Your new experience awaits. Try the new design now and help us make it even better

REVIEW article

Front. Microbiol.

Sec. Microorganisms in Vertebrate Digestive Systems

This article is part of the Research TopicRodent Model Organisms: Therapeutic Treatments and Drugs Interaction with the Gut Microbiome, Volume IIView all 34 articles

Jinzhi and Fecal Microbiota Transplant ation: A Comparative Review of Historical and Modern Microbial Therapeutics

Provisionally accepted
Muqi  LiMuqi Li*Lijiao  DaiLijiao DaiYang  YangYang YangSiyu  ChenSiyu ChenJing  MaJing MaPeimin  FengPeimin Feng
  • Chengdu University of Traditional Chinese Medicine, Chengdu, China

The final, formatted version of the article will be published soon.

Since its formal introduction in 1958, Fecal Microbiota Transplantation (FMT) has gained prominence. However, challenges remain in standardizing protocols and optimizing efficacy. This review provides a systematic comparison between the historical practice of Jinzhi and modern FMT, focusing on their preparation methodologies. We hypothesize that specific, underexplored features of Jinzhi preparation could inform and refine current FMT practices. Specifically, we propose that the utilization of adolescent donors, underground low-temperature fermentation, and the deliberate consideration of seasonal timing—all integral to Jinzhi's traditional protocol—may offer novel insights and testable hypotheses for enhancing microbial diversity, functionality, and therapeutic stability in FMT. By bridging this ancient wisdom with modern microbiome science, we aim to outline a novel and actionable framework for developing the next generation of microbiota-based therapeutics, urging future research to empirically test these historically-inspired hypotheses.

Keywords: Administration, Donor, fecal microbiota transplantation, Flora characteristics, FMT, Jinzhi, loess, Microbial composition

Received: 07 Sep 2025; Accepted: 23 Jan 2026.

Copyright: © 2026 Li, Dai, Yang, Chen, Ma and Feng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Muqi Li

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.