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Medicinal herb · Yang Tonifying

Dōng Chóng Xià Cǎo · Cordyceps

Dōng Chóng Xià Cǎo (冬虫夏草, Cordyceps) is a herb of Warm nature and Sweet flavor, in the “Yang Tonifying” category. Tradition uses it to tonify Kidney Yang, Tonify Lung Yin, Stop Bleeding.

冬虫夏草 · Dōng Chóng Xià CǎoUpdated on

Energetic profile

Pinyin name
Dōng Chóng Xià Cǎo
Characters
冬虫夏草
Botanical name
Cordyceps sinensis (Berk.) Sacc.
Family
Cordycipitaceae
Part used
Fungal body and caterpillar
Nature
Warm
Flavor
Sweet
Meridians
Kidney, Lung
Category
Yang Tonifying
Toxicity
Non-toxic
Pregnancy
Caution
Origin
Tibet, Qinghai, Sichuan

Actions according to tradition

  • Tonify Kidney Yang
  • Tonify Lung Yin
  • Stop Bleeding
  • Transform Phlegm

Traditional uses

  • Kidney deficiency with impotence
  • Sore and weak lower back and knees
  • Chronic cough and wheezing
  • Spontaneous sweating and night sweats
  • Post-illness weakness

Studied effects and current applications

  • Enhances athletic performance
  • Increases energy and stamina
  • Improves respiratory function
  • Supports kidney health
  • Boosts libido
  • Anti-aging properties

Applications under investigation

  • Athletic performance enhancement
  • Chronic fatigue syndrome
  • COPD and asthma
  • Kidney disease
  • Sexual dysfunction
  • Cancer support

An effect being investigated does not mean it has been proven in humans.

Contraindications and adverse effects

Absolute contraindications

  • Auto-immune diseases (may stimulate immune system)
  • Bleeding disorders

Relative contraindications

  • Rapid heart rate
  • Fever
Pregnancy
Insufficient safety data. Avoid or use under supervision.
Breastfeeding
Insufficient safety data.
Children
Limited safety data in children.
Older adults
Generally well-tolerated

Possible adverse effects

  • Dry mouth
  • Nausea
  • Diarrhea
  • Increased bleeding risk

When to stop

  • Before surgery (2 weeks)
  • Signs of bleeding
  • Auto-immune flare

Interactions with medications

GroupDrugsSeverityEffect and recommendation
ImmunosuppressantsCyclosporine, TacrolimusModerateMay counteract immunosuppressive therapy Avoid in transplant recipients
AnticoagulantsWarfarinMildMay mildly affect platelet function Monitor INR
MAO InhibitorsPhenelzineMildPossible additive stimulant-like effects Use cautiously

Reference dose

Decoction
6-12 grams daily
Powder
2-4 grams daily
Extract
As per label
Tincture
2-3 ml (1:5) 2 times daily
Acute use
2-4 weeks
Chronic use
1-3 months
Maximum
Use with breaks
Children
Safe for children in reduced doses.

Forms of preparation

Decoction

Simmer 6-12g for 30-45 min. Can add to soups.

Kidney Yang, lung support

Approximate doses from the literature; they are not a prescription. Consult a professional.

Active compounds

Cordyzepin (adenosine analogue) and beta-glucan polysaccharides

Cordyzepin (3'-deoxyadenosine)

Adenosine nucleoside analogue · Antitumor, antifungal, immunomodulatory, adaptogenic

Inhibition of RNA synthesis (chain termination), AMPK activation, mTOR blockade · 0.1-0.3% in cultivated strains; variable in the wild

Beta-glucans (CS-PS, CPS-1, CPS-2)

β-1,3/1,6-glucan polysaccharides · Immunomodulator, anti-fatigue, hypoglycemic

Macrophage and NK activation, AMPK activation in muscle · 3-10% in cultured mycelium

Ergosterol

Steroid (vitamin D2 precursor) · Immunomodulator, antitumor

Conversion to vitamin D2 by UV light, NK modulation · 0.1-0.4%

D-mannitol (calcium cordycepate)

sugar alcohol · Antioxidant, kidney protector, osmoprotector

Free radical capture, cellular osmotic protection · 2-8%

cordycepic acid

organic acid · Expectorant, pulmonary vasodilator

Reduction of bronchial surface tension, smooth muscle relaxation · variable

Harvesting and processing

Harvest
Spring (May-June) in high mountain areas (3500-5000 m) of Tibet and Qinghai

Hand-picked before the fungal stroma fully emerges and releases spores. The season lasts just 3-4 weeks. Wild Cordyceps (冬虫夏草) is harvested at altitudes of 3500-5000 m when the snow melts. The cultivated one (Cs-4) is available all year round.

Raw dried (冬虫夏草 Dōng Chóng Xià Cǎo)

Whole specimen (larva + stroma) cleaned by hand with a soft brush, dried at low temperature (no more than 40°C) to preserve cordyzepin and adenosine. It is used whole in soups or decocted.

Cultivated mycelium (蛹虫草 Yǒng Chóng Cǎo / Cs-4)

Cordyceps sinensis mycelium grown in the laboratory on rice or other substrates, fermented and freeze-dried. It contains cordycepin and polysaccharides but in variable concentrations depending on the producer.

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.