- Kuan Donghua (Coltsfoot flower) is a traditional Chinese medicine used for treating cough and wheezing. Studies show it has antibacterial and antioxidant effects, but it contains toxic components that may be harmful to the liver.
- Research indicates that it may relieve cough and improve respiratory function, but because it contains pyrrolizidine alkaloids (PAs), there are risks of liver damage and potential cancer, so it needs to be used with caution.
- The Western world and modern medicine do not widely recommend it due to these toxicity concerns, although there are studies exploring its benefits. Currently, it is mainly used in alternative medicine.

Coltsfoot Flower, known as 款冬花 (Kuan Dong Hua) in Traditional Chinese Medicine (TCM), is a time-honored herbal remedy celebrated for its ability to soothe coughs and support respiratory health. Whether you’re exploring TCM for the first time or seeking natural ways to ease breathing troubles, this article dives into what Coltsfoot Flower is, its benefits, how it’s used, and the risks you should know about. Let’s uncover the story behind this intriguing herb—straight from ancient wisdom to modern science.
What Is Coltsfoot Flower?

Coltsfoot Flower, or Tussilago farfara, is the dried flower bud of the coltsfoot plant, a member of the Asteraceae family. In TCM, it’s classified as a “cough-relieving and phlegm-transforming” herb, primarily targeting lung-related issues like coughs, asthma, and excessive phlegm1. Native to Europe, Western Asia, and North Africa, this plant has spread to places like North America, often sprouting in clusters along roadsides and damp areas2.
Key Features of Coltsfoot Flower
- Appearance: These buds are small, rod-shaped, about 1-2.5 cm long, with a purple-red or pale red exterior covered in scaly, fish-like bracts. Inside, you’ll find soft, white, fluffy hairs—almost like nature’s cotton candy3.
- Taste and Nature: In TCM, Coltsfoot Flower is pungent, slightly bitter, and warm. It’s linked to the lung meridian, meaning it’s a go-to for respiratory relief4.
- Harvesting: The buds are collected in late winter (around December) before they emerge from the soil, then dried for medicinal use5.
Did You Know? Its Latin name, Tussilago, comes from “tussis” (cough), hinting at its long-standing reputation as a cough remedy across cultures.
Benefits of Coltsfoot Flower in TCM
In TCM, Coltsfoot Flower shines for its ability to moisten the lungs, calm coughs, and clear phlegm6. Its warm, soothing nature makes it a versatile herb for various respiratory woes. Here’s what it can do78:
- Soothes Coughs: Whether it’s a fresh cold-induced cough or a lingering one, Coltsfoot Flower helps quiet the irritation. It’s especially great for coughs tied to cold or sticky phlegm.
- Improves Breathing: By “descending lung qi” (a TCM term for easing lung tension), it reduces wheezing and supports easier breathing—perfect for asthma or bronchitis.
- Nourishes Lung Health: Its moistening effect is a balm for dry, scratchy coughs or those tied to lung weakness, like in chronic conditions.
Think of It Like This: Imagine your lungs as a dry, parched garden. Coltsfoot Flower is the gentle drizzle that softens the soil and clears out the weeds of phlegm and coughs.
What Science Says
Modern research backs some of these traditional claims:
- Cough Relief: Studies, like one in the Journal of Ethnopharmacology, show Coltsfoot Flower extracts can reduce cough frequency and act as an expectorant, helping clear mucus (source).
- Antioxidant Power: It contains polyphenols—compounds that fight cell damage—potentially supporting overall health (source).
- Antimicrobial Effects: Research highlights its ability to combat bacteria and fungi, adding another layer to its respiratory benefits (source).

