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Herbs & Botanicals · Chinese herb for urination and memory

Yi zhi ren (bitter cardamom)

Alpinia oxyphylla · also called Yi zhi ren, bitter cardamom, sharp-leaf galangal

Yi zhi ren is the dried fruit of a ginger-family plant, used in Chinese medicine for frequent urination, drooling, diarrhoea from cold and, more recently, memory. Research is mostly in animals and test tubes; we found no trial of the fruit alone in people. Avoid in pregnancy and tell a pharmacist about your medicines first.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Yi zhi ren (bitter cardamom)

Yi zhi ren is a Chinese fruit used for the bladder, gut and memory. Lab work is active, but human proof is thin and safety data are missing.

Safety first

Pregnancy and breastfeeding: avoid unless a clinician agrees. No safety data were found.

Heat pattern: Chinese medicine teaches that this warming fruit is not for people with a 'yin deficiency with heat' pattern. We could not check this in the sources we read, so it is traditional teaching, not verified.

Medicines: in a test tube the pure compound nootkatone blocked two liver enzymes, CYP2C19 and CYP2A6. Nobody has tested whether the fruit does the same in people. Ask a pharmacist if you take blood thinners, diabetes medicine, stomach-acid medicine, antidepressants or other regular medicines.

Not galangal: yi zhi ren (Alpinia oxyphylla) is a different plant from galangal (Alpinia galanga) and from true cardamom.

8 14 15

What it is

Yi zhi ren is the dried ripe fruit of Alpinia oxyphylla, a ginger-family plant grown in southern China (Fujian, Guangdong, Hainan). It has been in the Chinese pharmacopoeia since 2012, according to a 2026 review.

The fruit holds terpenes (such as nootkatone), flavonoids (such as tectochrysin), diarylheptanoids (yakuchinone A and B) and sterols.

2 6 16 14

What the research shows

For frequent urination, a 3-week rat study found the water extract improved bladder measures. The only people trial we found tested Suoquan, a formula, in 369 children with bedwetting. It worked better combined with desmopressin than behavioural measures alone, but it cannot be credited to this fruit.

For memory, reviews describe cell and animal results on amyloid, tau and inflammation. No human memory trial was found.

A 2024 review of herbs for overactive bladder says no herbal compound has yet become a clinical bladder treatment.

9 7 5 1

What we know about safety

The only toxicity study we found used a lab-made copy of one compound, not the fruit, and was paid for by the company behind it. At high doses it caused liver and kidney effects in rats; the lowest dose did not. A food-flavour review calls nootkatone safe as a flavouring, which is not the same as medicine use.

Regulator pages (EMA, NCCIH, LiverTox, LactMed) were checked quickly and nothing was found. That is not proof they do not exist.

3 12

At a glance

Traditional uses history, not proof

  • Frequent urination and bedwetting
  • Diarrhoea and drooling from 'cold'
  • Memory and the kidney-brain tonic idea

Studied for research

  • Memory and Alzheimer's models: insufficient (animal only)
  • Overactive bladder: very low (rats; one formula trial in children)
  • Kidney, blood sugar and inflammation: insufficient (lab only)

Main compounds

  • Nootkatone (sesquiterpene)
  • Yakuchinone A and B (diarylheptanoids)
  • Tectochrysin (flavonoid)

Common forms

  • Dried fruit, often in decoctions, teas, wines and foods

Research links: Tie 2024: fruit extract in rats with overactive bladder (PubMed) · Ma 2017: Suoquan formula in 369 children with bedwetting (PubMed) · Tassaneeyakul 2000: nootkatone and human liver enzymes (PubMed) · Research Library · Genes & Biomarkers Library

The plant and its history

Accepted scientific name
Alpinia oxyphylla
Naming authority
Miq.
Common names
Yi zhi ren (zh (pinyin)); Bitter cardamom (en); Sharp-leaf galangal (en (NCBI common name 'sharp-leaf galangal'))
Botanical family
Zingiberaceae (ginger family)
Classification
Plantae > Tracheophyta > Liliopsida > Zingiberales > Zingiberaceae > Alpinia > Alpinia oxyphylla
Native range
Not stated in the abstracts read; a 2026 review says it is widely cultivated in Fujian, Guangdong and Hainan provinces of China.
Habitat
Not found in the sources read.
What the plant looks like
Roots: Not found.; Stems: Perennial plant (per the 2026 review).; Leaves: Not found.; Flowers: Not found.; Fruit: The dried ripe fruit is the medicinal part (Alpiniae Oxyphyllae Fructus).
Cultivation
Cultivated in southern China (Fujian, Guangdong, Hainan).
Harvest and processing
Fruit is dried; a 2023 report compares raw and salt-processed fruit in rats (not read in detail).
Look-alikes and adulterants
Name: Galangal (Alpinia galanga); Note: Different species; the rhizome is used, not the fruit.; Name: Cardamom (Elettaria cardamomum) and black cardamom (Amomum); Note: Different plants; 'bitter cardamom' is only a local English label for yi zhi ren.
Sustainability and conservation
Not found.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Traditional Chinese medicineWarming kidney and spleen herb used for frequent urination, bedwetting, drooling, diarrhoea from cold and, more recently, memory; one of the 'four southern medicines' of China.p41976506
Chinese pharmacopoeiaOfficially recorded as Alpiniae Oxyphyllae Fructus, according to a 2026 review, since 2012.p41976506

Traditional use shows how a plant was used. It does not show that a supplement works or is safe today.

What is inside, and how it may work

What the plant contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Nootkatone
PubChem 1268142
sesquiterpenefruitNamed in a rat study as a possible active part of the extract; also a grapefruit flavour compound with strong CYP2C19 and CYP2A6 blocking in a test tube. 9 8Review
Yakuchinone A
PubChem 133145
diarylheptanoidfruitListed among fruit diarylheptanoids in reviews; no human data. 6Review
Yakuchinone B
PubChem 6440365
diarylheptanoidfruitListed among fruit diarylheptanoids in reviews; no human data. 6Review
Tectochrysin
PubChem 5281954
flavonoidfruitA fruit flavonoid in the review class of flavonoids; the abstracts read give no human data. 6Review

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Bladder collagen (TGF-beta1/SMAD3) and calcium signalling (Gq/PLC-beta1)TGFB1, SMAD3, GNAQ, PLCB1The fruit water extract reduced these proteins in the bladders of rats; the authors link them to bladder muscle contraction frequency and strength. 9Animal research
Beta-amyloid, tau, oxidative stress and inflammation pathwaysReviews describe effects in cell and rodent models of Alzheimer's disease. 5 11Animal research
Liver enzymes CYP2A6 and CYP2C19CYP2A6, CYP2C19Pure nootkatone blocked these two enzymes (Ki 0.8 and 0.5 micromolar) and had no significant effect on the other enzymes tested. 8Laboratory research

Absorption, metabolism and elimination

Absorption
A rat study of the oral extract followed five terpenoids and found 27 breakdown products.
Distribution
Not found for people.
Metabolism
In rats the main routes were glucoside conjugation, dehydration, desaturation and glycine conjugation.
Elimination
Plasma, urine and faeces were sampled in rats; no human data.
Bioavailability
Not found in people.

