Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Cang Zhu - 苍术 - Rhizoma Atractylodis

Pharmaceutical Latin: Rhizoma Atractylodis
Common English: Atractylodis Lancea
Black Atractylodis Rhizome / Atractylodes rhizome
Gray Atractylodis
Red Atractylodis
Sword-like Atractylodis Rhizome

Category

Aromatic Herbs That Transform Dampness

Properties

Taste Temperature Entering Meridians Dosage
Acrid
Bitter
Aromatic
Warm
Spleen
Stomach
(Heart)
3-10g
Tincture: 2-4ml

Actions And Indications

Actions Indications/Syndromes

Strongly dries Dampness and tonifies the Spleen

Dampness Obstructing the Middle Jiao and blocking transformative and transportive functions of the Spleen with anorexia, diarrhea, epigastric distention and pressure, fatigue, nausea and vomiting and a thick, greasy tongue coat

Induces sweating and expels Wind-Dampness

Wind-Cold Dampness and Wind-Dampness with chills and fever, headache, body aches and nasal congestion

Painful extremities due to Wind-Damp Bi

Clears Dampness from the Lower Jiao

Damp-Heat Pouring Downward with Leg Qi, some forms of atrophy disorders, vaginal discharge, swollen, sore joints

Improves vision

Night blindness and diminished vision with a rough sensation in the eyes

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated in excessive sweat due to Qi Deficiency.
  • Contraindicated in Yin Deficiency with Interior Heat with dry clumped stools.
  • Caution with loose, watery stools.
  • Older sources say do not mix with peach, watermelon, honeydew melon or pheasant meat.
INCOMPATIBILITIES
HERB/DRUG INTERACTIONS
  • This herb may be an inhibitor of H+,K+-ATPase and may enhance the inhibitory effect of omeprazole on H+,K+-ATPase.
  • Use Cang Zhu with caution with insulin, sulfonylureas and other antidiabetics such as tolbutamide (Orinase), glipizide (Glucotrol) and glyburide (DiaBeta/Micronase).
  • Concurrent use with diuretics such as chlorothiazide, hydrochlorothiazide, furmoside (Lasix), bumetinide (Bumex) and torsemide (Demadex) may lead to increased elimination of water and/or electrolytes.

Major Combinations

Cx. Magnoliae
Hou Po

Per. Citri Reticulatae
Chen Pi

Rz. Cyperi
Xiang Fu

Flos Lonicerae
Jin Yin Hua

Epigastric fullness, fatigue and discomfort, anorexia, vomiting and/or diarrhea with a turbid, greasy tongue coat due to Dampness Obstructing the Middle Jiao.

Chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.

Diarrhea, especially due to Summer Heat with Dampness.

Gypsum Fibrosum
Shi Gao

Dry-fried and Powdered

Dry-fried and Powdered Talcum
Hua Shi

Warm-Damp febrile disease with fever, profuse sweating and generalized body aches.

Serves as a base for treating diarrhea in children.

Infantile diarrhea from Damp-Heat.

Dry-fried and Powdered Fr. Crataegi
Shan Zha

Dry-fried and Powdered Rz. Zingiberis
Gan Jiang

Rz. Ligustici Chuanxiong
Chuan Xiong
Rx. Angelicae Dahuricae
Bai Zhi
Rx. seu Rz. Notopterygii
Qiang Huo
(Hb. Asari)
(Xi Xin)

Food Stagnation.

Infantile diarrhea.

Infantile diarrhea due to Deficiency Cold.

Exterior Wind-Cold-Dampness.

Gypsum Fibrosum
Shi Gao

Rz. Anemarrhenae
Zhi Mu

Sm. Coicis
Yi Yi Ren
(Rx. Stephaniae Tetrandrae)
(Han Fang Ji)

Cx. Phellodendri
Huang Bai

Early-Stage Damp-Heat when Dampness and Heat are of equal strength, marked by fevers that fail to recede, focal distention in the chest, heavy lethargy, and thirst with no desire to drink.

