Published online Jun 16, 2022. doi: 10.5497/wjp.v11.i2.6
Peer-review started: January 18, 2022
First decision: February 8, 2022
Revised: February 19, 2022
Accepted: May 17, 2022
Article in press: May 17, 2022
Published online: June 16, 2022
Processing time: 148 Days and 20.2 Hours
Lomatogonium rotatum (L. rotatum) Fries ex Nym, a dry whole grass belonging to the family Gentianaceae, is widely used to treat liver diseases in Mongolian medicine. In Mongolian medicine, L. rotatum Fries ex Nym, also known as Digeda, is a rare medicinal herb with low yield and widespread clinical use. Currently, it is included in over 25 traditional Mongolian medicine prescriptions that help reduce heat, dispel xieri, enhance stomach function, and heal wounds. Recent studies have shown that L. rotatum Fries ex Nym contains a variety of metabolites, including flavonoids, xanthone compounds, terpenoids, organic acids, steroids, and alkaloids. In addition, its anti-hepatitis B, anti-inflammatory, anti-acute liver injury, and anti-obesity effects have been proven by pharmacological studies. In this review, we summarize the ecological resources, traditional pharmacodynamics, chemical constituents, and pharmacological actions of L. rotatum Fries ex Nym, with an aim to provide a theoretical basis for future applied research and new product development.
Core Tip: As a highly distinctive Mongolian medicinal herb, Lomatogonium rotatum (L. rotatum) Fries ex Nym is traditionally used to prevent and treat liver and gallbladder diseases. However, its clinical application value and further development are limited by strict requirements on its growing environment, high demand for medicinal materials, decrease in wild resources, and insufficient scientific and technological availability in ethnic minority areas. Currently, a total of 38 compounds have been isolated and identified from L. rotatum Fries ex Nym, with flavonoids, xanthones, and terpenoids being the main metabolites. Pharmacological studies have mainly focused on hepatitis, liver injury, and weight loss, but mechanisms of pharmacological activity remain elusive and further comprehensive in vivo and in vivo experimental designs are needed to elucidate these issues.