Hu Ji Sheng

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Viscum coloratum (Komar.) Nakai

Not yet clinically reviewed

Family: Loranthaceae Genus: Viscum Species: coloratum Pinyin: Hu Ji Sheng
Colored Mistletoe槲寄生

Traditionally used for

  • Sleep
  • Pain & joints
  • Blood pressure
  • Energy & fatigue

Cautions & contraindications

  • Heart conditions
Moderate evidence · 5 studies

☯ TCM Properties

Category: wind-damp dispelling
Temperature: neutral
Taste: bitter, sweet
Meridians: liver, kidney
Functions:

Dispels Wind-Dampness; Nourishes Liver and Kidney Yin; Strengthens the Sinews and Bones; Calms the Fetus; Lowers Blood Pressure; Promotes Lactation

Traditional Chinese Uses

Hu Ji Sheng (loranthus, parasitic mistletoe on mulberry) is a bitter, neutral herb used in Chinese medicine to dispel Wind-Damp, tonify Liver and Kidney, and calm the fetus. Similar to Sang Ji Sheng, it is used for joint pain and lower back soreness from Wind-Damp combined with Liver-Kidney deficiency, and for threatened miscarriage or restless fetus from Kidney deficiency. Its dual action of expelling and tonifying makes it useful in complex deficiency-obstruction patterns.

Western Herbalism Properties

Actions:
tonicsedativeantispasmodic

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Botanical Description

Viscum coloratum (Hu Ji Sheng, colored mistletoe, Chinese mistletoe) is an evergreen hemiparasitic shrub in the Santalaceae family (formerly Viscaceae), forming yellowish-green to greenish-yellow dichotomously branched tufts 30 to 80 centimeters across on the limbs of various deciduous host trees, including poplar, willow, elm, and maple. The smooth jointed stems are repeatedly forked, with swollen nodes, and bear opposite, leathery, oblong-lanceolate to obovate-oblong leaves 5 to 7 centimeters long with three to five longitudinal veins and entire margins. Small dioecious yellow-green flowers are borne in clusters of three to five at the dichotomous nodes in spring. The fruits are globose berries about 6 to 8 millimeters in diameter ripening from green through yellow to orange-red, containing a single seed embedded in extremely sticky pulp that aids in seed dispersal by birds. Native to China, Japan, Korea, and the Russian Far East. The leafy stems and branches are harvested in winter, cut into segments, and dried.

Active Constituents

Syringin (eleutheroside B)

Phenylpropanoid glycoside

Concentration: Chinese Pharmacopoeia 2020 assay marker for Herba Visci: not less than 0.040% of the dried leafy stems; reported up to 0.162% in leaf material, roughly twice the level found in twigs

Syringin is the official quality-control marker by which Hu Ji Sheng is assayed, so a batch below the 0.040% limit is off-pharmacopoeial whatever it looks like. It is a minor active phenylpropanoid rather than the principal fraction, and it occurs in several unrelated drugs (notably Acanthopanax senticosus), so its presence does not authenticate the species on its own.

Viscum coloratum total flavonoid fraction (viscumneosides I to VII, homoflavoyadorinin B, rhamnazin, sakuranetin, naringenin, quercetin)

Flavonoids and flavonoid glycosides

Concentration: Flavonoids account for roughly 35% of the 111 compounds so far reported from the species; total content not standardised in the pharmacopoeia

The flavonoid fraction is the best-characterised cardiovascular principle of this species: in rats it raised the aconitine dose needed to provoke arrhythmia, and it blunted platelet-activating-factor-driven calcium overload in ischaemic myocardium. All of that evidence is preclinical and used a concentrated extract, not a decoction.

Viscotoxins (viscotoxin C1 and related thionins)

Cysteine-rich plant thionin peptides

Concentration: Not quantified for Chinese commercial Herba Visci; thionin content in mistletoe varies strongly with host tree and harvest season

Viscotoxin C1 was isolated and structurally solved from this taxon, confirming that Asian mistletoe carries the same class of cytotoxic membrane-permeabilising thionins as European mistletoe. These are peptides and are largely digested on oral dosing, so they matter chiefly for concentrated and injectable preparations rather than for a decoction.

