Sang Ye

Star

Morus alba L.

Not yet clinically reviewed

Family: Moraceae Genus: Morus Species: alba Pinyin: Sang Ye
Mulberry leaf桑叶

Traditionally used for

  • Headaches
  • Eye health
  • Nose & throat
  • Cough & breathing
  • Colds & fever
  • Bowel health

Cautions & contraindications

  • Diabetes
Moderate evidence · 2 studies

☯ TCM Properties

Category: releasing exterior
Temperature: cold
Taste: sweet, bitter
Meridians: lung, liver
Functions:

Disperses Wind-Heat; Clears Heat and Moistens the Lungs; Clears Liver Heat and Brightens the Eyes; Calms the Liver and Subdues Yang; Cools the Blood and Stops Bleeding

Traditional Chinese Uses

Sang Ye (mulberry leaf) is a cool, bitter-sweet herb renowned for its ability to dispel Wind-Heat from the exterior and clear Heat from the Lungs. It addresses the early stages of Wind-Heat invasion with fever, headache, and sore throat, and its moistening quality helps with dry Lung coughs. A secondary action on the Liver makes it helpful for red, irritated eyes with swelling or excessive tearing. Light and gentle, it is a common household remedy throughout China.

Western Herbalism Properties

Actions:
diaphoreticexpectorantanti-inflammatory

Traditional Uses

The Cherokee used Morus alba bark medicinally in several preparations. An infusion of the bark was taken for worms as an anthelmintic, and an infusion of the bark was also taken to "check dysentery" as an antidiarrheal (Hamel and Chiltoskey 1975, Cherokee Plants and Their Uses -- A 400 Year History, p. 45). The bark infusion was used as a purgative and was also taken as a laxative (Hamel and Chiltoskey 1975, p. 45). The fruit was used for food (Hamel and Chiltoskey 1975, p. 45).

Pharmacological Effects

  • Antibacterial: Fresh-leaf decoction strongly active against Staphylococcus aureus, beta hemolytic streptococcus, C. diphtheriae and B. anthracis, weaker against several Gram-negative bacteria.
  • Hypoglycemic: Leaf and ecdysterone lowered blood glucose in alloxan-diabetic rats and mice with induced hyperglycemia; ecdysterone promoted glycogenesis without changing glucose in normal animals.
  • Other effects: Leaf inhibited rodent intestine and stimulated uteri at estrus; ecdysterone promoted cell growth/epithelialization and, in humans, protein synthesis and lipid lowering; phytoestrogen-fed mice showed retarded growth.

Source: Zhu YP. Chinese Materia Medica: Chemistry, Pharmacology and Applications. Harwood Academic, 1998, p. 88.

Used In Formulas (11)

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Botanical Description

Morus alba L. (Moraceae) is a fast-growing, deciduous tree native to northern China and now widely naturalized and cultivated, typically reaching 10 to 20 meters tall with a short trunk and a broadly spreading, rounded crown. The bark is pale gray-brown, becoming furrowed with age. The leaves are alternate, simple, broadly ovate to nearly orbicular, 5 to 15 cm long, with a cordate or rounded base, an acute to acuminate tip, and coarsely toothed or shallowly to deeply lobed margins; juvenile and coppice shoots often bear strongly lobed leaves while mature shade leaves are entire. The upper surface is glossy bright green, slightly rough, and the lower surface is paler with hair tufts in the vein axils. The species is monoecious or dioecious, with small greenish flowers in pendulous catkins; the fruit is a cylindrical multiple of small drupelets 1 to 2.5 cm long, ripening white, pink or dark purple. The mature leaves, picked after the first frost, are Sang Ye.

Native Region: Jiangsu, Zhejiang

Active Constituents

1-Deoxynojirimycin (DNJ)

Polyhydroxylated piperidine alkaloid (iminosugar / azasugar)

Concentration: ~0.1% of dry leaf (roughly 0.1–0.24%, higher in young spring leaves)

The signature bioactive of mulberry leaf. A glucose mimic that competitively inhibits intestinal alpha-glucosidase and sucrase, blunting post-meal blood glucose rises. It underlies most of the leaf's documented hypoglycemic and anti-obesity activity.

