Wind-Heat Dispersing

Zi Su Ye

Perilla Leaf (Perilla frutescens) — A Comprehensive Traditional Chinese Medicine Educational Guide

Last updated: July 20, 2026·Medically reviewed by TCMIO Editorial Team·~10 min read

Zi Su Ye (Perilla frutescens leaf). Source: Dongwei Bencao

Key Takeaways

  • Zi Su Ye is the dried leaf of Perilla frutescens, traditionally used in TCM to release the exterior, disperse Cold, move Qi, calm the fetus, and detoxify seafood poisoning.
  • Its active compounds — perilla aldehyde, rosmarinic acid, luteolin, and apigenin — have been studied for anti-inflammatory, anti-allergic, and antioxidant effects in pre-clinical research.
  • Zi Su Ye should be used with caution in individuals with Qi deficiency, exterior deficiency with spontaneous sweating, or Yin deficiency with Heat signs.
  • Always consult a qualified healthcare provider before using Zi Su Ye or any herbal product.

Important Safety Notice

This page is for educational purposes only. It does not provide dosage recommendations, treatment plans, or individualized herbal advice. Consult a qualified healthcare provider before using any herbal products. Zi Su Ye should be used with caution in individuals with Qi deficiency or exterior deficiency with spontaneous sweating.

Quick Facts

Material
Leaf / Folium
Botanical Source
Perilla frutescens (L.) Britt. var. crispa (Thunb.) Deane, Lamiaceae
Chinese Name
zǐ sū yè
TCM Nature
Pungent, Warm
Meridians
Lung, Spleen
Key Active Compounds
Perilla aldehyde, rosmarinic acid, luteolin, apigenin
Direct Human Evidence
Limited — some animal studies and in-vitro data
Use With Caution

What Is Zi Su Ye

Zi Su Ye (Perilla Leaf) is the dried leaf of Perilla frutescens (L.) Britt. var. crispa (Thunb.) Deane, an annual herbaceous plant in the family Lamiaceae (the mint family). In the traditional TCM classification system, Zi Su Ye is considered pungent in flavor with a warm nature. It enters the Lung and Spleen meridians, giving it a central role in formulas that address exterior Wind-Cold conditions, Qi stagnation, and seafood poisoning.

Botanical description: Perilla frutescens is an annual herb growing 30–100 cm tall. The stems are square in cross-section, a characteristic feature of the Lamiaceae family. The leaves are opposite, broadly ovate to rounded, 4–11 cm long and 2.5–9 cm wide, with serrated margins. The leaf surface is typically green or purple, often wrinkled, and covered with fine glandular hairs. The plant produces small, white to purplish flowers in terminal and axillary racemes from late summer to autumn. The fruit consists of four small, dry nutlets. The aromatic leaves and seeds are the primary medicinal organs.

Habitat and cultivation: P. frutescens is native to East Asia, including China, Japan, Korea, and Southeast Asia. In China, it is widely cultivated in provinces such as Jiangsu, Zhejiang, Anhui, and Henan. The plant prefers warm, sunny conditions and well-drained, fertile soils. It is commonly grown as a culinary herb and as a medicinal crop. The leaves are harvested in summer and autumn when the plant is in full leaf, and are dried in the shade to preserve the volatile oil content.

Quality markers: The Chinese Pharmacopoeia specifies that high-quality Zi Su Ye should have intact blades, a purple or purplish-green color, a characteristic aromatic fragrance, and a slightly bitter taste. The volatile oil content is an important chemical marker for quality control. Premium-grade material is described as being aromatic, free from mold, and with minimal stem content. Chemical markers include perilla aldehyde content and other volatile oil constituents.

What Is Zi Su Ye Used For in TCM

In the traditional Chinese medicine theoretical framework, Zi Su Ye is understood in terms of its effects on specific patterns of disharmony (zheng). Because Zi Su Ye enters the Lung and Spleen meridians and has a pungent, warm quality, it is traditionally indicated for a range of patterns involving exterior Cold, Qi stagnation, and toxicity.