Mistletoe lectins (Viscum album var. coloratum agglutinin, VCA; CM-0, CM-1, CM-2, ACML-55, VCL)

Type II ribosome-inactivating proteins, D-galactose-specific lectins

Concentration: Six lectin species reported, subunit masses 27 to 35 kDa; content varies with host tree and harvest season

These are galactoside-binding type II ribosome-inactivating proteins whose A-chain depurinates ribosomal RNA by the same mechanism as ricin, which is why concentrated or parenteral mistletoe is cytotoxic at very low doses. Korean work on VCA shows splenocyte immunomodulation and caspase-3-dependent apoptosis in tumour lines; note that this Korean literature is on the coloratum taxon and not on European Viscum album, despite the shared genus name.

Oleanolic acid, lupeol and beta-amyrin

Pentacyclic triterpenoids

Concentration: Terpenoids make up about 18% of the compounds reported from the species; individual content not standardised

Common anti-inflammatory and antioxidant triterpenes that plausibly contribute to the anti-rheumatic reputation of the drug. They are not specific to mistletoe and cannot be used to authenticate the species.

Viscum coloratum polysaccharides VCP1, VCP2 and VCP3

Polysaccharides

Concentration: Molecular masses in the range 21 to 280 kDa

Water-extractable macromolecules credited with the immunomodulatory activity of aqueous mistletoe preparations. They are the fraction most likely to survive a decoction, but the supporting work is entirely in vitro and in rodents.

Host-derived cardenolides, present only when the mistletoe grew on a cardenolide-bearing tree

Cardiac glycosides acquired from the host tree rather than biosynthesised by the mistletoe

Concentration: Absent from mistletoe on ordinary hosts; in Loranthaceae mistletoes sampled on oleander, stems, branches and leaves carried between 4.3% and 84.0% of the host plant's total cardiac glycoside content

A mistletoe is a hemiparasite drawing xylem sap from its host, so part of its chemistry is the host's chemistry. Cardenolide transfer was demonstrated analytically in Taxillus chinensis and Scurrula parasitica growing on Nerium indicum, not in Viscum coloratum itself, but the mechanism is a property of parasitism rather than of a species and applies to any mistletoe drug. Material collected from an unrecorded host cannot be assumed cardenolide-free; in the Loranthaceae survey, toxicity tracked the host, with specimens from pear, plum, poplar and oak showing none.

⚠ Drug Interactions

Digoxin and other cardiac glycosides

Major Evidence: Probable

Cardiac glycosides pass from the host tree into the mistletoe parasitising it. Analytical work on Loranthaceae mistletoes growing on oleander found 4.3 to 84.0% of the host's total cardiac glycoside content in the mistletoe's own stems, branches and leaves. Herb material carrying an unrecognised cardenolide load stacks additively on a prescribed digitalis glycoside with nothing on the label to warn of it. The demonstration is in Loranthaceae rather than in Viscum coloratum, but host transfer follows from hemiparasitic physiology, so the same exposure route exists here.

Clinical note: Do not combine with digoxin or digitoxin unless the host tree is documented and is not a cardenolide-bearing species. Avoid wild-collected or unlabelled Ji Sheng of unknown provenance altogether in digitalised patients; if it has been taken, check the digoxin level and look for bradycardia, nausea and visual disturbance.

Antihypertensive drugs (calcium channel blockers, beta blockers, ACE inhibitors)

Moderate Evidence: Possible

Lowering blood pressure is one of the traditional indications for this drug, and the flavonoid fraction inhibits vascular smooth muscle contraction and antagonises platelet-activating factor in preclinical models. No human pharmacokinetic or pharmacodynamic interaction study exists, so the concern rests on preclinical activity plus the traditional indication rather than on trial data.

