Mai Dong

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Ophiopogon japonicus (Thunb.) Ker-Gawl.

Genus: Ophiopogon Species: japonicus Pinyin: Mai Dong
Ophiopogon root麦冬

☯ TCM Properties

Category: tonifying
Temperature: cool
Taste: sweet, bitter
Meridians: heart, lung, stomach
Functions:

Nourishes Yin and Generates Fluids; Moistens the Lungs and Stops Cough; Clears Heart Fire and Eliminates Irritability; Benefits the Stomach and Generates Fluids; Moistens the Intestines and Unblocks the Bowels

Traditional Chinese Uses

Mai Dong (ophiopogon tuber, dwarf lilyturf tuber) is a cool herb that nourishes Yin, moistens dryness, and clears mild heat from the Heart and Lung. It is used for Lung Yin deficiency with dry cough and scanty phlegm, Stomach Yin deficiency with dry mouth and thirst, and Heart Yin deficiency with palpitations and restless sleep. As one of the key Yin-nourishing herbs, it appears in a wide range of formulas for addressing fluid depletion and dryness throughout the body.

Western Herbalism Properties

Actions:
demulcent

Used In Formulas (1)

Botanical Description

Ophiopogon japonicus is a tufted, evergreen herbaceous perennial in the Asparagaceae, native to East Asia including China, Japan, Korea and Vietnam, where it grows in moist, shaded forest understories, on shaded slopes and along stream banks. Plants form dense, grass-like clumps 15-30 cm tall, spreading slowly by short, stoloniferous rhizomes that produce numerous slender white roots, some of which swell at intervals into small fusiform tubers. The dark green, narrowly linear, leathery basal leaves are 10-50 cm long and 2-5 mm wide, arching gracefully from the base. In summer the species sends up short, slightly flattened scapes bearing loose racemes of small, nodding, bell-shaped flowers with six pale lilac to whitish tepals about 5 mm long. The fruits are berry-like, pea-sized, bright cobalt-blue structures with a glossy surface. It is widely cultivated as a low evergreen groundcover and ornamental edging plant.

Active Constituents

Ophiopogonin D (and ophiopogonins A-D)

Steroidal saponin (spirostanol/furostanol glycosides)

Concentration: Major characteristic saponins of the tuber

Key steroidal saponins responsible for cardioprotective, anti-inflammatory and antioxidant effects. Ophiopogonin D improves cardiac function and protects against oxidative and hypoxic myocardial injury.

DT-13 (ophiopogonin D')

Steroidal saponin

Concentration: Minor bioactive saponin

A saponin with documented anti-inflammatory, anti-metastatic and vascular-protective activity in preclinical studies.

Methylophiopogonanone A and B

Homoisoflavonoids

Concentration: Characteristic homoisoflavonoids

Homoisoflavonoids that down-regulate pro-inflammatory cytokines (IL-6, IL-8) and provide antioxidant and cardioprotective activity; used as quality-control markers for Maidong.

Ruscogenin

Steroidal sapogenin (aglycone)

Concentration: Aglycone of ophiopogonins

Anti-inflammatory and anti-thrombotic sapogenin that inhibits leukocyte adhesion and improves microcirculation.

Ophiopogon polysaccharides (e.g. MDG-1)

Polysaccharides (fructan-type)

Concentration: Abundant water-soluble fraction

Fructan polysaccharides with hypoglycemic, immunomodulatory and cardioprotective activity, contributing to the fluid-generating and Yin-nourishing traditional actions.

Beta-sitosterol and monoterpene glycosides

Phytosterols / monoterpene glycosides

Concentration: Minor constituents

Additional constituents contributing to anti-inflammatory and mild lipid-modulating effects.

⚠ Drug Interactions

Antidiabetic agents (insulin, sulfonylureas, metformin)

Minor Evidence: Theoretical

Ophiopogon polysaccharides (MDG-1) and saponins lower blood glucose in preclinical models. Concurrent use with glucose-lowering drugs could theoretically potentiate hypoglycemia.

Clinical note: Monitor blood glucose when combining with antidiabetic therapy; clinical evidence in humans is limited.

Dosage

FormAmount Frequency Duration Population Notes
decoction 9-30g Daily

Preparation Methods

Decoction

Parts: Tuberous root (radix / dried tuber)

The dried tuberous root is decocted, usually 6-12 g, to nourish Yin, generate fluids, moisten the Lung and clear Heart heat. The central pith is sometimes removed in classical preparation.

Honey-fried (mi zhi) preparation

Parts: Tuberous root

Stir-frying with honey enhances the moistening, Lung-nourishing action and is preferred for dry cough and Lung Yin deficiency.

Clinical Studies

Effectiveness and Safety of Shengmai San for Viral Myocarditis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Zhang et al. (2024) Cardiovascular Therapeutics Systematic review and meta-analysis of RCTs

Meta-analysis of randomized trials of Shengmai San (whose principal ingredients include Ophiopogon japonicus/Maidong, ginseng and Schisandra) for viral myocarditis. Adding Shengmai San to conventional therapy improved clinical efficacy and cardiac markers with a favourable safety profile. The herb is evaluated within its classic compound formula rather than as a single agent.

Shengmai (a traditional Chinese herbal medicine) for heart failure

Zheng H, Chen Y, Chen J, Kwong JSW, Xiong X (2011) Cochrane Database of Systematic Reviews Cochrane systematic review of RCTs

Systematic review of randomized trials of Shengmai (containing Ophiopogon japonicus) added to conventional treatment for heart failure. Short-term benefits were reported for myocardial contractility and cardiac haemodynamics, though the authors cautioned that trial quality was low. Ophiopogon is assessed as a formula component.

Historical Texts

Shennong Ben Cao Jing (The Divine Farmer's Classic of Materia Medica)

Han dynasty, compiled c. 200 BCE - 200 CE
Lists Maidong as a top-grade herb that nourishes the stomach, generates fluids and quiets the five viscera when taken long term.

Yi Xue Qi Yuan (Origins of Medicine), Zhang Yuansu — source of Sheng Mai San

Jin dynasty, c. 1186 CE
Maidong is a core ingredient of the classic formula Sheng Mai San, combined with ginseng and Schisandra to restore the pulse and preserve Qi and fluids.

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

Ming dynasty, 1596 CE
Details Maidong's cooling, moistening nature for clearing Heart fire, moistening the Lung and unblocking the bowels.

References

  1. Chen MH, Chen XJ, Wang M, Lin LG, Wang YT. Ophiopogon japonicus - A phytochemical, ethnomedicinal and pharmacological review . Journal of Ethnopharmacology, Vol. 181, pp. 193-213 (2016) [DOI]
  2. Zhang et al.. Effectiveness and Safety of Shengmai San for Viral Myocarditis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials . Cardiovascular Therapeutics, 2024:2127018 (2024) [DOI]
  3. Chinese Pharmacopoeia Commission. Pharmacopoeia of the People's Republic of China (Radix Ophiopogonis, Mai Dong) . China Medical Science Press (2020) [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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