Releasing the exterior and dispersing Cold: Zi Su Ye is considered one of the most important herbs in TCM for releasing the exterior and dispersing Wind-Cold. In TCM theory, when exterior Wind-Cold invades the body, it may manifest as aversion to cold, fever, headache, nasal congestion, and cough. Zi Su Ye is traditionally used to open the pores, promote mild sweating, and expel the exterior pathogen. It is commonly combined with Jing Jie and Fang Feng in formulas targeting exterior Wind-Cold conditions. It is considered milder in action than Ma Huang and is suitable for patterns where sweating needs to be promoted gently.

Moving Qi and harmonizing the middle: Zi Su Ye is traditionally used for Qi stagnation in the Spleen and Stomach, which may manifest as chest and epigastric fullness, distension, nausea, vomiting, and poor appetite. By moving Qi and harmonizing the middle burner, Zi Su Ye is believed to relieve stagnation and restore normal digestive function. It is frequently combined with Huo Xiang and Chen Pi in formulas for digestive discomfort with nausea.

Calming the fetus: Zi Su Ye is traditionally used for restless fetus (tai dong bu an) patterns attributed to Qi stagnation or exterior conditions affecting the fetus. By moving Qi and releasing the exterior, Zi Su Ye is believed to stabilize the fetus and relieve restlessness. In classical practice, it may be combined with Sha Ren and Bai Zhu to strengthen the fetus-calming effect. This traditional use is specific to certain pattern differentiations and should only be applied under professional guidance.

Detoxifying seafood poisoning: Zi Su Ye has a traditional reputation for detoxifying seafood poisoning and relieving abdominal pain, vomiting, and diarrhea associated with improper food intake. In TCM theory, this is understood as resolving toxicity and harmonizing the Stomach. It is traditionally used either alone or in combination with other herbs for food poisoning and gastrointestinal distress.

Classical literature references: The Shen Nong Ben Cao Jing (Divine Farmer's Materia Medica Classic, circa 200 CE) classified Zi Su Ye as a middle-grade herb and recorded its traditional use for "downbearing Qi, killing grains, and eliminating toxicity in livestock meat." The Ben Cao Gang Mu (Compendium of Materia Medica, 1596 CE) by Li Shizhen noted Zi Su Ye's ability to "release the exterior, disperse Cold, move Qi, and harmonize the middle" and described its traditional roles in treating exterior conditions, nausea, and seafood poisoning.

This description reflects traditional TCM theory and is not a modern medical diagnosis or treatment claim.

Active Compounds

Zi Su Ye contains a range of bioactive compounds that have been the subject of pharmacological investigation. The following overview summarizes the major chemical constituents identified in the leaf of Perilla frutescens and what is currently known about them from published research.

Perilla aldehyde: Perilla aldehyde (also known as perillaldehyde) is the principal constituent of the essential oil of Zi Su Ye and one of its most pharmacologically active compounds. It has been studied in pre-clinical research for anti-inflammatory, anti-allergic, and antimicrobial activities. Some animal studies suggest that perilla aldehyde may help reduce allergic responses and modulate immune cell function. However, most evidence comes from animal and in-vitro studies; robust human clinical data are limited.

Rosmarinic acid: Rosmarinic acid is a phenolic compound found in Zi Su Ye that has attracted research interest for its potential antioxidant, anti-inflammatory, and antimicrobial properties. Pre-clinical studies have suggested that rosmarinic acid may inhibit inflammatory mediators and reduce oxidative stress in cellular and animal models. Its role in the overall pharmacological profile of whole-herb Zi Su Ye preparations is an active area of research.

Luteolin and apigenin: Luteolin and apigenin are flavonoid compounds present in Zi Su Ye. These flavonoids have been investigated in pre-clinical research for anti-inflammatory, antioxidant, and potential anti-allergic activities. Some studies suggest they may modulate immune responses and reduce inflammatory cytokine production. The clinical relevance of these constituents in the context of whole-herb Zi Su Ye preparations is not well established.

