Euphorbia haeleeleana Euphorbia haeleeleana Euphorbia haeleeleana, the Kauai spurge, is a species of flowering plant in the croton family, Euphorbiaceae, that is endemic to the islands of Kauai and Oahu in Hawaii. Like other Hawaiian spurges it is known as `akoko. It inhabits dry, coastal mesic, and mixed mesic forests from . Associated plants include ōhia lehua ("Metrosideros polymorpha"), koa ("Acacia koa"), lama ("Diospyros sandwicensis"), kukui ("Aleurites moluccanus"), aalii ("Dodonaea viscosa"), wiliwili ("Erythrina sandwicensis"), hala pepe ("Pleomele" spp.), ohe kukuluāeo ("Reynoldsia sandwicensis"), and āulu ("Sapindus oahuensis"). Kauai Spurge is a small tree, reaching a height of . It is threatened by habitat
Nin Jiom Pei Pa Koa in 1962, and continue to manufacture and sell the product worldwide. "Pei pa koa" had annual sales of HK$350 million in 2014. A study at the China Academy of Traditional Chinese Medicine published in a 1994 article, "Pharmacological studies of nin jion pei pa koa", states that Nin Jiom Pei Pa Koa had significant cough relieving and sputum removing effects. In four acute or sub-acute inflammatory models, the anti-inflammatory effect was marked.." "Pei pa koa" is made up of a blend of herbal ingredients including the fritillary bulb ("Bulbus fritillariae cirrhosae", 川貝母), loquat leaf ("Eriobotrya japonica", 枇鈀葉), ladybell root ("Adenophora