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Mushrooms, against the public record

Updated

Poria

Wolfiporia extensa · also fu ling, hoelen, tuckahoe

An underground sclerotium harvested from pine roots. One of the most-prescribed single items in Chinese herbal medicine, almost always inside a formula rather than alone.

Repeated trials — its best-evidenced use is kidney

Where it stands: 2 registered trials in people, none of which has reported a result; 8 randomised trials published since 2000.



What it has been tried for, and how far that has got

One row per use. The label is counted rather than argued — it is set by how many randomised trials and posted results exist for that use, and nothing else. How that is worked out.

UseHow far it has gotTrialsWith a resultRandomised, publishedReviewsCommonly taken for it
KidneyRepeated trials0023yes
Viral infectionA first trial1010—
NutritionA first trial0011—
LiverBeing tested now2000—
Fatigue and energyBeing tested now1000—
Immune functionBeing tested now1001—
Mood and anxietyBeing tested now1001—
SleepBeing tested now1001yes
Blood sugarLaboratory work0001—
Cancer, supportive and adjuvantLaboratory work0003—
Memory and focusLaboratory work0001—
Gut and microbiomeLaboratory work0000yes
Fluid retentionLaboratory work0000yes

Commonly taken for gut and microbiome, fluid retention. The work there is still laboratory and animal work — often a great deal of it — and the step into a trial in people has not been taken yet.


The doses the protocols actually specify

Taken verbatim from the intervention description each trial filed. These are not recommendations and they are not comparable to each other: some are a whole-mushroom powder, some a purified fraction.

Dose as filedStudyConditionPeople
10gRSYR for Fatigue Reduction in Cancer Fatigue Caused by ChemotherapyCancer-related Problem/Condition196
20gRSYR for Fatigue Reduction in Cancer Fatigue Caused by ChemotherapyCancer-related Problem/Condition196
6gRSYR for Fatigue Reduction in Cancer Fatigue Caused by ChemotherapyCancer-related Problem/Condition196
3gRSYR for Fatigue Reduction in Cancer Fatigue Caused by ChemotherapyCancer-related Problem/Condition196
30gA Series of N-of-1 Trials of Traditional Chinese Medicine Based on Bayesian MethBronchiectasis, Quality of Life71
15gA Series of N-of-1 Trials of Traditional Chinese Medicine Based on Bayesian MethBronchiectasis, Quality of Life71
20gA Series of N-of-1 Trials of Traditional Chinese Medicine Based on Bayesian MethBronchiectasis, Quality of Life71
10gA Series of N-of-1 Trials of Traditional Chinese Medicine Based on Bayesian MethBronchiectasis, Quality of Life71
150mlClinical Observation of Qingwei Huazhuo Decoction (Product: Jinsaiyu) in ImproviPrecocious Puberty94
9gMulticenter RCT of Eye-Brain Imaging in Diabetes Neurovascular CouplingDiabetes Mellitus, Diabetic Retinopathy160
0.5mgMulticenter RCT of Eye-Brain Imaging in Diabetes Neurovascular CouplingDiabetes Mellitus, Diabetic Retinopathy160
17gThe Efficacy of Tradition Chinese Medicine in Patients With Irritable Bowel SyndIrritable Bowel Syndrome104
34gThe Efficacy of Tradition Chinese Medicine in Patients With Irritable Bowel SyndIrritable Bowel Syndrome104
14.5 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
3.0 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
2.5 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
2.0 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
1.5 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
1.0 gEffect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney DiseaseDiabetic Kidney Disease66
10gStudy on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette SyndromeTourette Syndrome in Children60
5gStudy on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette SyndromeTourette Syndrome in Children60
500 mLStudy on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette SyndromeTourette Syndrome in Children60
300 mLStudy on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette SyndromeTourette Syndrome in Children60
250 mLStudy on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette SyndromeTourette Syndrome in Children60
15 gEvaluating the Effects of Traditional Chinese Medicine by N-of-1 TrialsBronchiectasis, Quality of Life36
30 gEvaluating the Effects of Traditional Chinese Medicine by N-of-1 TrialsBronchiectasis, Quality of Life36
20 gEvaluating the Effects of Traditional Chinese Medicine by N-of-1 TrialsBronchiectasis, Quality of Life36
10 gEvaluating the Effects of Traditional Chinese Medicine by N-of-1 TrialsBronchiectasis, Quality of Life36
100 mg/dayDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
2 capsuleDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
11mgDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
5gDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
10gDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
0.5mgDefining the Functional Role of Iron in Aerobic Training and Physical PerformancIron Deficiency Without Anemia109
10gSerum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao TPolycystic Ovary Syndrome105
15gSerum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao TPolycystic Ovary Syndrome105
20gSerum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao TPolycystic Ovary Syndrome105
30gSerum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao TPolycystic Ovary Syndrome105
140 mLSerum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao TPolycystic Ovary Syndrome105
300mlExploring the Impact of Nephropathy Formula No. 1 on Chronic Kidney Disease PatiRenal Insufficiency, Chronic70

Every registered study that names it

From ClinicalTrials.gov, filtered to studies that name Wolfiporia extensa or a synonym in the title, summary or intervention. Studies that have posted results come first.