Uses of Coltsfoot Flower
In Traditional Chinese Medicine
TCM practitioners have relied on Coltsfoot Flower for centuries, tailoring its use to specific conditions9:
- Chronic Coughs: Often paired with Aster (Zi Wan), it tackles stubborn coughs, especially those from cold invading the lungs.
- Asthma with Phlegm: Combined with Ephedra (Ma Huang) or Asarum (Xi Xin), it eases wheezing and clears thick mucus.
- Lung Heat Coughs: Mixed with cooling herbs like Fritillaria (Bei Mu) or Mulberry Bark (Sang Bai Pi), it soothes hot, inflamed lungs.
- Weak Lungs: For long-term coughs due to lung deficiency, it’s blended with tonics like Ginseng (Ren Shen) or Schisandra (Wu Wei Zi).
Preparation Tip: Raw Coltsfoot Flower works for sudden coughs, while honey-fried versions are favored for chronic cases to boost its lung-moistening power10.
Modern and Culinary Uses
Beyond TCM, Coltsfoot Flower pops up in various forms:
- Herbal Tea: Steep 5-10 grams of dried buds in hot water for a soothing drink—add honey for extra comfort11.
- Food-Medicine: In China, it’s recognized as a “food-medicine” by the National Health Commission, sometimes added to soups or porridges in small, safe amounts.
- Cough Remedies: It’s a key ingredient in products like Jie Geng Dong Hua Pian (Platycodon and Coltsfoot Tablets) for cough and phlegm relief12.
Try This: Whip up a TCM-inspired Chuan Bei Qiu Li Gao (Coltsfoot and Pear Paste) with Coltsfoot Flower, lily bulb, and pear juice for a sweet, lung-soothing treat. Check with a practitioner for the recipe!
Risks and Precautions
While Coltsfoot Flower has its perks, it’s not all sunshine and rainbows. The big red flag? Pyrrolizidine alkaloids (PAs)—toxic compounds that can harm your liver and even raise cancer risks13.
Potential Risks
- Liver Damage: PAs can block liver veins, leading to serious conditions like veno-occlusive disease. Case reports, including one of infants exposed to PA-rich teas, highlight this danger (source).
- Cancer Concerns: Animal studies link long-term PA exposure to liver tumors, thanks to compounds like senkirkine (source).
- Blood Clots: A rare case tied Coltsfoot Flower in a supplement to deep vein thrombosis, though other factors may have played a role (source).
Heads Up: Some countries, like Germany, have banned Coltsfoot Flower due to these risks. PA-free versions exist (e.g., Tussilago farfara ‘Wien’), but they’re not widely available (source).
Who Should Avoid It?
- Pregnant or Nursing Women: The risk to babies is too high—steer clear.
- Kids: Only use under a doctor’s watch.
- Liver Issues: If you’ve got liver problems, this herb isn’t your friend.
Safety First: Always check with a healthcare provider before trying Coltsfoot Flower, especially if you’re on meds or have health conditions.
Coltsfoot Flower Around the World
In Western herbal traditions, Coltsfoot Flower once held a similar role—think cough teas and asthma remedies in old Europe. But today, its use has dwindled due to safety worries. The FDA hasn’t approved it, and most Western experts suggest safer alternatives like marshmallow root or thyme (source).
Q&A
Got questions? We’ve got answers:
Q: Is Coltsfoot Flower safe for daily use?
A: No, its toxic PAs make it risky for regular use. Stick to short-term, supervised use—if at all.
Q: How do I make Coltsfoot Flower tea?
A: Boil 5-10 grams of dried buds in water for 10-15 minutes. Strain, sip, and consult a pro first.
Q: What’s a safer alternative for coughs?
A: Try licorice root or honey—gentler on your system and widely trusted.
Q: Does it really work for asthma?
A: TCM says yes, and some studies agree, but the risks might outweigh the benefits for most people1415.
Bottom Line
Coltsfoot Flower (款冬花, Kuan Dong Hua) is a fascinating piece of TCM history, prized for easing coughs, clearing phlegm, and supporting the lungs. From ancient texts to modern labs, its benefits—like soothing respiratory woes—hold up to scrutiny. But its toxic side, driven by pyrrolizidine alkaloids, casts a shadow over its charm, making it a herb to approach with caution.
If you’re tempted to try this “Common Coltsfoot Flower,” talk to a healthcare expert first. Safer options might just be the breath of fresh air you need instead.
Trusted Source
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- https://en.wikipedia.org/wiki/Tussilago ↩︎
- https://www.fs.usda.gov/database/feis/plants/forb/tusfar/all.html ↩︎
- https://yibian.hopto.org/db/?yno=20 ↩︎
- https://gobotany.nativeplanttrust.org/species/tussilago/farfara/ ↩︎
- https://www.vghtc.gov.tw/UnitPage/UnitContentView?WebMenuID=0c24eea8-b78a-4a2a-a2ca-fb977e97b995&UnitDefaultTemplate=1 ↩︎
- https://sys01.lib.hkbu.edu.hk/cmed/mmid/detail.php?pid=B00307&lang=eng ↩︎
- https://baike.baidu.com/item/%E6%AC%BE%E5%86%AC/2639838 ↩︎
- https://m.baidu.com/bh/m/detail/qr_10865164462362362756(Zhang Yuemei, Chief Physician, Department of Traditional Chinese Medicine, Jining Hospital of Traditional Chinese Medicine) ↩︎
- http://m.zhongyoo.com/paozhi/3296.html ↩︎
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- https://www.webmd.com/vitamins/ai/ingredientmono-730/coltsfoot ↩︎
- 邵长荣,屠光英,林钟香,江兰英,章崇仪,王筠默.款冬花治疗哮喘及其药理实验的初步观察[J].上海中医药杂志, 1964(10):12-14. ↩︎
- 朱富华,张玉堂,李敏悟.定喘汤治疗支气管哮喘30例峰速值的疗效观察[J].陕西中医, 2001.DOI:CNKI:SUN:SXZY.0.2001-10-000. ↩︎