Medicinal herbs have been utilized in the treatment of various pathologic conditions, including neoplasms,
organ fibrosis, and diabetes mellitus. However, the precise pharmacological actions of plant miRNAs
in animals remain to be fully elucidated, particularly in terms of their therapeutic efficacy and mechanism of
action. In this review, some important miRNAs from foods and medicinal herbs are presented. Plant miRNAs
exhibit a range of pharmacological properties, such as anti-cancer, anti-fibrosis, anti-viral, anti-inflammatory
effects, and neuromodulation, among others. These results have not only demonstrated a cross-species regulatory
effect, but also suggested that the miRNAs from medicinal herbs are their bioactive components. This
shows a promising prospect for plant miRNAs to be used as drugs. Here, the pharmacological properties of
plant miRNAs and their underlying mechanisms have been highlighted, which can provide new insights for
clarifying the therapeutic mechanisms of medicinal herbs and suggest a new way for developing therapeutic
drugs.