13 8

Isolated compounds versus whole extracts

Safety and enzyme data come from pure compounds (nootkatone, a lab-made copy), while traditional use is of the whole dried fruit. These are not interchangeable.

Nutritional composition

The fruit is a medicinal herb, not a meaningful source of any essential nutrient. Content of vitamins or minerals was not found in the sources read.

11benefits and uses looked at
16studies and sources checked
Very low certaintybest evidence rating found
3lab markers tracked in trials

1 very low certainty10 not enough evidence

What is Yi zhi ren (bitter cardamom) good for?

What yi zhi ren is used for, and how strong the evidence is. Almost all of it is from the lab or animals, not from people.

Memory and thinkingNot enough evidenceYi zhi ren is often described as a herb for memory in Chinese medicine, and lab work is active. No human memory trial of the fruit was found. Alzheimer's disease modelsNot enough evidenceIn cell and rodent models of Alzheimer's disease the fruit and its compounds lowered signs of nerve-cell damage. This is lab science and does not show it helps people with dementia. Nerve-cell protection (Parkinson's and stroke models)Not enough evidenceLab studies suggest the fruit helps nerve cells survive stress. No human data. Brain inflammation (lab)Not enough evidenceIn brain immune cells in a dish, the fruit calmed an inflammatory response. This helps explain interest, but it is not a proven benefit in people. Frequent urination and overactive bladderVery low certaintyThis is the main traditional use. A rat study of the fruit water extract improved bladder measures. In people, only a multi-herb formula has been tested, in children with bedwetting. Diarrhoea from a 'cold spleen' patternNot enough evidenceIn Chinese medicine the fruit is used to 'warm the spleen' for loose stools and drooling. No clinical trial was found. Kidney protection in diabetes modelsNot enough evidenceAnimal and cell work suggests protection of kidney cells in diabetes. Nothing like this has been shown in people. Blood sugar (animal and lab)Not enough evidenceReviews list blood-sugar-lowering effects in mice and rats. No human study was found. Inflammation, liver fat and immune effects (animal)Not enough evidenceCell and animal models report calming of inflammation and effects on liver fat and immune cells. Antioxidant and anti-ageing effects (lab)Not enough evidenceWorm, cell and rat studies report antioxidant and anti-ageing effects. This is lab science only. Cancer cell effects in the labNot enough evidenceExtracts and compounds slowed some cancer cell lines in the lab. This is not evidence that it treats cancer.

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Memory and thinking

Not enough evidence

Yi zhi ren is often described as a herb for memory in Chinese medicine, and lab work is active. No human memory trial of the fruit was found.

3 studiesNot applicable (no human studies).

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read. The 2025 review says it describes clinical applications, but we read only its abstract and cannot say what human data it holds.

Results

Animal and cell findings only in the sources we read.

Effect sizes as reported

None in people.

Why this rating

Insufficient: only reviews of laboratory and animal work; no placebo-controlled human memory trial found.

Form and dose studied

Not applicable (no human studies).

Who was studied

None studied in people.

Limits

Reviews are narrative, not systematic. Laboratory results often do not carry over to people.

Why researchers looked

Lab teams study the fruit because Chinese medicine uses it for the kidneys and brain, and because it holds compounds such as nootkatone and yakuchinone that act on nerve cells in animals.

Traditional use

Traditionally used in China for the kidney and spleen, and in recent decades studied for memory; the 2025 review ties the traditional urinary and digestive uses to a modern interest in the brain.

Proposed mechanism Animal research

Reviews describe effects on beta-amyloid, tau, inflammation and oxidative stress in cells and rodents.

A proposed mechanism does not show that the effect happens in people.

See the Safety tab: human safety data are missing.

11 5 2

Alzheimer's disease models

Not enough evidence

In cell and rodent models of Alzheimer's disease the fruit and its compounds lowered signs of nerve-cell damage. This is lab science and does not show it helps people with dementia.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Reviews call the fruit promising and worth further research; no patient results are described in the abstract.

Effect sizes as reported

None in people.

Why this rating

Insufficient: lab and animal evidence only.

Form and dose studied

Not applicable.

Who was studied

None studied in people.

Limits

Review of animal and cell work; not a treatment claim.

Why researchers looked

A 2021 review of the fruit and Alzheimer's disease describes effects on amyloid, tau, inflammation and oxidative stress.

Traditional use

Not a classic traditional use as named; the traditional link is to memory and the kidney-brain tonic idea.

Proposed mechanism Animal research

Pathways linked to beta-amyloid deposition, tau phosphorylation, inflammation and oxidative stress.

A proposed mechanism does not show that the effect happens in people.

Do not use in place of dementia care or medicines.

5 6

Nerve-cell protection (Parkinson's and stroke models)

Not enough evidence

Lab studies suggest the fruit helps nerve cells survive stress. No human data.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Cell, rodent and zebrafish results only.

Effect sizes as reported

None in people.

Why this rating

Insufficient: lab only.

Form and dose studied

Not applicable.

Who was studied

None studied in people.

Limits

Narrative reviews; no pooled data.

Why researchers looked

Reviews list protection against nerve-cell death, inflammation and oxidative stress in Parkinson's-type and stroke-type models.

Traditional use

Not a traditional use.

Proposed mechanism Animal research

Reported effects on cell death, inflammation and oxidative stress in nerve cells and animals.

A proposed mechanism does not show that the effect happens in people.

None specific.

11 6

Brain inflammation (lab)

Not enough evidence

In brain immune cells in a dish, the fruit calmed an inflammatory response. This helps explain interest, but it is not a proven benefit in people.

1 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Cell studies only.

Effect sizes as reported

None in people.

Why this rating

Insufficient: test tube only.

Form and dose studied

Not applicable.

Who was studied

None studied in people.

Limits

Cell models do not mimic a whole body.

Why researchers looked

Reviews describe less microglia-driven inflammation in cell and animal models.

Traditional use

Not a traditional use.

