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.)

Cao Guo - 草果 - Fructus Tsaoko

Pharmaceutical Latin: Fructus Tsaoko
Common English: Cochin Cardamon Fruit
Tsaoko Fruit

Category

Aromatic Herbs that Transform Dampness

Properties

Taste Temperature Entering Meridians Dosage
Acrid
Aromatic
Warm Spleen
Stomach
1.5-10g
Tincture: 1-4ml
3-6g (Secondary source)

Actions And Indications

Actions Indications/Syndromes

Strongly dries Dampness, warms the Middle Jiao and disperses Cold

Cold-Dampness Obstructing the Spleen and Stomach with epigastric and abdominal distention, fullness and pain, vomiting, diarrhea and a greasy tongue coat

Alleviates malarial disorders

Alternating fever and chills due to Cold-Dampness or Turbid-Dampness associated with malarial disorders

Dissolves Stagnation and distention

Indigestion due to meat Stagnation

Distention and nausea due to Spleen and Stomach Deficiency Cold

Removes Phlegm

Phlegm Obstructing the Middle Jiao

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated for those with Yin or Blood Deficiency.
  • Contraindicated for those with Qi or Blood Deficiency with no Cold-Damp signs.
  • Overdose may cause vomiting.
INCOMPATIBILITIES
HERB/DRUG INTERACTIONS

Major Combinations

Rz. Atractylodis
Cang Zhu
Cx. Magnoliae Officinalis
Hou Po

Rz. Atractylodis
Cang Zhu
Hb. Pogostemonis/Agastaches
Huo Xiang

Fr. Evodiae
Wu Zhu Yu
Rz. Zingiberis
Gan Jiang

Damp-Cold Obstructing the Spleen and Stomach.

Cold-Dampness Obstructing the Spleen and Stomach with Dampness predominating.

Cold-Dampness Obstructing the Spleen and Stomach with Cold predominating.

Rx. Dichroae
Chang Shan
Rz. Anemarrhenae
Zhi Mu
Rx. Bupleuri
Chai Hu

Rx. Dichroae
Chang Shan
Sm. Arecae
Bing Lang

Rz. Anemarrhenae
Zhi Mu

Malaria in which chills predominate over fever, and recurrent malaria where Cold-Damp Obstructs the interior and injures the Yin with chest and flank distention, anorexia, and extreme fatigue.

Malaria in which chills predominate over fever, and recurrent malaria where Cold-Damp Obstructs the interior and injures the Yin with chest and flank distention, anorexia, and extreme fatigue.

Malarial disorders marked by turbid Dampness fuming upward leading to irritability and profuse sweating.

Cx. Magnoliae Officinalis
Hou Po

Sm. Arecae
Bing Lang

Rz. Corydalis
Yan Hu Suo
Faeces Trogopterori
Wu Ling Zhi
Myrrh
Mo Yao

Rx. Dichroae
Chang Shan

A pathogen entering the membrane source manifesting as strong alternating chills and fever, a stifling sensation in the chest, nausea or vomiting, headache and a tongue with deep red edges and a thick, foul and pasty coat.

Epigastric and abdominal pain due to Qi Stagnation and Blood Stasis.

Malarial disorders with a buffer against emesis

Regulates Cold and Heat, harmonizes the Exterior and Interior and treats malarial diseases with Tai Yin turbid Dampness fuming upward. (irritability, Heat, profuse sweating)

Notes

  1. The strong fetid odor of Cao Guo makes it prone to causing vomiting. This side effect is lessened by roasting it or dry-frying it with ginger juice.
  2. Tsaoko kernels Cao Guo Ren are intensely aromatic and drying, making them well suited to drying Dampness and dispersing Cold. They are given for alternating chills and fever, and for chills arising in the early stage of malarial disorders and other epidemic disorders accompanied by turbid Dampness.
  3. Comparing Cao Guo, Fr. Amomi Sha Ren, Fr. Amomi Rotundus Bai Dou Kou and Sm. Alpiniae Katsumadai Cao Dou Kou in their ability to promote the Qi: Sha Ren ranks first, Bai Dou Kou second, Cao Dou Kou third, and Cao Guo has almost no effect. In their warming and drying action, the order reverses: Sha Ren is the weakest, Bai Dou Kou is stronger, Cao Dou Kou is third strongest and Cao Guo is the strongest.
  4. Cao Guo and Sm. Myristicae Rou Dou Kou both expel Cold, dry Dampness, and move the Qi to regulate the Spleen and Stomach. Although both are acrid, Rou Dou Kou has a more pronounced astringent flavor and can stabilize leakage and loss from the Large Intestine. Because it warms the Spleen and Kidneys, it treats the Middle and Lower Jiaos, whereas Cao Guo governs the Middle Jiao specifically.
  5. Ginger-prepared Tsaoko Seeds Jiang Cao Guo Zi are less drying and better at warming the Stomach and relieving nausea. They are indicated for Cold-Dampness Obstructing the Spleen and Stomach with epigastric and abdominal distention, fullness and pain.

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