American Society of Hirudotherapy

Shuizhi (Chinese Medicinal Leech) Pharmacological Review

Comprehensive review of ~100 chemical constituents + bioactivities of Chinese medicinal leech (Shuizhi) — Liu 2025 covering anticoagulant, antithrombotic, antiatherosclerotic, anti-fibrotic, anti-inflammatory activities.

Preclinical / mechanisticLast updated: 2026-05-28 · Reviewed by ASH Editorial Board

Mechanistic Evidence Box

Preclinical / mechanistic
Page type
Compound profile
Evidence type
Comprehensive review of ~100 chemical constituents + bioactivities of Chinese medicinal leech (Shuizhi) — Liu 2025 covering anticoagulant, antithrombotic, antiatherosclerotic, anti-fibrotic, anti-inflammatory activities.
Evidence level
Expert consensus
Drug vs leech
Whole medicinal leech
Safety domains
Bleeding · Antibiotic stewardship

Clinical translation limit

Shuizhi is a TCM material covered under Chinese regulatory frameworks (NMPA); its safety / efficacy claims outside that regulatory context, and outside the FDA-cleared K040187 venous-congestion-flap-salvage indication, are not established by FDA.

Molecular Profile

Category
Other
Evidence tier
Preclinical
Source species
Hirudo nipponia / Whitmania pigra (Shuizhi)
Discovered
2025 · Liu J et al.
Shuizhi (Chinese Medicinal Leech) Pharmacological Review molecular structure

Biological Targets

  • coagulation cascade; thrombus; atherosclerotic plaque; fibrotic tissue; inflammatory cytokines

Key Citations

  1. Liu J et al. (2025), J Ethnopharmacol · PMID 40998138

External Resources

    Related Other Compounds

    This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.