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.)

Huang Qi - 黄芪 - Radix Astragali - Astragalus Root - Milk Vetch

Pharmaceutical Latin: Radix Astragali
Common English: Astragalus Root / Milkvetch root
Milk-Vetch Root

Category

Herbs that Tonify Qi

Properties

Taste Temperature Entering Meridians Dosage
Sweet Slightly Warm
(Lukewarm)
Lung
Spleen
9-30g
Exceptional cases: 30-60g
Tincture: 2-4ml
9-15g (up to 30g) (Secondary source)

Actions And Indications

Actions Indications/Syndromes

Tonifies Qi and Blood

Postpartum fever due to Qi and Blood Deficiency

Recovery from severe Blood loss

Strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach

Spleen Qi Deficiency with anorexia, fatigue and diarrhea

Central Qi Sinking (prolapse)

Lung and Spleen Qi Deficiency

Qi Failing to contain Blood

Qi and Blood Deficiency

Fever from Qi Deficiency

Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs (aids the circulation of moisture downward from the face)

Wei Qi Deficiency with spontaneous sweating

Lung Qi Deficiency with frequent colds or shortness of breath

Excessive sweating associated with Qi, Yang or Yin Deficiency

Dampness in the head

Promotes urination and reduces edema

Spleen Deficiency edema or superficial edema with reduced urination (It can be used as a stand-alone herb for this)

Promotes the discharge of pus, generates flesh and expels toxins Chronic ulcerations and sores that either have trouble forming pus or have formed pus but are not draining well
Generates Body Fluids

Wasting and thirsting disorder

Bi Syndrome with numbness of the limbs and paralysis

Relieves numbness and pain Numbness and pain due to Deficiency of Qi and Blood

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated for those with early-stage sores.
  • Contraindicated for those with skin lesions with Heat toxin.
  • Contraindicated for those with exterior Excess.
  • Contraindicated for those with Qi Stagnation.
  • Contraindicated for those with Yin Deficiency with Heat signs.
  • Contraindicated in those with Excess Heat.
  • Contraindicated for those with Damp Obstruction.
  • Contraindicated for those with Food Stagnation.
  • Contraindicated for those with Heat, Excess Fire or Deficiency Cold of the Lower Jiao.
  • Use with caution during the third trimester of pregnancy.
INCOMPATIBILITIES
HERB/DRUG INTERACTIONS
  • This herb may be effective in preventing ototoxicity and nephrotoxicity associated with the use of aminoglucosides such as gentamicin, tobramycin and amykacin.
  • This herb has an inhibitory influence on copper-induced oxidative stress.
  • Preliminary in vivo data show anti-viral activity, increased T-helper cell type 1 cytokines and improved cell-mediated immune response. In one animal study, Huang Qi potentiated acyclovir against HSV I infection in mice more than either agent used alone.
  • Huang Qi increases endogenous interferon production by leukocytes; in a human trial, healthy volunteers given 8g per day had significantly elevated blood interferon levels at 2 weeks and 2 months compared with controls. Human trials on its interaction with Roferon-A are lacking, so it is unknown whether Huang Qi potentiates or synergizes with interferon treatments.

Major Combinations

Rx. Ginseng
Ren Shen

Or

Rx. Codonopsis
Dang Shen

Rx. Aconiti Lateralis Preparata
Zhi Fu Zi

Rz. Atractylodis Macrocephalae
Bai Zhu

Qi Deficiency with general debility, anorexia, fatigue, tired extremities and spontaneous sweating.

Yang Deficiency with spontaneous sweat.

Spleen Qi Deficiency with weakness, lassitude and loose stools.

Arillus Longan
Long Yan Rou
Rx. Angelicae Sinensis
Dang Gui
Sm. Zizyphi Spinosae
Suan Zao Ren

Rx. Angelicae Sinensis
Dang Gui

Rx. Notoginseng
San Qi
Colla Corii Asini
E Jiao

Insomnia and other signs of Qi and Blood Deficiency.

