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.)

Ren Shen - 人參 - Radix Ginseng

Pharmaceutical Latin: Radix Ginseng
Common English: Asian Ginseng Root
Ginseng Root
Panax

Category

Herbs that tonify Qi

Properties

Taste Temperature Entering Meridians Dosage
Sweet
Slightly Bitter
Slightly Warm Lung
Spleen
1-9g decocted separately
Powder: 0.5-1g
Tincture: 0.25-3ml
Emergencies: up to 30g in multiple doses
Tincture: 3-10ml
Regular 3-9g; powder 0.5-1g; emergency 30g; cook separately (Secondary source)

Actions And Indications

Actions Indications/Syndromes

Powerfully tonifies Yuan Qi

Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)

Collapse of Yang

Collapse of Yin

Tonifies Spleen and Stomach Qi

Lethargy, anorexia, chest and abdominal distention, chronic diarrhea and, in severe cases, prolapse of the Stomach, uterus or rectum

Tonifies Lung Qi

Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion

Generates Body Fluids and stops thirst

Wasting and thirsting disorder (Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids

Tonifies Heart Qi and calms the Spirit

Heart Qi Deficiency

Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness

Treats impotence

With Kidney Yang tonics for impotence

Tonifies Qi in Deficiency patients with Exterior conditions

Exterior disorder with Interior Deficiency

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated for those with Yin Deficiency with Heat signs including steaming bone disorder.
  • Contraindicated for those with Heat Excess.
  • Contraindicated for those with Liver Yang Rising.
  • Contraindicated for those with with Fire due Stagnation.
  • Contraindicated for those with hypertension (systolic over 180mm Hg).
  • Contraindicated for those with pathogenic Fire in the Lungs with wheezing, cough and overabundant Phlegm.
  • Contraindicated for those in the early stages of bleeding disorders.
  • Contraindicated for those with sensations of pain in the chest and diaphragm.
  • Contraindicated for those with hiccups, constipation or parasitic accumulation.
  • Do not take with coffee or other stimulants.
  • Use with caution for those with an external invasion.
  • Contraindicated for bleeding caused by Blood Heat.
INCOMPATIBILITIES
  • Antagonizes Faeces Trogopterori Wu Ling Zhi.
  • Incompatible with Rz. et Rx. Veratri Li Lu.
  • Antagonizes Sm. Raphani Lai Fu Zi.
  • Is antagonized by Fr. Gleditsiae Zao Jiao.
HERB/DRUG INTERACTIONS
  • This herb may induce mania in depressed patients who are taking antidepressants such as monoamine oxidase inhibitors (MAOI) including phenelzine (Nardil), tranylcypromine (Parnate) and isocarboxazid (Marplan).
  • In combination with Rx. Polygalae Yuan Zhi, Rz. Acori Shi Chang Pu and Poria Fu Ling, Ren Shen was found to reduce ethanol-induced impairment of memory registration and scopolamine-induced memory registration deficit.
  • Hypoglycemia may occur when this herb is combined with anti-diabetics such as insulin, tolbutamide (Orinase), glipizide (Glucotrol) and glyburide (DiaBeta/Micronase).
  • When given together with chemotherapy, Ren Shen has been found to reduce resistance to the medications and lessen bone marrow suppression.
  • In a rodent model, Ren Shen combined with Paclitaxel had a synergistic effect in preventing the proliferation of sarcoma and melanoma cell lines, and it also restored the NK cell activity that the drug usually suppresses.
  • In gastric cancer patients, Ren Shen combined with chemotherapy preserved CD3/CD4 activity, with positive effects on survival.

Major Combinations

Rx. Aconiti Lateralis Preparata
Zhi Fu Zi

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

Rx. Rehmanniae Preparata
Shu Di Huang

Collapsed Qi and Devastated Yang with spontaneous sweat, ice cold extremities and shortness of breath.

Qi and Yin Deficiency with shortness of breath and spontaneous sweat usually secondary to injury from Heat.

Severe Qi and Blood Deficiency due to loss of Blood.

Qi and Yin Deficiency.

Rx. Rehmanniae Preparata
Shu Di Huang
Tub. Asparagi
Tian Men Dong

Rz. Atractylodis Macrocephalae
Bai Zhu
Poria
Fu Ling
(Rx. Glycyrrhizae)
(Gan Cao)

Rz. Atractylodis Macrocephalae
Bai Zhu

Qi and Yin Deficiency (fever, thirst, irritability, shortness of breath and dry, red tongue.)

