Compound Monograph
Paeonol
Paeonol is a volatile phenolic acetophenone (2′-hydroxy-4′-methoxyacetophenone) — the aromatic principle and quality marker of moutan cortex (tree-peony root bark, Mu Dan Pi), and a constituent of red and white peony root. It is chemically distinct from the peony-root glycosides paeoniflorin and albiflorin. Its best-developed signal is cardiovascular/anti-atherosclerotic, on a broad NF-κB anti-inflammatory base — but almost all of it is animal or in-vitro work on the isolate, held back by poor oral bioavailability.
Sources · 9
Where Does It Come From?
Paeonol is a naturally occurring phenolic acetophenone (2′-hydroxy-4′-methoxyacetophenone), found in Moutan cortex / tree-peony root bark, Red peony root, White peony root and 6 other sources. It is well tolerated orally (low toxicity).
Concentration
Content by Source
Concentrations not reported. No percent-dry-weight or mg/g figures have been published for this compound in its source plants.
Paeonol at a Glance
Paeonol is a small phenolic acetophenone (2′-hydroxy-4′-methoxyacetophenone) — the volatile, aromatic principle of moutan cortex (Mu Dan Pi), the root bark of tree peony (Paeonia suffruticosa), and a constituent of red and white peony root (Paeonia lactiflora). It is the characteristic marker and one of the actives of moutan cortex 1Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →.
Chemically it is quite distinct from the peony-root monoterpene glycosides paeoniflorin and albiflorin: paeonol is the volatile phenol, they are the water-soluble glycosides, and the two families do different things.
Its best-developed signal is cardiovascular — anti-atherosclerotic and endothelial-protective in animal models — layered on a broad anti-inflammatory action that runs largely through NF-κB / TLR4 suppression; the analgesic, anti-allergic and neuroprotective effects follow from that same anti-inflammatory core. The load-bearing caveat is that almost all of this is animal or in-vitro work on the isolated molecule, and paeonol’s poor oral bioavailability is the central obstacle to translating it into human use 1,
Paeonol vs. the Peony Glycosides
Peony chemistry has two distinct active families, and paeonol belongs to the smaller, more volatile one. The pharmacopoeial markers of white peony root are the monoterpene glycosides paeoniflorin and its isomer albiflorin — water-soluble, non-volatile molecules that drive the peony root’s smooth-muscle-relaxant and antispasmodic reputation. Paeonol is chemically unrelated: a small phenolic acetophenone (2′-hydroxy-4′-methoxyacetophenone), volatile and aromatic, and it is not the same molecule as the glycosides despite the shared “paeon-” root of the names 1Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →.
It is also distributed differently across the peony forms. Paeonol is comparatively minor in white peony root and concentrated in the root bark of tree peony (moutan cortex, Paeonia suffruticosa; Mu Dan Pi) and in red peony root, so its presence and level help distinguish the peony chemotypes 1,
What It's Used For
Paeonol’s preclinical record is substantial and internally coherent — a cardiovascular headline sitting on an anti-inflammatory base — but the compound-page discipline dominates: nearly all of it is rodent or cell-line work on purified paeonol, and the isolate’s poor oral bioavailability makes the effective doses hard to reach from the herb 1,
Support is an experimental score — weighted by study type (human > animal > in vitro) and volume. A beta, not a validated metric. Every row here is isolate rodent/cell work (no isolate human efficacy trial exists), so scores stay modest by design; read the per-row basis.
The most-developed application, and the one that gives paeonol its identity. In a rabbit high-fat-diet model, oral paeonol attenuated atherosclerotic lesion development, an effect attributed to its anti-inflammatory activity 6Reference 6Paeonol attenuates high-fat-diet-induced atherosclerosis in rabbits by anti-inflammatory activityView study →.
In mice, chronic paeonol improved endothelium-dependent relaxation by suppressing endoplasmic-reticulum-stress-mediated oxidative stress 8Reference 8AnimalChronic treatment with paeonol improves endothelial function in mice through inhibition of endoplasmic reticulum stress-mediated oxidative stressView study →, and it slowed vascular smooth-muscle-cell senescence via SIRT1/p53/TRF2 signalling 7Reference 7Paeonol Attenuates Atherosclerosis by Inhibiting Vascular Smooth Muscle Cells Senescence via SIRT1/P53/TRF2 Signaling PathwayView study →.
