Herb

Bai Wei

Pulsatilla Root | 白薇

Also known as:

Bai Wei , Cynanchum root , Versicolorous swallowwort root

Parts Used

Root (根 gēn)

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Select Product Type

Select Supplier

Select Size

Quantity

$32.00 ($0.32/g)
For shipments to: United States Change
Standard Shipping (3-5 business days): $4.99
Express Shipping (1-2 business days): $9.99
Free shipping on orders over $75

About This Herb

Traditional Chinese Medicine background and properties

Herb Description

Bái Wēi is a cooling herb best known for treating lingering low-grade fevers, especially those caused by depleted body fluids after illness or childbirth. It clears Heat from deep within the Blood without drying out the body, which makes it unusual among cold herbs. It is also used for painful urination with blood, hot swollen sores, and sore throat.

Herb Category

Main Actions

  • Clears Deficiency Heat
  • Clears Heat and Cools the Blood
  • Promotes Urination and Relieves Stranguria
  • Resolves Toxicity and Heals Sores

How These Actions Work

'Clears deficiency Heat' (退虚热) is Bái Wēi's primary action. Unlike herbs that fight acute, high fevers from infection, Bái Wēi specializes in the low-grade, lingering fevers that arise when the body's cooling fluids (Yin) are depleted. This makes it especially useful for conditions like afternoon or evening fevers, night sweats, and the persistent low fevers that can follow childbirth or chronic illness. A classical teaching notes that Bái Wēi clears Heat from the Blood level without damaging the body's fluids, giving it a subtle nourishing quality that most cold herbs lack.

'Cools the Blood and clears Heat' (凉血清热) means Bái Wēi can address Heat that has penetrated deeply into the Blood. This applies when warm-pathogen diseases reach the nutritive (Ying) and Blood levels, showing signs like high fever, restlessness, a deep red tongue, or even delirium. Its salty taste draws it into the Blood, while its bitter and cold nature clears Heat there.

'Promotes urination and relieves painful urinary dysfunction' (利尿通淋) refers to its ability to help with 'hot' or 'bloody' urinary conditions, where there is burning, urgency, or blood in the urine. By cooling Heat in the Blood and Bladder, it helps resolve these symptoms.

'Resolves toxins and heals sores' (解毒疗疮) means Bái Wēi can be applied both internally and externally for hot, swollen sores, abscesses, sore throat, and even snakebite. Its cold nature directly counteracts the toxic Heat driving these conditions.

Patterns Addressed

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Bai Wei is traditionally associated with these specific patterns.

The following describes this herb's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Bai Wei addresses this pattern

Bái Wēi's bitter and salty Cold nature allows it to enter the Blood level through the Stomach, Liver, and Kidney channels to clear the deficiency Heat that arises when Yin is insufficient. Unlike many cold herbs that damage fluids, Bái Wēi clears Heat while subtly supporting Yin. This makes it particularly suited for Yin Deficiency Heat, where the body's cooling resources are depleted and low-grade fever persists. Classical commentators noted that it is 'cold yet does not injure Yin fluids or essence,' making it an ideal choice when the patient cannot tolerate drying or harsh cold herbs.

A practitioner would look for one or more of these signs

Low Grade Fever

Persistent low-grade fever, especially afternoon or evening

Night Sweats

Night sweats or spontaneous sweating

Tidal Fever

Bone-steaming tidal fever (骨蒸潮热)

Dry Mouth

Dry mouth and throat with a red tongue

TCM Properties

Temperature

Cold

Taste

Bitter (苦 kǔ), Salty (咸 xián)

Channels Entered
Stomach Liver Kidneys
Parts Used

Root (根 gēn)

This is partial information on the herb's TCM properties. More detailed information is available on the herb's dedicated page

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

Quantity Description

Loading quantity information...

Concentration Ratio

Loading concentration information...

Fabrication Method

Loading fabrication information...

Supplier Certifications

Loading certifications information...

