost” preparation used when the moistening, potentially laxative effect of the whole seed is undesirable (e.g. loose stools).

Dry-fried (chao) seed

Parts: Ripe seed

Gentle dry-frying is used to temper the cold nature and reduce the tendency to loosen the stool in patients with weak digestion.

Clinical Studies

Hypolipidemic and antioxidant activities of Trichosanthes kirilowii Maxim seed oil and flavonoids in mice fed with a high-fat diet

Hou Z, Zhu L, Meng R, Wang B (2020) Journal of Food Biochemistry Preclinical (animal, high-fat-diet mouse model)

Administration of Trichosanthes kirilowii seed oil significantly lowered serum total cholesterol, triglycerides and LDL-cholesterol; the seed oil plus flavonoid combination improved hepatic and serum antioxidant status and reduced lipid peroxidation, showing synergistic hypolipidemic and antioxidant effects.

Historical Texts

Shen Nong Ben Cao Jing (Divine Husbandman's Classic of Materia Medica)

Han dynasty (c. 1st-2nd century CE)
Records Gua Lou (Trichosanthes), the source plant from which the seed (Gua Lou Ren) is derived.

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

Ming dynasty (1596)
Distinguishes the seed and describes its use to clear phlegm-heat, moisten the Lungs and Intestines and free the bowels.

References

  1. Hou Z, Zhu L, Meng R, Wang B. Hypolipidemic and antioxidant activities of Trichosanthes kirilowii Maxim seed oil and flavonoids in mice fed with a high-fat diet . Journal of Food Biochemistry 44(8):e13272 (2020) [DOI]
  2. Bensky D, Clavey S, Stoger E. Chinese Herbal Medicine: Materia Medica, 3rd Edition (Gua Lou Ren / Trichosanthis Semen) . Eastland Press (2004) [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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