Multiple dedicated reviews compile its reported actions on endothelial adhesion molecules, VSMC proliferation, platelet aggregation and lipid handling 2,
All isolate; all animal or cell.
Gap: there are no human cardiovascular-endpoint trials of paeonol — the anti-atherosclerotic case rests entirely on rabbit/rodent isolate models and mechanism reviews, at exposures its poor oral bioavailability makes hard to achieve clinically 2,
The mechanistic core beneath most of the other effects. Isolated paeonol suppresses NF-κB-driven inflammation across a range of models: it reduced carrageenan-evoked thermal hyperalgesia with lowered inflammatory mediators 9Reference 9Anti-inflammatory and analgesic effects of paeonol in carrageenan-evoked thermal hyperalgesiaView study →, eased CFA-induced inflammatory pain by inhibiting the HMGB1/TLR4/NF-κB p65 axis 10Reference 10Paeonol ameliorates CFA-induced inflammatory pain by inhibiting HMGB1/TLR4/NF-κB p65 pathwayView study →, attenuated experimental ulcerative colitis via PPAR-γ and NF-κB modulation 11Reference 11Paeonol alleviates ulcerative colitis by modulating PPAR-γ and nuclear factor-κB activationView study →, and lessened LPS-induced acute lung injury through TLR4/MyD88/NF-κB signalling 12Reference 12Paeonol ameliorates lipopolysaccharides-induced acute lung injury by regulating TLR4/MyD88/NF-κB signaling pathwayView study →.
Isolate, rodent/cell throughout.
Gap: a consistent and mechanistically clear NF-κB signal, but no human anti-inflammatory trial of the isolate, and the effective doses are high relative to what poor bioavailability delivers 1,
Paeonol was antinociceptive in classic in-vivo work — reducing carrageenan-evoked thermal hyperalgesia alongside its anti-inflammatory action, i.e. the analgesia tracks the anti-inflammatory mechanism rather than an opioid one 9Reference 9Anti-inflammatory and analgesic effects of paeonol in carrageenan-evoked thermal hyperalgesiaView study →. A recent rat study found paeonol (given with glycyrrhizic acid) normalised a nitroglycerin-induced migraine-like phenotype through GABBR2/TRPM8/PRKACA/TRPV1 signalling 13Reference 13AnimalPaeonol and glycyrrhizic acid in combination ameliorate the recurrent nitroglycerin-induced migraine-like phenotype in rats by regulating the GABBR2/TRPM8/PRKACA/TRPV1 pathwayView study →.
Gap: the migraine data are a two-compound combination, not the isolate, and all analgesic evidence is animal — no human analgesic trial of paeonol exists 13Reference 13AnimalPaeonol and glycyrrhizic acid in combination ameliorate the recurrent nitroglycerin-induced migraine-like phenotype in rats by regulating the GABBR2/TRPM8/PRKACA/TRPV1 pathwayView study →.
A recurring, reasonably replicated signal. Paeonol inhibited systemic anaphylaxis and reduced histamine and TNF-α release in rodent/mast-cell work 18Reference 18Paeonol inhibits anaphylactic reaction by regulating histamine and TNF-alphaView study →, attenuated substance-P-induced urticaria by blocking Src-kinase phosphorylation in mast cells 19Reference 19Paeonol attenuates Substance P-induced urticaria by inhibiting Src kinase phosphorylation in mast cellsView study →, and, as one of the antiallergic constituents of Paeonia lactiflora root (with paeoniflorin), suppressed allergic responses 20Reference 20Antiallergic effect of the root of Paeonia lactiflora and its constituents paeoniflorin and paeonolView study →.
Gap: rodent/mast-cell isolate models plus one whole-root study; no human allergy trial, and the whole-root work cannot separate paeonol from co-constituents 20Reference 20Antiallergic effect of the root of Paeonia lactiflora and its constituents paeoniflorin and paeonolView study →.