Other constituents: Zi Su Ye also contains volatile oils (including limonene, caryophyllene, and other terpenoids), flavonoid glycosides, anthocyanins (in purple-leaf varieties), and various other secondary metabolites. Most research on these secondary compounds remains at the pre-clinical stage, and their specific contributions to the pharmacological profile of whole-herb Zi Su Ye are not fully understood.

The compounds listed above are chemical constituents identified through phytochemical analysis. Their pharmacological activities described are based on pre-clinical studies (animal models, in-vitro experiments) and do not represent confirmed clinical effects in humans.

Classical Formulas

Zi Su Ye is a core ingredient in many important classical formulas in the TCM tradition for releasing the exterior, moving Qi, and harmonizing the middle. Below are key formulas that feature Zi Su Ye as a primary or significant component, along with their traditional indications and the role Zi Su Ye plays in each composition.

Xiang Su San (Perilla and Cyperus Powder)

Xiang Su San is a classical formula centered around Zi Su Ye as the chief herb. It is traditionally indicated for exterior Wind-Cold with concurrent Qi stagnation, presenting as aversion to cold, fever, headache, chest and epigastric fullness, and a white-coated tongue. In this formula, Zi Su Ye serves to release the exterior and disperse Cold. It is commonly combined with Xiang Fu (to move Qi and relieve stagnation), Gan Cao, and other herbs that support the exterior-releasing and Qi-moving actions. The formula is considered a prototype for addressing exterior conditions with digestive discomfort in TCM.

Shen Su Yin (Ginseng and Perilla Drink)

Shen Su Yin is a classical formula containing Zi Su Ye alongside Ren Shen (ginseng). It is traditionally indicated for exterior Wind-Cold in individuals with underlying Qi deficiency, presenting as aversion to cold, fever, headache, cough with thin sputum, chest fullness, and general fatigue. In this formula, Zi Su Ye releases the exterior and disperses Cold, while Ren Shen tonifies Qi to support the body's resistance. It also contains Qian Hu, Jie Geng, and other herbs to support the Lung and relieve cough. Shen Su Yin is historically used when exterior conditions occur in constitutionally weak individuals.

Yin Qiao San (Honeysuckle and Forsythia Powder)

Yin Qiao San is one of the most celebrated classical formulas for exterior-releasing. Although it does not contain Zi Su Ye, it provides important context for understanding exterior-releasing formulas in TCM. Composed primarily of Jin Yin Hua (honeysuckle) and Lian Qiao (forsythia), it is traditionally indicated for exterior Wind-Heat patterns presenting as fever, slight aversion to wind, headache, cough, and sore throat. For general exterior-releasing context and comparison with Wind-Cold formulas like Xiang Su San, see the Yin Qiao San page.

What Does Modern Research Say

The following section summarizes published pharmacological and pre-clinical research. Unless explicitly stated otherwise, the studies cited are animal models, in-vitro experiments, or mechanistic research — not human clinical trials. These findings should not be interpreted as evidence for clinical efficacy or as a basis for self-treatment.

Anti-inflammatory effects of perilla aldehyde: Perilla aldehyde, the principal volatile oil constituent of Zi Su Ye, has been the most extensively studied compound from this herb. Pre-clinical studies in animal models have suggested that perilla aldehyde may exert anti-inflammatory effects, including inhibition of pro-inflammatory cytokines and modulation of immune cell activity. A study by Ueda et al. published in Bioscience, Biotechnology, and Biochemistry (2002) reported that perilla aldehyde may suppress allergic inflammation in animal models. Another study by Tian et al. in International Immunopharmacology (2014) investigated the anti-inflammatory mechanisms of perilla aldehyde in cellular models. It is important to emphasize that most of this evidence comes from animal and in-vitro studies; robust human clinical data are limited.

Anti-allergic effects: Zi Su Ye and its constituents have been studied for potential anti-allergic properties. Pre-clinical research has reported that perilla aldehyde and rosmarinic acid may inhibit histamine release and modulate mast cell activity in animal and cellular models. Some studies suggest that perilla extract may help reduce allergic airway inflammation. However, these findings provide mechanistic insights and do not establish clinical efficacy for allergic conditions in humans.

