Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Warm Exterior-Releasing

Dú Huó · Pubescent Angelica Root

Dú Huó (独活, Pubescent Angelica Root) is a herb of Warm nature and Pungent, Bitter flavor, in the “Warm Exterior-Releasing” category. Tradition uses it to expel Wind-Cold-Damp, Relieve Pain, Release Exterior Wind-Cold.

独活 · Dú HuóUpdated on

Energetic profile

Pinyin name
Dú Huó
Characters
独活
Botanical name
Angelica pubescens Maxim. f. biserrata Shan & Yuan
Family
Apiaceae
Part used
Root
Nature
Warm
Flavor
Pungent, Bitter
Meridians
Kidney, Bladder
Category
Warm Exterior-Releasing
Toxicity
Non-toxic
Pregnancy
Caution
Origin
China

Actions according to tradition

  • Expel Wind-Cold-Damp
  • Relieve Pain
  • Release Exterior Wind-Cold
  • Unblock Channels

Traditional uses

  • Wind-cold-damp Bi syndrome especially in lower body
  • Chronic low back and knee pain
  • Exterior wind-cold with cold and headache
  • Headache from wind-damp (Shao Yin channel)
  • Leg and hip pain from wind-damp

Studied effects and current applications

  • Powerfully expels wind-cold-damp from lower body
  • Relieves chronic joint pain and stiffness
  • Releases exterior wind-cold with headache
  • Opens and warms the channels and collaterals
  • Treats painful obstruction in lower back and legs

Applications under investigation

  • Osteoarthritis and rheumatism
  • Chronic lower back pain
  • Sciatica and leg pain
  • Degenerative joint disease
  • Fibromyalgia

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

Contraindications and adverse effects

Absolute contraindications

  • Yin deficiency with heat patterns
  • Excess interior heat conditions

Relative contraindications

  • Blood deficiency
  • Qi deficiency with interior cold but no wind-damp
Pregnancy
Use cautiously. Avoid large doses in pregnancy.
Breastfeeding
Use with caution during breastfeeding.
Children
Use cautiously in children only for wind-damp conditions.
Older adults
Excellent for elderly with chronic lower back and joint pain from wind-damp.

Possible adverse effects

  • Possible photosensitivity (furanocoumarins)
  • Mild nausea
  • Dizziness

When to stop

  • Photosensitivity develops
  • Yin deficiency symptoms worsen

Interactions with medications

GroupDrugsSeverityEffect and recommendation
Photosensitizing drugsTetracyclines, Fluoroquinolones, AmiodaroneModerateAdditive photosensitivity from furanocoumarins in Du Huo Avoid sun exposure. Use sunscreen during treatment.
AnticoagulantsWarfarinMildPossible mild effect on clotting Monitor INR

With other herbs

  • sang_ji_sheng Classic combination in Du Huo Ji Sheng Wan for wind-damp arthritis

Reference dose

Decoction
3-9 grams daily
Tincture
2-4 ml (1:5) 3 times daily
Acute use
1-2 weeks
Chronic use
1-3 months for chronic arthritis
Maximum
3 months then break
Children
Use cautiously in children only for wind-damp conditions.

Forms of preparation

Decoction

Simmer 3-9g in 3 cups water 45 min. Take warm twice daily.

Chronic joint pain, wind-damp Bi syndrome

Wine soak

Soak 30g in 500ml rice wine 2-4 weeks. Take 1-2 tsp twice daily.

Chronic arthritis, lower back pain

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

Active compounds

Coumarins (ostol, columbianetin) and phenolic acids

Ostol (7-methoxyostol)

Chromene coumarin · Anti-inflammatory, analgesic, neuroprotective, estrogen-mimetic

COX-2, PGE2 and TNF-α inhibition; activation of estrogen receptors; neuroprotection via Nrf2 · 0.1-0.5% in root

Columbianetin and angelol

Furanocoumarins · Anti-inflammatory, antiaggregant

PAF (platelet activating factor) inhibition, COX-1/2 blockade · 0.05-0.2%

Isoimperatorin

Furanumbellifera · Vasodilatory, anti-inflammatory, antipyretic

Vascular smooth muscle relaxation, PGE2 inhibition · 0.1-0.4%

Chlorogenic and caffeic acid

Phenolic acids · Antioxidant, anti-inflammatory

Radical scavenging, NF-κB inhibition · 0.2-1.0%

Harvesting and processing

Harvest
Spring (before bud break) or fall (after drying)

Roots harvested in spring or autumn from 2-3 year old plants. Sichuan produces the highest quality with the highest coumarin content.

Raw (生独活 Shēng Dú Huó)

Root cleaned, washed, softened in water, cut into slices and dried. Contains coumarins (ostol, columbianetin) and essential oils with anti-inflammatory and analgesic action.

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.