Herb

Qu Mai

Dianthus herb | 瞿麦

Also known as:

Dianthus Flower

Parts Used

Whole plant / Aerial parts (全草 quán cǎo)

*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.

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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Qú Mài (fringed pink herb) is a cooling herb primarily used for urinary tract problems, including painful or difficult urination, urinary infections, and urinary stones. It works by clearing Heat and promoting urine flow. It also has a secondary ability to promote menstruation by moving stagnant Blood, but should be strictly avoided during pregnancy.

Herb Category*

Main Actions*

  • Promotes Urination and Relieves Stranguria
  • Clears Heat from the Heart and Small Intestine
  • Invigorates Blood and Regulates Menstruation
  • Clears Damp-Heat from the Lower Burner

How These Actions Work*

'Promotes urination and relieves stranguria' is the primary action of Qú Mài. Stranguria (lin syndrome) refers to painful, difficult, or dribbling urination, often with a burning sensation. Qú Mài's bitter and cold nature allows it to descend and drain, directing Heat downward and out through the urine. This makes it particularly effective for what TCM calls 'hot stranguria' (painful urination caused by Heat in the Bladder), 'blood stranguria' (blood in the urine from Heat forcing Blood out of the vessels), and 'stone stranguria' (urinary stones with painful blockage).

'Clears Heat from the Heart and Small Intestine' refers to the herb's ability to drain fire from the Heart channel downward via the Small Intestine to the Bladder. In TCM, the Heart and Small Intestine are paired organs connected by an interior-exterior relationship. When Heart Fire flares, it can transfer Heat to the Small Intestine and Bladder, causing dark scanty urine, mouth sores, and irritability. Qú Mài enters the Heart and Small Intestine channels and guides this Heat out through urination.

'Invigorates Blood and unblocks menstruation' is a secondary but clinically important action. Qú Mài can break through Blood stagnation in the lower body, making it useful for amenorrhea (missed periods) due to Blood stasis combined with Heat. Because of this Blood-moving action, it is strictly avoided during pregnancy, as it can stimulate uterine contractions and has historically been noted for its ability to cause miscarriage.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Qu Mai 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 Qu Mai addresses this pattern

Qú Mài is one of the most direct herbs for Damp-Heat accumulating in the Bladder. Its bitter taste drains and dries Dampness, while its cold temperature clears Heat. It enters the Heart, Small Intestine, and Bladder channels, allowing it to clear Heat from the entire Heart-Small Intestine-Bladder axis and guide it downward and out through urination. This directly addresses the core pathomechanism of this pattern, where Damp-Heat obstructs the Bladder's function of transforming and excreting fluids, leading to painful, frequent, and turbid urination.

A practitioner would look for one or more of these signs

Painful Urination

Burning, dribbling, or difficult urination (hot stranguria)

Urinary Tract Infection

Frequent, urgent urination with turbid or dark urine

Blood in Urine

Blood in the urine due to Heat forcing Blood from the vessels

Abdominal Distention

Lower abdominal fullness and urgency

TCM Properties*

Temperature

Cold

Taste

Bitter (苦 kǔ)

Channels Entered
Heart Small Intestine Urinary Bladder
Parts Used

Whole plant / Aerial parts (全草 quán cǎo)

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

*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.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Treasure of the East

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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

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Processing Methods

Processing method

Soaked in bamboo sap (竹沥) for one full day and night, then drained and sun-dried. This is the classical processing method described in the Léi Gōng Páo Zhì Lùn.

How it changes properties

Bamboo sap is cold and slippery in nature, which enhances Qú Mài's ability to clear Heat and promote the smooth flow of urination. This processing slightly strengthens the Heat-clearing action while making the herb gentler on the Stomach.

When to use this form

Historically used when the primary goal is clearing Heat from the Heart and Small Intestine channels and promoting urination for hot stranguria. This classical processing method is rarely seen in modern practice, where the raw cut herb is standard.

Classical Incompatibilities

Qu Mai does not appear on the Eighteen Incompatibilities (十八反) or Nineteen Mutual Fears (十九畏) lists. However, the Ben Cao Jing Ji Zhu records that Qu Mai 'is antagonistic to (恶) Sang Piao Xiao (桑螵蛸, mantis egg case)' and notes that 'Suo Cao (蓑草) and Mu Dan (牡丹, tree peony root bark) serve as its envoys (使).'

Special Populations

Pregnancy

Contraindicated in pregnancy. Qu Mai has been recognized as an abortifacient since the earliest classical texts. The Shen Nong Ben Cao Jing explicitly lists 'breaks the fetus and causes miscarriage' (破胎堕子) among its primary actions. Modern pharmacological research confirms this: Qu Mai decoction has a pronounced stimulating effect on uterine smooth muscle, and animal studies show it has significant effects on implantation, early pregnancy, and mid-pregnancy, with abortifacient potency increasing in a dose-dependent manner. It should not be used at any stage of pregnancy.

Breastfeeding

No specific classical or modern safety data on Qu Mai during breastfeeding is well established. Given its bitter, cold nature and its strong draining and blood-moving properties, it has the potential to affect milk quality or reduce milk production by depleting fluids and Qi. Caution is advised, and use should only occur under professional guidance if clearly indicated.

Pediatric Use

No specific classical dosage guidelines for children exist. Standard practice is to reduce the adult dose proportionally based on age and body weight. Due to its bitter, cold, and draining nature, Qu Mai should be used cautiously in children, particularly those with weak digestion or a tendency toward loose stools. It is best reserved for clear presentations of damp-heat in the urinary system and should be used for short durations only.

Dietary Advice

While taking Qu Mai, avoid excessively cold and raw foods, as these can further tax the Spleen and Stomach Qi that may already be affected by this cold-natured herb. Favour warm, easily digestible foods. Increase fluid intake to support the diuretic action and prevent excessive fluid depletion. Avoid greasy, rich, or spicy-hot foods that may generate further damp-heat in the lower burner.

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.