Spleen and Stomach Qi Deficiency with Dampness with anorexia, diarrhea, vomiting, abdominal distention and fatigue.

Tonifies the transformation and transportation functions of the Spleen.

Rx. Astragali
Huang Qi
Rx. Bupleuri
Chai Hu

Gecko
Ge Jie
Sm. Juglandis
Hu Tou Ren
(Fr. Schisandrae)
(Wu Wei Zi)

Rx. Astragali
Huang Qi

Qi Deficiency with various types of prolapse due to Sinking of the Clear Yang.

Wheezing due to Kidney unable to grasp Qi.

Lung Qi Deficiency.

Qi Deficiency with general debility, anorexia and spontaneous sweat.

Flos Farfarae
Kuan Dong Hua
Rx. Asteris
Zi Wan
(Rx. Stemonae)
(Bai Bu)
(Fr. Schisandrae)
(Wu Wei Zi)

Gypsum Fibrosum
Shi Gao
Rz. Anemarrhenae
Zhi Mu

Rx. Trichosanthis
Tian Hua Fen
Rx. Asparagi
Tian Men Dong

Or

Rx. Trichosanthis
Tian Hua Fen
Rx. Ophiopogonis
Mai Men Dong
Rx. Anemarrhenae
Zhi Mu

Chronic cough due to Lung Qi Deficiency.

Heat injuring the Qi and Yin fluids with fever, irritability, intense thirst and profuse sweating.

Wasting and thirsting disorder with intense unquenchable thirst.

Fol. Perillae
Zi Su Ye

Rx. Angelicae Sinensis
Dang Gui
Arillus Longan
Long Yan Rou
Rx. Polygalae
Yuan Zhi

Rx. Rehmanniae
Sheng Di Huang
Sm. Platycladi
Bai Zi Ren

Qi and Yin Deficiency with fever, thirst, irritability, shortness of breath and a dry, red tongue.

External Wind-Cold with underlying Qi Deficiency.

Heart and Spleen Deficiency with palpitations, shortness of breath, reduced appetite and insomnia.

Insomnia due to Heart and Kidney Insufficiency.

Cornu Cervi Pantotrichum
Lu Rong

Fr. Psoraliae
Bu Gu Zhi

Cx. Ailanthi
Chun Pi

Gecko
Ge Jie

In alcohol to treat impotence due to Kidney Yang Deficiency.

With Rice Congee to treat bleeding hemorrhoids, and chronic dysenteric disorder with bleeding and pus.

Chronic diarrhea or chronic watery vaginal discharge that incessantly leaks.

Mildly treats Damp-Heat.

Restores the mutually supportive and proper action of the Lungs and Kidneys to treat weak inhalation with wheezing that is worse on exertion.

Rx. Ephedrae
Ma Huang

Rz. Atractylodis Macrocephalae
Bai Zhu
Poria
Fu Ling
Rz. Dioscoreae
Shan Yao
Sm. Lablab Album
Bai Bian Dou
Fr. Amomi
Sha Ren
Per. Citri Reticulatae
Chen Pi

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

Wind-Cold with underlying Qi Deficiency.

Qi Deficiency with Spleen and Stomach Deficiency with loose stools or diarrhea.

Organ prolapse.

Gypsum Fibrosum
Shi Gao
Rx. Anemarrhenae
Zhi Mu
Rx. Glycyrrhizae
Gan Cao
Sm. Oryzae
Geng Mi

Rx. Astragali
Huang Qi
Arillus Longan
Long Yan Rou
Sm. Zizyphi Spinosae
Suan Zao Ren

Rx. Rehmanniae
Sheng Di Huang
Rx. Ophiopogonis
Mai Men Dong
Rx. Salviae Miltiorrhizae
Dan Shen
Sm. Platycladi
Bai Zi Ren

Febrile disease with Heat damaging both Qi and Body Fluids.

Poor cognitive functions due to Spleen Qi and Heart Blood Deficiency with fatigue, excessive worrying and insomnia.

Poor cognitive functions due to Kidney Yin Deficiency and Heart Blood Deficiency.

Rx. Acori Tatarinowii
Shi Chang Pu
Rx. Polygalae
Yuan Zhi
Poria Pararadicis
Fu Shen
Poria
Fu Ling

Rx. Rehmanniae Preparata
Shu Di Huang

Rx. Paeoniae Alba
Bai Shao
Rz. Atractylodis Macrocephalae
Bai Zhu
Poria
Fu Ling

Cornu Cervi Pantotrichum
Lu Rong
Rx. Rehmanniae Preparata
Shu Di Huang

Rx. Aconiti Lateralis Preparata
Zhi Fu Zi
Fr. Psoraliae
Bu Gu Zhi

Confusion and forgetfulness.