Clinical note: Monitor blood pressure when starting or stopping the herb in a treated hypertensive patient, particularly an older patient on several agents. Not a reason to withhold it, but a reason to warn about postural symptoms.

Antiarrhythmic drugs (amiodarone, quinidine, flecainide, sotalol)

Moderate Evidence: Possible

Flavonoids from Chinese Viscum coloratum act on cardiac ion currents and on the fast-response action potential, and raise the aconitine threshold for induced arrhythmia in rats. An agent with its own ionic actions layered onto a prescribed antiarrhythmic is not predictable from either profile alone, and none of this has been studied in humans.

Clinical note: Avoid casual co-prescription with antiarrhythmic drugs, and watch for it in a patient taking Du Huo Ji Sheng Tang or a similar bi-syndrome formula for joint pain while also under cardiology care. New palpitation or syncope warrants stopping the herb and an ECG.

Sang Ji Sheng (Taxillus chinensis, Herba Taxilli)

Moderate Evidence: Established

Hu Ji Sheng and Sang Ji Sheng are separate Chinese Pharmacopoeia monographs from separate families (Viscum coloratum in the Viscaceae or Santalaceae; Taxillus chinensis in the Loranthaceae) that share the trade-name element Ji Sheng and much of the same clinical indication, and they are substituted for one another in commerce. Their profiles differ: syringin is the assay marker for Herba Visci, while the cardenolide host-transfer data come from Loranthaceae and not from Viscum.

Clinical note: Specify the binomial rather than the pinyin on the prescription and require the supplier to state which drug was shipped. Do not read Taxillus data onto Viscum or the reverse.

Viscum album parenteral mistletoe extracts (Iscador, Helixor, abnobaVISCUM) and cancer immunotherapy

Theoretical Evidence: Theoretical

European Viscum album is given as a subcutaneous or intravenous fermented extract in anthroposophic oncology, and essentially all the human trial literature, the immunostimulation data and the reported interactions with immunosuppressants and checkpoint inhibitors belong to that route and that species. Hu Ji Sheng is a different species taken orally as a decoction, in which the lectins and viscotoxins responsible for the injectable's activity are largely digested. Neither body of evidence transfers to the other.

Clinical note: Do not cite Iscador trial data to justify Hu Ji Sheng, and do not treat a patient's oral Hu Ji Sheng as equivalent to mistletoe therapy. If a patient on immunotherapy is also receiving injectable mistletoe, that is a separate conversation with their oncologist.

Dosage

Form Amount Frequency Duration Population Notes
decoction 9–15 g Daily — — 中国药典 2020 【用法与用量】9~15g。 【性味与归经】苦,平。归肝、肾经。 — Chinese Pharmacopoeia 2020, quoted verbatim; route and cautions preserved. Replaces a cleared category-filler value.

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

Flavonoids from Chinese Viscum coloratum: antiarrhythmic efficacy and ionic mechanisms

Chu WF, Qiao GF, Lu YJ, Pan ZW, Piao XM, Bai YL, Sun HL, Yang BF (2006) Phytotherapy Research animal Verified: In vitro / animal

Viscum coloratum flavonoids dose-dependently raised the amount of aconitine required to induce arrhythmia in rats, and the authors traced the effect to actions on the cardiac ion currents underlying the fast-response action potential. Rodent and isolated-tissue work on a concentrated flavonoid fraction of this species, with no human counterpart.

Flavonoids from Chinese Viscum coloratum produce cytoprotective effects against ischemic myocardial injuries: inhibitory effect of flavonoids on PAF-Induced Ca2+ overload

Chu WF, Qiao GF, Bai YL, Pan ZW, Li GY, Piao XM, Wu L, Lu YJ, Yang BF (2007) Phytotherapy Research animal Verified: In vitro / animal

The same flavonoid fraction reduced ischaemic myocardial injury in a rodent model, the proposed mechanism being inhibition of platelet-activating-factor-driven calcium overload in cardiomyocytes. Preclinical only; it supports the cardiovascular reputation of the drug without establishing any clinical effect at decoction doses.

