Skunkvine

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Paederia foetida

Not yet clinically reviewed

Family: Rubiaceae Genus: Paederia Species: foetida

Synonyms: Paederia chinensis f. microphylla, Gentiana scandens, Paederia scandens var. velutina, Paederia foetida f. microphylla, Paederia scandens f. mairei, Paederia tomentosa f. tenuissima, Paederia laxiflora, Paederia corymbosa, Paederia scandens f. rubescens, Hondbesseion tomentosum, Paederia chinensis f. tenuissima, Paederia scandens var. longituba, Paederia chinensis, Paederia tomentosa var. glabra, Hondbesseion foetidum, Paederia uraiensis, Paederia villosa, Paederia dunniana, Paederia prainii, Paederia scandens var. villosa, Paederia scandens var. angustifolia, Paederia tomentosa, Paederia scandens var. maritima, Apocynum foetidum, Paederia scandens f. rubrae-stellaris, Paederia chinensis var. angustifolia, Paederia barbulata, Paederia scandens var. mairei, Reussia sarmentosa, Paederia chinensis var. megaphylla, Paederia amboinensis, Paederia chinensis var. maritima, Paederia scandens var. tomentosa, Paederia esquirolii, Paederia scaberula, Paederia longituba, Paederia sessiliflora, Paederia tomentosa var. mairei, Paederia scandens f. megaphylla, Paederia scandens f. microphylla, Paederia stenophylla, Paederia magnifolia, Paederia foetida var. sessiliflora, Paederia mairei, Paederia ovata, Paederia chinensis var. velutina, Psychotria volubilis, Paederia scandens

Skunkvine
Skunkvine

Traditionally used for

  • Digestion
  • Pain & joints

Cautions & contraindications

  • Pregnancy
  • Liver conditions
  • Diabetes
Moderate evidence · 6 studies

Western Herbalism Properties

Actions:
anti-inflammatoryanalgesiccarminative

Botanical Description

Paederia foetida, the skunkvine or sewer-vine, is a perennial twining herbaceous to slightly woody vine of the family Rubiaceae native to temperate and tropical Asia. Its slender stems climb to 7 m or more through surrounding vegetation and bear opposite, ovate to lanceolate leaves 3-11 cm long with entire margins, long petioles and conspicuous interpetiolar stipules. When the foliage or stems are bruised they release a strongly disagreeable sulphurous odour, produced principally by dimethyl disulphide and other volatile sulphur compounds. Small tubular flowers, greyish-pink to lilac on the outside and deep purple or wine-red within the throat, are arranged in axillary and terminal cymes from summer into autumn, followed by shiny, globose yellow-brown fruits containing two flattened seeds. Widely naturalised in the Pacific and parts of the Americas, it has become an invasive weed in the southeastern United States.

Native Region: Andaman Is., Assam, Bangladesh, Borneo, Cambodia, China North-Central, China South-Central, China Southeast, East Himalaya, Hainan, India, Japan, Jawa, Korea, Laos, Lesser Sunda Is., Malaya, Maluku, Myanmar, Nansei-shoto, Nepal, Nicobar Is., Ogasawara-shoto, Philippines, South China Sea, Sri Lanka, Sulawesi, Sumatera, Taiwan, Thailand, Tibet, Vietnam

Active Constituents

Paederoside

Sulfur-containing iridoid glycoside

Concentration: The characteristic marker iridoid of the aerial parts; not standardised in any pharmacopoeial monograph

The compound that defines the drug. Its methylthiocarbonyl group releases methanethiol when the tissue is bruised, which is the source of the faecal smell that gives the plant both its Chinese name ji shi teng, chicken-dung vine, and its English name skunkvine. Pharmacologically it is one of three iridoids shown to lower serum urate in hyperuricaemic rats at 40 mg/kg per day.

Paederosidic acid

Iridoid glycoside

Concentration: Reported from the aerial parts alongside its methyl ester

One of the three iridoid glycosides that produced the urate-lowering and renoprotective effect in the rat hyperuricaemia model, acting on renal urate transport rather than on urate synthesis.

Paederosidic acid methyl ester

Iridoid glycoside

Concentration: Reported from the aerial parts

The third of the urate-lowering iridoids. In molecular docking it bound at multiple sites on the uric acid transporters, consistent with the transporter expression changes seen in the treated animals.

Asperuloside

Iridoid glycoside

Concentration: Reported from the aerial parts, with deacetylasperuloside and scandoside

A widespread Rubiaceae iridoid present in this species. Its presence is a chemotaxonomic feature of the family and not a marker specific to Paederia.

