Herb

Yan Hu Suo (Cu Zhi)

Corydalis tuber (Vinegar processed) | 醋延胡索

Also known as:

Yuan Hu (元胡) , Xuan Hu Suo (玄胡索)

Parts Used

Tuber (块茎 kuài jīng / 块根 kuài gēn)

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Yán Hú Suǒ (Corydalis) is one of the most important pain-relieving herbs in Chinese medicine. It promotes blood circulation and helps move stagnant Qi, making it widely used for all types of pain, from menstrual cramps and stomach pain to chest pain and pain from injuries. It has been described by classical physicians as the foremost herb for treating pain throughout the entire body.

Herb Category*

Main Actions*

  • Invigorates Blood and Dispels Stasis
  • Moves Qi
  • Alleviates Pain

How These Actions Work*

'Invigorates Blood and moves stasis' means Yán Hú Suǒ promotes blood circulation and helps dissolve areas where blood has become sluggish or stuck. In TCM, when blood fails to flow freely, it causes sharp, fixed, stabbing pain. This herb's warm and pungent nature gives it the ability to open up blood vessels and channels, making it useful for pain caused by blood stasis anywhere in the body, including chest pain, menstrual pain, and pain from traumatic injuries.

'Moves Qi' means this herb helps restore the smooth flow of Qi throughout the body. When Qi becomes stuck (a condition called Qi stagnation), it produces distending, wandering pain, often worsened by emotional stress. Because Yán Hú Suǒ acts on both the Liver channel (which governs the free flow of Qi) and the Spleen channel (which governs digestion), it is particularly effective for pain in the chest, flanks, and abdomen caused by emotional tension or digestive issues.

'Alleviates pain' is the action for which this herb is most celebrated. As Li Shizhen wrote in the Ben Cao Gang Mu, it can "treat all pain throughout the body." Its pain-relieving effect is considered the strongest among common Blood-moving herbs. It works because it simultaneously addresses the two most common causes of pain in TCM: Blood stasis and Qi stagnation. Whether the pain is in the head, chest, abdomen, flanks, or limbs, this herb can be applied. Processing with vinegar (forming Cù Yán Hú Suǒ) significantly enhances its pain-relieving action.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Yan Hu Suo is traditionally associated with these specific patterns.

The following describes this herb's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Yan Hu Suo addresses this pattern

Yán Hú Suǒ is warm, pungent, and bitter, entering the Heart and Liver channels. These properties make it ideally suited to address Blood Stasis. Its pungent flavour disperses and moves stagnation, while its warmth activates blood circulation. The Liver stores the Blood and governs its smooth flow, and the Heart governs the blood vessels. By entering both channels, this herb can resolve blood stasis throughout the body, producing its hallmark action of relieving fixed, stabbing pain associated with this pattern.

A practitioner would look for one or more of these signs

Amenorrhea

Menstrual pain with dark, clotted blood

Angina

Chest pain with a fixed, stabbing quality

Trauma

Pain from injuries with visible bruising or swelling

TCM Properties*

Temperature

Warm

Taste

Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)

Channels Entered
Heart Liver Spleen
Parts Used

Tuber (块茎 kuài jīng / 块根 kuài gēn)

This is partial information on the herb's TCM properties. More detailed information is available on the herb's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Treasure of the East

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Usage & Safety

How to use this herb and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This herb is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Processing Methods

Processing method

The cleaned tubers are soaked or stir-fried with rice vinegar until the vinegar is fully absorbed, then dried. The traditional ratio is approximately 20 jin (10 kg) of vinegar per 100 jin (50 kg) of herb.

How it changes properties

Vinegar processing significantly enhances the pain-relieving action. The acetic acid reacts with the alkaloid bases in the herb to form soluble salts, increasing the bioavailability of key analgesic compounds like tetrahydropalmatine (THP). The thermal nature and channel entry remain unchanged (warm, entering Liver and Spleen). The main clinical change is a marked increase in analgesic potency rather than a shift in thermal nature.

When to use this form

Vinegar-processed Corydalis is the standard clinical form and is preferred over the raw herb in nearly all pain conditions. It is especially favoured for menstrual pain (dysmenorrhea), epigastric and abdominal pain, and chest pain from Blood stasis. The raw form has noticeably weaker analgesic effects and is rarely used in modern practice.

Special Populations

Pregnancy

Contraindicated during pregnancy. Yan Hu Suo is a strongly Blood-moving herb that actively disperses Blood stasis. Its alkaloid components (particularly tetrahydropalmatine) have been shown in animal studies to have effects on smooth muscle, including uterine tissue: small doses can excite the uterus while larger doses inhibit it. Classical sources explicitly state 孕妇禁服 (prohibited for pregnant women). The risk of stimulating uterine contractions and potentially causing miscarriage makes this herb unsafe at any stage of pregnancy.

Breastfeeding

Not recommended during breastfeeding. The alkaloids in Yan Hu Suo, particularly tetrahydropalmatine, are lipophilic compounds that may transfer into breast milk. THP has documented sedative, hypnotic, and dopamine receptor-blocking activity, which could potentially affect a nursing infant's nervous system. There is insufficient safety data on breastfeeding exposure. Additionally, the herb's strong Blood-moving properties may theoretically affect postpartum recovery if not appropriately indicated. Nursing mothers should avoid this herb unless specifically prescribed by a qualified practitioner who can weigh the risks and benefits.

Pediatric Use

Yan Hu Suo is not commonly used in pediatric practice and should be used with caution in children. If prescribed by a qualified practitioner for specific pain conditions in older children, dosages should be significantly reduced (typically one-third to one-half of the adult dose depending on age and weight). The sedative effects of its alkaloids warrant particular caution in young children. Not recommended for infants or toddlers. As with all Blood-moving herbs, it should only be used in children when there is a clear clinical indication of Blood stasis or Qi stagnation causing pain.

Dietary Advice

When taking Yan Hu Suo for pain due to Blood stasis or Qi stagnation, avoid excessively cold and raw foods (such as iced drinks, raw salads, and cold fruit) as these can constrict circulation and counteract the herb's Blood-moving effects. Foods that gently support circulation, such as warm broths, cooked vegetables, and small amounts of vinegar in cooking, are complementary. Avoid excessive alcohol consumption, as both alcohol and the herb's alkaloids are metabolized by the liver, and the combination may increase sedative effects or hepatic burden.

Cautions & Warnings

Although this herb is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.