Fourleaf Ladybell Root

Chinese
南沙参
Pinyin
Nan Sha Shen
Latin
Radix Adenophorae

TCM Properties

Taste
sweet, slightly bitter
Temperature
slightly cold
Channels
Lung, Stomach

Traditional Use

Primary Actions

  • Nourishes Lung Yin and moistens dryness - Nan Sha Shen is used for chronic dry cough, scant sticky sputum, throat dryness, hoarseness, and mild blood-streaking from dryness-heat.
  • Nourishes Stomach Yin and generates fluids - it is chosen for dry mouth, thirst, hunger without appetite, and fluid depletion after warm disease or chronic illness.
  • Benefits deficient Lung Qi while helping loosen phlegm - compared with Bei Sha Shen it is often considered somewhat better when dryness and deficiency coexist with lingering phlegm or weak appetite.

Secondary Actions

  • Nan Sha Shen is usually described as gentler and a little less cold than Bei Sha Shen, while being somewhat better at benefiting Qi within dryness patterns.
  • It is especially useful when Lung and Stomach dryness coexist with fragile digestion rather than with robust excess heat.

Classic Formulas

  • Sha Shen Mai Dong Tang - classic Lung-Stomach dryness formula in which Sha Shen moistens and rebuilds depleted fluids.
  • Yi Wei Tang - Stomach-Yin formula that commonly pairs Nan Sha Shen with Yu Zhu, Mai Men Dong, and Sheng Di Huang.

Classical References

  • TCM Wiki describes Nan Sha Shen as sweet, slightly bitter, and slightly cold, entering the Lung and Stomach to nourish yin, clear heat, tonify qi, and dispel phlegm.
  • Traditional formula commentary repeatedly places Nan Sha Shen in Lung-Stomach dryness patterns with cough, thirst, and weak appetite.

Modern Research

Active Compounds

  • Pectic polysaccharides and other water-soluble saccharides - major macromolecular fractions of Adenophora root
  • Lupenone, lupeol, and related triterpenes - bioactive constituents reported from medicinal Adenophora species
  • Phenylpropanoid and polyphenolic fractions - supportive antioxidant constituents in modern profiling work

Studied Effects

  • An animal study reported that Adenophorae Radix powder had antitussive, expectorant, and anti-inflammatory effects, supporting the traditional respiratory use of the herb family (PMID 31039428).
  • A 2025 study on Adenophora tetraphylla pectins found meaningful antioxidant capacity and characterized the structural features of the polysaccharide fraction (PMID 40142075).
  • Modern literature often spans several medicinal Adenophora species, so species-level extrapolation should stay conservative when moving from pharmacology papers back to the exact Chinese crude drug.

PubMed References

Safety & Interactions

Contraindications

  • Cold-damp cough with copious thin sputum and loose stool from Spleen Yang deficiency
  • Traditional incompatibility with Li Lu

Cautions

  • Traditional materia medica note antagonism with Li Lu.
  • Modern research often combines multiple Adenophora species or regional substitutes, so authenticated identity remains helpful.
  • MSK page not found - drug interaction data not available from Memorial Sloan Kettering integrative medicine database

Conditions