Paefoetines A and B

Iridoid glycosides

Concentration: Isolated from the leaves

Two iridoid glycosides first described from the leaves of this species. Paefoetine A was antinociceptive in vivo with an ED50 of 49.2 micromoles per kilogram, about half the dose needed for aspirin in the same assay, which is the most direct chemical support for the traditional analgesic use of the leaf.

6'-O-trans-Caffeoyl-(4S,6R)-3,4-dihydro-2'-O-3-alpha-paederoside

Acylated iridoid glycoside

Concentration: Isolated from a 90 percent ethanol extract of the air-dried aerial parts

A caffeoylated paederoside derivative with an in vivo antinociceptive ID50 of 53.4 micromoles per kilogram, again roughly twice as potent as aspirin and paracetamol in the same model. Acylation of the iridoid core appears to be what confers the analgesic potency.

Chlorogenic acid

Hydroxycinnamic acid ester

Concentration: Identified by HR-LC-MS and HPLC as among the most abundant polyphenols of the whole-plant methanol extract; the published absolute figures are implausibly high and should not be used for standardisation

The principal phenolic acid of the plant and, together with the flavonol glycosides, the main carrier of its antioxidant activity in DPPH, ABTS, superoxide and reducing-power assays.

Rutin

Flavonol glycoside

Concentration: Identified among the most abundant polyphenols of the whole-plant methanol extract, with isoquercetin and free quercetin

Part of the flavonol fraction that accounts for much of the plant's antioxidant capacity. The methanol extract is consistently more polyphenol-rich and more antioxidant than the ethanol or aqueous extracts.

Scopoletin

Coumarin

Concentration: Identified in the whole-plant methanol extract; coumarins have also been isolated separately from Chinese material

A simple coumarin present in the plant. Coumarins isolated from this species have shown anti-neuroinflammatory activity in cell models. Note that scopoletin is not an anticoagulant coumarin and its presence does not imply a warfarin-type effect.

⚠ Drug Interactions

Uricosuric drugs and renal organic anion transporter substrates

Theoretical Evidence: Possible

In rats made hyperuricaemic with potassium oxonate and adenine, paederoside, paederosidic acid and paederosidic acid methyl ester at 40 mg/kg per day for seven days lowered serum urate, creatinine and blood urea nitrogen and raised urinary urate excretion, creatinine clearance and fractional excretion of uric acid. The mechanism was a shift in renal transporter expression: URAT1 and GLUT9 downregulated, ABCG2, OAT1 and OAT3 upregulated. Those are precisely the transporters that probenecid, benzbromarone and lesinurad act on, and OAT1 and OAT3 also handle methotrexate, penicillins, furosemide and many antivirals. The work is a rat model with isolated compounds rather than the whole herb, and no human pharmacokinetic study exists.

Clinical note: Where a patient on a uricosuric or on methotrexate takes this herb regularly, monitor urate and, for methotrexate, be alert to altered clearance. The mechanism is plausible enough to check rather than to assume.

Hepatotoxic drugs and agents requiring liver monitoring

Moderate Evidence: Possible

Two independent rodent toxicology studies bound the safe dose. An ethanolic leaf extract given acutely to Wistar rats killed one animal at each of 2000 and 10000 mg/kg, raised leukocytes from 8.5 to 28.4 thousand per microlitre at 2000 mg/kg and alanine aminotransferase from 38.7 to 98.5 U/L at 10000 mg/kg, with mild to moderate hepatocellular degeneration and steatosis on histology, though overall hepatic architecture was preserved. A separate 28-day study of a whole-plant methanol extract found no adverse effect at 500 or 1000 mg/kg per day, setting a NOAEL of 1000 mg/kg per day, but significant haematological and biochemical changes with liver and kidney histopathology at 1500 mg/kg per day, females being more affected than males. Note that a corrigendum was issued to the acute-toxicity paper.

Clinical note: Ordinary decoction doses sit well below the doses that produced injury, but concentrated extracts do not have the same margin. Avoid high-dose concentrated extracts in patients with existing liver disease or on paracetamol, methotrexate, isoniazid or other hepatotoxic drugs, and check transaminases if such a combination is used for more than a few weeks.

Pregnancy, conception and fertility treatment

Moderate Evidence: Possible

The dried root is used by Mising women of northeast India specifically for fertility regulation, and the first controlled test of that use found it plausible. Methanolic root extract at 500 mg/kg body weight for 21 days in ovary-intact mice produced degenerative ovarian histoarchitecture with significantly more atretic follicles, significantly fewer endometrial glands, and disrupted reproductive hormones. Sterols identified by GC-MS, including stigmasterol and gamma-sitosterol, docked to human oestrogen receptors alpha and beta. The evidence is a single rodent study at one effective dose, and it concerns the root rather than the aerial parts that supply most preparations.