Isolated paeonol was neuroprotective and anticonvulsant in an intrahippocampal kainate model of temporal-lobe epilepsy 14Reference 14Paeonol exerts neuroprotective and anticonvulsant effects in intrahippocampal kainate model of temporal lobe epilepsyView study →, protected against neural damage in streptozotocin-induced diabetic rats 15Reference 15AnimalNeuroprotective effect of paeonol in streptozotocin-induced diabetes in ratsView study →, and protected dopaminergic cells in a cell model of Parkinson’s disease 16Reference 16Wang H, et al. (2015). [Neuroprotective effects of paeonol in a cell model of Parkinson disease]. Journal of Zhejiang University (Medical Sciences). https://pubmed.ncbi.nlm.nih.gov/25851972/View study →. The through-line is again anti-inflammatory/antioxidant protection rather than a distinct neuro-receptor action.
Gap: rodent and cell-model isolate work only; no clinical neuroprotection data, and CNS exposure of a poorly-bioavailable phenol is unquantified in humans 14,
Paeonol improved glucose and lipid metabolism in experimental diabetes by activating Akt signalling in rodents 17Reference 17Paeonol Ameliorates Glucose and Lipid Metabolism in Experimental Diabetes by Activating AktView study →, consistent with the metabolic/vascular benefits reported in its diabetic-neuropathy and endothelial work 8,
Gap: essentially a single rodent isolate model; no human metabolic trial of paeonol 17Reference 17Paeonol Ameliorates Glucose and Lipid Metabolism in Experimental Diabetes by Activating AktView study →.
In vitro, paeonol arrested colorectal-cancer cells in G0/G1 and induced apoptosis by inhibiting Wnt/β-catenin signalling 21Reference 21Paeonol exerts anti-tumor activity against colorectal cancer cells by inducing G0/G1 phase arrest and cell apoptosis via inhibiting the Wnt/β-catenin signaling pathwayView study →, and immuno-oncology reviews compile similar in-vitro/animal antitumor and immunomodulatory signals across several tumour types 27Reference 27ReviewInsight into the immunomodulatory and chemotherapeutic mechanisms of paeonol (Review)View study →.
Gap: largely in-vitro cell-line work with scattered animal support; no clinical oncology evidence, and the concentrations used exceed anything a swallowed dose would reach 21,
Mechanisms
| Target / pathway | Effect | Relevant to |
|---|---|---|
| NF-κB / TLR4-MyD88 / HMGB1 | suppresses inflammatory transcription and cytokine release (TNF-α, IL-6) | anti-inflammatoryanalgesiccolitislung injury |
| Endothelial ER stress & oxidative stress | ↓ ER-stress-mediated ROS → improved endothelium-dependent relaxation | cardiovascular / endothelial |
| SIRT1 / p53 / TRF2 | delays vascular smooth-muscle-cell senescence | anti-atherosclerotic |
| Mast-cell Src kinase / degranulation | ↓ histamine and TNF-α release; inhibits anaphylactic reaction | anti-allergic |
| TRPV1 / TRPM8 (with GABBR2) | modulates nociceptive channel signalling | analgesic / migraine (combination) |
| Akt signalling | improves glucose and lipid handling | antidiabetic / metabolic |
| Wnt / β-catenin | cell-cycle arrest + apoptosis in tumour cell lines | antitumor (in vitro) |
The load-bearing point is convergence: NF-κB / TLR4 suppression sits upstream of the anti-inflammatory, analgesic, colitis, lung-injury and mast-cell effects, while the SIRT1 and ER-stress routes carry the distinct cardiovascular story. One anti-inflammatory theme, several downstream applications.