Blood Deficiency due to hemorrhage with fatigue, low grade fever, irritability and thirst in patients with a weak pulse due to Qi and Blood Deficiency.

Qi and Blood Deficiency with chronic non-healing sores, numbness, painful obstruction and paresthesia.

Bleeding due to Qi Deficiency.

Rz. Cimicifugae
Sheng Ma
Rx. Bupleuri
Chai Hu
(Rz. Atractylodis Macrocephalae)
(Bai Zhu)

Rx. Codonopsis
Dang Shen
Rx. Asteris
Zi Wan
Per. Citri Reticulatae
Chen Pi
(Poria)
(Fu Ling)

Rx. Saposhnikoviae
Fang Feng
Rz. Atractylodis Macrocephalae
Bai Zhu

Spleen Qi Sinking with rectal and/or uterine prolapse or excessive uterine bleeding.

Spleen and Lung Qi Deficiency.

Wei Qi Deficiency with spontaneous sweating.

Concha Ostreae
Mu Li
Sm. Tritici Levis
Fu Xiao Mai

Rx. Ophiopogonis
Mai Men Dong
Fr. Schisandrae
Wu Wei Zi

Rx. Rehmanniae
Sheng Di Huang
Cx. Phellodendri
Huang Bai

Sweating that occurs during the day but worsens at night.

Night sweats.

Yin Deficiency with night sweats.

Rx. Stephaniae Tetrandrae
Han Fang Ji

Rz. Atractylodis Macrocephalae
Bai Zhu
(Rx. Glycyrrhizae)
(Gan Cao)
(Rz. Zingiberis Recens)
(Sheng Jiang)

Rx. Stephaniae Tetrandrae
Han Fang Ji

Rz. Atractylodis Macrocephalae
Bai Zhu

Rz. Dioscoreae
Shan Yao
Fol. Pyrrosiae
Shi Wei

Rx. Stephaniae Tetrandrae
Han Fang Ji
Poria
Fu Ling
Ram. Cinnamomi
Gui Zhi

Wind edema with sweating, heavy sensations of the body and aversion to Wind.

Edema and proteinuria from chronic nephritis.

Superficial floating edema with swelling of the extremities.

Squama Manitis
Chuan Shan Jia
Spina Gleditsiae
Zao Jiao Ci

Rx. Angelicae Sinensis
Dang Gui
Cx. Cinnamomi
Rou Gui

Rx. Stephaniae Tetrandrae
Han Fang Ji

Yin type suppurative sores that do not perforate or only produce a thin clear discharge.

Flat sores that do not pustulate or ulcers that do not heal.

Wind edema with numbness, pain, swelling of the face and extremities, sweating, sensitivity to Wind and reduced urination.

Rx. Dioscoreae
Shan Yao
Rx. Rehmanniae
Sheng Di Huang

(Fr. Corni)
(Shan Zhu Yu)

Ram. Cinnamomi
Gui Zhi

Rx. et Rz. Notopterygii
Qiang Huo
Rz. Curcumae Longae
Jiang Huang

Wasting and Thirsting Disorder.

Qi and Blood Deficiency and Ying and Wei Deficiency with numbness and painful obstruction of the musculature.

Wind-Damp painful obstruction of the shoulder.

Rx. Angelicae Sinensis
Dang Gui
Flos Carthami
Hong Hua

Sm. Persicae
Tao Ren

Rx. Codonopsis
Dang Shen
Fr. Ligustri Lucidi
Nu Zhen Zi
Fr. Corni
Shan Zhu Yu

Cx. Lycii
Di Gu Pi

Sequelae of Windstroke with Qi Deficiency and Blood Stasis.

Side effects of chemotherapy or radiation in cancer patients.

Counteracts the side effects of chemotherapy and radiotherapy.

Ganoderma
Ling Zhi
Rx. Codonopsis
Dang Shen

Rz. Cimicifugae
Sheng Ma

Sm. Tritici Levis
Fu Xiao Mai

Increases phagocytosis.