Clinical note: Avoid root preparations in pregnancy and in women seeking conception or undergoing fertility treatment. The finding is not a basis for using the herb as a contraceptive.

Antidiabetic and lipid-lowering drugs

Theoretical Evidence: Theoretical

This entry exists to record an absence rather than an effect. The herb is widely repeated to be antihyperglycaemic and antihyperlipidaemic, and the single most-cited source for that claim, a 2014 BMC Complementary and Alternative Medicine paper on Paederia foetida leaf extract, was retracted in October 2025 after the editors identified overlapping image panels within its figures and duplicated across other papers by the same group; five of its authors disagreed with the retraction and five did not respond to the publisher. Downstream reviews and secondary sources continue to cite it. The remaining glucose-lowering evidence for this species is computational or preliminary and does not support a pharmacodynamic interaction claim.

Clinical note: Do not tell a diabetic patient that this herb lowers blood glucose, and do not adjust insulin or oral hypoglycaemics on that basis. Treat any secondary source repeating the antihyperglycaemic claim as unverified.

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

The Urate-Lowering Effects and Renal Protective Activity of Iridoid Glycosides from Paederia foetida in Rats with Hyperuricemia-Induced Kidney Injury: A Pharmacological and Molecular Docking Study

Zhou H, Yue X, Shen L, Wu L, Li X, Wu T (2025) Molecules animal Verified: In vitro / animal

Paederoside, paederosidic acid and paederosidic acid methyl ester at 40 mg/kg per day for seven days lowered serum urate, creatinine and blood urea nitrogen in rats made hyperuricaemic with potassium oxonate and adenine, while raising urinary urate excretion, creatinine clearance and fractional excretion of uric acid. Renal transporter expression shifted with URAT1 and GLUT9 down and ABCG2, OAT1 and OAT3 up, so the compounds act by promoting urate excretion rather than inhibiting its synthesis. This is the best mechanistic support for the traditional use of the herb in damp-heat and joint conditions, but it uses isolated compounds in a rat model and there is no human data.

Comprehensive phytochemical characterization, antioxidant potency, and toxicological evaluation of Paederia foetida in Wistar albino rats: Insights into therapeutic efficacy and safety profiles

Arati C, Baraka AGA, Chiranjeeb R, Saeed AL, Sonia C, Atrayee B, Shruti MS, Mimangsha CD, Andy L, Khushboo M, Roy VK, Gurusubramanian G (2025) Journal of Ethnopharmacology animal Verified: In vitro / animal

The most complete safety study on the species. A whole-plant methanol extract, the most polyphenol-rich and most antioxidant of the three extracts tested, was given to male and female Wistar rats acutely at 500 to 2000 mg/kg and sub-acutely at 500 to 1500 mg/kg per day for 28 days. Acute dosing caused no mortality and no haematological, biochemical or histopathological change, giving an LD50 above 2000 mg/kg. Sub-acute dosing was uneventful at 500 and 1000 mg/kg per day, establishing a NOAEL of 1000 mg/kg per day, but at 1500 mg/kg per day there were significant haematological and serum biochemical changes with liver and kidney histopathology, and female rats showed more histological abnormality than males. The reported absolute polyphenol contents are implausibly large and should not be relied on for standardisation, but the toxicology is usable.

Acute oral toxicity and hepatic responses to Paederia foetida leaf extract in Wistar rats

Yunita M, Syarif RA, Kusuma RJ, Widyanto Daniwijaya ME, Rosida R, Azizah SN (2026) Journal of Ethnopharmacology animal Verified: In vitro / animal

An ethanolic leaf extract dosed at 400, 2000 and 10000 mg/kg under an OECD 423-informed protocol. No deaths at 400 mg/kg; one animal died at each of 2000 and 10000 mg/kg. Leukocytes rose from 8.54 to 28.40 thousand per microlitre at 2000 mg/kg and alanine aminotransferase from 38.67 to 98.50 U/L at 10000 mg/kg, with minimal sinusoidal dilation at 400 mg/kg and mild to moderate hepatocellular degeneration with steatosis at the higher doses, hepatic architecture otherwise preserved. This is the clearest demonstration that the leaf drug has a dose-dependent hepatic signal rather than being unconditionally benign. A corrigendum to this paper was published in the same journal later that year; the conclusions summarised here are those of the original article.

