Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Heat Clearing

Huáng Lián · Coptis / Goldthread

Huáng Lián (黄连, Coptis / Goldthread) is a herb of Cold nature and Bitter flavor, in the “Heat Clearing” category. Tradition uses it to purge Fire, Dry Dampness, Detoxify.

黄连 · Huáng LiánUpdated on

Energetic profile

Pinyin name
Huáng Lián
Characters
黄连
Botanical name
Coptis chinensis Franch.
Family
Ranunculaceae
Part used
Rhizome
Nature
Cold
Flavor
Bitter
Meridians
Heart, Liver, Spleen, Stomach, Gallbladder, Large Intestine
Category
Heat Clearing
Toxicity
Non-toxic
Pregnancy
Avoid
Origin
China, Japan

Actions according to tradition

  • Purge Fire
  • Dry Dampness
  • Detoxify
  • Kill Parasites
  • Clear Middle Burner Heat

Traditional uses

  • Damp-heat in stomach and intestines
  • Dysentery and diarrhea
  • Insomnia and restlessness
  • Toothache, mouth ulcers
  • Eczema and skin infections
  • Conjunctivitis

Studied effects and current applications

  • Antibacterial and antiviral
  • Anti-inflammatory
  • Gastroprotective
  • Antidiabetic (berberine)
  • Neuroprotective

Applications under investigation

  • Ulcerative colitis
  • Irritable bowel syndrome
  • Type 2 diabetes
  • Infections
  • Cardiovascular (berberine)

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

Contraindications and adverse effects

Absolute contraindications

  • Cold deficiency
  • Spleen deficiency with diarrhea

Relative contraindications

  • Pregnancy
  • Children
  • Prolonged use damages Stomach
Pregnancy
Bitter cold, may affect fetus. Avoid.
Breastfeeding
May pass to milk. Use with caution.
Children
Too harsh for children.
Older adults
Use cautiously, may damage Spleen Qi.

Possible adverse effects

  • Nausea and vomiting
  • Stomach discomfort
  • Diarrhea (excessive dose)

When to stop

  • Persistent stomach upset
  • Signs of Spleen deficiency
  • After 1-2 weeks continuous use (take break)

Interactions with medications

GroupDrugsSeverityEffect and recommendation
Cytochrome P450 substratesVariousModerateBerberine inhibits CYP enzymes, may affect drug levels Consult if on multiple medications
Diabetes medicationsMetforminModerateAdditive hypoglycemic effect Monitor blood glucose

Reference dose

Decoction
1-9 grams daily
Powder
0.5-3 grams daily
Extract
As per label (berberine)
Acute use
3-7 days
Chronic use
1-2 weeks max
Maximum
Do not use continuously more than 2 weeks
Children
Too harsh, generally avoided.

Forms of preparation

Decoction

Simmer 1-9g for 15-20 min. Crush before use.

Heat and damp-heat

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

Active compounds

Isoquinoline alkaloids (predominant berberine)

Berberine

Isoquinoline alkaloid (protoberberine) · Hypoglycemic, hypolipidemic, antimicrobial, antidiarrheal, antitumor

AMPK activation, DPP-4 inhibition, cholesterol synthesis reduction (PCSK9 ↓), bacterial topoisomerase IV inhibition · 5-8% in dry rhizome (majority compound)

Coptisine

Protoberberine alkaloid · Antimicrobial, anti-inflammatory, anticancer

NF-κB inhibition, bacterial wall disruption, apoptosis induction · 0.5-2%

Palmatina

Protoberberine alkaloid · Anti-inflammatory, mild sedative, antimicrobial

Dopamine D1 receptor inhibition, NF-κB blockade · 0.3-1.5%

Magnoflorina

Aporphinic alkaloid · Hypotensive, anti-inflammatory

α-adrenergic receptor blockade, vasodilation · 0.1-0.5%

Epiberiberin and columbamine

Protoberberine alkaloids · Antimicrobial, anti-inflammatory

Inhibition of bacterial DNA synthesis, COX-2 blockade · Traces at 0.3%

Harvesting and processing

Harvest
Autumn (October-November) or spring, 5-6 year old plants

Rhizomes harvested from 5-6 year old plants in autumn. The highest production and quality comes from Sichuan (川黄连). They are washed, the rootlets removed and dried. The rhizomes are shaped like characteristic 'chicken feet'.

Raw (生黄连 Shēng Huáng Lián)

Rhizome cleaned, rootlets removed, cut or used whole. The berberine it contains (8-12%) is responsible for the intense yellow color and the markedly bitter flavor.

Fried with wine (酒黄连 Jiǔ Huáng Lián)

Rhizome chopped or sliced, sprinkled with yellow wine and fried while stirring. The wine directs the action towards the Liver meridian.

Fried with ginger juice (姜黄连 Jiāng Huáng Lián)

Mixed with fresh ginger juice and fried. Ginger reduces extreme coldness and protects the Stomach, improving digestive tolerance.

Fried with Wu Zhu Yu (吴茱萸黄连 Wú Zhū Yú Huáng Lián)

Mixed with decoction of Fructus Evodiae (吴茱萸) and fried. The Wu Zhu Yu is hot and prevents the Huang Lian from being too cold. This combination is called Zuojin Wan.

Formulas it appears in

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.