Achyranthes bidentata, ox knee, Two-toothed Chaff Flower, Ox knee, Pig’s knee

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Achyranthes bidentata Blume commonly known as ox knee is a species of flowering plant in the amaranth family, Amaranthaceae. The plant is native to Asia from India and Ceylon eastwards to China, Nepal, Japan, Indonesia and the Solomon Islands; also in east and west tropical...

For severe symptoms, danger signs, pregnancy, child illness, or sudden worsening, seek urgent medical care.

বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

এই তথ্য শিক্ষা ও সচেতনতার জন্য। এটি ডাক্তারি পরীক্ষা, রোগ নির্ণয় বা প্রেসক্রিপশনের বিকল্প নয়।

Article Summary

Achyranthes bidentata Blume commonly known as ox knee is a species of flowering plant in the amaranth family, Amaranthaceae. The plant is native to Asia from India and Ceylon eastwards to China, Nepal, Japan, Indonesia and the Solomon Islands; also in east and west tropical Africa. It is the source of the Chinese herbal medicine huái niú xī. Two-toothed Chaff Flower, Ox knee, Pig’s knee and Nui...

Key Takeaways

  • This article explains Plant Description in simple medical language.
  • This article explains Ox Knee Facts in simple medical language.
  • This article explains Ox Knee Scientific Classification in simple medical language.
  • This article explains Traditional uses and benefits of Ox Knee in simple medical language.
Educational health guideWritten for patient understanding and clinical awareness.
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Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Achyranthes bidentata Blume commonly known as ox knee is a species of flowering plant in the amaranth family, Amaranthaceae. The plant is native to Asia from India and Ceylon eastwards to China, Nepal, Japan, Indonesia and the Solomon Islands; also in east and west tropical Africa. It is the source of the Chinese herbal medicine huái niú xī. Two-toothed Chaff Flower, Ox knee, Pig’s knee and Nui Xi are some of the well-known common names of the plant. In Nepal its root juice is used for toothache.  Its seeds have been used as a substitute for cereal grains in famine years. The plant is used externally in the treatment of leech bites in Mizoram, India and a decoction as a diuretic.

Plant Description

Ox knee is an erect or straggling much-branched herb that normally grows about 70-120 cm tall. The plant is found growing in Western Ghats, moist deciduous, evergreen forests, forest edges, the sides of streams and shrubberies, moist shady places and amid bushes. Elongated roots are about 0.6 cm to 1 cm across and the color of their skin is earthy yellow. Stem is green or tinged purple, angulate or quadrangular, appressed or spreading pubescent, or nearly glabrous to moderately (rarely more densely) hairy, the nodes frequently much shrunken when dry.

Ox Knee Facts

NameOx Knee
Scientific NameAchyranthes bidentata
NativeAsia from India and Ceylon eastwards to China, Japan, Indonesia and the Solomon Islands; also in east and west tropical Africa
Common NamesTwo-toothed Chaff Flower, Ox knee, Pig’s knee, Nui Xi
Name in Other LanguagesAssamese: Apamarga
Chinese: Niu xi  (牛膝), Huai Nui Xi
English: Pig’s knee, ox knee,
Finnish: Kiinantähkähäntä
Hindi: Putkanda, Chirchira, onga
Japanese: Inokodzuchi (イノコヅチ), hinata-inokozuchi (ヒナタイノコズチ), maruba-inokozuchi (マルバイノコズチ), suberi-hiyu (スベリヒユ),
Kannada: Kaadu uttharaani
Korean: Soemuleup (쇠무릎), teol soe mu reup (털쇠무릎)
Malayalam: Nayaruvichedi,Cherukadaladi, perumkadalaadi (പെരുംകടലാടി)
Mizo: Vangvattur, Vangvathlo
Nepali: Datiwan (दतिवन्), ratoapamarga (रातो अपमार्ग)
Sanskrit: Apamarga
Swedish: Oxknä
Tamil: nayuruvi (நாயுருவி), Sigappu Nayurivi
Thai: H̄̀wy h̄ngū̀c̄hik (ห่วยหงู่ฉิก)
Vietnamese: Ngưu tất
Plant Growth HabitErect or straggling much-branched herb
Growing ClimatesWestern ghats, moist deciduous, evergreen forests,  forest edges, the sides of streams and shrubberies, moist shady places and amid bushes
Plant Size70-120 cm tall
RootElongated roots measuring about 0.6 cm to 1 cm across and the color of their skin is earthy yellow
StemGreen or tinged purple, angulate or quadrangular, appressed or spreading pubescent, or nearly glabrous to moderately (rarely more densely) hairy, the nodes frequently much shrunken when dry.
LeafLeaf blade is elliptic-lanceolate or elliptic and measures anything between 2 cm and 10 cm in length and about 1 cm to 5 cm in width
Flowering seasonAugust to September
FlowerBracts are narrowly lance shaped, brownish-membranous, 3-5 mm, hairless. Bracteoles are 3.5-5.5 mm
Fruit Shape & SizeAchene 3 mm long and 1.5 mm, smooth, cylindrical, longitudinally striate
Fruit ColorReddish-brown
Plant Parts UsedLeaves, seeds, stems, roots
SeedSeeds light brown, oblong, 1 mm long
TasteBitter, Sour
SeasonSeptember to October

