Qu Mai

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Dianthus superbus L.

Genus: Dianthus Species: superbus Pinyin: Qu Mai
Fringed pink herb瞿麦

☯ TCM Properties

Category: transforming dampness
Temperature: cold
Taste: bitter
Meridians: heart, small intestine
Functions:

Promotes Urination and Relieves Stranguria; Clears Heat from the Heart and Small Intestine; Invigorates Blood and Regulates Menstruation; Clears Damp-Heat from the Lower Burner

Traditional Chinese Uses

Qu Mai (dianthus herb, fringed pink) is a cold, bitter herb that clears Damp-Heat and strongly promotes urination. It is the principal herb in Chinese medicine for urinary tract infections with burning, painful, or difficult urination from Lower Burner Damp-Heat. It also invigorates Blood and promotes menstruation, making it useful for amenorrhea from Blood stagnation. Its combined diuretic and Blood-activating properties make it applicable to conditions at the intersection of Damp-Heat accumulation and Blood stasis in the lower body.

Western Herbalism Properties

Actions:
diuretic

Used In Formulas (1)

Botanical Description

Dianthus superbus, fringed pink or Qu Mai, is a perennial herb in the Caryophyllaceae family, native to temperate Eurasia and reaching 30-80 cm. Slender erect stems are glabrous, swollen at the nodes, and branching in the inflorescence. Linear-lanceolate opposite leaves 3-10 cm long are bluish-green with sheathing bases. Showy fragrant flowers 3-5 cm across have five deeply fringed petals in pale pink to lilac, with a slender calyx tube 2.5-4 cm long subtended by short bracts; they bloom in summer in meadows, woodland margins, and montane grasslands. The whole flowering aerial parts are cut and dried for medicinal use.

Active Constituents

Triterpenoid saponins (e.g., dianchinenosides, gypsogenin/quillaic-acid glycosides)

Triterpenoid saponins

Concentration: Principal bioactive class

The most characteristic constituents of Dianthi herba; associated with diuretic, uterine-stimulant and antimicrobial activity.

Flavonoid C-glycosides (orientin, isoorientin, luteolin, quercetin glycosides)

Flavonoids

Concentration: Major class (about 20 flavonoids identified)

Contribute antioxidant and antiviral effects; quercetin-3-O-glucoside and quercetin-7-O-glucoside showed anti-influenza activity in vitro.

Anthraquinones (emodin, physcion, emodin-8-O-glucoside)

Anthraquinones

Concentration: Minor constituent class

Anthraquinone pigments with antimicrobial and mild purgative/anti-inflammatory activity.

Cyclic peptides (dianthins)

Cyclopeptides

Concentration: Characteristic class (10+ compounds)

Dianthin-type cyclopeptides contribute to antimicrobial and cytotoxic activity reported for the herb.

Volatile oil (eugenol, methyl salicylate)

Volatile oil / phenylpropanoids

Concentration: Aromatic fraction

Volatile constituents including eugenol and methyl salicylate contribute aroma and mild analgesic/antimicrobial effects.

Phenolic acids (p-hydroxybenzoic acid, vanillic acid, methyl 3,4-dihydroxybenzoate)

Phenolic acids

Concentration: Minor polar constituents

Phenolic acids show antioxidant activity; methyl 3,4-dihydroxybenzoate is linked to the reported uterine-excitatory effect.

⚠ Drug Interactions

Diuretics and lithium

Moderate Evidence: Theoretical

Dianthi herba has confirmed diuretic activity. Combined with pharmaceutical diuretics it could produce additive fluid and electrolyte loss, and increased urinary output can alter renal handling of narrow-therapeutic-index drugs such as lithium.

Clinical note: Monitor fluid/electrolyte status and lithium levels if co-administered; inferred from diuretic pharmacology rather than clinical interaction data.

Dosage

FormAmount Frequency Duration Population Notes
decoction 9-15g Daily

Preparation Methods

Decoction

Parts: Aerial parts (whole herb, flowering tops)

The dried aerial parts are decocted, typically 9-15 g per day, to promote urination, relieve painful urinary dribbling (stranguria) and clear Damp-Heat from the Lower Burner. CONTRAINDICATED in pregnancy because of its uterine-stimulant and Blood-invigorating action; avoid high or prolonged dosing given dose-related renal toxicity observed in animals.

Clinical Studies

Dianthi herba: a comprehensive review of its botany, traditional use, phytochemistry, and pharmacology

Liu Q, Zang EH, Wang CC, Liu YC, Niu H, Gao Y, Li MH (2022) Chinese Medicine Systematic review

Reviews approximately 194 compounds (triterpenoid saponins, flavonoids, cyclopeptides, anthraquinones, volatile oil) and pharmacological evidence for diuretic, antitumor, antiviral, antioxidant, anti-inflammatory, uterine-excitatory and antimicrobial actions, plus dose-related renal toxicity.

Utilization of Dianthus superbus L and its bioactive compounds for antioxidant, anti-influenza and toxicological effects

Kim DH, Park GS, Nile AS, Kwon YD, Enkhtaivan G, Nile SH (2019) Food and Chemical Toxicology In vitro / experimental study

Isolated flavonoid glycosides from D. superbus (e.g., quercetin-3-O-glucoside, quercetin-7-O-glucoside) showed antioxidant activity and inhibition of influenza A and B strains with IC50 values in the low-microgram-per-mL range, with toxicological screening of the extracts.

Historical Texts

Shen Nong Ben Cao Jing (Divine Farmer's Materia Medica)

Eastern Han, c. 200 CE
Lists Qu Mai for promoting urination and unblocking painful urinary dribbling.

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

Ming dynasty, 1596
Describes Qu Mai's actions to drain Damp-Heat, promote urination and invigorate Blood/regulate menstruation.

References

  1. Liu Q, Zang EH, Wang CC, Liu YC, Niu H, Gao Y, Li MH. Dianthi herba: a comprehensive review of its botany, traditional use, phytochemistry, and pharmacology . Chinese Medicine (2022) [DOI]
  2. Kim DH, Park GS, Nile AS, Kwon YD, Enkhtaivan G, Nile SH. Utilization of Dianthus superbus L and its bioactive compounds for antioxidant, anti-influenza and toxicological effects . Food and Chemical Toxicology (2019) [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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