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Botanical illustration of Snake Gourd Root
MedicinalSourced entry

Snake Gourd Root

Trichosanthes kirilowii

Tian hua fen, a Chinese medicine root used for centuries for diabetes, swelling and menstrual problems. Its protein, trichosanthin, ends pregnancies and was once widely used in China for abortion.

What is Snake Gourd Root?

Plant family
Cucurbitaceae, the gourd and cucumber family
Parts used
The root, dried and powdered (tian hua fen)
Genus
Trichosanthes
Species
kirilowii

Also called

Trichosanthes Root, Trichosanthis Radix, Chinese Cucumber Root

Traditional names

Tian Hua Fen

Traditionally used for

  • Diabetes (traditional)
  • Swelling (traditional)
  • Menstrual problems (traditional)
  • Abortion (historical)

Traditionally described as

  • Blocked HIV (in lab studies)

Health topics

Where Snake Gourd Root appears in symptom search, and why. Being listed doesn't mean it's a proven treatment.

  • High Blood Sugar

    Traditionally used for diabetes in Asian medicine. Not shown in the sources to work in people.

  • Pregnancy and Childbirth

    Warning: contains trichosanthin, which ends pregnancies; it was used in China to cause abortions.

Traditions that use it

  • Traditional Chinese Medicine

    Called tian hua fen; first recorded in the 7th century. Used to "clear heat", reduce swelling, regulate menstruation and, historically, to cause abortion.

Safety

Side effects

  • Reported side effects of tian hua fen include:

    • Flu-like illness with fever, headache, joint pain and sore throat
    • Skin rash and pain where it was injected
    • Bleeding gums and nosebleeds, and heavy bleeding
    • Stomach pain and infection
    • Severe allergic reactions

    One death was reported in 1969. In AIDS trials of a purified form, a few people had confusion or coma, and one died.[1]

Pregnancy

  • Snake gourd root contains trichosanthin, which ends pregnancies. It has been used in China to cause abortions.[1]

What does the research say?

Traditional use

These are traditional uses, not proven treatments.

  • Snake gourd root comes from Trichosanthes kirilowii and a close relative. It has been used for centuries in China, Japan, South Korea and other Asian countries for diabetes, cancer, inflammation, and heart and breathing conditions. Pharmacopoeias in several countries list it to "clear heat", reduce swelling, "expel pus", "generate fluids" and regulate menstruation.[2]

  • As tian hua fen, it was first recorded in the 7th century by the physician Sun Simiao. Later texts, including the Compendium of Materia Medica, list it in prescriptions for ending pregnancy, abnormal menstruation and a placenta that won't come out. In the 1960s it was widely used in China to cause abortions, and in 1972 its active protein, trichosanthin, was purified to reduce side effects.[1]

Laboratory & animal research

Lab and animal results show what might be worth studying in people. They don't show that the herb has these effects in humans.

  • In the lab, trichosanthin blocked HIV from multiplying in immune cells and has shown potential against stomach and bowel cancers. Researchers are modifying it to reduce its side effects.[1]

Research in people

  • In Chinese clinical studies from 1990 to 2000, trichosanthin injections ended pregnancies, including mid-term pregnancies and ectopic pregnancies, with high success rates. Today, medical abortion relies on other drugs that work more often and have fewer side effects.

    Around 1990, a purified form was tested in people with AIDS in the US and UK. Results were inconsistent, and some people had serious side effects.[1]

In short

Causes abortion. Side effects include fever, bleeding and severe allergic reactions; one death has been reported.

Sources

  1. [1] A Sixty-Year Research and Development of Trichosanthin, a Ribosome-Inactivating Protein · DOI: 10.3390/toxins14030178Peer-reviewed study
  2. [2] Trichosanthis Radix: A comprehensive review on botany, ethnomedicine, phytochemistry, pharmacology, quality control and toxicology · DOI: 10.1016/j.fitote.2025.106597Peer-reviewed study

This information is educational and traditional in nature, and is not a substitute for professional medical advice.