Ox Knee Scientific Classification

Scientific Name: Achyranthes bidentata

RankScientific Name & (Common Name)
KingdomPlantae (Plants)
SubkingdomTracheobionta (Vascular plants)
InfrakingdomStreptophyta  (land plants)
Super DivisionSpermatophyta (Seed plants)
DivisionMagnoliophyta (Flowering plants)
Sub DivisionSpermatophytina  (spermatophytes, seed plants, phanérogames)
ClassMagnoliopsida (Dicotyledons)
Sub ClassCaryophyllidae
Super OrderCaryophyllanae
OrderCaryophyllales
FamilyAmaranthaceae (Amaranth family)
GenusAchyranthes L. (chaff flower)
SpeciesAchyranthes bidentata Blume
Synonyms
  • Achyranthes aspera var. fruticosa (Lam.) Boerl
  • Achyranthes bidentata var. bidentata
  • Achyranthes bidentata var. hachijoensis (Honda) H.Hara
  • Achyranthes bidentata var. japonica Miq
  • Achyranthes bidentata var. longifolia Makino
  • Achyranthes bidentata f. rubra F.C.Ho
  • Achyranthes bidentata var. tomentosa (Honda) H.Hara
  • Achyranthes bidentata var. villosa J.L.Lin
  • Achyranthes chinensis Osbeck
  • Achyranthes fauriei H.Lév. & Vaniot
  • Achyranthes fauriei f. rotundifolia Ohwi
  • Achyranthes fauriei var. tomentosa Honda
  • Achyranthes fruticosa Lam
  • Achyranthes hispida Moq
  • Achyranthes japonica (Miq.) Nakai
  • Achyranthes japonica var. hachijoensis Honda
  • Achyranthes japonica var. katsuudakemontana Tawada
  • Achyranthes javanica Moq
  • Achyranthes lanceolata Klein ex Wall
  • Achyranthes longifolia (Makino) Makino
  • Achyranthes longifolia f. rubra F.C.Ho
  • Achyranthes megaphylla Y.H.Li
  • Achyranthes mollicula Nakai
  • Achyranthes ogatai Yamam
  • Achyranthes rotundifolia (Ohwi) M.Suzuki
  • Achyranthes ryukyuensis Tawada
  • Achyranthes wightiana Wall
  • Centrostachys bidentata (Blume) Standl
  • Centrostachys fruticosa (Lam.) Standl
  • Centrostachys moquinii Standl

Leaves

Petioles measure anything between 5 mm and 22 mm. The leaf blade is elliptic-lanceolate or elliptic and measures anything between 2 cm and 10 cm in length and about 1 cm to 5 cm in width. The leaf blades are spiky at the apex, while they are cuneate or wide cuneate at the base. A main margin runs through the length of the leaf blade, which is pubescent on the sides. The spica of the plant is axillary as well as apical.

Flowers

Inflorescences at first dense, finally lax and elongating to as much as 20 cm but commonly about half this length, the inflorescence stalk is 1-4 cm. Bracts are narrowly lance shaped, brownish-membranous, 3-5 mm, hairless. Bracteoles are 3.5-5.5 mm. Tepals are 5, 4-7 mm, the outer longest, all narrowly lance-shaped, very acute, with a distinct midrib and 2 obscure or obvious lateral nerves, narrowly pale-margined. Flowering normally takes place from August to September.

Fruits

Fertile flowers are followed by achene that is 3 mm long and 1.5 mm wide, smooth, cylindrical, longitudinally striate, and reddish-brown. Seeds are light brown, oblong and 1 mm long.

In traditional Chinese medicine, niu xi is supposed to revitalize blood flow. It is used to stimulate menstruation when a period is delayed or light. The herb is also recommended to ease menstrual pain. It is used to relieve pain in the lower back, particularly where the discomfort is attributable to kidney stones. The herb is also taken as a treatment for canker sores, toothache, bleeding gums, and nosebleeds.