Botanical & Sourcing

Quality Indicators

Good quality Bai Wei root is yellowish-brown on the surface, with fine, slender, straight roots that are uniform in thickness. The roots should snap cleanly when bent, producing a small puff of fine powder. The cross-section shows a yellowish-white cortex (outer layer) and a yellow woody center, with the cortex being noticeably thicker than the wood. The root should be solid (not hollow). The aroma is faint and slightly fragrant. The taste is mildly bitter. Avoid roots that are dark, hollow, overly soft, or have an off smell. The best commercial grade is known as 'Dong Bai Wei' (from Shandong), with roots that are fine, straight, and pale yellowish externally with a whitish interior.

Primary Growing Regions

The historically prized 'terroir' (dao di yao cai) source for Bai Wei is Shandong province, particularly the areas of Ju County, Yishui, and Rizhao, where the herb has been regarded as the finest quality since the late Ming dynasty and is known commercially as 'Dong Bai Wei' (Eastern Bai Wei). Other major producing regions include Liaoning and Anhui provinces. The herb is also produced in Hubei, Jiangsu, Zhejiang, Fujian, Gansu, Hebei, Shanxi, and throughout northeastern and central China. Wild populations have declined severely due to over-harvesting, making cultivated sources increasingly important.

Harvesting Season

Spring and autumn. Autumn harvest is considered superior. After 2 to 3 years of cultivation, roots are dug up, washed, and dried in the sun.

Supplier Information

Treasure of the East

Loading supplier information...

Loading supplier attributes...

Miscellaneous Info

No additional information available

Usage & Safety

How to use this herb and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This herb is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

Loading storage and consumption information...

Traditional Dosage Reference

Standard

4.5-15g

Maximum

Up to 15g in standard decoction. Do not exceed 30g due to risk of cardiac glycoside toxicity (reported toxic threshold is 30-45g), which can cause palpitations, nausea, vomiting, and dizziness.

Notes

Standard decoction dose is 4.5 to 9g for most clinical applications. Higher doses up to 15g may be used for more pronounced Heat conditions such as Blood-level Heat in warm-febrile disease or persistent low-grade fever. For postpartum deficiency Heat and blood syncope, classical formulas (such as Bai Wei Tang from the Jin Gui Yao Lue) used relatively larger amounts (around 18g in the original formula, divided across multiple doses). When used for urinary tract Heat or blood in the urine, moderate doses of 6 to 9g are typical. As the herb can cause mild nausea in sensitive patients, combining with Da Zao (jujube) can help prevent gastrointestinal discomfort.

Processing Methods

Processing method

The dried root segments are stir-fried with rice wine (黄酒) until the wine is absorbed and the herb is slightly dry.

How it changes properties

Wine processing enhances Bái Wēi's ability to enter the Blood level and improves its circulation-promoting activity. The slight warmth of wine helps guide the herb's cold nature more deeply into the channels and Blood vessels, potentially moderating its cold nature slightly.

When to use this form

Preferred when Bái Wēi is used specifically for Blood-level Heat conditions, such as Blood Heat causing menstrual irregularities or bleeding, or when a deeper penetration into the Blood level is desired.

Toxicity Classification

Non-toxic

Bai Wei is classified as non-toxic in the Chinese Pharmacopoeia at standard doses. However, it contains cardiac glycosides (steroidal glycosides) and a volatile oil component called 'Bai Wei Su' (baiweisin) that have digitalis-like effects on the heart, strengthening cardiac contractions and slowing the heart rate. Overdose (reported toxic threshold is approximately 30 to 45g) can produce cardiac glycoside-type poisoning symptoms including palpitations, nausea, vomiting, dizziness, headache, diarrhea, and excessive salivation. At standard dosages (4.5 to 15g), these effects are not clinically significant. Some patients may experience mild gastrointestinal discomfort such as nausea; combining the herb with Da Zao (jujube dates) can help mitigate these symptoms.

Contraindications

Caution

Spleen and Stomach deficiency cold with poor appetite and loose stools. Bai Wei is bitter and cold, and can further damage an already weak and cold digestive system.

Caution

Blood deficiency without Heat. As stated in the classical text Ben Cao Cong Xin: 'Suitable for Blood Heat; contraindicated in Blood deficiency.' Using this cold herb when there is no Heat to clear can further deplete already weakened Blood and Yin.

