Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Heat Clearing

Shēng Dì Huáng · Fresh Rehmannia Root

Shēng Dì Huáng (生地黄, Fresh Rehmannia Root) is a herb of Cold nature and Sweet, Bitter flavor, in the “Heat Clearing” category. Tradition uses it to clear Heat, Cool Blood, Nourish Yin.

生地黄 · Shēng Dì HuángUpdated on

Energetic profile

Pinyin name
Shēng Dì Huáng
Characters
生地黄
Botanical name
Rehmannia glutinosa (Gaertn.) DC.
Family
Orobanchaceae
Part used
Root (dried)
Nature
Cold
Flavor
Sweet, Bitter
Meridians
Heart, Kidney, Liver
Category
Heat Clearing
Toxicity
Non-toxic
Pregnancy
No contraindication described (always consult)
Origin
China

Actions according to tradition

  • Clear Heat
  • Cool Blood
  • Nourish Yin
  • Generate Body Fluids

Traditional uses

  • Blood heat with skin eruptions, purpura, and nosebleeds
  • High fever damaging yin with night sweats
  • Thirst and dry mouth from heat damaging fluids
  • Mouth ulcers from heat
  • Constipation from yin deficiency heat

Studied effects and current applications

  • Cools blood heat causing skin eruptions and bleeding
  • Nourishes yin and generates body fluids
  • Clears heat from qi and blood levels
  • Addresses wasting and thirsting disorder
  • Anti-inflammatory and immunomodulating

Applications under investigation

  • Autoimmune conditions and inflammation
  • Diabetic complications
  • Viral hepatitis
  • Menorrhagia from heat in blood
  • Fever in infectious diseases

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

Contraindications and adverse effects

Absolute contraindications

  • Spleen deficiency with loose stools
  • Cold phlegm-damp conditions

Relative contraindications

  • Digestive weakness (combine with digestive herbs)
Pregnancy
Generally safe in pregnancy. Commonly used for heat conditions.
Breastfeeding
Safe during breastfeeding.
Children
Safe for children with heat conditions.
Older adults
Useful for elderly yin deficiency and heat conditions. Monitor digestion.

Possible adverse effects

  • Abdominal fullness
  • Loose stools from cold-moist nature

When to stop

  • Loose stools develop
  • Cold conditions worsen

Interactions with medications

GroupDrugsSeverityEffect and recommendation
Diabetes medicationsInsulin, MetforminMildMay have mild hypoglycemic effects (catalpol compound) Monitor blood glucose
CorticosteroidsPrednisoneMildMay counteract steroid side effects Beneficial combination under supervision

With other herbs

  • mu_dan_pi Synergistic for blood heat patterns

Reference dose

Decoction
9-30 grams daily
Powder
3-6 grams daily
Fresh juice
30-60 ml daily fresh juice
Acute use
1-2 weeks for fever/bleeding
Chronic use
1-2 months for yin nourishment
Maximum
Monitor spleen function long-term
Children
Safe for children in heat conditions.

Forms of preparation

Decoction

Simmer 9-30g in 4 cups water 45 min. Take cold or room temperature for heat.

Fever, blood heat, yin deficiency

Fresh juice

Juice fresh root 30-60 ml. Dilute with water. Drink for heat conditions.

Acute heat conditions, thirst, nosebleed

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

Active compounds

Glycosidic iridoids (catalpol) and phenolic glycosides (verbascoside)

Catalpol

Iridoid glycoside · Neuroprotective, antidiabetic, anti-inflammatory, hematopoietic

GSK-3β inhibition, reduction neuronal apoptosis, erythropoiesis stimulation, AMPK activation · 0.5-1.5% in raw root (Sheng Di Huang)

Verbascoside (actoside)

Caffeoylphenylethaneoid glycoside · Antioxidant, anti-inflammatory, immunomodulatory

OH and superoxide radical scavenging, PKC and NF-κB inhibition · 0.5-1.5%

Rehmaniosides A, B, C, D

Glycosidic iridoids · Hepatoprotective, hypoglycemic

Protection of hepatocytes against CCl4, reduction of postprandial glycemia · 0.2-1.0%

Succinic acid and p-coumaric acid

Organic and phenolic acids · Anti-inflammatory, antioxidant

COX inhibition, radical scavenging · 0.1-0.5%

Harvesting and processing

Harvest
Autumn (October-December) when the aerial parts begin to dry

Fresh tuberous roots harvested in autumn of the first year. Fresh Rehmannia (鲜地黄) is the coldest. The dried form (生地黄) is dried raw. Both are different from processed Rehmannia (熟地黄).

Fresh (鲜地黄 Xiān Dì Huáng)

Fresh root cleaned and used directly in juice or short decoction. The coldest form and the one that generates the most fluids.

Dried raw (生地黄 Shēng Dì Huáng)

Tuberous root washed and dried slowly in the sun or with gentle heat (do not exceed 60°C). It turns black externally and brown internally. Less cold than fresh but more comfortable to use.

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.