Raises the Yang Qi of the Spleen, allowing turbid Yin to descend and be eliminated, treating chronic diarrhea, a dragging sensation in the abdomen, fatigue, shortness of breath, uterine bleeding and prolapses.

Treats spontaneous sweating due to Qi Deficiency and night sweats due to Yin Deficiency.

Poria
Fu Ling
Rz. Dioscoreae
Shan Yao
Sm. Lablab
Bai Bian Dou
Sm. Coicis
Yi Yi Ren

Yang Tonics

Rx. Ginseng
Ren Shen
Rz. Atractylodis Macrocephalae
Bai Zhu
Rx. Angelicae Sinensis
Dang Gui
Sm. Zizyphi Spinosae
Suan Zao Ren

Loose stools or diarrhea due to Spleen Deficiency.

Spleen Yang Deficiency.

Qi and Blood Deficiency with shortness of breath, and a pale face.

Hb. Schizonepetae
Jing Jie
Rz. Dryopteris
Guang Zhong
Rx. Notoginseng
San Qi
Endoconcha Sepiae
Hai Piao Xiao
Colla Corii Asini
E Jiao
Restore the Spleen Decoction
Gui Pi Tang

Ganoderma
Ling Zhi
Fr. Ligustri Lucidi
Nu Zhen Zi
Rx. Codonopsis
Dang Shen
Rx. Ginseng
Ren Shen
Cordyceps
Dong Chong Xia Cao
Fr. Corni
Shan Zhu Yu

Rx. Angelicae Sinensis
Dang Gui
Rx. Ginseng
Ren Shen
Rx. Aconiti Lateralis Preparata
Zhi Fu Zi
Rx. Ophiopogonis
Mai Men Dong
Fr. Schisandrae
Wu Wei Zi

Hematemesis, hematochezia, and profuse menstrual bleeding from leakage of Blood due to Spleen Not Governing Blood.

Qi Deficiency due to chemotherapy and radiation.

Qi and Blood collapse (use 60-120g Huan Qi).

Concha Ostreae
Mu Li
Rx. Ephedrae
Ma Huang Gen

Sm. Tritici Levis
Fu Xiao Mai

Rx. Aconiti Lateralis Preparata
Zhi Fu Zi

Rz. Zingiberis
Sheng Jiang

Rx. Rehmanniae
Sheng Di Huang
Rx. Ophiopogonis
Mai Men Dong
Fr. Schisandrae
Wu Wei Zi
Sm. Tritici Levis
Fu Xiao Mai

Cx. Lycii
Di Gu Pi

Spontaneous perspiration due to Exterior Deficiency.

Profuse perspiration and extreme fatigue due to Yang Deficiency.

Night sweats due to Qi and Yin Deficiency.

Squama Manitis
Chuan Shan Jia
Spina Gleditsiae
Zao Jiao Ci

Rx. Angelicae Sinensis
Dang Gui
Rx. Chuanxiong
Chuan Xiong

Rx. Ginseng
Ren Shen
Rx. Angelicae Sinensis
Dang Gui
Rx. Chuanxiong
Chuan Xiong
Rx. Angelicae Dahuricae
Bai Zhi
Rx. Saposhnikoviae
Fang Feng

Rx. Angelicae Sinensis
Dang Gui
Rx. Rehmanniae Preparata

Shu Di Huang
Rx. Ginseng
Ren Shen
Rz. Atractylodis Macrocephalae
Bai Zhu
Cx. Cinnamomi
Rou Gui

Chronic non-ulcerating sores with pus.

Chronic sores with underlying Deficiency.

Flat chronic sores and non-healing ulcers.

Rx. Ginseng
Ren Shen
Cx. Cinnamomi
Rou Gui
Rx. Glycyrrhizae Preparata
Zhi Gan Cao

Ram. Cinnamomi
Gui Zhi

Rx. Paeoniae Alba
Bai Shao
Rz. Zingiberis Recens
Sheng Jiang
Fr. Jujube
Da Zao

Rx. et Rz. Notopterygii
Qiang Huo
Rx. Saposhnikoviae
Fang Feng
Rz. Curcumae Longae
Jiang Huang

Rx. Angelicae Sinensis
Dang Gui

Qi Deficiency lesions in children.