Proposed mechanism Laboratory research

Reduced inflammatory signalling in brain immune cells in culture.

A proposed mechanism does not show that the effect happens in people.

None specific.

11

Frequent urination and overactive bladder

Very low certainty

This is the main traditional use. A rat study of the fruit water extract improved bladder measures. In people, only a multi-herb formula has been tested, in children with bedwetting.

4 studiesWater extract in rats; Suoquan capsule (formula) in children.

Studies, doses and limits

What the trials found

No trial of the fruit alone in people was found. The Suoquan capsule trial below is a formula whose ingredients are not listed in the abstract we read.

Results

Rat study: improved bladder storage measures and bladder structure. Children's trial: 369 children; complete response 37.5% for desmopressin plus suoquan versus 6.3% for behavioural measures; relapse 30.6% versus 72.2% for desmopressin alone.

Effect sizes as reported

Complete response 37.5% vs 6.3% (combination formula, not the herb alone).

Why this rating

Very low for the fruit itself: animal data plus one trial of a formula in children. The formula result cannot be credited to this herb.

Form and dose studied

Water extract in rats; Suoquan capsule (formula) in children.

Who was studied

Rats; children aged for bedwetting, not adults.

Limits

Formula not defined in the abstract; different condition and age group; no adult trial.

Why researchers looked

Chinese medicine uses the fruit to hold in urine when the kidney is thought weak. A 2024 review says no herbal compound has yet become a clinical bladder treatment.

Traditional use

Used in Chinese medicine for frequent urination and related kidney-qi weakness. Suoquan, a formula used for frequent urination and bedwetting, is a separate product; its ingredients were not confirmed in the sources we read.

Proposed mechanism Animal research

In rats the extract reduced bladder collagen and changed calcium-signalling proteins. Nootkatone, chrysin and sitosterol were predicted by computer to be involved.

A proposed mechanism does not show that the effect happens in people.

Do not treat bladder symptoms or bedwetting without a doctor, who will check for infection, diabetes, prostate problems and other causes.

9 7 4 1

Diarrhoea from a 'cold spleen' pattern

Not enough evidence

In Chinese medicine the fruit is used to 'warm the spleen' for loose stools and drooling. No clinical trial was found.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Traditional use only in the sources read.

Effect sizes as reported

None in people.

Why this rating

Insufficient: traditional use only.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

Traditional pattern language is not a medical diagnosis. Persistent diarrhoea needs a doctor.

Why researchers looked

Traditional digestive use described in the 2025 and 2026 reviews.

Traditional use

Warming herb for spleen cold, loose stools and drooling (especially in children and older adults).

Proposed mechanism Pharmacological theory

Not established; reviews mention gastrointestinal protective effects in lab models.

A proposed mechanism does not show that the effect happens in people.

See Safety tab.

2 11

Kidney protection in diabetes models

Not enough evidence

Animal and cell work suggests protection of kidney cells in diabetes. Nothing like this has been shown in people.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Cell and animal results only.

Effect sizes as reported

None in people.

Why this rating

Insufficient: lab only.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

Mechanism review.

Why researchers looked

A 2024 review covers podocyte autophagy, gut bacteria, oxidative stress and inflammation in diabetic kidney disease models.

Traditional use

Traditionally linked to the kidney 'system' in Chinese medicine, which is not the same as the kidney organ.

Proposed mechanism Animal research

Autophagy, oxidative stress and inflammation pathways in kidney cells and animals.

A proposed mechanism does not show that the effect happens in people.

If you take diabetes medicine, do not change it for a herb.

10 6

Blood sugar (animal and lab)

Not enough evidence

Reviews list blood-sugar-lowering effects in mice and rats. No human study was found.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Animal and cell only.

Effect sizes as reported

None in people.

Why this rating

Insufficient.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

No human data; effect size unknown.

Why researchers looked

Reviews list antidiabetic effects among the fruit's lab findings.

Traditional use

Not a main traditional use.

Proposed mechanism Animal research

Cell assays and rodent studies.

A proposed mechanism does not show that the effect happens in people.

Could in theory add to diabetes medicines; no human interaction data.

6 10

Inflammation, liver fat and immune effects (animal)

Not enough evidence

Cell and animal models report calming of inflammation and effects on liver fat and immune cells.

1 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Lab and animal only.

Effect sizes as reported

None in people.

Why this rating

Insufficient.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

Lab models.

Why researchers looked

Reviews list anti-inflammatory, immune and liver-protective effects.

Traditional use

Not a main traditional use.

Proposed mechanism Animal research

Cell and animal inflammation pathways.

A proposed mechanism does not show that the effect happens in people.

A lab liver-protective claim does not mean liver safety in people (see the Safety tab).

6

Antioxidant and anti-ageing effects (lab)

Not enough evidence

Worm, cell and rat studies report antioxidant and anti-ageing effects. This is lab science only.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Lab only.

Effect sizes as reported

None in people.

Why this rating

Insufficient.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

Antioxidant findings in a dish rarely carry over to people.

Why researchers looked

Reviews list antioxidant and anti-ageing effects among lab findings.

Traditional use

None.

Proposed mechanism Animal research

Antioxidant and anti-ageing signalling in worms, cells and rats.

A proposed mechanism does not show that the effect happens in people.

None specific.

6 2

Cancer cell effects in the lab

Not enough evidence

Extracts and compounds slowed some cancer cell lines in the lab. This is not evidence that it treats cancer.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

No human trial of the fruit for this use was found in the sources read.

Results

Cell lines and transplanted tumours only.

Effect sizes as reported

None in people.

Why this rating

Insufficient: lab only.

Form and dose studied

Not applicable.

Who was studied

None studied.

Limits

Lab only. Never replace cancer care with a herb.

Why researchers looked

Reviews list anti-tumour effects among lab findings.

Traditional use

None.

Proposed mechanism Laboratory research

Cell line and transplanted-tumour work.

A proposed mechanism does not show that the effect happens in people.

Do not use as a cancer treatment.

