Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Yang Tonifying

Ròu Cōng Róng · Cistanche Stem

Ròu Cōng Róng (肉苁蓉, Cistanche Stem) is a herb of Warm nature and Sweet, Salty flavor, in the “Yang Tonifying” category. Tradition uses it to tonify Kidney Yang, Supplement Essence and Blood, Moisten Intestines.

肉苁蓉 · Ròu Cōng RóngUpdated on

Energetic profile

Pinyin name
Ròu Cōng Róng
Characters
肉苁蓉
Botanical name
Cistanche deserticola Y.C.Ma
Family
Orobanchaceae
Part used
Fleshy stem
Nature
Warm
Flavor
Sweet, Salty
Meridians
Kidney, Large Intestine
Category
Yang Tonifying
Toxicity
Non-toxic
Pregnancy
Caution
Origin
China (Inner Mongolia), China (Xinjiang)

Actions according to tradition

  • Tonify Kidney Yang
  • Supplement Essence and Blood
  • Moisten Intestines
  • Nourish Marrow

Traditional uses

  • Kidney yang deficiency with impotence and infertility
  • Cold extremities and aversion to cold
  • Female infertility from kidney yang deficiency
  • Constipation in elderly from yang deficiency
  • Weakness of sinews and bones

Studied effects and current applications

  • Strongly tonifies kidney yang for reproductive deficiency
  • Moistens large intestine to relieve constipation
  • Nourishes blood and essence for chronic deficiency
  • Strengthens sinews and bones
  • Anti-aging and adaptogenic properties

Applications under investigation

  • Male and female infertility
  • Age-related sexual dysfunction
  • Chronic constipation in elderly
  • Adrenal insufficiency
  • Anti-aging medicine

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

Contraindications and adverse effects

Absolute contraindications

  • Excess heat conditions
  • Diarrhea from heat
  • Yang excess

Relative contraindications

  • Damp-heat
  • Yin deficiency with excess fire
Pregnancy
Use cautiously in pregnancy. Avoid in early pregnancy.
Breastfeeding
Insufficient data. Use with caution.
Children
Not appropriate for children.
Older adults
Excellent for elderly with kidney yang deficiency and constipation.

Possible adverse effects

  • Possible diarrhea from laxative effect
  • Nausea

When to stop

  • Heat conditions worsen
  • Diarrhea develops
  • Damp-heat patterns appear

Interactions with medications

GroupDrugsSeverityEffect and recommendation
LaxativesLactulose, Polyethylene glycolMildAdditive laxative effects Reduce dose of one or both
Hormone medicationsTestosterone, HRTMildMay complement hormonal support Monitor hormone levels

Reference dose

Decoction
6-15 grams daily
Powder
3-6 grams daily
Acute use
2-4 weeks
Chronic use
1-3 months
Maximum
6 months then evaluate
Children
Not appropriate for children.

Forms of preparation

Decoction

Simmer 6-15g in 3 cups water 45-60 min. Take warm.

Yang tonification, constipation

Congee

Cook 10-15g with rice and water into soft porridge. Eat daily.

Gentle yang tonification, elderly constipation

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

Active compounds

Phenylethanoid glycosides (echinacoside, Actoside) and polysaccharides

Echinacoside

Phenylethanoid glycoside · Neuroprotective, antioxidant, kidney tonic, adaptogenic

ROS uptake, protection of dopaminergic neurons, Nrf2 activation · 0.5-2.0% in dried stem

Actoside (verbascoside)

Phenylethanoid glycoside · Antioxidant, anti-inflammatory, immunomodulatory

PKC, NF-κB inhibition, free radical scavenging · 0.3-1.0%

2'-acetylactoside and cystantuloside C

Phenylethanoid glycosides · Kidney tonic, neuroprotective

Neuroprotective AKT/mTOR activation, reduction of kidney inflammation · 0.2-0.8%

Cistanche Polysaccharides (CDPS)

Heterogeneous polysaccharides · Immunomodulator, hypoglycemic

Activation of macrophages and NK cells, reduction of postprandial glucose · 15-30% in aqueous extract

Harvesting and processing

Harvest
Spring (March-May) or autumn (October-November)

Part of the parasitic stem collected in spring before flowering or in autumn. It grows parasitically on roots of Haloxylon (saxaul) in deserts of Xinjiang and Inner Mongolia.

Raw (生肉苁蓉 Shēng Ròu Cōng Róng)

Washed fleshy stem, cut lengthwise or into 5 mm slices and slowly dried.

Processed with wine (酒肉苁蓉 Jiǔ Ròu Cōng Róng)

Slices soaked in yellow wine for 24 hours and then dried or gently fried. Wine reinforces the toning action and improves intestinal lubrication.

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.