Antioxidant and antimicrobial effects: Multiple pre-clinical studies have reported that extracts of Zi Su Ye and isolated constituents (including rosmarinic acid, luteolin, and apigenin) may exhibit antioxidant and antimicrobial activities. In in-vitro studies, Zi Su Ye extracts have been reported to scavenge free radicals, reduce oxidative stress markers, and inhibit the growth of certain bacteria and fungi. While these findings are scientifically interesting, their clinical significance for human conditions has not been established.

Gastrointestinal effects: Some pre-clinical studies have investigated Zi Su Ye for potential gastrointestinal protective effects, including reduction of gastric mucosal injury and modulation of digestive secretion in animal models. The traditional TCM use of Zi Su Ye for nausea, vomiting, and abdominal distension partially overlaps with these modern research directions, though the two frameworks are not equivalent. Large-scale, randomized human clinical trials confirming these effects are lacking.

What the research does NOT show: Despite promising pre-clinical signals, the research on Zi Su Ye and its active compounds does NOT demonstrate conclusive clinical efficacy for any specific disease in humans. There is no robust evidence from large-scale, randomized, placebo-controlled clinical trials that Zi Su Ye can treat, cure, or prevent allergic disease, inflammatory disorders, infections, or any other medical condition. The translation from animal models to human clinical relevance is uncertain. This page does not endorse Zi Su Ye as a treatment for any condition.

Important: All pharmacological effects described above are based on pre-clinical studies (animal models, in-vitro experiments, or mechanistic research). They do not constitute evidence of clinical efficacy in humans. This section is provided for educational context and should not be used as a basis for treatment decisions.

Safety Boundaries

General safety profile: Zi Su Ye is widely used in TCM practice and is generally considered to have a favorable safety profile when used appropriately. However, like all herbal products, it is not free of risk. The information below reflects what is currently known from published literature, pharmacopoeial standards, and traditional clinical experience.

Qi deficiency and exterior deficiency: In traditional TCM theory, Zi Su Ye is pungent, warm, and dispersing in nature. Individuals with Qi deficiency or exterior deficiency with spontaneous sweating should generally use Zi Su Ye with caution. Its exterior-releasing action may theoretically worsen Qi leakage and spontaneous sweating in such individuals. Zi Su Ye should only be used under professional guidance with appropriate Qi-tonifying herbs when Qi deficiency coexists with exterior conditions.

Yin deficiency with Heat: In TCM theory, Zi Su Ye's warm and pungent properties are considered inappropriate for individuals with Yin deficiency and Heat signs. Its warm nature may theoretically exacerbate deficiency Heat and damage Yin fluids. Zi Su Ye is traditionally reserved for exterior Cold and Qi stagnation patterns rather than interior Heat conditions.

Pregnancy and lactation: Zi Su Ye is traditionally used to calm the fetus in specific pattern differentiations. However, because it is warm and dispersing in nature, it is traditionally considered that pregnant women with Yin deficiency Heat or excessive interior Heat should use it with caution. Modern pre-clinical data on Zi Su Ye constituents in pregnancy are insufficient to fully establish safety. Do not use Zi Su Ye during pregnancy without direct supervision from a qualified healthcare professional.

Drug interactions: Pre-clinical data suggest that certain constituents in Zi Su Ye, including perilla aldehyde and rosmarinic acid, may have anti-platelet effects, which could theoretically interact with anticoagulant or antiplatelet medications. There is also theoretical potential for interactions with medications metabolized by hepatic cytochrome P450 enzymes. Additionally, because Zi Su Ye may affect immune responses, there is theoretical potential for interactions with immunosuppressive drugs. Clinical interaction data for whole-herb Zi Su Ye are very limited. Consult a qualified healthcare professional before combining Zi Su Ye with any prescription medications.