6 2

Connections to the rest of health

How Yi zhi ren (bitter cardamom) connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Memory Support Preliminary mechanism Not enough evidence Memory and thinking: Yi zhi ren is often described as a herb for memory in Chinese medicine, and lab work is active. No human memory trial of the fruit was found. Alzheimer's disease models: In cell and rodent models of Alzheimer's disease the fruit and its compounds lowered signs of nerve-cell damage. This is lab science and does not show it helps people with dementia. 11 5 2 6
Cognitive Performance Preliminary mechanism Not enough evidence Memory and thinking: Yi zhi ren is often described as a herb for memory in Chinese medicine, and lab work is active. No human memory trial of the fruit was found. 11 5 2
Brain Health Preliminary mechanism Not enough evidence Alzheimer's disease models: In cell and rodent models of Alzheimer's disease the fruit and its compounds lowered signs of nerve-cell damage. This is lab science and does not show it helps people with dementia. Nerve-cell protection (Parkinson's and stroke models): Lab studies suggest the fruit helps nerve cells survive stress. No human data. 5 6 11
Inflammation Balance Preliminary mechanism Not enough evidence Brain inflammation (lab): In brain immune cells in a dish, the fruit calmed an inflammatory response. This helps explain interest, but it is not a proven benefit in people. Inflammation, liver fat and immune effects (animal): Cell and animal models report calming of inflammation and effects on liver fat and immune cells. 11 6
Metabolic Health Traditional use Very low certainty Frequent urination and overactive bladder: This is the main traditional use. A rat study of the fruit water extract improved bladder measures. In people, only a multi-herb formula has been tested, in children with bedwetting. 9 7 4 1
Digestive Support Traditional use Not enough evidence Diarrhoea from a 'cold spleen' pattern: In Chinese medicine the fruit is used to 'warm the spleen' for loose stools and drooling. No clinical trial was found. 2 11
Gut Health Traditional use Not enough evidence Diarrhoea from a 'cold spleen' pattern: In Chinese medicine the fruit is used to 'warm the spleen' for loose stools and drooling. No clinical trial was found. 2 11
Metabolic Health Preliminary mechanism Not enough evidence Kidney protection in diabetes models: Animal and cell work suggests protection of kidney cells in diabetes. Nothing like this has been shown in people. 10 6
Blood Sugar Balance Preliminary mechanism Not enough evidence Kidney protection in diabetes models: Animal and cell work suggests protection of kidney cells in diabetes. Nothing like this has been shown in people. Blood sugar (animal and lab): Reviews list blood-sugar-lowering effects in mice and rats. No human study was found. 10 6
Liver Support Preliminary mechanism Not enough evidence Inflammation, liver fat and immune effects (animal): Cell and animal models report calming of inflammation and effects on liver fat and immune cells. 6
Immune Support Preliminary mechanism Not enough evidence Inflammation, liver fat and immune effects (animal): Cell and animal models report calming of inflammation and effects on liver fat and immune cells. 6
Healthy Aging Preliminary mechanism Not enough evidence Antioxidant and anti-ageing effects (lab): Worm, cell and rat studies report antioxidant and anti-ageing effects. This is lab science only. Cancer cell effects in the lab: Extracts and compounds slowed some cancer cell lines in the lab. This is not evidence that it treats cancer. 6 2
Longevity Preliminary mechanism Not enough evidence Antioxidant and anti-ageing effects (lab): Worm, cell and rat studies report antioxidant and anti-ageing effects. This is lab science only. 6 2

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Liver Animal signal Raised liver enzymes and liver weight at high doses in rats; no human data.
Preparation or compound: Single synthetic compound in rats
3
Nervous System Biological association Not enough evidence Studied for: Memory and thinking Studied for: Alzheimer's disease models 11 5 2 6
Immune System Biological association Not enough evidence Studied for: Brain inflammation (lab) Studied for: Inflammation, liver fat and immune effects (animal) 11 6 2
Urinary System Biological association Very low certainty Studied for: Frequent urination and overactive bladder Studied for: Kidney protection in diabetes models 9 7 4 1 10 6
Digestive System Biological association Not enough evidence Studied for: Diarrhoea from a 'cold spleen' pattern 2 11
Endocrine System Biological association Not enough evidence Studied for: Kidney protection in diabetes models Studied for: Blood sugar (animal and lab) 10 6
Hepatic System Biological association Not enough evidence Studied for: Inflammation, liver fat and immune effects (animal) 6

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Beta-amyloid and tau (animal brain tissue) Biological association Not enough evidence Measured in trials: lowered (in lab and animal models). A lab change is not the same as a health benefit. 5
Bladder storage measures (rat urodynamics) Biological association Not enough evidence Measured in trials: improved (in rats). A lab change is not the same as a health benefit. 9
Complete response for bedwetting (children, formula) Biological association Very low certainty Measured in trials: higher with combination (formula, not the herb alone). A lab change is not the same as a health benefit. 7

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
CYP2C19 Preliminary mechanism In vitro Blocked by pure nootkatone in a test tube. 8
CYP2A6 Preliminary mechanism In vitro Blocked by pure nootkatone in a test tube. 8

K. Biological pathways

Connected toKind of connectionEvidence statusContextStudies
TGF-beta1/SMAD3 Preliminary mechanism Animal Reduced in rat bladder after fruit extract. 9

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Nootkatone Biological association Review Named in a rat study as a possible active part of the extract; also a grapefruit flavour compound with strong CYP2C19 and CYP2A6 blocking in a test tube.
Preparation or compound: fruit
9 8
Yakuchinone A Biological association Review Listed among fruit diarylheptanoids in reviews; no human data.
Preparation or compound: fruit
6
Yakuchinone B Biological association Review Listed among fruit diarylheptanoids in reviews; no human data.
Preparation or compound: fruit
6
Tectochrysin Biological association Review A fruit flavonoid in the review class of flavonoids; the abstracts read give no human data.
Preparation or compound: fruit
6

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

The evidence

The research centre for Yi zhi ren (bitter cardamom). Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We read our existing herb summary, searched PubMed, read the abstract of each PubMed record cited, and checked names against GBIF, NCBI and PubChem. Full texts were not read.

Study library: every study we checked 16
StudyDesignPeopleProduct, dose, lengthResult
Chen 2024
Medicinal plants and natural products for treating overactive bladder.
Chinese Medicine · PMID 38532487 · DOI
Narrative review
review
Review of plants studied for overactive bladder Medicinal plants and herbal formulas (this fruit is covered in our summary file)
various n/a n/a · vs n/a
Reports many promising plant studies but says that so far none of the herbal compounds has become a clinical bladder treatment, and calls for well-designed controlled studies.
Narrative review
Methods, limits and funding

Outcomes: Which plants and compounds have been studied for overactive bladder

Limitations: Abstract read only; the abstract does not name Alpinia oxyphylla.

