Jiao Pan Lan

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Herminium monorchis (L.) R. Br.

Not yet clinically reviewed

Genus: Herminium Species: monorchis Pinyin: Jiao Pan Lan
Musk orchid角盘兰人参果 (alias — see cautions)人头七 (alias)

Traditionally used for

  • Dizziness
  • Digestion
  • Menstrual & women's health
  • Sleep
  • Mood & calm
  • Energy & fatigue
Traditional use

☯ TCM Properties

Category: tonifying
Temperature: warm
Taste: sweet
Meridians: spleen, stomach, heart, kidney
Functions:

Tonifies Heart and Kidney Yang; Generates Fluids and Relieves Thirst; Strengthens the Spleen and Harmonizes the Middle; Regulates Qi and Promotes Menstruation; Nourishes Kidney Yin; Calms the Spirit

Traditional Chinese Uses

Jiao Pan Lan (角盘兰), also recorded under the aliases Ren Shen Guo (人参果) and Ren Tou Qi (人头七), is the whole herb with root of Herminium monorchis (L.) R. Br. (Orchidaceae), the musk orchid, dug in autumn and sun-dried. It is sweet in flavour and warm in nature. It enriches Yin and supplements the Kidney, nourishes the Stomach, and regulates menstruation. It is given for neurasthenia with dizziness and insomnia, for agitation with thirst and poor appetite, for premature greying of the hair and beard, and for irregular menstruation. The recorded dose is 3 to 4 qian (roughly 9 to 12 g) decocted, or steeped in wine. The drug is documented in the Quan Guo Zhong Cao Yao Hui Bian (National Compendium of Chinese Herbal Medicine, 1975); it has no entry in the classical materia medica and its indications are those of a modern regional tonic.

The alias Ren Shen Guo is shared with at least three unrelated plants and must not be used to order or substitute this drug: the tuber of Potentilla anserina (the Tibetan 人参果, dro-ma), the fruit of Solanum muricatum (pepino, sold as 人参果 as produce), and the fruit of Panax ginseng. None of these is Herminium monorchis, and the tonic profile of ginseng fruit in particular does not apply to this herb.

Western Herbalism Properties

Actions:
tonic

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Botanical Description

Herminium monorchis (Orchidaceae), the musk orchid or Ren Shen Guo, is a small terrestrial orchid 8-30 cm tall arising from a single ovoid underground tuber (the namesake monorchis, one-testicle). The slender erect stem bears 2-3 oblong-lanceolate basal leaves 3-10 cm long. Dense cylindrical spikes 2-8 cm long carry 20-70 minute, drooping, yellowish-green flowers with a distinctive sweet musky scent attractive to small parasitoid wasps. The plant inhabits damp calcareous grasslands, marshes, and montane meadows across temperate Eurasia from Britain to Japan. The tuber, harvested when the plant withers, is washed and dried for use in Tibetan and Chinese folk medicine, where it is regarded as a qi and yin tonic. (Sources: POWO; Wikipedia)

Active Constituents

Tuber polysaccharides / glucomannan (mucilage)

Polysaccharide

Concentration: Major fraction of the tuber (not precisely quantified for this species)

Like other terrestrial orchids whose tubers yield salep, the fleshy tuber of Herminium monorchis is rich in mucilaginous polysaccharide (largely glucomannan). This demulcent, nutritive fraction is consistent with the traditional use of the tuber as a strengthening tonic and fluid-generating agent.

Stilbenoids / dihydrophenanthrenes

Phenolic (stilbenoid) compounds

Concentration: Not established for this species

Genus Herminium and related Orchidaceae characteristically produce stilbenoids and dihydrophenanthrenes with antioxidant and antimicrobial activity. Their presence in H. monorchis is inferred from the family chemotype rather than confirmed by dedicated phytochemical study; concentrations are undocumented.

Free sugars and amino acids

Monosaccharides / amino acids

Concentration: Minor

Orchid tubers typically contain free sugars and amino acids contributing to their sweetish taste and nutritive, tonic quality.