Skin and muscle numbness and pain due to Qi and Blood Deficiency.

Numbness and pain in the extremities due to Wind-Dampness Invasion with Disharmony between the Ying and Wei.

Extremitas Radicis Angelicae Sinensis
Dang Gui Wei
Rx. Chuanxiong
Chuan Xiong
Flos Carthami
Hong Hua

Sm. Persicae
Tao Ren

Pheretima
Di Long

Rx. Dioscoreae
Shan Yao
Rx. Anemarrhenae
Zhi Mu
Rx. Puerariae
Ge Gen
Rx. Trichosanthis
Tian Hua Fen

Post-stroke complications.

Wasting and Thirsting with Interior Heat.

Notes

  1. Because it stabilizes the exterior, it can bring about a therapeutic sweat when diaphoretics have failed.
  2. Qi Stagnation may result from its use.
  3. It is reported to cure infantile diseases.
  4. Research shows that it inhibits cancer cell growth.
  5. Roasted with honey, it is reported to cure Deficiency Syndrome; with milk, stomach disorders; with millet broth, gastric Deficiency; with salt water, it removes toxicity; and with wine, it warms the Stomach and heals dysentery.
  6. Used raw, it clears Heart Heat and Deficiency Heat and treats sores and ulcers.
  7. Combined with CX. Mori Sang Bai Pi, it disperses Qi Stagnation.
  8. To treat furuncle, subcutaneous ulcer, carbuncle of the back, appendicitis, mastitis, swelling of unknown origin, sudden severe pain, and high fever with aversion to Cold from Exogenous invasion, grind 150g Huang Qi with 150g Flos Lonicerae Jin Yin Hua, 36g Rx. Angelicae Sinensis Dang Gui and 30g Rx. Glycyrrhizae Gan Cao. Decoct 6g of the powder in 1 1/2 cups of wine and reduce it to 1 cup. When the disease is in the upper body, take it after meals; when it is in the lower body, take it before meals, then again shortly after the first dose.
  9. For Blood Deficiency it is superior to Rx. Codonopsis Dang Shen.
  10. It enhances the action of other herbs, particularly those that build overall energy, digestion, Blood production and Blood circulation.
  11. Huang Qi and Rx. Ginseng Ren Shen both tonify the primal Qi. Huang Qi additionally supports the Yang and suits disorders involving sinking of the clear Qi. It also stops sweating, promotes the discharge of pus, generates flesh and promotes urination, none of which Ren Shen is able to do. Ren Shen, for its part, generates fluids, and its tonic action is stronger and more lasting than that of Huang Qi.
  12. Dry-fried Astragalus Chao Huang Qi warms and tonifies the Spleen more strongly.
  13. Wine-fried Astragalus Jiu Chao Huang Qi reaches the exterior more readily and can tonify without being cloying. It is also better at treating Qi Deficiency with Cold, for example wheezing from Qi Deficiency with Cold in the Lungs, or diarrhea from Qi Deficiency with Cold in the Stomach.
  14. Honey-prepared Astragalus Mi Zhi Huang Qi lets Huang Qi move inward to lift the clear Qi of the Middle Jiao. It is also mildly moistening and suits cases involving Blood Deficiency or Spleen Dryness.

From Class

  • Huang Qi raw vs toasted: Raw dried Huang Qi ascends qi and stops sweating; it only tonifies qi when toasted/roasted. (Yuen)
  • Immune herbs: Huang Qi, Ren Shen, Bai Zhu: Fu zheng therapy (used mostly in cancer) builds the immune system with herbs like astragalus, ginseng and white atractylodes. (Yuen)
  • Bu Yang Huan Wu Tang (hemiplegia): A large dose of Huang Qi raises qi to move blood to the brain, with Dang Gui Wei, Chi Shao, Di Long, Chuan Xiong, Tao Ren, Hong Hua; graduate Huang Qi 30→60 g. (Gioioso)

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