Skunkvine
StarPaederia 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
Traditionally used for
- Digestion
- Pain & joints
Cautions & contraindications
- Pregnancy
- Liver conditions
- Diabetes
Western Herbalism Properties
Gallery
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.
Active Constituents
Paederoside
Sulfur-containing iridoid glycosideConcentration: 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 glycosideConcentration: 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 glycosideConcentration: 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 glycosideConcentration: 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 glycosidesConcentration: 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 glycosideConcentration: 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 esterConcentration: 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 glycosideConcentration: 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
CoumarinConcentration: 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
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
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
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
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 studiesRecorded 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.
Systematic review / meta-analysis
0
Randomized controlled trial
0
Other clinical trial
0
Observational / case report
0
In vitro / animal
6
4 verified · 2 unverified
Show 6 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
- Comprehensive phytochemical characterization, antioxidant potency, and toxicological evaluation of Paederia foetida in Wistar albino rats: Insights into therapeutic efficacy and safety profiles
- Acute oral toxicity and hepatic responses to Paederia foetida leaf extract in Wistar rats
- 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
- Antinociceptive iridoid glycosides from the aerial parts of Paederia foetida
- Determination and Mechanism of Antidiarrheal Chemical Constituents of Paederia scandens Determined by HPLC-ESI-MS Integrated with Network Pharmacology
Other / unclassified
0
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
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
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
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
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
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
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, 1711Ben Cao Gang Mu Shi Yi and Zhi Wu Ming Shi Tu Kao
Qing dynasty, 1765 and 1848Ayurvedic dravyaguna tradition, under the names prasarini and gandhaprasarini
Classical and medieval Ayurvedic materia medica, transmitted to the presentReferences
- 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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