Identification and analysis of cardiac glycosides in Loranthaceae parasites Taxillus chinensis (DC.) Danser and Scurrula parasitica Linn. and their host Nerium indicum Mill.

Liu R, Su B, Huang F, Ru M, Zhang H, Qin Z, Li Y, Zhu K (2019) Journal of Pharmaceutical and Biomedical Analysis in vitro

Analytical study confirming that cardiac glycosides move from a toxic host tree into the mistletoe parasitising it: mistletoe growing on oleander carried 4.3 to 84.0% of the host's total cardiac glycoside content in its stems, branches and leaves. The species examined are Loranthaceae, not Viscum coloratum, but the result establishes the host-transfer route that makes any mistletoe drug's safety contingent on which tree it was cut from.

Mistletoe Lectin (Viscum album coloratum) Modulates Proliferation and Cytokine Expressions in Murine Splenocytes

Lyu SY, Park WB (2006) BMB Reports animal Verified: In vitro / animal

Lectin from the coloratum taxon altered proliferation and cytokine expression in mouse splenocytes, one of the better-documented immunomodulatory findings for Asian mistletoe. The material is an isolated lectin given parenterally; oral decoction exposure to intact lectin is minimal.

NMR Solution Structure of Viscotoxin C1 from Viscum album Species Coloratum ohwi: Toward a Structure-Function Analysis of Viscotoxins

Romagnoli S, Fogolari F, Catalano M, Zetta L, Schaller G, Urech K, Giannattasio M, Ragona L, Molinari H (2003) Biochemistry in vitro

Solved the solution structure of viscotoxin C1 from the coloratum taxon, establishing that Asian mistletoe carries the same family of cytotoxic thionins as European mistletoe and that viscotoxin C1 differs in cytotoxicity from the A-series viscotoxins. Structural chemistry rather than pharmacology, but it is the reason concentrated and injectable preparations of this species cannot be treated as benign.

⚠ Safety & Contraindications

  • Heart conditions

Contraindications

No special contraindications.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas. Academic Press/Elsevier, 2017, p. 127.

Historical Texts

Shen Nong Ben Cao Jing

Han dynasty, c. 200 CE
Mistletoe enters the materia medica as Sang Shang Ji Sheng, mistletoe growing on mulberry, in the upper grade, for lumbar and knee pain, weak sinews and bones, and restless fetus. The classical entry describes the mulberry-grown drug, which corresponds to modern Sang Ji Sheng rather than to Hu Ji Sheng; the indications now attributed to Hu Ji Sheng were inherited from that entry rather than written for Viscum coloratum.

Ben Cao Gang Mu

Ming dynasty, 1596
Li Shizhen collects the Ji Sheng material among the parasitic and climbing plants and preserves the earlier emphasis on mulberry as the proper host. Pre-modern sources do not separate the Viscum drug from the Loranthaceae drug, so classical citations cannot be assigned to one species with confidence.

Pharmacopoeia of the People's Republic of China, 2020 edition

Modern, 2020
Hu Ji Sheng (Herba Visci, the dried leafy stems of Viscum coloratum) and Sang Ji Sheng (Herba Taxilli, Taxillus chinensis) are two separate official monographs, and Herba Visci is assayed on syringin at not less than 0.040%. The separation of the two Ji Sheng drugs is a modern pharmacopoeial act, not a classical distinction.

References

  1. Di H, Shen C, Zhang S, Wang Y, Guan F. Viscum coloratum (Komar.) Nakai: A Review of Botany, Phytochemistry, Pharmacology, Pharmacokinetics and Toxicology . Biomolecules (2025) [DOI]
  2. Song C, Wei XY, Qiu ZD, Gong L, Chen ZY, Ma Y, Shen Y, Zhao YJ, Wang WH, Lai CJS, Yang B. Exploring the resources of the genus Viscum for potential therapeutic applications . Journal of Ethnopharmacology (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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