Funding and conflicts: No conflicts declared

Read: abstract

Chen 2026
Phytochemical Diversity, Mechanistic Pharmacology, and Therapeutic Potential of Alpinia oxyphylla.
Foods · PMID 41976506 · DOI
Narrative review
review
Review of chemistry, traditional use, lab effects, patents Alpiniae Oxyphyllae Fructus (dried ripe fruit)
fruit n/a n/a · vs n/a
Says the fruit has been in the Chinese pharmacopoeia since 2012, is traditionally used for kidney function, urination and diarrhoea, and holds terpenoids, flavonoids, diarylheptanoids and sterols. 217 English papers (2014 to 2025) were mapped by keywords; oxidative stress, Alzheimer's disease and cognition are the hot topics.
Narrative review with bibliometric mapping
Methods, limits and funding

Outcomes: Phytochemistry, traditional uses, pharmacology, safety terms searched

Limitations: Abstract read only. Not a clinical review.

Funding and conflicts: No conflicts declared

Read: abstract

Le Bloch 2024
Toxicological evaluation of Alpinia oxyphylla-derived molecule (PD-00105): In vitro genotoxicity studies and 90-day oral toxicity study in rats.
Toxicology Reports · PMID 39040953 · DOI
Animal research
animal
Rats, 90-day oral study, plus two cell genotoxicity tests PD-00105, a lab-made (synthetic) copy of a compound first found in the fruit; not the fruit or an extract
n/a (synthetic single compound) 10, 50 and 100 mg/kg body weight per day in rats 90 days · vs untreated rats
No genotoxicity. At 50 and 100 mg/kg per day there was liver and kidney toxicity, with raised ALT, alkaline phosphatase, cholesterol and LDL and HDL; the lowest dose (10 mg/kg) was judged minimal and non-adverse (NOAEL).
NOAEL 10 mg/kg/day in rats
Methods, limits and funding

Outcomes: Genotoxicity; organ weights, blood chemistry, tissue changes

Limitations: This is one synthetic compound, not the herb. Rats only.

Funding and conflicts: Industry funded: authors report financial support from TechnoPhage SA, and the authors are affiliated with Nutraveris and Technophage, the companies behind the compound.

Read: abstract

Lee 2018
Herbal medicine (Suoquan) for treating nocturnal enuresis: A protocol for a systematic review of randomized controlled trials.
Medicine (Baltimore) · PMID 29702985 · DOI
Review protocol
review-protocol
Plan for a review of Suoquan decoction trials for bedwetting Suoquan decoctions
unspecified n/a n/a · vs n/a
This is a plan, not results. It states Suoquan is widely used for frequent urination and bedwetting from kidney qi deficiency and that many trials exist.
None (protocol)
Methods, limits and funding

Outcomes: Planned review of trials (PROSPERO CRD42018087900)

Limitations: Protocol only; we found no published results for it.

Funding and conflicts: No conflicts declared

Read: abstract

Li 2021
Alpiniae oxyphyllae Fructus and Alzheimer's disease: An update and current perspective on this traditional Chinese medicine.
Biomedicine & Pharmacotherapy · PMID 33383373 · DOI
Narrative review
review-of-lab-animal-reports
Review of the fruit and Alzheimer's disease models Alpiniae Oxyphyllae Fructus extracts and compounds
fruit n/a n/a · vs n/a
Describes effects on beta-amyloid, tau phosphorylation, inflammation and oxidative stress, and reviews how the main components are absorbed and handled.
Narrative review; no pooled effect
Methods, limits and funding

Outcomes: Mechanisms in Alzheimer's models; pharmacokinetics of components

Limitations: Abstract read only; the authors call the fruit promising, but no human trial is described in the abstract.

Funding and conflicts: No conflicts declared

Read: abstract

Liao 2024
Recent Research Progress on the Chemical Constituents, Pharmacology, and Pharmacokinetics of Alpinae oxyphyllae Fructus.
Molecules · PMID 39202984 · DOI
Narrative review
review-of-lab-animal-reports
Review of compounds and lab effects of the fruit Alpinae oxyphyllae fructus (fruit)
fruit n/a n/a · vs n/a
Lists nerve protection, metabolic effects, antioxidant, anti-inflammatory, blood-sugar, uric-acid, anti-ageing, urine-reducing, immune, anti-tumour, kidney, liver and anti-asthma effects reported for the fruit.
Narrative review; no pooled effect
Methods, limits and funding

Outcomes: Compounds isolated since 2018 and the effects reported for the fruit

Limitations: Abstract read only; the abstract does not say how much of the work is in people (our summary file records it as laboratory and animal work).

Funding and conflicts: No conflicts declared

Read: abstract

Ma 2017
Effect of traditional Chinese and Western medicine on nocturnal enuresis in children and indicators of treatment success: Randomized controlled trial.
Pediatrics International · PMID 28891253 · DOI
Controlled trial
369
369 children with bedwetting (nocturnal enuresis), Beijing
Suoquan capsule, alone or with desmopressin (a Chinese formula; the abstract does not list its ingredients)
unspecified formula not stated in abstract 2 months, 3 months follow-up · vs desmopressin; behavioural intervention
Complete response was 37.5% with desmopressin plus suoquan versus 6.3% with behavioural intervention alone (P < 0.007). Relapse after 3 months was 30.6% with desmopressin plus suoquan versus 72.2% with desmopressin alone.
Complete response 37.5% vs 6.3% (combo vs behavioural)
Methods, limits and funding

Outcomes: Complete response rate, relapse

Limitations: A multi-herb formula, not Alpinia oxyphylla alone; the abstract does not list ingredients. Children with bedwetting, not adults with frequent urination. Randomised but small groups and an unclear blinding in the abstract.

Funding and conflicts: Not stated in abstract

Read: abstract

Tassaneeyakul 2000
Inhibition selectivity of grapefruit juice components on human cytochromes P450.
Archives of Biochemistry and Biophysics · PMID 10860553 · DOI
Laboratory research
in-vitro
Test-tube enzyme assays with human liver enzymes Nootkatone (pure compound from grapefruit), tested against human CYP enzymes
n/a n/a n/a · vs other grapefruit compounds
Nootkatone had no significant effect on the enzymes tested except CYP2A6 (Ki 0.8 micromolar) and CYP2C19 (Ki 0.5 micromolar).
Ki 0.8 uM (CYP2A6) and 0.5 uM (CYP2C19)
Methods, limits and funding

Outcomes: Effect on CYP1A2, 2A6, 2C9, 2C19, 2D6, 2E1, 3A4 activity

Limitations: Test tube only. Pure nootkatone, not the fruit of Alpinia oxyphylla. Real-world blood levels from the herb are unknown.