⚠ Drug Interactions

Ren Shen (Radix Ginseng, Panax ginseng) and ginseng berry preparations

Major Evidence: Established

The drug name Ren Shen Guo reads literally as ginseng fruit, and it is routinely mistaken for the fruit of Panax ginseng. It is not: Ren Shen Guo and Ren Tou Qi are recorded aliases of Jiao Pan Lan, the whole herb with root of the orchid Herminium monorchis, entered in the National Compendium of Chinese Herbal Medicine as sweet and warm, enriching yin and supplementing the Kidney, nourishing the Stomach and regulating menstruation, for neurasthenia, dizziness and insomnia, agitation with thirst and poor appetite, premature greying and irregular menstruation, at 3 to 4 qian decocted or steeped in wine. An orchid and an araliad share no chemistry: there are no ginsenosides in Herminium. Applying ginseng expectations to this drug imports the whole ginseng interaction profile, including the interactions with warfarin, with MAO inhibitors such as phenelzine, and with antidiabetic drugs, none of which has any basis here.

Clinical note: Do not carry ginseng cautions or ginseng dosing across to this drug, and do not accept a ginseng-berry product as a fill for it. Confirm the supply is orchid material, whole herb with root, before dispensing. The corollary also holds: a patient who says they are taking ginseng fruit may be taking either drug, so ask which plant.

Ren Shen Guo of Tibetan medicine (Jue Ma, Potentilla anserina tuber) and the pepino fruit sold as Ren Shen Guo (Solanum muricatum)

Major Evidence: Established

Ren Shen Guo is one of the most heavily overloaded drug names in current Chinese use. In Qinghai, Tibet, Gansu and Sichuan it usually means Jue Ma, the swollen root tuber of Potentilla anserina, known in Tibetan as Dro-ma, recorded in Xizang Chang Yong Zhong Cao Yao, Zang Yao Zhi and Zhonghua Yao Hai, and used to supplement qi and blood, fortify the Spleen and Stomach, generate fluids and relieve thirst, and disinhibit dampness. In the produce trade it means the pepino, Solanum muricatum, a Solanaceae fruit sold under the same two characters. Neither is the orchid. The three plants are in three different families and share no constituent class; the shared name is an accident of the phrase meaning ginseng fruit being applied to any sweet tonic tuber or fruit.

Clinical note: Order by binomial. If Herminium monorchis is intended, ask for Jiao Pan Lan rather than Ren Shen Guo; if the Tibetan tonic is intended, ask for Jue Ma or Potentilla anserina. Ask patients who report taking Ren Shen Guo to describe or show the material, since a supermarket pepino and an orchid drug are not interchangeable in any sense.

Oral drugs with narrow absorption windows taken at the same time (levothyroxine, digoxin, bisphosphonates, oral iron)

Theoretical Evidence: Theoretical

The drug is a mucilaginous orchid tuber taken as a decoction or wine steep, and viscous soluble polysaccharide of the glucomannan type slows gastric emptying and can trap co-ingested drug in the gel phase. This is a well-characterised effect of glucomannan taken as a supplement. It is offered here only as a precaution, because the polysaccharide content of Herminium monorchis has never been measured and the mucilage load of a decoction at 9 to 12 g of dried whole herb is likely to be far below a supplement dose.

Clinical note: Separate the decoction from levothyroxine, digoxin, bisphosphonates or oral iron by at least two hours, which costs nothing. No interaction has been reported with this herb.

Dosage

Form Amount Frequency Duration Population Notes
decoction 9–12 g — — — 《全国中草药汇编》 (National Compendium of Chinese Herbal Medicine, 1975), under 角盘兰: 3–4 qian, decocted or steeped in wine. Not a Chinese Pharmacopoeia drug, so no ChP figure exists. Restores the dose lost when the corpus-wide filler clear emptied this field.
wine steep 9–12 g — — — 《全国中草药汇编》 1975: 泡酒 — steeped in wine, same quantity.

Preparation Methods

Decoction of tuber/root

Parts: Tuber, Whole herb with root

The tuber (or whole plant with root) is decocted and taken as a general tonic to strengthen the body, generate fluids and relieve thirst. Precise standardised dosing is not defined in mainstream Chinese pharmacopoeial sources; this is a minor folk/ethnobotanical medicinal.

Dried powder

Parts: Tuber

Dried tuber ground to powder and taken in small amounts as a restorative, mirroring the salep-type use of related orchid tubers.