Traditional uses and benefits of Ox Knee

  • Roots, leaves and stems are extensively used in Chinese herbal medicine.
  • Roots are anodyne, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।" data-rx-term="anti-inflammatory" data-rx-definition="Anti-inflammatory means reducing inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।">anti-inflammatory, anti-rheumatic, bitter, digestive, diuretic, emmenagogue and vasodilator.
  • They act mostly on the lower half of the body and are used in the treatment of aching back and knees and asthenia of the lower limbs.
  • Research recommends that they can cause enlargement of the cervix and so this herb should not be used when pregnant.
  • Herb is taken internally to treat hypertension, back pains, urine in the blood, menstrual pain, bleeding etc.
  • It lowers blood cholesterol levels and so is used in the treatment of atherosclerosis.
  • Root juice is used in Nepal in the treatment of toothache.
  • Juice is also used in the treatment of indigestion and is considered to be a good treatment for asthma.
  • Stem of the plant is used as a toothbrush that is said to be good for the teeth and is also a treatment for pyorrhea.
  • The plant can be used fresh or dried.
  • Leaves and stems are collected in the summer and are usually crushed for their juice or used in tinctures.
  • Roots are harvested from 1 or 2 year old plants in the autumn or winter and usually dried and ground into a powder or used in decoction.
  • Plant is used externally in the treatment of leech bites in Mizoram, India and a decoction as a diuretic.
  • It clears pus and regulates water metabolism.
  • It breaks up blood stasis, unblocks menstruation, and guides blood downward to treat amenorrhea.
  • It strengthens sinews and bones and benefits the Joints.
  • People apply this herb topically to cure leech bites in Mizoram state of India.
  • Decoction prepared from the herb is taken orally in the form of a diuretic.
  • The herb is also commonly recommended for treating gynecological disorders such as leucorrhea diseases, emmeniopathy and a variety of antenatal as well as postpartum conditions.
  • It is also taken internally for treating high blood pressure, urine in blood, bleeding, menstrual pain and several other conditions.
  • When taken internally, this herb also helps to lower the levels of blood cholesterol and, hence, it is often used for treating atherosclerosis.
  • Root juice is also taken internally to treat indigestion.
  • It is believed that the root is also effective for treating asthma.
  • It encourages menstruation and also regulates the periodicity.
  • Root extract encourages uterine contraction in pregnant women to facilitate easy delivery.
  • It prevents painful urination.
  • It stops oozing of blood through the nose.
  • This root can help to treat Atherosclerosis.
  • Extract from the root is also useful in treating poor vision, nose bleeds, pain in the head or upper neck. সহজ বাংলা: মাথাব্যথা।" data-rx-term="headache" data-rx-definition="Headache means pain in the head or upper neck. সহজ বাংলা: মাথাব্যথা।">headache, tooth ache and weakness and bleeding in the gums.
  • Root extract decreases blood sugar levels.
  • It controls the metabolism of water in the body.
  • You can use the root extract to clear pus formation anywhere in the body.
  • Root extract is useful in improving the enlarged prostate or damaged prostate.
  • Methonolic extract of the root has cancer preventing properties.

Ayurvedic Health benefits of Ox knee

  • Swelling: Prepare a paste of Achyranthes Bidentata root, Coix Seed and Phellodendron Amurense Bark. Apply it on the swollen part thrice a day.
  • Menses Scanty: Prepare a decoction of Achyranthes Bidentata root, Safflower flower and Akebia Vine stalk. Take it, twice a day.

Culinary Uses

  • Seed is a good substitute for cereal grains in bread-making,
  • They have often been used for this purpose in famine years.
  • Leaves are used as a vegetable in the same manner as spinach.

Other Facts

  • Two insect-molting hormones are found in the roots.
  • The stem of the plant is used as a toothbrush that is said to be good for the teeth and is also a treatment for pyorrhea.

Precautions

  • Avoid use during pregnancy and breastfeeding.
  • Roots are highly poisonous.
  • Do not take it if you are experiencing diarrhea or heavy menstruation.

 


References


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Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Orthopedic doctor, rheumatologist, or physiotherapist depending on cause.

What to tell the doctor

  • Write which joints hurt, swelling, morning stiffness duration, fever, injury, and walking difficulty.
  • Bring X-ray, uric acid, ESR/CRP, rheumatoid factor, or previous reports if available.

Questions to ask

  • Is this injury, osteoarthritis, rheumatoid arthritis, gout, infection, or another cause?
  • Which exercises, supports, or lifestyle changes are safe?
  • Do I need blood tests or X-ray?

Tests to discuss

  • Joint examination and range of motion
  • X-ray when chronic arthritis or injury is suspected
  • ESR/CRP, uric acid, rheumatoid tests when inflammatory arthritis is suspected

Avoid these mistakes

  • Do not ignore hot swollen joint with fever.
  • Avoid repeated steroid injections/tablets without a clear diagnosis and follow-up.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Orthopedic / spine specialist, physical medicine doctor, or qualified clinician
Tests to discuss with doctor
  • Neurological examination for leg power, sensation, reflexes, and straight leg raise
  • X-ray only if injury, deformity, long-lasting pain, or doctor suspects bone problem
  • MRI discussion if severe nerve symptoms, weakness, bladder/bowel problem, or persistent symptoms
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?
  • Is physiotherapy, posture correction, or activity modification needed?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Achyranthes bidentata, ox knee, Two-toothed Chaff Flower, Ox knee, Pig’s knee

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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