Funding and conflicts: Not stated in abstract

Read: abstract

Tie 2024
Multi-omic analysis revealed the therapeutic mechanisms of Alpinia oxyphylla fructus water extract against bladder overactivity in spontaneously hypertensive rats.
Phytomedicine · PMID 37976696 · DOI
Animal research
animal
Spontaneously hypertensive rats (a model of bladder overactivity linked to blood vessel disease) Water extract of the fruit (yi zhi ren)
fruit not stated in abstract 3 weeks · vs untreated model rats
The extract improved bladder storage measures, tightened the bladder muscle layer, reduced inflammation and collagen. Network prediction named sitosterol, chrysin and nootkatone as possible active parts.
No numbers in the abstract
Methods, limits and funding

Outcomes: Bladder pressure measurements, bladder structure, proteins

Limitations: Rats only; one model; the active compounds were predicted by computer, not proven.

Funding and conflicts: Authors declare no competing interests

Read: abstract

Wang 2024
Research progress on Alpinia oxyphylla in the treatment of diabetic nephropathy.
Frontiers in Pharmacology · PMID 38948461 · DOI
Narrative review
review-of-lab-animal-reports
Review of kidney effects in diabetes models Alpinia oxyphylla fruit and compounds
fruit n/a n/a · vs n/a
Lists mechanisms such as podocyte autophagy, gut bacteria, fat toxicity, oxidative stress and inflammation, and calls the fruit of therapeutic potential. The abstract describes no human trial.
Narrative review
Methods, limits and funding

Outcomes: Mechanisms in diabetic kidney disease models

Limitations: Abstract read only; mechanism work, not clinical evidence.

Funding and conflicts: No conflicts declared

Read: abstract

Wei 2025
Neuroprotective Effects and Mechanisms of Alpiniae oxyphyllae Fructus, a Medicinal and Edible Homologous Herb: Research Advances.
International Journal of Molecular Sciences · PMID 40650004 · DOI
Narrative review
review-of-lab-animal-and-some-clinical-reports
Review of nerve-protection research on the fruit Alpiniae Oxyphyllae Fructus (fruit)
fruit not given in abstract n/a · vs n/a
The abstract says the fruit protects nerve cells through effects on cell death, inflammation and oxidative stress, and says it also describes clinical applications. We read only the abstract, so we cannot say what human data it covers.
Narrative review; no pooled effect
Methods, limits and funding

Outcomes: Neuroprotective effects and mechanisms

Limitations: Narrative review; abstract only was read; human data not checked.

Funding and conflicts: No conflicts declared

Read: abstract

Zhang 2023
Production, Function, and Applications of the Sesquiterpenes Valencene and Nootkatone: a Comprehensive Review.
Journal of Agricultural and Food Chemistry · PMID 36541855 · DOI
Narrative review
review
Review of two flavour compounds including nootkatone Nootkatone (single compound, from several sources)
n/a n/a n/a · vs n/a
Says most of the studies are in animals and test tubes, so no firm conclusion on health benefit is possible, and that both compounds are considered safe for consumption as food flavours.
Narrative review
Methods, limits and funding

Outcomes: Production, activities, safety, pharmacokinetics

Limitations: Abstract read only. Food-use safety is not the same as safety of the herb in medicine amounts.

Funding and conflicts: Not stated in abstract

Read: abstract

Zuo 2021
Integrated UPLC-MS/MS and UHPLC-Q-orbitrap HRMS Analysis to Reveal Pharmacokinetics and Metabolism of Five Terpenoids from Alpiniae oxyphyllae Fructus in Rats.
Current Drug Metabolism · PMID 33334283 · DOI
Animal research
animal
Rats given oral fruit extract Extract of the fruit
fruit not stated in abstract n/a · vs n/a
Reports the first rat data on how five terpenoids are absorbed and broken down: 27 breakdown products were found in plasma, urine and faeces, mostly by sugar attachment, water loss and glycine attachment.
Descriptive
Methods, limits and funding

Outcomes: Blood levels and breakdown products of five terpenoids

Limitations: Rats only; five of the many compounds.

Funding and conflicts: Not stated in abstract

Read: abstract

s-gbif
GBIF species match: Alpinia oxyphylla Miq. (accepted; key 5302068; family Zingiberaceae)
· Source
Database record
reference

Methods, limits and funding

Read: api-record (2026-10-25)

s-ncbi-tax
NCBI Taxonomy: Alpinia oxyphylla (tax_id 125261; common names yi zhi, sharp-leaf galangal)
· Source
Database record
reference

Methods, limits and funding

Read: api-record (2026-10-25)

s-pubchem
PubChem: nootkatone CID 1268142, yakuchinone A CID 133145, yakuchinone B CID 6440365, tectochrysin CID 5281954
· Source
Database record
reference

Methods, limits and funding

Read: api-record (2026-10-25)

What we do not know yet

  • No placebo-controlled trial of the fruit alone in people for any use.
  • No human safety, interaction or pregnancy data.
  • Ingredients of the Suoquan formula tested in children were not confirmed here.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue. A person reads each one before it is added.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Other 3

●

Beta-amyloid and tau (animal brain tissue)

Lowered (in lab and animal models) in trials

Two proteins that build up in the brains of people with Alzheimer's disease.

Not enough evidence
Results and what it means

Why it was measured

Used in animal Alzheimer's models to judge whether a substance changes disease-type changes.

Statistical vs. clinical meaning

A change in a lab marker is not a clinical benefit. No human biomarker data were found.

Safety implication

None established.

StudyResultPeopleProduct
5The review says fruit compounds modulate pathways linked to amyloid deposition and tau phosphorylation in models; no numbers in the abstract.Cell and animal modelsFruit extracts and compounds

5

●

Bladder storage measures (rat urodynamics)

Improved (in rats) in trials

Pressure and volume measurements that show how well a bladder stores urine.

Not enough evidence
Results and what it means

Why it was measured

Used in the rat study to judge whether the extract steadied an overactive bladder.

Statistical vs. clinical meaning

Animal data. Human bladder function was not measured with the herb.

Safety implication

None established.

StudyResultPeopleProduct
9The water extract improved bladder storage parameters, tightened the detrusor layer and reduced inflammation and collagen; no numbers in the abstract.Spontaneously hypertensive ratsFruit water extract for 3 weeks

9

●

Complete response for bedwetting (children, formula)

Higher with combination (formula, not the herb alone) in trials

Share of children who became dry at night after treatment.

Very low certainty
Results and what it means

Why it was measured

The main outcome of the randomised trial of a Suoquan capsule formula.

Statistical vs. clinical meaning

A clinical outcome, but for a multi-herb formula in children; it cannot be credited to Alpinia oxyphylla alone.

Safety implication

The abstract does not report side effects.