Damp-predominant Bi.

Pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.

Used for atrophy disorder, vaginal discharge and Damp-sores.

Sm. Sesame Nigrum
Hei Zhi Ma

Hb. Artemisiae Argyi
Ai Ye

Cx. Magnoliae
Hou Po

Cataracts, glaucoma, and night blindness.

Prevents influenza and treats bronchitis.

Dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.

Massa Fermentata
Shen Qu
Per. Zanthoxyli
Chuan Jiao

Fr. Jujube
Da Zao

Rz. Atractylodis Macrocephalae
Bai Zhu

Diarrhea due to Dampness Accumulation.

Chronic accumulation of Dampness in the Spleen with hypochondriac pain, acid reflux and anorexia.

Musculoskeletal disorders of the arms and shoulders due to Phlegm Stagnation.

White Tiger Decoction
Bai Hu Tang

Febrile disorders with Dampness.

Notes

  1. Drying Dampness is a particular strength of this herb, and it may be given on its own for that purpose. Despite its warm nature, it is used in combination with other herbs for Damp-Heat disorders.
  2. It is indicated wherever the Spleen fails to transform moisture properly.
  3. Because it contains a substantial amount of Vitamin A, it helps improve vision.
  4. For night blindness, it can be cooked with pig or goat liver and eaten daily as a food.
  5. Together with other herbs, it can assist with weight reduction.
  6. Dampness in all three Jiaos is treated by this herb.
  7. When the tongue coat is thick, white, turbid and greasy, this herb is the most essential choice.
  8. Combined with pig's or sheep's bladder, this herb is known for treating night blindness.
  9. It may be of benefit in managing food allergies.
  10. It frequently appears as an ingredient in moxa.
  11. This herb and Cx. Magnoliae Officinalis Hou Po both transform Dampness and are commonly paired to treat abdominal distention, vomiting, and diarrhea. Of the two, this herb is stronger at drying Dampness and expelling Wind-Dampness, whereas Hou Po is superior for dispelling fullness and distention.
  12. Maoshan Atractylodis Mao Shan Cang Zhu strengthens the Spleen and dries Dampness without injuring the Stomach, while still expelling Dampness.
  13. Prepared Atractylodis Zhi Cang Zhu is mild and harmonious, with almost no ability to release the Exterior. It is given to older or weaker patients who have Damp Spleens.
  14. The acrid, dispersing nature is diminished in Dry-fried Atractylodis Chao Cang Zhu.
  15. For stopping diarrhea and warming the Spleen, Scorched Atractylodis Jiao Cang Zhu is the best form.
  16. Earth-fried Atractylodis Tu Chao Cang Zhu tonifies the Spleen more strongly, relieves nausea and vomiting, and drives out Phlegm and pathogenic water.
  17. Cang Zhu excels at easing the Middle and inducing sweat, whereas Rz. Atractylodis Macrocephalae Bai Zhu excels at tonifying the Middle and eliminating Dampness.

From Class

  • Bai Zhu / Cang Zhu / E Zhu ('three zhu'): Counter magic: Cang Zhu fumigation for areas of electromagnetic disturbance (flickering lights, failing appliances). (Yuen)
  • Cang Zhu (Atractylodes): Invigorates the Spleen, dries dampness, improves the ability to see in the dark. (Lewis)
  • Damp strategies: Cang Zhu; Che Qian Zi/Ze Xie; San Huang (Huang Lian, Huang Qin, Huang Bai); Gan Jiang: Scalloped greasy tongue: Cang Zhu; swollen moist: drain with plantago or alisma; red sticky: three yellows; cold: dried ginger. (Yuen)
  • 'Dr. Lee's hyperimmune formula' — a divergent-channel herbal strategy: Three yellows (Huang Lian, Huang Qin, Huang Bai) clear all three burners, Cang Zhu brings it to the joints, and Qing Hao, Zhi Mu, Di Gu Pi clear deficiency heat. (Rabinowitz)

For educational reference only; not a substitute for care from a qualified practitioner.