RegisterStudyConditionPeopleStatusResult postedDose in the protocol
NCT05229029RSYR for Fatigue Reduction in Cancer Fatigue Caused by Chemotherapy
TCM Formula, Placebo
one ingredient in a multi-herb preparation
Cancer-related Problem/Condition196Unknown—10g, 20g
NCT04601792A Series of N-of-1 Trials of Traditional Chinese Medicine Based on Bayesian Method
Individualized Decoction, placebo
one ingredient in a multi-herb preparation
Bronchiectasis, Quality of Life71Unknown—30g, 15g
NCT06266559Efficacy Evaluation of Chang Geng Healthy Drink on Patients With Non-alcoholic Fatty Liver Disease
Chang Geng Healthy Drink
Non-Alcoholic Fatty Liver Disease60Unknown——
NCT02332486Based on Metabonomics Dryness Pathogen Type of OLP: a Dynamic Study
Qingxuan Decoction
one ingredient in a multi-herb preparation
Oral Lichen Planus25Unknown——
NCT07141615Clinical Observation of Qingwei Huazhuo Decoction (Product: Jinsaiyu) in Improving Children With Precocious Pu
Qingwei Huazhuo Decoction: Mulberry leaf powder, lotus leaf powder, ma
one ingredient in a multi-herb preparation
Precocious Puberty94Terminated—150ml
NCT06813274Multicenter RCT of Eye-Brain Imaging in Diabetes Neurovascular Coupling
hypoglycemic treatment, Tangshen'an Granules
one ingredient in a multi-herb preparation
Diabetes Mellitus, Diabetic Retinopathy160Not yet recruiting—9g, 0.5mg
NCT00676975The Efficacy of Tradition Chinese Medicine in Patients With Irritable Bowel Syndrome
Traditional Chinese Medicine, Traditional Chinese Medicine Placebo
one ingredient in a multi-herb preparation
Irritable Bowel Syndrome104Completed—17g, 34g
NCT07657351Effect of Chinese Herbal Medicine on Renal Function in Diabetic Kidney Disease
Chinese herbal formula DKD-1
one ingredient in a multi-herb preparation
Diabetic Kidney Disease66Not yet recruiting—14.5 g, 3.0 g
NCT07417371Study on the Mechanism of Pei Tu Ning Feng Tang in Alleviating Tourette Syndrome Via Functional Near-Infrared
Tourette Syndrome (TS) children were administered Pei Tu Ning Feng Tan
one ingredient in a multi-herb preparation
Tourette Syndrome in Children60Completed—10g, 5g
NCT07493603A Study on Yiyang Huoluo Decoction in the Treatment of Coronary Heart Disease
Yiyang Huoluo Decoction, conventional western medicine treatment
one ingredient in a multi-herb preparation
Coronary Heart Disease, Coronary Artery Disease30Recruiting——
NCT03147443Evaluating the Effects of Traditional Chinese Medicine by N-of-1 Trials
Individualized Decoction, placebo
one ingredient in a multi-herb preparation
Bronchiectasis, Quality of Life36Unknown—15 g, 30 g
NCT04846010Recovering Damaged Cells for Sequelae Caused by COVID-19, SARS-CoV-2
PurWet, FurFat
Sequelae of; Infection, Post Infection Glomerulonephritis2000Unknown——
NCT03002090Defining the Functional Role of Iron in Aerobic Training and Physical Performance
Iron trained, Iron Untrained
one ingredient in a multi-herb preparation
Iron Deficiency Without Anemia109Completed—100 mg/day, 2 capsule
NCT07061171CPAP and Physiotherapy for Heart Failure and Sleep Apnea in the Elderly
Continuous Positive Airway Pressure, Herbal Decoction
one ingredient in a multi-herb preparation
Chronic Heart Failure, Obstructive Sleep Apnea170Completed——
NCT03623451Serum Metabolomics Study of Traditional Chinese Medicine Formula (Shen Qi Tiao Ti Formula) Intervention to Pol
Chinese Medicine Formula
one ingredient in a multi-herb preparation
Polycystic Ovary Syndrome105Unknown—10g, 15g
NCT06796660Exploring the Impact of Nephropathy Formula No. 1 on Chronic Kidney Disease Patients
Nephropathy Formula No. 1, integrated basic treatment for chronic kidn
one ingredient in a multi-herb preparation
Renal Insufficiency, Chronic70Not yet recruiting—300ml, 2.6 g
NCT05622877The Proteomic Study and Early Intervention Study of Carotid Unstable Plaque
Qushi Formula, Zhu's Wenban Formula
one ingredient in a multi-herb preparation
Protein; Disease, Carotid Artery Plaque300Unknown——
NCT07657338Effect of Chinese Herbal Medicine on Kidney Function in Non-Diabetic CKD
Chinese herbal formula CKD-1
one ingredient in a multi-herb preparation
Non-diabetic Chronic Kidney Disease66Not yet recruiting—13.5 g, 3.0 g
NCT05847959The Relationship Between XinKang-I and Chronic Heart Failure
Traditional Chinese medicine prescription:XinKang-I
one ingredient in a multi-herb preparation
Traditional Chinese Medicine110Unknown—20 g, 10 g
NCT06381960Clinical Study on the Prevention and Treatment of Postoperative Metastasis of Lung Cancer by Fuzheng Quxie Rec
Fuzheng Quxie Recipe, Fuzhengquye Fang Recipe simulant
one ingredient in a multi-herb preparation
Lung Cancer356Unknown—15g
NCT04935073Traditional Chinese Medicine Herbs in the Freeze-all IVF Cycle
Prescription of traditional Chinese Medicine named Er Zhi Wan combined
one ingredient in a multi-herb preparation
Infertility, Female90Unknown—15 g, 12 g