Rutin (quercetin-3-O-rutinoside)

Flavonol glycoside

Concentration: One of the most abundant flavonoids, typically 0.1–1% depending on cultivar and season

Antioxidant and vascular-protective flavonoid that contributes to the leaf's anti-diabetic and anti-inflammatory effects and helps scavenge reactive oxygen species.

Isoquercitrin (quercetin-3-O-glucoside)

Flavonol glycoside

Concentration: Minor to moderate constituent

Contributes antioxidant and aldose-reductase-inhibiting activity relevant to diabetic complications; part of the flavonol complex responsible for free-radical scavenging.

Astragalin (kaempferol-3-O-glucoside)

Flavonol glycoside

Concentration: Minor constituent

Anti-inflammatory kaempferol glycoside that supports the leaf's traditional Lung-heat-clearing and anti-oxidant actions.

Chlorogenic acid

Hydroxycinnamic (phenolic) acid

Concentration: Major phenolic acid of the leaf

Major antioxidant phenolic; shown in animal models to contribute (alongside rutin) to the in vivo anti-diabetic activity of the leaf extract by improving glucose handling and reducing oxidative stress.

Morusin

Prenylated flavonoid

Concentration: Minor constituent (also concentrated in root bark)

Prenylated flavonoid with anti-inflammatory, antimicrobial and anticancer activity in laboratory studies; part of the kuwanon/morusin family characteristic of Morus.

Oxyresveratrol / Mulberroside A

Stilbenoid (and its glucoside)

Concentration: Minor constituent

Stilbene antioxidants with tyrosinase-inhibiting and neuroprotective activity; contribute to the leaf's antioxidant capacity.

gamma-Aminobutyric acid (GABA)

Non-protein amino acid

Concentration: Present in appreciable amounts, enriched by anaerobic processing

Contributes to mild blood-pressure-lowering effects attributed to mulberry leaf tea and supports its calming, Liver-yang-subduing traditional use.

⚠ Drug Interactions

Insulin and oral hypoglycemics (sulfonylureas, metformin, meglitinides)

Moderate Evidence: Probable

Mulberry leaf, chiefly via 1-deoxynojirimycin, lowers post-prandial glucose through alpha-glucosidase inhibition. Combined with glucose-lowering drugs the effects are additive.

Clinical note: Monitor blood glucose closely when combined; antidiabetic drug doses may need downward adjustment to avoid hypoglycemia.

Acarbose / miglitol (alpha-glucosidase inhibitors)

Moderate Evidence: Probable

Mulberry leaf shares the same alpha-glucosidase inhibitory mechanism as acarbose (standardized leaf extract inhibits the enzyme several-fold more potently in vitro). Co-administration produces overlapping pharmacology.

Clinical note: Concurrent use is generally discouraged; combined use intensifies flatulence, bloating and diarrhea and increases hypoglycemia risk.

Dosage

Form Amount Frequency Duration Population Notes
decoction 5–10 g Daily — — 中国药典 2020 【用法与用量】5~10g。 【性味与归经】甘、苦,寒。归肺、肝经。 — Chinese Pharmacopoeia 2020, quoted verbatim; route and cautions preserved. Replaces a cleared category-filler value.

Preparation Methods

Water decoction (Tang)

Parts: Dried leaf

Typically 5–10 g of dried leaf decocted in water; frost-exposed late-autumn leaves (Dong Sang Ye) are preferred in traditional practice for clearing Wind-Heat and brightening the eyes. Added toward the end of cooking as a light, aromatic herb.

Honey-fried (Mi Zhi Sang Ye)

Parts: Dried leaf

Leaf stir-fried with honey to enhance its Lung-moistening, cough-relieving action for dry cough from Lung dryness.