StudyResultPeopleProduct
7Complete response 37.5% with desmopressin plus suoquan versus 6.3% with behavioural intervention (P < 0.007); relapse 30.6% versus 72.2% with desmopressin alone.369 children with nocturnal enuresisSuoquan capsule with or without desmopressin for 2 months

7

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 5
  • Human safety data are missing. No safety trial of the fruit in people, no interaction study and no pregnancy data were found. Reviews call the fruit low in toxicity but give no systematic human data. Absence of data is not proof of safety. Authoritative guidance 2 11
  • Pregnancy and breastfeeding: avoid unless a clinician agrees. No pregnancy or breastfeeding safety data were found. Pregnancy and breastfeeding are not studied, so the cautious choice is to avoid it. No data
  • Traditional caution: 'yin deficiency with heat'. Chinese medicine teaches that this is a warming herb and that people with a heat or 'yin deficiency' pattern (for example feeling hot, thirsty, with night sweats) should not use it. We did not read a source that sets out this caution, so treat it as traditional teaching, NOT verified here. Traditional use
  • May affect some medicines (theory only). In a test-tube study the pure compound nootkatone strongly blocked two liver enzymes, CYP2A6 and CYP2C19. Whether the fruit does so in people has not been tested. Laboratory research 8
  • Not the same plant as galangal. Alpinia oxyphylla (yi zhi ren, 'bitter cardamom' here) is a different species from Alpinia galanga (galangal) and from true cardamom. Safety facts for one do not carry across to the others. Authoritative guidance 14 15
Side effects 2
EffectHow oftenSeverity and recoveryEvidence
Human side effects not documented in the sources read
No clinical safety study of the fruit was found. The one trial we read (of a Chinese formula in children) did not report side effects in its abstract.
Not establishedunknown
unknown
No data
Liver and kidney toxicity at high doses of a single lab-made compound (rats)
The compound was a synthetic copy of one fruit compound, not the fruit. It tells us nothing certain about the herb, but it is the only toxicity study we found.
At 50 and 100 mg/kg per day in a 90-day rat study; not seen as adverse at 10 mg/kg per daymoderate (animal)
unknown
Animal research 3
Liver

No case of liver injury linked to the fruit was found, but we did not find a LiverTox entry either. In a 90-day rat study a synthetic copy of one compound raised liver enzymes (ALT, alkaline phosphatase) and enlarged the liver at high doses. Reviews list liver protection in animals, which is not proof of liver safety in people. 3 6

How often. Unknown. No human data.

Monitoring. No source gives monitoring advice. Tell your doctor if you use it and have liver disease.

This is a safety connection. It is not evidence that Yi zhi ren (bitter cardamom) supports liver health.

Medicines and supplements 4
WithWhy it mattersImportanceEvidenceWhat to do
Medicines broken down by CYP2C19 or CYP2A6 (examples: some stomach-acid medicines, some antidepressants and some blood-thinning tablets such as clopidogrel; ask a pharmacist for your own list)
drug
Pure nootkatone blocked CYP2A6 (Ki 0.8 micromolar) and CYP2C19 (Ki 0.5 micromolar) in human enzyme tests; other main liver enzymes were not significantly affected.Unknown. Test-tube data on the pure compound; no human study of the fruit and no knowledge of nootkatone levels in blood after eating the fruit.Laboratory research Not enough evidence 8Tell a pharmacist before combining, especially with medicines that have a narrow safety margin.
Anticoagulants and antiplatelets (warfarin, apixaban, clopidogrel, aspirin)
drug
No bleeding or clotting data for the fruit were found. The only link is through the CYP2C19 enzyme (relevant to clopidogrel) and is theory.Unknown.Pharmacological theory Not enough evidence 8Ask the prescriber or pharmacist before use.
Diabetes medicines and insulin
drug
Animal and cell studies report blood-sugar-lowering effects of the fruit; no human data.Unknown. A lab effect in rodents could in theory add to diabetes medicines.Animal research Not enough evidence 6 10If you use diabetes medicine, do not add the herb without telling your care team.
Other bladder or urine medicines (for example desmopressin or antimuscarinics)
drug
The Suoquan formula was combined with desmopressin in one children's trial, but ingredients were not listed in the abstract and drug interactions were not assessed.Unknown.Controlled trial Not enough evidence 7Do not combine without clinical advice.
Who should check first 4
SituationAdviceEvidence
Pregnancy and breastfeedingAvoid unless a clinician agrees. No data. LactMed and other sources were not found for this herb.No data
Heat or 'yin deficiency' pattern in Chinese medicineTraditional teaching says avoid. NOT verified in the sources we read.Traditional use
Scheduled surgery, bleeding disorders or taking a blood thinnerAsk your doctor first; there is no data, so the caution is precautionary.Pharmacological theory 8
ChildrenA formula called Suoquan was tested in children with bedwetting in China, but it is not clear whether it contains this herb. Do not give herbs to children without a paediatrician's advice.Controlled trial 7
Overdose, product quality and regulators

Summary. The only toxicity study we found used a lab-made copy of one compound, not the fruit. It showed liver and kidney toxicity at high rat doses and none at the lowest dose.

Animal. 90-day rat study of PD-00105 (synthetic, derived from a fruit compound): no genotoxicity; liver and kidney effects at 50 and 100 mg/kg/day; NOAEL 10 mg/kg/day. The study was paid for by the company developing the compound.

Human doses studied. None for the fruit alone.

High dose or long term signals. Liver and kidney changes in rats at high doses of the single compound. A review says the compound nootkatone is regarded as safe as a food flavouring.

Overdose response. Not described.

Genotoxicity. The synthetic compound was negative in a bacterial mutation test and a cell micronucleus test.

Toxic plant parts. The dried ripe fruit is the medicinal part. Toxicity of other parts was not found.

No contamination or adulteration study of yi zhi ren was found. Mix-ups between Alpinia species and between 'cardamom' plants are a name-confusion risk.

Name confusion with other Alpinia and cardamom plants. GBIF lists Alpinia oxyphylla Miq. as an accepted species in the ginger family; galangal (Alpinia galanga) and true cardamom are different plants. 14

BodyActionDate
Pharmacopoeia of the People's Republic of China (China)Alpiniae Oxyphyllae Fructus is officially recorded, a review says since 2012. source2026 (review)
When to get medical help
  • Yellow skin or eyes, dark urine, pale stools or severe tiredness (possible liver trouble)
  • Any unusual bleeding or bruising while taking a blood thinner
  • Blood in the urine, pain or fever with urinary symptoms (infection or other cause; see a doctor)
  • Persistent or bloody diarrhoea, or dehydration

Stop the supplement and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is yi zhi ren?

