Herb Purgative herbs that drain downward

Da Huang

Rhubarb | 大黄

Rheum palmatum, Rheum tanguticum or Rheum officinale

TCM Properties

Temperature

Cold

Taste

Bitter

Organ Affinity

Spleen, Stomach, Large Intestine, Liver, Pericardium

Parts Used

Dried root and rhizome

TCM Actions & Uses

Traditional Chinese Medicine properties and applications of Da Huang

Traditional Actions

Purge Full Heat
Strongly break up accumulation
Remove Blood Stagnation

Key TCM Concepts

In Traditional Chinese Medicine (TCM), Da Huang belongs to the 'Purgative herbs that drain downward' category. The herbs in this category are those whose main purpose is to treat constipation. The fact they're 'purgative' means that they do so by removing Excess Heat in the Intestines and/or Stomach. As such all herbs in this category are Cold in nature, in order to cool the Heat.

 

Furthermore Da Huang is Cold in nature. This means that Da Huang typically helps people who have too much 'Heat' in their body. Balance between Yin and Yang is a key health concept in TCM. Those who have too much Heat in their body are said to either have a Yang Excess (because Yang is Hot in nature) or a Yin deficiency (Yin is Cold in Nature). Depending on your condition Da Huang can help restore a harmonious balance between Yin and Yang.

 

Da Huang also tastes Bitter. The so-called 'Five Phases' theory in Chinese Medicine states that the taste of TCM ingredients is a key determinant of their action in the body. Bitter ingredients like Da Huang tends to have a cleansing action on the body by clearing Heat, drying Dampness and promoting elimination via urination or bowel movements.

 

The tastes of ingredients in TCM also determine what Organs and Meridians they target. As such Da Huang is thought to target the Spleen, the Stomach, the Large intestine, the Liver and the Pericardium. In TCM the Spleen assists with digestion, Blood coagulation and Fluids metabolism in the body. The Stomach on the other hand is responsible for receiving and ripening ingested food and fluids. It is also tasked with descending the digested elements downwards to the Small Intestine. The Large Intestine receives the "impure" parts of the digested food from the Small Intestine, absorbs the remaining fluids and excrete the remainder as feces. The Liver is often referred as the body's "general" because it is in charge of regulating the movements of Qi and the Body Fluids. It also takes a leading role in balancing our emotions. The Pericardium is also called the "heart protector". It is the first line of defence for the Heart against external pathogenic influences

Common Applications

Constipation Fever Jaundice Dysentery Hematemesis Nosebleed Conjunctivitis Appendicitis Abdominal pain Sores Abcesses Amenorrhea traumatic bleeding Traumatic swelling Burns

Research Studies

Scientific research and clinical studies on Da Huang

Combination of early enteral nutrition and rhubarb significantly improved the gastrointestinal function, inhibited systemic inflammation and disease severity and mitigated the disease-related damages of liver and kidney function in severe acute pancreatitis patients.1

Rhubarb is an effective herb in alleviating symptoms of primary dysmenorrhoea.2

The rhubarb stalk fiber is effective in lowering serum cholesterol concentrations, especially low-density lipoprotein cholesterol, in hypercholesterolemic men.3

Rhubarb can positively modulate the acute inflammatory response, promote the recovery of postoperative gastrointestinal motility, and benefit enteral nutrition support in patients who have undergone major operations for gastric cancer.4

Sources:

1. Wan B, Fu H, Yin J, Xu F. (2014). Efficacy of rhubarb combined with early enteral nutrition for the treatment of severe acute pancreatitis: a randomized controlled trial. Scand J Gastroenterol. , 49(11):1375-84. doi: 10.3109/00365521.2014.958523.

2. Rehman H, Begum W, Anjum F, Tabasum H, Zahid S. (2015). Effect of rhubarb (Rheum emodi) in primary dysmenorrhoea: a single-blind randomized controlled trial. J Complement Integr Med. , 12(1):61-9. doi: 10.1515/jcim-2014-0004.

3. Goel V, Ooraikul B, Basu TK. (1997). Cholesterol lowering effects of rhubarb stalk fiber in hypercholesterolemic men. J Am Coll Nutr. , 16(6):600-604.

4. Cai J, Xuan ZR, Wei YP, Yang HB, Wang H. (2005). Effects of perioperative administration of Rhubarb on acute inflammatory response in patients with gastric cancer. Zhong Xi Yi Jie He Xue Bao. , 3(3):195-8.

Preparation & Dosage

Traditional and modern methods for preparing Da Huang

Traditional Preparation

Remove the stems and leaves from the rhizome and root, scrape off the rough skin and top buds, slice and dry.

Recommended Dosage

Note: The following information is provided for educational purposes only and is not meant to replace professional medical advice.

3 - 12 grams

Safety & Contraindications

Important safety information and precautions for Da Huang

This information is for educational purposes only. Always consult with a qualified healthcare provider before using any herb or supplement.

Herb-Drug Interactions

Like many herbs, Da Huang may interact with certain medications. If you are taking any prescription medications, we recommend consulting with a healthcare provider knowledgeable in herb-drug interactions.

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