Infusion / tea

Parts: Dried leaf

Dried leaf steeped as a tea, a common form used for its mild hypoglycemic and antioxidant effects and for dispersing Wind-Heat.

Dui Yao — Herb Pairs

The classical two-herb combinations this herb appears in, each with an action neither herb has alone.

with Hei Zhi Ma 黑芝麻

Liver and kidney are nourished while wind is dispelled and the liver cleared, brightening the eyes and darkening the hair.

Core pair of a classical formula — Sang Ma Wan, Yi Fang Ji Jie (Wang Ang)

with Ju Hua 菊花

Both lightly disperse wind-heat and clear the liver; together they treat early wind-heat with cough, headache and red eyes.

Core pair of a classical formula — Sang Ju Yin, Wen Bing Tiao Bian (Wu Jutong)

with Sang Bai Pi 桑白皮

Lightly clears and disperses heat from the lung exterior while draining heat and fluids from the lung interior.

Named pairing — Lü Jingshan, Shi Jinmo Dui Yao

with Xing Ren 苦杏仁

Lightly disperses wind-heat and dryness from the lungs while descending lung qi and moistening, stopping dry cough.

Warm-dryness attacking the lungs.

Core pair of a classical formula — Sang Xing Tang, Wen Bing Tiao Bian (Wu Jutong)

Evidence Tier

Moderate evidence · 2 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.

Systematic review / meta-analysis

0

Other clinical trial

0

Observational / case report

0

In vitro / animal

0

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

Effect of mulberry leaf extract with enriched 1-deoxynojirimycin content on postprandial glycemic control in subjects with impaired glucose metabolism

Asai A, Nakagawa K, Higuchi O, Kimura T, Kojima Y, Kariya J, Miyazawa T, Oikawa S (2011) Journal of Diabetes Investigation Randomized, double-blind, placebo-controlled trials (acute crossover and 12-week)

Single ingestion of mulberry leaf extract (3–9 mg DNJ) dose-dependently suppressed post-prandial glucose and insulin excursions after a carbohydrate load in subjects with impaired fasting glucose; a 12-week supplementation arm (6 mg DNJ t.i.d.) was also assessed for longer-term glycemic control.

Mulberry Leaf Extract Improves Postprandial Glucose Response in Prediabetic Subjects: A Randomized, Double-Blind Placebo-Controlled Trial

Kim JY, Ok HM, Kim J, Park SW, Kwon SW, Kwon O (2015) Journal of Medicinal Food Randomized, double-blind, placebo-controlled trial Verified: Randomized controlled trial

Aqueous mulberry leaf extract (5 g/day) attenuated the post-prandial glycemic response in prediabetic subjects, with the effect most pronounced 30 and 60 minutes after a carbohydrate load, supporting alpha-glucosidase inhibition as the mechanism.

⚠ Safety & Contraindications

  • Diabetes

Contraindications

It is not suitable for patients with common cold due to wind-cold, bland taste in the mouth, and cough with thin and white phlegm.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas. Academic Press/Elsevier, 2017, pp. 26–31.

Side Effects

  • Injection may cause local pain; some patients develop chills, fever and dizziness.

Source: Zhu YP. Chinese Materia Medica: Chemistry, Pharmacology and Applications. Harwood Academic, 1998, p. 88.

Historical Texts

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

Eastern Han dynasty (compiled c. 200 CE)
Mulberry (Sang) is among the earliest recorded materia medica; the leaf later became established for dispersing Wind-Heat and clearing the Lungs and Liver.

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

Ming dynasty, 1596
Details Sang Ye for cooling Liver-heat, brightening the eyes, moistening the Lungs and relieving cough; frost-touched autumn leaves specified as superior.

References

  1. Batiha GE, Al-Snafi AE, Thuwaini MM, et al.. Morus alba: a comprehensive phytochemical and pharmacological review . Naunyn-Schmiedeberg's Archives of Pharmacology (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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