Historical Texts

Quan Guo Zhong Cao Yao Hui Bian (National Compendium of Chinese Herbal Medicine), under the drug name Jiao Pan Lan

People's Republic of China, first edition 1975
The source of record for this drug, and the document that settles its identity. It gives the origin as Herminium monorchis (L.) R. Brown of the Orchidaceae, the part as the whole herb with root dug in autumn and sun-dried, the nature as sweet and warm, the actions as enriching yin and supplementing the Kidney, nourishing the Stomach and regulating menstruation, the indications as neurasthenia, dizziness and insomnia, agitation with thirst and poor appetite, premature greying of hair and beard, and irregular menstruation, and the dose as 3 to 4 qian decocted or steeped in wine. Ren Shen Guo and Ren Tou Qi are listed there as aliases of Jiao Pan Lan; Jiao Pan Lan is the primary name and the one to order under.

Absence from the classical Chinese materia medica

Han to Qing, c. 200 CE to 1911, no entry
Recorded as a negative because the tonic language attached to this drug invites a classical reading it has not earned. Herminium monorchis has no entry in the Ben Jing, the Bie Lu, the Ben Cao Gang Mu or any other text of the classical canon. It enters the Chinese materia medica in the twentieth century through the provincial and national folk-medicine surveys, and its recorded indications are those of a modern regional tonic, not of a drug with a transmitted classical literature.

Himalayan, Tibetan and Mongolian regional usage of the musk orchid tuber

Undated oral transmission, documented in twentieth and twenty-first century ethnobotanical surveys
The tuber is used as a restorative across the plant's Asian range, and in Indian sources the root is recorded as a tonic, in the same way that salep-yielding orchid tubers are used generally. This transmission is oral and regional, and none of it has been tested: no clinical trial, no animal study and no phytochemical analysis of this species exists in the peer-reviewed literature, which is why the clinical studies list for this drug is empty rather than short.

Name collision with the Tibetan Ren Shen Guo (Jue Ma, Potentilla anserina), recorded in Xizang Chang Yong Zhong Cao Yao and Zang Yao Zhi

People's Republic of China, twentieth century regional compilations
The Tibetan drug called Ren Shen Guo, Dro-ma in Tibetan, is the tuber of the Rosaceae herb Potentilla anserina and is by far the commoner referent of the name on the Qinghai-Tibetan Plateau, where both plants grow. Its recorded actions differ from the orchid's: it supplements qi and blood, fortifies the Spleen and Stomach, generates fluids and relieves thirst, and disinhibits dampness, and it is used after illness for anaemia and malnutrition, for Spleen-vacuity diarrhoea and for wind-damp impediment pain. Two plants, one name, one plateau.

Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), family-wide listing of Orchidaceae

In force since 1975, with subsequent revisions of the appendices
Recorded here because it governs whether this drug can lawfully be bought at all. Every wild orchid species is covered by CITES, and Herminium is not among the genera raised to Appendix I, so this species falls under the family-wide Appendix II listing that controls international trade in Orchidaceae. Confirm the current appendix and the permit position with the importing authority rather than assuming, since family-wide plant listings carry annotations that change. Herminium monorchis is separately one of seventeen endangered orchids modelled on the Qinghai-Tibetan Plateau and is assessed there as Near Threatened, with its medicinal value named among the pressures on it. The drug is the whole plant with its single tuber dug in autumn, so collection kills the individual and removes the organ that would have carried it into the next season; there is no pharmacological argument for insisting on this species, because none of its pharmacology has been studied.

Traditional Tibetan and Mongolian materia medica (ethnobotanical use)

Traditional
Herminium monorchis (musk orchid) tubers are used in Himalayan/Tibetan-Mongolian folk medicine, and in India the root is recorded as a tonic; the plant is a minor regional medicinal without documentation in the classical Chinese herbal canon.

References

  1. Bhakta Bahadur Raskoti, André Schuiteman, Wei-Tao Jin, Xiao-Hua Jin. A taxonomic revision of Herminium L. (Orchidoideae, Orchidaceae) . PhytoKeys (2017) [DOI]
  2. Huawei Hu, Yanqiang Wei, Wenying Wang, Ji Suonan, Shixiong Wang, Zhe Chen, Jinhong Guan, Yanfang Deng. Richness and distribution of endangered orchid species under different climate scenarios on the Qinghai-Tibetan Plateau . Frontiers in Plant Science (2022) [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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