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Omnia Sana · Plant Monograph

Japanese knotweed

Reynoutria japonica

Family PolygonaceaeParts used Leaf, Root, StemAlso known as Asian knotweed, Hu Zhang

This monograph compiles 3 pharmacological actions, 4 traditional / indicated uses, supported by 13 cited sources, drawn directly from the Omnia Sana plant database.

Pharmacological Actions

Anti-inflammatory[1, 2, 3, 5, 6, 9, 11, 12, 13]
Anticancer (preclinical)[1, 3, 6, 7, 11, 12, 13]
Antioxidant[1, 3, 5, 6, 11, 12, 13]

Traditional & Indicated Uses

Arthritis / joint pain[9, 11, 12, 13]Traditional · 2/10

inferred from anti-inflammatory action

more plants for arthritis / joint pain →detailed sources →
Cardiovascular / heart health[6, 11, 12, 13]Traditional · 1/10
more plants for cardiovascular / heart health →detailed sources →
Inflammation (general)[2, 11, 12, 13]Good · 7/10

inferred from anti-inflammatory action

more plants for inflammation (general) →detailed sources →
Skin irritation[11, 12, 13]Traditional · 1/10

inferred from anti-inflammatory action

more plants for skin irritation →detailed sources →

Safety, Cautions & Contraindications

Safety note[11, 12, 13]Caution

Japanese knotweed root contains resveratrol and emodin; high doses of emodin may cause GI discomfort and have laxative effects. Not recommended during pregnancy (emodin has potential teratogenic effects in animal studies). May interact with anticoagulants and antiplatelet medications. Quality control of commercial preparations is important as invasive weed extracts vary significantly.

Safety note[11, 12, 13]Info

Duke (2002) rates Japanese knotweed (listed as Hu-Zhang, Fallopia japonica) as +++ and highlights its rich content of resveratrol and emodin. Experimental evidence (score 1) supports COX-2 inhibitory, antioxidant, anti-inflammatory, hepatoprotective, and lipid-lowering activities — largely attributed to resveratrol. Duke notes its use in traditional Chinese medicine for fractures, burns, abscesses, and gynecological conditions. No significant clinical trials were available at time of publication, but resveratrol's biological activity is well-documented in vitro (Duke, 2002).

References

REF-0979, REF-0980, REF-0981, REF-0982, REF-0983, REF-0984, REF-0985, REF-0986, REF-0987, REF-0988

References & Sources

  1. Dong, X., Fu, J., Yin, X., Cao, S. and others (2016) 'Emodin: A Review of its Pharmacology, Toxicity and Pharmacokinetics', Phytotherapy Research, 30(8), pp. 1207-1218. doi:10.1002/ptr.5631 Traditional / reference
    https://doi.org/10.1002/ptr.5631
  2. Wang, S., Yang, Y., Sun, L., Qiao, G. and others (2022) 'Reynoutria japonica Houtt for Acute Respiratory Tract Infections in Adults and Children: A Systematic Review', Frontiers in Pharmacology, 13, pp. 787032. doi:10.3389/fphar.2022.787032 Meta-analysis / review
    https://doi.org/10.3389/fphar.2022.787032
  3. Ke, Y., Zhan, L., Lu, T., Zhou, C. and others (2023) 'Advances for pharmacological activities of Polygonum cuspidatum (Reynoutria japonica) - A review', Pharmaceutical Biology, 61(1), pp. 177-188. doi:10.1080/13880209.2022.2158349 Traditional / reference
    https://doi.org/10.1080/13880209.2022.2158349
  4. Zhang, Q., Zhao, Y., Zhang, M., Zhang, Y. and others (2021) 'Bioactive amides from Reynoutria japonica', Journal of Asian Natural Products Research, 23(3), pp. 228-234. doi:10.1080/10286020.2021.1873298 Preclinical
    https://doi.org/10.1080/10286020.2021.1873298
  5. Lai, Y., Zhou, C., Huang, P., Dong, Z. and others (2024) 'Polygonum cuspidatum polysaccharide: A review of its extraction and purification, structure analysis, and biological activity', Journal of Ethnopharmacology, 331, pp. 118079. doi:10.1016/j.jep.2024.118079 Traditional / reference
    https://doi.org/10.1016/j.jep.2024.118079
  6. Peng, W., Qin, R., Li, X. and Zhou, H (2013) 'Botany, phytochemistry, pharmacology, and potential application of Polygonum cuspidatum Sieb. et Zucc.: a review', Journal of Ethnopharmacology, 148(3), pp. 729-745. doi:10.1016/j.jep.2013.05.007 Traditional / reference
    https://doi.org/10.1016/j.jep.2013.05.007
  7. Wang, X., Liang, L., Yan, J., Li, Z. and others (2023) 'Citri Reticulatae Pericarpium-Reynoutria japonica Houtt. herb pair suppresses breast cancer liver metastasis by targeting ECM1-mediated cholesterol biosynthesis pathway', Phytomedicine, 116, pp. 154896. doi:10.1016/j.phymed.2023.154896 Preclinical
    https://doi.org/10.1016/j.phymed.2023.154896
  8. Jiang, Y., Liu, Y., Zhang, X. and others (2020) 'New phenolic glycosides from Reynoutria japonica', Journal of Asian Natural Products Research, 22(1), pp. 17-23. doi:10.1080/10286020.2019.1646730 Preclinical
    https://doi.org/10.1080/10286020.2019.1646730
  9. Liu, Y., Wang, J., Li, Q. and others (2024) 'The Possibility of Polygonum cuspidatum against Osteoarthritis based on Network Pharmacology', Current Computer-Aided Drug Design, 20(2), pp. 121-133. doi:10.2174/1573409919666230403114131 Preclinical
    https://doi.org/10.2174/1573409919666230403114131
  10. Espinosa-Andrews, H., Morales-Hernandez, N., Garcia-Marquez, E. and others (2025) 'Physicochemical and rheological characteristics of commercial Greek-style yogurt enriched with Polygonum cuspidatum roots or the P. cuspidatum beta-cyclodextrin inclusion complex', Food Research International, 203, pp. 115854. doi:10.1016/j.foodres.2025.115854 Preclinical
    https://doi.org/10.1016/j.foodres.2025.115854
  11. Burns, J., Yokota, T., Ashihara, H., Lean, M.E.J. and Crozier, A (2002) 'Plant foods and herbal sources of resveratrol', 50(11), pp. 3337--3340. Traditional / reference
    Find this source
  12. Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
    https://powo.science.kew.org
  13. World Health Organization (2007) 'WHO Monographs on Selected Medicinal Plants'. Traditional / reference
    Find this source

Record last updated 2026-06-20 · Provenance: book+pubmed · Status: verified

This fact sheet is generated automatically from the Omnia Sana plant database and reflects its latest synced data. It is provided for educational purposes only and is not medical advice. Always consult a qualified practitioner before using medicinal plants.

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