In Vivo Investigation of Root Extract of Paederia foetida Linn. on the Reproductive Functions of Female Albino Mice and In Silico Validation With Human Estrogen Receptors

Mili S, Phonglo A, Begum T, Singh YR, Kalita JC (2025) Chemistry & Biodiversity animal

The first controlled test of the northeast Indian Mising practice of using dried root for fertility regulation. Methanolic root extract at 250 and 500 mg/kg for 21 days in ovary-intact mice, against 17-beta-oestradiol as reference; at 500 mg/kg it produced degenerative ovarian histoarchitecture with significantly more atretic follicles, significantly fewer endometrial glands and disrupted reproductive hormones. GC-MS identified stigmasterol among the constituents, and sterols docked strongly to human oestrogen receptors alpha and beta. Single study, single species, root only.

Antinociceptive iridoid glycosides from the aerial parts of Paederia foetida

Chen YF, Gong W, Zhao QJ, Liu C (2024) Journal of Asian Natural Products Research animal Verified: In vitro / animal

Two previously undescribed acylated iridoid glycosides were isolated from a 90 percent ethanol extract of the air-dried aerial parts and tested in vivo. The caffeoylated derivative had an antinociceptive ID50 of 53.4 micromoles per kilogram, about half the dose required for aspirin or paracetamol in the same assay. A companion paper from the same group reported paefoetines A and B from the leaves with a comparable ED50 of 49.2 micromoles per kilogram. Together these give the traditional analgesic use a specific chemical basis in the acylated iridoids, though no human analgesic trial exists.

Determination and Mechanism of Antidiarrheal Chemical Constituents of Paederia scandens Determined by HPLC-ESI-MS Integrated with Network Pharmacology

Ai L, Guo L, Liu W, Xue X, Li L, Sheng Z, Gao C (2023) ACS Omega animal

Localised the antidiarrhoeal activity of the herb to the n-butanol fraction, identified ten constituents in it by HPLC-ESI-MS, and confirmed the effect in a mouse diarrhoea model, with EGFR, AKT1 and PIK3CA proposed as targets by network pharmacology. Published under the name Paederia scandens, which is treated as a synonym of Paederia foetida, so the material is the same drug; much of the Chinese pharmacology on this species is indexed under that synonym.

Historical Texts

Sheng Cao Yao Xing Bei Yao (Essentials of the Properties of Fresh Medicinal Herbs), under the name ji shi teng

Qing dynasty, 1711
The source text for ji shi teng, chicken-dung vine, so named for the methanethiol released from the bruised plant. The entry distinguishes the parts: the root treats fresh internal injury, supplements deficiency and benefits the kidney, clears fire and nourishes blood, while the leaf checks dysentery. The drug is described as neutral in nature and sweet with a slight bitterness, and its actions are summarised as dispelling wind and draining damp, moving blood and reducing swelling, dispersing food accumulation and stopping pain.

Ben Cao Gang Mu Shi Yi and Zhi Wu Ming Shi Tu Kao

Qing dynasty, 1765 and 1848
The drug recurs through the later Qing literature, in Zhao Xuemin's supplement to the Ben Cao Gang Mu and in Wu Qijun's illustrated botanical treatise, and the Ling Nan Cai Yao Lu of 1932 records its use for rectal prolapse in children. Like several southern folk drugs it has no Han, Tang or Song classical entry. Modern Chinese pharmacology is largely published under the name Paederia scandens (Lour.) Merr., which is treated as a synonym of Paederia foetida L.; the two names denote the same drug and results under either should be read as applying to this species.

Ayurvedic dravyaguna tradition, under the names prasarini and gandhaprasarini

Classical and medieval Ayurvedic materia medica, transmitted to the present
The herb is prasarini, more precisely gandhaprasarini or the stinking prasarini, and its principal classical application is in vata disorders, above all rheumatic and neuromuscular pain, most often as the medicated oil prasarini taila. The botanical identity of prasarini is a documented dispute rather than a settled fact: Paederia foetida is the accepted source in north and east India, while in south India the drug of that name is generally Merremia tridentata, and comparative pharmacognostic studies have been undertaken specifically to resolve the two. Classical prasarini citations should therefore not be read as unambiguous evidence about this binomial. In Assam and adjacent northeast India the plant is gandhavadulia and is eaten as a food as well as used medicinally; the dried root is used by Mising women for fertility regulation, a use that the rodent evidence now partly supports.

References

  1. Dutta PP, Marbaniang K, Sen S, Dey BK, Talukdar NC. A review on phytochemistry of Paederia foetida Linn . Phytomedicine Plus (2023) [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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