The compounds the research names

Formula and mass from PubChem. Naming a compound is not a claim that it does anything in a person.

pachymic acid

C33H52O5

528.8 g/mol · PubChem CID 5484385

poricoic acid A

C31H46O5

498.7 g/mol · PubChem CID 5471851


In the kitchen

What it tastes like

Bland and starchy, close to tasteless.

How it is cooked

Not a culinary mushroom. Ground into a powder for cakes and congee in China, or simmered inside a herbal formula rather than eaten on its own.


Where it has been recorded, and when it fruits

20 verified occurrence records with coordinates, from GBIF. This is where people have recorded it, which follows where recorders live as much as where the fungus grows — read the shape, not the ranking.

Records by country

United States13
Canada3
Japan2
Brazil1
Switzerland1

Records by month

JFMAMJJASOND

Most records fall in Jun. Northern-hemisphere recorders dominate the dataset, so a southern population would not show here.

iNaturalist separately holds 11 research-grade observations of it.


What has been reported going wrong

No voluntary adverse-event report to the US Food and Drug Administration names a product by this name. That is an absence of reports, not a demonstration of safety: these are the products least likely to be reported on, because nobody is required to.

Every report, every species


The newest randomised trials and reviews

Indexed in Europe PMC. Titles and journals only — follow the link to read the paper where the publisher allows it.

YearStudyJournalKindCitations
2026Clinical effects of adjunctive spleen- and kidney-invigorating Chinese herbal therapy combined with highly active antire open accessMalawi Med JRandomised trial0
2026Efficacy and safety of medicine-food homology Shenqi paste in older adults with diabetic sarcopenia: A randomized, doublJ EthnopharmacolRandomised trial0
2026Application of the TCM inheritance computing platform to summarize clinical practice patterns in recurrent urinary tractPak J Pharm SciReview or meta-analysis0
2025Efficacy of Chinese herbal medicines combined with high-intensity focused ultrasound for patients with uterine fibroids:PhytomedicineReview or meta-analysis4
2025Edible and Medicinal Fungi as Candidate Natural Antidepressants: Mechanisms and Nutritional ImplicationsMol Nutr Food ResReview or meta-analysis11
2025Traditional herbal medicine for obesity-related polycystic ovary syndrome: a meta-analysis and data mining study open accessFront PharmacolReview or meta-analysis1
2025Efficacy and safety of Chinese herbal medicine for metabolic conditions: a systematic review and meta-analysis of random open accessFront PharmacolReview or meta-analysis1
2025Method of invigorating spleen and replenishing kidney and resolving phlegm for obesity-type polycystic ovary syndrome: a open accessFront Med (Lausanne)Review or meta-analysis1
2025Chinese herbal medicine for the treatment of children with cerebral palsy: a meta-analysis of randomized controlled tria open accessFront PharmacolReview or meta-analysis0
2024Efficacy and safety of traditional plant-based medicines for preventing chronic oxaliplatin-induced peripheral neurotoxiJ EthnopharmacolReview or meta-analysis6
2024Focus on podocytes: diabetic kidney disease and renal fibrosis - a global bibliometric analysis (2000-2024) open accessFront PharmacolReview or meta-analysis8
2024Efficacy and safety of traditional Chinese medicine decoction as an adjuvant treatment for diabetic nephropathy: a syste open accessFront PharmacolReview or meta-analysis13
2023Rapid increase in immune surveillance and expression of NKT and γδT cell activation markers after consuming a nutraceuti open accessPLoS OneRandomised trial7
2018Poria cocos Wolf extracts represses pigmentation in vitro and in vivoCell Mol Biol (Noisy-le-grand)Randomised trial10
2011Alleviating effects of dehydration under no hyperthermia on the immunomodulatory response to the polysaccharide fractionChin Med J (Engl)Randomised trial5
2006Effects of switching to wen-jing-tang (unkei-to) from preceding herbal preparations selected by eight-principle pattern Am J Chin MedRandomised trial18
2005Comparing the effects of estrogen and an herbal medicine on peripheral blood flow in post-menopausal women with hot flasAm J Chin MedRandomised trial28
2000Treatment of incipient diabetic nephropathy by clearing away the stomach-heat, purging the heart fire, strengthening theJ Tradit Chin MedRandomised trial3