Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Heat-Clearing and Toxin-Resolving

Lián Qiào · Forsythia Fruit

Lián Qiào (连翘, Forsythia Fruit) is a herb of Cool nature and Bitter, Pungent flavor, in the “Heat-Clearing and Toxin-Resolving” category. Tradition uses it to clear Heat and Toxins, Dissipate Nodules, Release Exterior Wind-Heat.

连翘 · Lián QiàoUpdated on

Energetic profile

Pinyin name
Lián Qiào
Characters
连翘
Botanical name
Forsythia suspensa (Thunb.) Vahl
Family
Oleaceae
Part used
Fruit
Nature
Cool
Flavor
Bitter, Pungent
Meridians
Heart, Lung, Small Intestine
Category
Heat-Clearing and Toxin-Resolving
Toxicity
Non-toxic
Pregnancy
No contraindication described (always consult)
Origin
China

Actions according to tradition

  • Clear Heat and Toxins
  • Dissipate Nodules
  • Release Exterior Wind-Heat
  • Drain Pus

Traditional uses

  • Exterior wind-heat with fever and sore throat
  • Skin eruptions, carbuncles, and abscesses
  • Scrofula, lymph node swelling, goiter from phlegm-heat
  • Hot sores with swelling and redness
  • Warm febrile diseases (Wen Bing)

Studied effects and current applications

  • Clears heat and eliminates toxins from skin and blood
  • Dissipates phlegm nodules and masses
  • Releases exterior wind-heat in early stage infections
  • Drains pus from abscesses and sores
  • Anti-viral and anti-bacterial properties

Applications under investigation

  • Upper respiratory infections and flu
  • Skin infections and abscesses
  • Lymphadenopathy
  • Anti-viral applications (including COVID-19 research)
  • Immune modulation

An effect being investigated does not mean it has been proven in humans.

Contraindications and adverse effects

Absolute contraindications

  • Spleen qi deficiency with loose stools
  • Abscesses that have already ruptured (cold nature may delay healing)

Relative contraindications

  • Yin deficiency without heat-toxin pattern
Pregnancy
Generally safe in pregnancy for infection and fever.
Breastfeeding
Safe during breastfeeding.
Children
Safe for children with fever and infection.
Older adults
Safe for elderly infections. Use cautiously with digestive weakness.

Possible adverse effects

  • Nausea in large doses
  • Loose stools

When to stop

  • Loose stools develop
  • Infection resolves

Interactions with medications

GroupDrugsSeverityEffect and recommendation
AntibioticsTetracyclines, AmoxicillinMildPossible additive antimicrobial effects Generally safe synergistic use
Antiviral medicationsOseltamivir (Tamiflu)MildPossible complementary antiviral effects Generally safe combination

With other herbs

  • honeysuckle Classic combination in Yin Qiao San for wind-heat

Reference dose

Decoction
6-15 grams daily
Powder
2-4 grams daily
Acute use
3-7 days for acute infection
Chronic use
1-2 weeks
Maximum
Short-term for acute conditions
Children
Safe for children with infections and fever.

Forms of preparation

Decoction

Simmer 6-15g in 3 cups water 25-30 min. Take warm-cool twice daily.

Infections, fever, sore throat

Infusion

Steep 6-9g in hot water 10 min. Add honeysuckle flower for enhanced effect.

Sore throat, early cold and flu

Approximate doses from the literature; they are not a prescription. Consult a professional.

Active compounds

Lignans (forsitoside, filiroside) and iridoids (rengyoside)

Forsythiaside A (forsythiaside A)

Phenylethanoid glucoside (lignan glucoside) · Antiviral, antibacterial, anti-inflammatory, neuroprotective

Viral neuraminidase inhibition, bacterial adhesion block, NF-κB inhibition · 1-5% in fruit; official quality marker

Phillyroside (phillyrin) and filigoside

Glycosidic lignans · Antiviral, anti-inflammatory, hepatoprotective

Inhibition of influenza and RSV replication, COX-2 blockade · 1-4%

Ursodeoxycholic acid (trace) and rengyoside

Bile acid (trace) and iridoid · Hepatoprotective, mild diuretic

Bile transport modulation, increased diuresis · Traces

Rutin and chlorogenic acid

Flavonol and phenolic acid · Antioxidant, capillaroprotective, anti-inflammatory

Radical scavenging, endothelium protection, NF-κB inhibition · 0.5-2%

Harvesting and processing

Harvest
Autumn (September-October) for green fruit (青翘); October-November for the mature (老翘)

Fruits harvested before fully opening (青翘) or already ripe and open (老翘). The green variety has a higher concentration of forsitoside E and is preferred.

Green fruit (青翘 Qīng Qiào)

Fruits picked before full maturity, steamed for 5 minutes to inactivate enzymes and set color, then dried. Higher concentration of active ingredients.

Ripe fruit (老翘 Lǎo Qiào)

Fully ripe and open fruits, dried directly. Softer action than the green fruit.

Formulas it appears in

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.