Pharmacokinetics
Paeonol is a small, lipophilic, volatile phenol with poor water solubility, and this — not toxicity — is the defining fact of its pharmacokinetics. Oral bioavailability is low and systemic exposure short-lived: it is rapidly absorbed but also rapidly metabolised and eliminated, and it is volatile at room temperature 1Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →. These liabilities are exactly why a large share of the paeonol literature is devoted to delivery systems — nanoemulsions, niosomes, liposomes, micro- and nanoparticles, ethosomes and topical gels engineered to raise its oral bioavailability and stability 1,
Clinical Trials
Human evidence is thin and indirect: there are no efficacy trials of isolated oral paeonol. The closest randomised data are for combination products — a fixed-dose apocynin–paeonol tablet (APPA) tested in symptomatic knee osteoarthritis 22Reference 22RCTThe efficacy and safety of a fixed-dose combination of apocynin and paeonol, APPA, in symptomatic knee OA: A double-blind, randomized, placebo-controlled, clinical trialView study → and a paeonol-containing toothpaste for dentine hypersensitivity 23Reference 23RCTEfficacy of a toothpaste containing paeonol, potassium nitrate, and strontium chloride on dentine hypersensitivity: A double-blind randomized controlled trial in Chinese adultsView study →.
| Completed | Planned | Terminated | Preclinical |
|---|---|---|---|
| Combination products only — APPA apocynin–paeonol tablet (knee OA) 22Reference 22RCTThe efficacy and safety of a fixed-dose combination of apocynin and paeonol, APPA, in symptomatic knee OA: A double-blind, randomized, placebo-controlled, clinical trialView study →; paeonol toothpaste (tooth sensitivity) 23Reference 23RCTEfficacy of a toothpaste containing paeonol, potassium nitrate, and strontium chloride on dentine hypersensitivity: A double-blind randomized controlled trial in Chinese adultsView study → | — | — | Extensive isolate: cardiovascular / anti-inflammatory / neuroprotective (rodent & in-vitro) |
Last checked: July 2026.
Isolate vs. Plant Studies
Paeonol is unusually isolate-heavy on the mechanism side and thin on the plant/human side. The anti-atherosclerotic, anti-inflammatory, analgesic, mast-cell, neuroprotective and antitumor findings above almost all test purified paeonol in rodents or cell lines 6,
Prevalence in Nature
Paeonol’s headline occurrence is the root bark of tree peony (moutan cortex, Paeonia suffruticosa; Mu Dan Pi), where it is the characteristic volatile phenolic and one of the chemical markers used to fingerprint and grade the herb by UPLC 25Reference 25Quality Evaluation of the Traditional Chinese Medicine Moutan Cortex Based on UPLC Fingerprinting and Chemometrics AnalysisView study →. It is also present in red peony and, as a minor constituent, in white peony root (Paeonia lactiflora) 1,
Concentrations vary widely with species, plant part and the white-versus-red / processing distinction, and paeonol’s content is precisely what separates the tree-peony-bark and red-peony chemotypes from paeonol-poor white peony root 1,
Discovery & Synthesis
Paeonol has long been known as the fragrant principle of moutan cortex (Mu Dan Pi), the root bark of tree peony, and it is a structurally simple acetophenone — 2′-hydroxy-4′-methoxyacetophenone — readily obtained either by extraction / steam distillation of the bark or by straightforward chemical synthesis 1Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →. Because the molecule is small and cheap to make, and because the reviewed literature spans decades of synthetic-derivative chemistry, commercially available paeonol is often synthetic rather than plant-extracted, and much research uses purified reference-grade material 1,
Patents: not yet researched.
Toxicity & Safety
Paeonol carries a low flag. In animal studies it has low acute oral toxicity and a long history of dietary and traditional exposure as the aromatic of moutan cortex; the practical limitation on the molecule is not toxicity but its poor oral bioavailability and volatility, which cap systemic exposure 1,
As with any vascular-active, platelet-modulating phenol, a theoretical additive effect with antiplatelet or anticoagulant agents cannot be excluded from the mechanism data, and paeonol has not been characterised for reproductive/developmental toxicity as an isolate 2,
- Low acute toxicity. Paeonol has low acute oral toxicity in animal studies and a long history of exposure as the aromatic principle of moutan cortex 1Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →.
