Hydrangea febrifuga aka Chinese Quinine
Taxonomy ID: 16848
Hydrangea febrifuga — the species long known as Dichroa febrifuga and as Chang Shan (常山) in Chinese — is an evergreen flowering shrub in the family Hydrangeaceae. Recent taxonomy has folded Dichroa into Hydrangea s.l., making Hydrangea febrifuga the currently accepted name with Dichroa febrifuga as the basionym; an extensive list of synonyms (more than 30) reflects the plant's complicated nomenclatural history across Adamia, Cyanitis and Dichroa. It is best known by the English common names Chinese quinine and fever-flower.
In its wild form the species is an erect, evergreen shrub typically 1-2 m tall, occasionally reaching 3 m. The papery leaves are elliptic to lanceolate and reach 6-25 cm long, with serrate margins; the upper surface is glabrous and the underside is sometimes purplish. Flowers are borne in 3-20 cm corymbose panicles. The petals — oblong-elliptic, slightly fleshy and reflexed at maturity — are blue or white, with the bluest forms developing on strongly acid soils, much as in the better-known mophead hydrangeas. Stamens range from 10 to 20. Mature fruits are dark blue berries 3-7 mm across containing very small seeds.
The species is native across a broad arc of subtropical and tropical Asia: central and southern China, Taiwan, Bhutan, Nepal, Sikkim, northern India, Myanmar, Thailand, Cambodia, Laos, Vietnam, peninsular Malaysia, Sumatra, Borneo, Java, Sulawesi, the Lesser Sunda Islands, the Philippines, and New Guinea.
In cultivation it is rated as easily grown in open, loamy soil with moist conditions, in semi-shade to full sun. It tolerates light sandy through to heavy clay soils and a wide pH range from very acid to slightly alkaline, and is generally hardy to USDA zones 8-11 / UK zone 9. It is propagated from seed or from cuttings of young, nearly ripe wood, and IUCN has not evaluated its conservation status. EPPO does not list the species as a pest or invasive of regulatory concern.
Hydrangea febrifuga's chief claim to fame is medicinal: it is one of the "50 fundamental herbs" of traditional Chinese medicine, where the dried roots (Chang Shan) and leaves are used to treat malarial fevers, coughs, bronchitis and other complaints. The active alkaloids febrifugine and isofebrifugine were isolated from this species in the 1940s; febrifugine has been reported to be 64-100 times more potent than quinine against malaria, but is also markedly more toxic, which has historically limited its clinical use. Modern research has produced the synthetic derivative halofuginone, marketed as Halocur in veterinary medicine and currently being studied for autoimmune disease via selective inhibition of Th17 cells. The plant is also reported to cause vomiting and depress blood circulation when used raw, and is regarded as toxic; preparations are traditionally heated with vinegar or alcohol to mitigate side effects. Apart from its medicinal use, the wood is sometimes burned as fuel.
Common names
Chinese Quinine, Chang Shan, Fever FlowerMore information about Chinese Quinine
How difficult is Hydrangea febrifuga to care for?
Hydrangea febrifuga is described in horticultural references as an easily grown plant once climate is suitable, succeeding in open loamy soil with regular moisture and tolerating partial shade through to full sun. Its main constraint is climate — it is a subtropical/tropical Asian shrub hardy roughly to USDA zone 8 / UK zone 9, so outside warm-temperate or warmer regions it requires container culture or a sheltered, frost-free position rather than special technique.
How big does Hydrangea febrifuga get?
This is an evergreen shrub of moderate, rounded-spreading habit. Most authoritative sources describe mature plants at 1-2 m tall, with field references reporting up to about 3 m. PFAF rates growth as medium.
What temperatures does Hydrangea febrifuga tolerate?
Hydrangea febrifuga is a plant of the Asian subtropics and tropics, ranging in habitat from about 200 m up to 2,400 m elevation. It is rated hardy to USDA zone 8-11 and UK zone 9, indicating it tolerates light frost in mature wood but is not reliably hardy in cold-temperate climates.
What do the flowers of Hydrangea febrifuga look like?
Flowers are arranged in a 3-20 cm corymbose panicle. Petals are oblong-elliptic, slightly fleshy and reflex at maturity in either blue or white forms. As with the showier mophead hydrangeas, flower colour responds to soil chemistry — the bluest forms develop on very acid soils. Bloom time depends on climate: Flora of China records February to April in its native range, while PFAF lists June to August for cooler reference conditions.
What varieties of Hydrangea febrifuga exist?
Wikipedia notes both blue-flowered and white-flowered forms, and Useful Tropical Plants emphasizes that flower colour shifts with soil pH (deepest blue on very acid soils). Many of the variants long treated as separate species — for example Dichroa versicolor (Hydrangea ×versicolor), Dichroa cyanea, Dichroa sylvatica and Dichroa yunnanensis — are now folded into Hydrangea febrifuga as synonyms.
Can Hydrangea febrifuga be grown outdoors?
PFAF and Useful Tropical Plants describe the plant as suited to the subtropics and tropics of eastern Asia and to warmer parts of the temperate zone, hardy to roughly USDA zone 8-11 / UK zone 9. It thrives in open loamy soils with steady moisture and accepts partial shade through to full sun, making it a candidate for sheltered gardens in warm-temperate regions and a reliable shrub in subtropical conditions.
How is Hydrangea febrifuga propagated?
Hydrangea febrifuga is propagated by seed and by cuttings. PFAF specifies sowing seed in a greenhouse in spring and taking cuttings of nearly ripe wood in August; Useful Tropical Plants describes cuttings from young branches.
Is Hydrangea febrifuga edible?
Hydrangea febrifuga has no known edible uses; PFAF rates its edibility 0/5. The fresh sap of leaves and roots is in fact emetic, and raw material is reported to cause vomiting, so the plant should not be considered food.
What are the medicinal uses of Hydrangea febrifuga?
Chang Shan (Hydrangea febrifuga / Dichroa febrifuga) is one of the "50 fundamental herbs" of traditional Chinese medicine and historically the most important Chinese antimalarial herb. The roots and leaves contain the alkaloids febrifugine and isofebrifugine, isolated in the 1940s; febrifugine is reported to be 64-100 times more potent than quinine against malaria, but it is also more toxic, which has limited direct clinical use. The synthetic derivative halofuginone (brand Halocur) is licensed in veterinary medicine and is being researched for autoimmune disease through selective inhibition of Th17 cells. Modern pharmacology also documents anti-inflammatory activity via NF-κB, MAPK and Akt pathway suppression. PFAF gives the species a medicinal rating of 3/5.
What other uses does Hydrangea febrifuga have?
Beyond medicine, Useful Tropical Plants and PFAF report that the wood of Hydrangea febrifuga is used as a fuel; PFAF rates other uses 1/5. No fibre, dye, ornamental hedging or other industrial uses are recorded by the sources surveyed.
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