Reported side effects: Based on available reports, side effects associated with Zi Su Ye are generally rare and mild when used at appropriate doses. Occasional reports include mild gastrointestinal discomfort (nausea or stomach upset), dizziness, or allergic reactions (skin rash) in sensitive individuals. Individuals with known allergies to Lamiaceae (mint family) plants may be at increased risk of allergic reactions. Any suspected adverse effects should be reported to a healthcare professional.

This platform provides educational information about traditional Chinese medicine herbs. It does not recommend, endorse, or prescribe the use of Zi Su Ye or any other herbal product for the treatment of any medical condition. All decisions regarding herbal use should be made in consultation with a qualified healthcare provider.

FAQ

What is Zi Su Ye primarily used for in TCM?
In TCM theory, Zi Su Ye is traditionally used to release the exterior, disperse Cold, move Qi, calm the fetus, and detoxify seafood poisoning. It is indicated for patterns of exterior Wind-Cold presenting as aversion to cold, fever, headache, nasal congestion, and cough. It is also traditionally used for Qi stagnation in the Spleen and Stomach with fullness, distension, and nausea, as well as for restless fetus patterns due to Qi stagnation. These are concepts within the classical TCM theoretical framework and not modern medical diagnoses.
What are the main active compounds in Zi Su Ye?
The most important active compounds in Zi Su Ye include perilla aldehyde (also known as perillaldehyde), rosmarinic acid, luteolin, apigenin, and various flavonoids and volatile oil components. Perilla aldehyde is the principal constituent of the essential oil and has been studied for its anti-inflammatory and anti-allergic effects in pre-clinical research. Rosmarinic acid is a phenolic compound with antioxidant properties that has attracted research interest. Luteolin and apigenin are flavonoids that have been investigated for anti-inflammatory and other activities. However, most of the evidence comes from in-vitro and animal studies; human clinical data remain limited, and definitive conclusions about clinical efficacy cannot be drawn from these findings alone.
What is the difference between Zi Su Ye (Perilla leaf) and Zi Su Zi (Perilla seed)?
Both Zi Su Ye (Perilla frutescens leaf) and Zi Su Zi (Perilla frutescens seed) come from the same plant but are different medicinal parts with distinct traditional properties. Zi Su Ye is the leaf, traditionally used to release the exterior, disperse Cold, and move Qi. Zi Su Zi is the seed, traditionally used to stop coughing, relieve wheezing, and moisten the intestines to promote bowel movements. While both enter the Lung and Spleen meridians, Zi Su Ye is more focused on exterior conditions and Qi stagnation, whereas Zi Su Zi is more focused on Lung Qi rebellion and constipation. They are listed as separate monographs in the Chinese Pharmacopoeia.
Is Zi Su Ye safe during pregnancy?
Zi Su Ye is traditionally used to calm the fetus (an tai) in patterns where restless fetus is attributed to Qi stagnation or exterior conditions. It is one of the few herbs traditionally considered beneficial in pregnancy for specific patterns. However, because Zi Su Ye is warm and pungent in nature, it is traditionally considered that pregnant women with Yin deficiency Heat or excessive interior Heat should use it with caution. Modern pre-clinical data on Zi Su Ye constituents in pregnancy are insufficient to fully establish its safety. Zi Su Ye should only be used during pregnancy under the professional guidance of a qualified TCM practitioner; self-administration is not recommended.
Can Zi Su Ye interact with medications?
Pre-clinical data suggest that certain constituents in Zi Su Ye, including perilla aldehyde and rosmarinic acid, may have anti-platelet and anti-inflammatory effects, which could theoretically interact with anticoagulant or antiplatelet medications. There is also theoretical potential for interactions with medications metabolized by hepatic cytochrome P450 enzymes. Additionally, because Zi Su Ye may affect immune responses, there is theoretical potential for interactions with immunosuppressive drugs. However, clinical data on drug interactions involving whole-herb Zi Su Ye in humans are very limited. Consult a qualified healthcare professional before combining Zi Su Ye with any prescription medications.
In what situations should Zi Su Ye be avoided?
In traditional TCM theory, Zi Su Ye is pungent and warm in nature, and the following situations warrant caution or avoidance: Qi deficiency or exterior deficiency with spontaneous sweating (as its exterior-releasing action may worsen Qi leakage), Yin deficiency with Heat signs (as its warm nature may exacerbate deficiency Heat), and interior Heat patterns without exterior Cold. Individuals with known allergies to Lamiaceae (mint family) plants should also avoid using it.
How is Zi Su Ye used in Xiang Su San?
Xiang Su San (Perilla and Cyperus Powder) is a classical formula featuring Zi Su Ye as the chief herb. It combines Zi Su Ye with Xiang Fu (Cyperus rhizome) and other herbs. The formula is traditionally indicated for exterior Wind-Cold with concurrent Qi stagnation, presenting as aversion to cold, fever, headache, chest and epigastric fullness, and a white-coated tongue. In this formula, Zi Su Ye releases the exterior and disperses Cold, while Xiang Fu moves Qi and relieves stagnation. Together they address both the exterior condition and the internal Qi stagnation. Xiang Su San is historically used for seasonal Cold invasion with digestive discomfort.
How is Zi Su Ye typically processed and used?
The most common form of Zi Su Ye for medicinal use is dried leaves. The leaves are harvested when the plant is in full leaf, typically in summer or autumn, and dried in the shade to preserve the volatile oil content. Raw Zi Su Ye (unprocessed) is the standard form used in decoctions and formulas. In TCM practice, Zi Su Ye is also used fresh (Xian Su Ye) for stronger exterior-releasing action. According to the Chinese Pharmacopoeia, high-quality Zi Su Ye should have intact blades, a purple or purplish-green color, and a characteristic aromatic fragrance. The volatile oil content is an important quality marker.

