Highlights
(1) This review covers the five major chemical classes of Leonurus japonicus and details the structures and pharmacological activities of its 34 key constituents.
(2) It systematically elaborates on the origin, medicinal history, and clinical pharmacology research progress of Leonurus japonicus through October 2024.
(3) This traditional Chinese medicine holds significant potential for treating multiple organ diseases and is expected to demonstrate broader organ-protective effects through further in-depth studies.

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