Asarum albomaculatum prefers consistently moist soil. Water thoroughly when the top centimeter of soil feels dry to the touch. Avoid waterlogged conditions, as this can lead to root rot.

Reduce watering slightly during winter dormancy, but do not allow the soil to dry out completely.

Pruning is generally not required for Asarum albomaculatum. Remove any dead, damaged, or discolored leaves at the base of the plant as needed. This helps maintain a tidy appearance and prevents potential disease spread.

Avoid heavy pruning, as it can disturb the plant's natural growth habit.

Propagation is typically done by division of established clumps. In early spring or autumn, carefully dig up a mature plant and separate it into smaller sections, ensuring each section has roots and at least one shoot.

Replant immediately in well-draining soil, keeping it consistently moist.

Asarum albomaculatum is a slow-growing plant and does not require frequent repotting.

If the plant becomes root-bound or outgrows its container, repot in spring into a slightly larger pot with fresh, well-draining potting mix. Ensure the rhizomes are at or just below the soil surface.