It is the dried fruit of Alpinia oxyphylla, a ginger-family plant used in Chinese medicine for urination, digestion and memory. It is sometimes called bitter cardamom.

2 14

Is yi zhi ren the same as galangal or cardamom?

No. Galangal is Alpinia galanga, and true cardamom is Elettaria cardamomum. Yi zhi ren is Alpinia oxyphylla. Facts for one do not carry across to the others.

14 15

Does it help frequent urination?

It is a traditional use. A rat study was encouraging, and a children's trial of a Chinese formula (Suoquan) was positive, but no trial of the fruit alone in people was found.

9 7 1

Does it help memory?

Lab work suggests protection of nerve cells, but no human trial was found. The evidence is insufficient.

5 11

Is it safe in pregnancy or breastfeeding?

No safety data were found, so avoid it unless a clinician agrees.

What does 'yin deficiency with heat' mean for this herb?

In Chinese medicine the fruit is considered warming, so people with a heat pattern are told to avoid it. We could not verify this in the sources we read.

Can it interact with my medicines?

Possibly. The pure compound nootkatone blocked the liver enzymes CYP2C19 and CYP2A6 in a test tube. No human study exists. Ask a pharmacist, especially if you take medicines processed by those enzymes.

8

Is it safe with blood thinners?

Unknown. No bleeding data exist. Any link is theoretical, through the CYP2C19 enzyme. Ask your prescriber.

8

Does it lower blood sugar?

Animal and cell studies say so, but there are no human data. If you take diabetes medicine, tell your care team before adding it.

6 10

Can it harm the liver?

No human case was found. A high dose of a lab-made single compound caused liver and kidney effects in rats. This is not proof either way for the fruit.

3

Is it a cancer treatment?

No. Extracts slowed some cancer cell lines in the lab only.

6

Who should ask a doctor first?

Anyone pregnant, breastfeeding, with liver or kidney disease, or on regular medicines. Ask a doctor or pharmacist about amounts.

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We read our existing herb summary, searched PubMed, read the abstract of each PubMed record cited, and checked names against GBIF, NCBI and PubChem. Full texts were not read.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown.
Sources 16

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Chen H, Hoi MPM, Lee SMY. Medicinal plants and natural products for treating overactive bladder.. Chinese Medicine. 2024. PMID 38532487. DOI 10.1186/s13020-024-00884-3. (abstract)
  2. Chen T, Shahidin, Zhu Q, et al.. Phytochemical Diversity, Mechanistic Pharmacology, and Therapeutic Potential of Alpinia oxyphylla.. Foods. 2026. PMID 41976506. DOI 10.3390/foods15071212. (abstract)
  3. Le Bloch J, Jones-Dias D, Ferreira R, et al.. Toxicological evaluation of Alpinia oxyphylla-derived molecule (PD-00105): In vitro genotoxicity studies and 90-day oral toxicity study in rats.. Toxicology Reports. 2024. PMID 39040953. DOI 10.1016/j.toxrep.2024.101684. (abstract)
  4. Lee YB, Ah Lee J, Jang S, et al.. Herbal medicine (Suoquan) for treating nocturnal enuresis: A protocol for a systematic review of randomized controlled trials.. Medicine (Baltimore). 2018. PMID 29702985. DOI 10.1097/MD.0000000000010391. (abstract)
  5. Li J, Du Q, Li N, et al.. Alpiniae oxyphyllae Fructus and Alzheimer's disease: An update and current perspective on this traditional Chinese medicine.. Biomedicine & Pharmacotherapy. 2021. PMID 33383373. DOI 10.1016/j.biopha.2020.111167. (abstract)
  6. Liao J, Zhao X. Recent Research Progress on the Chemical Constituents, Pharmacology, and Pharmacokinetics of Alpinae oxyphyllae Fructus.. Molecules. 2024. PMID 39202984. DOI 10.3390/molecules29163905. (abstract)
  7. Ma Y, Liu X, Shen Y. Effect of traditional Chinese and Western medicine on nocturnal enuresis in children and indicators of treatment success: Randomized controlled trial.. Pediatrics International. 2017. PMID 28891253. DOI 10.1111/ped.13417. (abstract)
  8. Tassaneeyakul W, Guo LQ, Fukuda K, et al.. Inhibition selectivity of grapefruit juice components on human cytochromes P450.. Archives of Biochemistry and Biophysics. 2000. PMID 10860553. DOI 10.1006/abbi.2000.1835. (abstract)
  9. Tie Y, Sun Z, Tong X, et al.. Multi-omic analysis revealed the therapeutic mechanisms of Alpinia oxyphylla fructus water extract against bladder overactivity in spontaneously hypertensive rats.. Phytomedicine. 2024. PMID 37976696. DOI 10.1016/j.phymed.2023.155154. (abstract)
  10. Wang J, Wang X, Ma T, et al.. Research progress on Alpinia oxyphylla in the treatment of diabetic nephropathy.. Frontiers in Pharmacology. 2024. PMID 38948461. DOI 10.3389/fphar.2024.1390672. (abstract)
  11. Wei Y, Gao K, Sun Y, et al.. Neuroprotective Effects and Mechanisms of Alpiniae oxyphyllae Fructus, a Medicinal and Edible Homologous Herb: Research Advances.. International Journal of Molecular Sciences. 2025. PMID 40650004. DOI 10.3390/ijms26136230. (abstract)
  12. Zhang LL, Chen Y, Li ZJ, et al.. Production, Function, and Applications of the Sesquiterpenes Valencene and Nootkatone: a Comprehensive Review.. Journal of Agricultural and Food Chemistry. 2023. PMID 36541855. DOI 10.1021/acs.jafc.2c07543. (abstract)
  13. Zuo L, Li J, Xue L, et al.. Integrated UPLC-MS/MS and UHPLC-Q-orbitrap HRMS Analysis to Reveal Pharmacokinetics and Metabolism of Five Terpenoids from Alpiniae oxyphyllae Fructus in Rats.. Current Drug Metabolism. 2021. PMID 33334283. DOI 10.2174/1389200221666201217154219. (abstract)
  14. . GBIF species match: Alpinia oxyphylla Miq. (accepted; key 5302068; family Zingiberaceae). . . (api-record (2026-10-25))
  15. . NCBI Taxonomy: Alpinia oxyphylla (tax_id 125261; common names yi zhi, sharp-leaf galangal). . . (api-record (2026-10-25))
  16. . PubChem: nootkatone CID 1268142, yakuchinone A CID 133145, yakuchinone B CID 6440365, tectochrysin CID 5281954. . . (api-record (2026-10-25))
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.