- Poor bioavailability — not toxicity — is the real limit. Low water solubility, low oral bioavailability and volatility keep systemic exposure low; it is why so much research is on delivery systems 1,
24Reference 1Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonolView study →Reference 24Paeonol nanoemulsion for enhanced oral bioavailability: optimization and mechanismView study → . - Theoretical additive antiplatelet/vascular effect. Mechanistic actions on platelets and endothelium mean a possible additive effect with antiplatelet/anticoagulant drugs cannot be excluded; not quantified in humans 2,
3Reference 2ReviewBiological Activities of Paeonol in Cardiovascular Diseases: A ReviewView study →Reference 3ReviewReview of the Protective Mechanism of Paeonol on Cardiovascular DiseaseView study → . - Human safety data are combination products only. The apocynin–paeonol tablet and paeonol toothpaste were well tolerated, but the isolate lacks a full human safety package 22,
23Reference 22RCTThe efficacy and safety of a fixed-dose combination of apocynin and paeonol, APPA, in symptomatic knee OA: A double-blind, randomized, placebo-controlled, clinical trialView study →Reference 23RCTEfficacy of a toothpaste containing paeonol, potassium nitrate, and strontium chloride on dentine hypersensitivity: A double-blind randomized controlled trial in Chinese adultsView study → .
Dosage
There is no established or recommended human dose for isolated paeonol. Efficacy figures in the literature are animal or in-vitro research doses — frequently tens to hundreds of mg/kg in rodents — and are not convertible to human self-dosing; and paeonol’s poor oral bioavailability means a swallowed dose delivers far less to plasma than in-vitro potency implies 1,
References
- Adki KM, Kulkarni YA (2020). Chemistry, pharmacokinetics, pharmacology and recent novel drug delivery systems of paeonol. Life Sciences. https://pubmed.ncbi.nlm.nih.gov/32179072/
- Vellasamy S, et al. (2021). Biological Activities of Paeonol in Cardiovascular Diseases: A Review. Molecules. https://pubmed.ncbi.nlm.nih.gov/34443563/
- Yang C, et al. (2023). Review of the Protective Mechanism of Paeonol on Cardiovascular Disease. Drug Design, Development and Therapy. https://pubmed.ncbi.nlm.nih.gov/37525853/
- Yu W, et al. (2022). A review on therapeutical potential of paeonol in atherosclerosis. Frontiers in Pharmacology. https://pubmed.ncbi.nlm.nih.gov/35991897/
- Lu L, et al. (2018). Beneficial Effects Exerted by Paeonol in the Management of Atherosclerosis. Oxidative Medicine and Cellular Longevity. https://pubmed.ncbi.nlm.nih.gov/30524649/
- Li H, et al. (2009). Paeonol attenuates high-fat-diet-induced atherosclerosis in rabbits by anti-inflammatory activity. Planta Medica. https://pubmed.ncbi.nlm.nih.gov/19003727/
- Zhou M, et al. (2024). Paeonol Attenuates Atherosclerosis by Inhibiting Vascular Smooth Muscle Cells Senescence via SIRT1/P53/TRF2 Signaling Pathway. Molecules. https://pubmed.ncbi.nlm.nih.gov/38202844/
- Choy KW, et al. (2017). Chronic treatment with paeonol improves endothelial function in mice through inhibition of endoplasmic reticulum stress-mediated oxidative stress. PLoS One. https://pubmed.ncbi.nlm.nih.gov/28562691/
- Chou TC (2003). Anti-inflammatory and analgesic effects of paeonol in carrageenan-evoked thermal hyperalgesia. British Journal of Pharmacology. https://pubmed.ncbi.nlm.nih.gov/12871833/
- Qiu C, et al. (2021). Paeonol ameliorates CFA-induced inflammatory pain by inhibiting HMGB1/TLR4/NF-κB p65 pathway. Metabolic Brain Disease. https://pubmed.ncbi.nlm.nih.gov/33180213/
