戟叶白粉藤 / 箭叶四方藤 / 戟叶粉藤 / 假四方藤 — Cissus hastata Miq. (syn. Cissus sagittifolia Planch.)

Pinyin: Jǐyè Báifěnténg / Jiànyè Sìfāngténg · Malay: Akar Mempenang / Akar Riang-riang / Asam Riang · Family: Vitaceae (葡萄科)

Energetics

Neutral to slightly Warm (平 / 微温)

Flavor

Bitter, astringent, slightly sour, pungent (苦、涩、微酸、辛)

Meridians

Liver (肝), Kidney (肾), Spleen (脾)

Traditional Edict

Sagittate Cissus / Akar Mempenang. 4-winged succulent stems with waxy white bloom and halberd leaves. Knits fractured bones, reconnects ruptured sinews, dispels wind-damp arthritis, and dissolves traumatic hematomas.

Cautions & Contraindications

Verify proper radiological fracture reduction before applying external poultices. Contraindicated during active pregnancy (blood-activating dynamics) and bleeding ulcers.

Clinical Applications

Closed bone fractures (accelerating radiological callus union), chronic degenerative knee/lumbar osteoarthritis, acute ligament sprains, and post-traumatic contusions.

Quality Markers

3-Ketosteroids >= 0.50%, Friedelin, Resveratrol & Ampelopsin (HPLC MHM standard)

Mechanism & Phytochemistry

1. 3-Ketosteroids stimulate periosteal mesenchymal stem cells into osteoblasts, elevating ALP and Runx2 for rapid callus mineralization. 2. Resveratrol and ampelopsin downregulate synovial MMP-13 and IL-1b. 3. Friedelin microvascular vasodilation.

Preparation & Dosage

Dried stem discs in decoction: 15-30 g daily. THE SOVEREIGN RAINFOREST BONE-KNITTING POULTICE: 50 g fresh stems/leaves pounded with rice wine and turmeric over fractures under splints. Medicated wine: 50 g steeped in 1 L wine.

Appended Prescriptions

1. The Sovereign Nanyang Bone-Knitting Synergy with Cissus quadrangularis (Pecah Kaca) and Spatholobus suberectus. 2. Rainforest Lumbar & Joint-Warming Decoction with Eucommia ulmoides.

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Yemama Apothecary · Petaling Jaya, Malaysia · For educational and clinical reference only