Related Knowledge

Related Patterns

Related Research

perilla-aldehyde-anti-inflammatoryrosmarinic-acid-antioxidantperilla-flavonoids-allergy

Sources Used on This Page

  1. 1. Chinese Pharmacopoeia Commission

    Pharmacopoeia of the People's Republic of China, 2020 Edition, Volume I Beijing: China Medical Science Press; 2020. Monograph: Perillae Folium.

  2. 2. Shen Nong Ben Cao Jing (Divine Farmer's Materia Medica Classic)

    Original entry: Zi Su (Perilla frutescens). Translated and annotated in: Yang SZ. The Divine Farmer's Materia Medica: A Translation of the Shen Nong Ben Cao Jing Boulder: Blue Poppy Press; 1998.

  3. 3. Li Shizhen

    Ben Cao Gang Mu (Compendium of Materia Medica). Translation: Luo X (ed). Compendium of Materia Medica (Bencao Gangmu) Beijing: Foreign Languages Press; 2003.

  4. 4. Ueda H, et al.

    Anti-inflammatory effect of perilla aldehyde and its mechanism in mice Bioscience, Biotechnology, and Biochemistry. 2002;66(8):1772-1775.

    PMID: 12353655
  5. 5. Tian L, et al.

    Perilla aldehyde inhibits inflammation in LPS-activated RAW264.7 macrophages International Immunopharmacology. 2014;23(2):583-589.

    PMID: 25476896
  6. 6. Makino T, et al.

    Suppressive effects of rosmarinic acid on mesangioproliferative glomerulonephritis in rats Nephron. 2002;92(4):898-904.

    PMID: 12399640
  7. 7. Banno N, et al.

    Anti-inflammatory and anti-allergic effect of Perilla frutescens extract in vivo and in vitro Journal of Health Science. 2004;50(6):612-617.

Continue Your TCM Journey

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Prepared by: TCMIO Editorial TeamLast updated: July 20, 2026Editorial PolicySafety Policy
Medically reviewed by TCMIO Editorial Team on July 2025Evidence-Based
Evidence-based with PubMed-indexed sources · Last updated: 2026-07-20

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Always consult a qualified healthcare professional before using any herbal products, starting any new treatment, or making changes to your existing healthcare regimen. Do not stop or modify any prescribed treatment without consulting your healthcare provider.

If you are experiencing severe or urgent symptoms, seek immediate medical attention by calling emergency services or visiting the nearest emergency department.

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