- Cheng S, et al. (2024). Paeonol alleviates ulcerative colitis by modulating PPAR-γ and nuclear factor-κB activation. Scientific Reports. https://pubmed.ncbi.nlm.nih.gov/39117680/
- Wang F, et al. (2019). Paeonol ameliorates lipopolysaccharides-induced acute lung injury by regulating TLR4/MyD88/NF-κB signaling pathway. Die Pharmazie. https://pubmed.ncbi.nlm.nih.gov/30782259/
- Zhang Y, et al. (2024). Paeonol and glycyrrhizic acid in combination ameliorate the recurrent nitroglycerin-induced migraine-like phenotype in rats by regulating the GABBR2/TRPM8/PRKACA/TRPV1 pathway. Journal of Ethnopharmacology. https://pubmed.ncbi.nlm.nih.gov/38908492/
- Ramazi S, et al. (2022). Paeonol exerts neuroprotective and anticonvulsant effects in intrahippocampal kainate model of temporal lobe epilepsy. Journal of Chemical Neuroanatomy. https://pubmed.ncbi.nlm.nih.gov/35718291/
- Adki KM, et al. (2021). Neuroprotective effect of paeonol in streptozotocin-induced diabetes in rats. Life Sciences. https://pubmed.ncbi.nlm.nih.gov/33577853/
- Wang H, et al. (2015). [Neuroprotective effects of paeonol in a cell model of Parkinson disease]. Journal of Zhejiang University (Medical Sciences). https://pubmed.ncbi.nlm.nih.gov/25851972/
- Xu F, et al. (2019). Paeonol Ameliorates Glucose and Lipid Metabolism in Experimental Diabetes by Activating Akt. Frontiers in Pharmacology. https://pubmed.ncbi.nlm.nih.gov/30941042/
- Kim SH, et al. (2004). Paeonol inhibits anaphylactic reaction by regulating histamine and TNF-alpha. International Immunopharmacology. https://pubmed.ncbi.nlm.nih.gov/14996419/
- Ding Y, et al. (2023). Paeonol attenuates Substance P-induced urticaria by inhibiting Src kinase phosphorylation in mast cells. Cellular Immunology. https://pubmed.ncbi.nlm.nih.gov/37224634/
- Lee B, et al. (2008). Antiallergic effect of the root of Paeonia lactiflora and its constituents paeoniflorin and paeonol. Archives of Pharmacal Research. https://pubmed.ncbi.nlm.nih.gov/18449501/
- Liu LH, et al. (2020). Paeonol exerts anti-tumor activity against colorectal cancer cells by inducing G0/G1 phase arrest and cell apoptosis via inhibiting the Wnt/β-catenin signaling pathway. International Journal of Molecular Medicine. https://pubmed.ncbi.nlm.nih.gov/32626954/
- Bihlet AR, et al. (2024). The efficacy and safety of a fixed-dose combination of apocynin and paeonol, APPA, in symptomatic knee OA: A double-blind, randomized, placebo-controlled, clinical trial. Osteoarthritis and Cartilage. https://pubmed.ncbi.nlm.nih.gov/38697511/
- Li J, et al. (2023). Efficacy of a toothpaste containing paeonol, potassium nitrate, and strontium chloride on dentine hypersensitivity: A double-blind randomized controlled trial in Chinese adults. Heliyon. https://pubmed.ncbi.nlm.nih.gov/37025919/
- Chen S, et al. (2018). Paeonol nanoemulsion for enhanced oral bioavailability: optimization and mechanism. Nanomedicine (London). https://pubmed.ncbi.nlm.nih.gov/29338580/
- Fang W, et al. (2025). Quality Evaluation of the Traditional Chinese Medicine Moutan Cortex Based on UPLC Fingerprinting and Chemometrics Analysis. Metabolites. https://pubmed.ncbi.nlm.nih.gov/40278410/
- Wang J, et al. (2020). Paeonol Derivatives and Pharmacological Activities: A Review of Recent Progress. Mini-Reviews in Medicinal Chemistry. https://pubmed.ncbi.nlm.nih.gov/31644406/
- Barnes P, et al. (2025). Insight into the immunomodulatory and chemotherapeutic mechanisms of paeonol (Review). Medicine International. https://pubmed.ncbi.nlm.nih.gov/40083771/