Qi and Blood Deficiency.

Impotence.

Rz. et Rx. Notopterygii
Qiang Huo
Rx. Bupleuri
Chai Hu
Rx. Angelicae Pubescentis
Du Huo

Exterior invasion with Interior Deficiency.

Notes

  1. Excessive use may lead to hyperactivity and bleeding (irritability, facial flushing, epistaxis).
  2. An overdose may produce headache, insomnia, palpitations and high blood pressure.
  3. According to some sources, it tonifies Wei Qi.
  4. Since it strongly tonifies Yuan Qi, it is applied in many different situations where strengthening Yuan Qi, indirectly helps resolve the problem.
  5. For collapse of Yuan Qi. it may be used on its own.
  6. Research has shown that it inhibits the growth of cancer cells.
  7. Ren Shen antagonizes Faeces Trogopterori Wu Ling Zhi, yet combining the two may benefit cancer treatment.
  8. It is said to relieve thirst and upset, activate the channels and pulse, clear Phlegm Stagnation, and stop vomiting, cough and diseases arising from Qi and Blood Deficiency.
  9. Combining it with Rx. Astragali Huang Qi and Ganoderma Ling Zhi. strengthens its anti-cancer effect.
  10. For chaotic bleeding from the nose and mouth, burn Ren Shen, Cacumen Biotae Ce Bai Ye and Hb. Schizonepetae Jing Jie to ash and sprinkle it on the patient's face.
  11. Ren Shen and Rx. Astragali Huang Qi both tonify primal Qi. Huang Qi additionally supports the Yang and is most suitable for disorders involving sinking of 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 effect is stronger and more lasting than that of Huang Qi.
  12. Ren Shen and Rx. Codonopsis Dang Shen share similar properties and functions. Ren Shen has far broader effects and is required when the disorder is severe or calls for immediate relief, as in patterns of abandonment or profuse bleeding. Dang Shen tonifies Qi and indirectly augments Blood and Fluids, but it neither tonifies Yuan Qi nor directly generates Fluids. Its effects are confined to the Spleen and Lungs and it is less potent than Ren Shen, yet it is adequate for everyday clinical use, so it makes a good replacement for Ren Shen when the Deficiency pattern is not severe. It is commonly used as a low-cost substitute for Ren Shen.
  13. Ren Shen and Rx. Panacis Quinquifolii Xi Yang Shen both tonify Qi. Xi Yang Shen is sweet, slightly bitter and cooling, and it also tonifies and augments the Blood aspect. It can replace Ren Shen whenever the goal is to tonify Qi without warming.
  14. Ren Shen governs tonification of the five organs; it quiets the consciousness, settles the ethereal and corporeal souls, stops palpitations with anxiety, expels pathogenic Qi, brightens the eyes, opens the Heart and strengthens resolve.
  15. Ginseng Neck Ren Shen Lu is a mild emetic, used to induce vomiting in cases of Deficiency without Food Stagnation and Phlegm.
  16. Ginseng Leaf Ren Shen Ye is bitter, slightly sweet and cold. Its indications are Summerheat with thirst, fluid injury from febrile disease, hoarseness linked to Lung Heat, insufficient Stomach Yin, toothache from Deficiency, and alcohol intoxication.
  17. Ginseng Rootlets Shen Xu, are usually given for depleted Qi and damaged Body Fluids.
  18. The highest quality is Jilin root Ye Shan Shen or Shan Shen.
  19. “White Ginseng ” Bai Shen or “sugar root” Tang Shen is cured in rock candy and used to treat Yin Deficiency.
  20. “Fresh-dried Ginseng” Sheng Shai Shen is likewise used for Yin Deficiency.
  21. Steamed roots turn red Hong Shen and become hotter, making them suited to Qi and Yang Deficiency, as with Korean Ginseng.

From Class

  • 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)
  • Rou Gui & Gui Zhi (Kidney → Heart), Ren Shen & Dang Gui: Agitation can harass the child's heart in pregnancy; strengthen the Kidneys supporting the Heart with small amounts of Rou Gui/Gui Zhi; Ren Shen/Dang Gui tonify qi and blood. (Lewis)
  • Ren Shen Dang Gui Tang (Ginseng-Angelica Decoction): Ren Shen, Dang Gui, Bai Shao, Shu Di, Mai Men Dong and a small 'spark' of Rou Gui promote qi/blood generation; reduce Rou Gui for yin deficiency. (Maciocia)

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