Avoid

Profuse sweating with Yang collapse (excessive perspiration with signs of Yang exhaustion). The cold nature of Bai Wei can further damage already depleted Yang Qi.

Avoid

Patients with atrioventricular block, acute endocarditis, hypokalemia, hypercalcemia, or recent acute myocardial infarction. Bai Wei contains cardiac glycosides that have digitalis-like effects and can dangerously worsen these cardiac conditions.

Caution

Diarrhea due to internal cold or deficiency. As noted in the Ben Cao Jing Shu, when diarrhea results from cold in the interior after purging, Bai Wei should not be used.

Classical Incompatibilities

Bai Wei does not appear on the classical Eighteen Incompatibilities (十八反) or Nineteen Mutual Fears (十九畏) lists. However, the Ben Cao Jing Ji Zhu (Collected Commentaries on the Classic of Materia Medica) records that Bai Wei is 'averse to' (恶, e) Huang Qi, Da Huang, Da Ji, Gan Jiang, Gan Qi (dry lacquer), Da Zao, and Shan Zhu Yu. These 'aversions' (xiang e) are a lesser category of incompatibility than the Eighteen Incompatibilities, indicating that these combinations may reduce Bai Wei's effectiveness rather than produce dangerous toxicity.

Special Populations

Pregnancy

Use with caution during pregnancy. Bai Wei's cold nature and Blood-cooling properties could theoretically affect fetal nourishment by depleting maternal Blood warmth. While it has been used historically in certain pregnancy-related formulas (such as Bai Wei San for pregnancy-related urinary incontinence), this was always done in carefully balanced combinations. It is not classified as a formally prohibited pregnancy herb, but its bitter-cold nature and cardiac glycoside content warrant caution. Pregnant women should not take Bai Wei without professional guidance.

Breastfeeding

Insufficient data exists on the transfer of Bai Wei's active components (particularly cardiac glycosides and steroidal saponins) into breast milk. Given the presence of digitalis-like compounds that could theoretically affect an infant's cardiovascular system, caution is warranted. Nursing mothers should avoid Bai Wei or use it only under close professional supervision at conservative dosages and for short durations.

Pediatric Use

Bai Wei is used in several pediatric Chinese patent medicines including Xiao Er Gan Mao Cha (Children's Cold Tea) and Xiao Er Tui Re Kou Fu Ye (Children's Fever-Reducing Oral Liquid), indicating established pediatric use for clearing Heat and reducing fever. Dosage should be reduced to approximately one-third to one-half of the adult dose depending on the child's age and weight. It is most suitable for children presenting with Yin-deficient fever or lingering low-grade Heat after febrile illness. Due to its cold nature, it should not be used in children with weak digestion, poor appetite, or loose stools.

Drug Interactions

Cardiac glycosides (digoxin, digitoxin): Bai Wei contains steroidal glycosides with digitalis-like activity that strengthen cardiac contraction and slow heart rate. Concurrent use with pharmaceutical cardiac glycosides could produce additive or synergistic cardiotoxic effects, potentially leading to dangerous arrhythmias. This combination should be avoided.

Antiarrhythmic medications: Due to its cardiac glycoside content, Bai Wei may interact with antiarrhythmic drugs (such as amiodarone or quinidine) by altering cardiac conduction. Use with caution and medical oversight.

Diuretics (especially potassium-depleting types): Bai Wei itself has mild diuretic properties. Hypokalemia from potassium-depleting diuretics (furosemide, hydrochlorothiazide) can increase sensitivity to cardiac glycoside toxicity. Monitor electrolytes if co-administered.

Dietary Advice

While taking Bai Wei, avoid excessively cold and raw foods if there is any underlying Spleen weakness, as the herb's cold nature can compound digestive strain. Avoid spicy, greasy, and hot-natured foods when Bai Wei is being used to clear Heat and cool Blood, as these can counteract the therapeutic intent. If using Bai Wei for Yin-deficient Heat, favor nourishing, moistening foods such as pear, lily bulb, and congee to support the Yin-nourishing strategy.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.