Herb

He Shou Wu

Fleeceflower root | 何首乌

Also known as:

Flowery Knotweed Root

Properties

Blood-tonifying herbs (补血药) · Slightly Warm

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*

He Shou Wu (Fo-Ti) is one of the most famous Chinese herbs for supporting healthy aging and hair vitality. In its processed form, it is traditionally used to nourish the Liver and Kidneys, strengthen the blood, and address premature greying and hair loss. In its raw form, it gently eases constipation and helps clear skin sores. It should only be used under professional guidance due to potential liver sensitivity in some individuals.

Herb Category*

Main Actions*

  • Resolves Toxicity
  • Checks Malaria
  • Moistens the Intestines and Unblocks the Bowels
  • Dispels Wind and Stops Itching

How These Actions Work*

'Resolves toxins' means that raw He Shou Wu has the ability to clear toxic swellings and sores. In traditional practice, it was used for conditions like scrofula (lumps in the neck), skin abscesses, and carbuncles. It can be combined with herbs like Xuan Shen (Scrophularia) and Lian Qiao (Forsythia) for this purpose.

'Intercepts malaria' refers to raw He Shou Wu's traditional use in treating lingering, chronic malaria. Classical texts describe it as entering the Shao Yang (Gallbladder/Triple Burner) channel, where malarial pathogens reside. It was typically used for long-standing malaria in debilitated patients rather than acute attacks.

'Moistens the Intestines and unblocks the bowels' means that the raw herb has a gentle laxative effect. It contains anthraquinone compounds that stimulate bowel movement. This makes raw He Shou Wu useful for constipation due to Blood deficiency and intestinal dryness, especially in elderly or weakened patients.

'Dispels wind from the skin' refers to raw He Shou Wu's use in treating itchy skin rashes and sores. A classical formula, He Shou Wu San, combines it with Fang Feng, Ku Shen, and Bo He as an external wash for widespread skin lesions with itching and pain.

Important note: These actions describe the raw (shēng) form only. The processed form (Zhi He Shou Wu) has very different actions: it tonifies the Liver and Kidneys, nourishes Essence and Blood, darkens the hair, and strengthens sinews and bones. The two forms should never be confused.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. He Shou Wu 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 He Shou Wu addresses this pattern

He Shou Wu (in its processed form) directly nourishes the Liver and Kidney Yin by replenishing Essence (Jīng) and Blood. Its bitter taste enters the Kidneys and its sweet taste nourishes, while its astringent nature helps consolidate Essence and prevent its leakage. Because it enters the Liver and Kidney channels, it addresses the root cause of this pattern: insufficient Yin and Blood failing to nourish the hair, eyes, sinews, and bones. It is considered milder and less cloying than Shu Di Huang (prepared Rehmannia), making it suitable for long-term use in many patients.

A practitioner would look for one or more of these signs

Premature Greying of Hair

A hallmark sign of Kidney Essence and Liver Blood deficiency

Dizziness

From Blood failing to nourish the head

Tinnitus

Kidney insufficiency affecting the ears

Lower Back Pain

Lumbar aching and knee weakness from Liver-Kidney deficiency

Blurry Vision

Liver Blood failing to nourish the eyes

TCM Properties*

Temperature

Slightly Warm

Taste

Bitter (苦 kǔ), Sweet (甘 gān), Astringent (涩 sè)

Channels Entered
Liver Kidneys
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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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 raw herb is steamed with black soybean (Hēi Dòu) juice until the liquid is fully absorbed and the herb turns a deep brownish-black colour. Traditionally nine cycles of steaming and sun-drying were used, though modern pharmacopoeia methods use a standardized single steaming cycle. The ratio is typically 10 kg of black soybeans per 100 kg of He Shou Wu.

How it changes properties

Processing fundamentally transforms this herb. The raw form is slightly warm, bitter-astringent, and primarily resolves toxins, moistens the bowels, and intercepts malaria. The processed form becomes warmer and sweeter in taste, with its laxative (purgative anthraquinone) content greatly reduced and its tonic properties enhanced. Processed He Shou Wu nourishes the Liver and Kidneys, replenishes Essence and Blood, darkens hair, and strengthens sinews and bones. The hepatotoxic anthraquinone compounds are significantly reduced through proper processing.

When to use this form

Use the processed form (Zhi He Shou Wu) for all tonic and nourishing purposes: premature greying of hair, hair loss, dizziness from Blood deficiency, aching lower back and knees from Liver-Kidney insufficiency, tinnitus, blurred vision, insomnia, and spermatorrhea. This is by far the more commonly used form in clinical practice. Should not be used in patients with loose stools, Dampness, or Spleen deficiency.

Classical Incompatibilities

He Shou Wu does not appear on the classical Eighteen Incompatibilities (十八反) or Nineteen Mutual Fears (十九畏) lists. However, classical dietary prohibitions note that He Shou Wu should not be taken together with onion (葱), garlic (蒜), or radish/turnip (萝卜). The Song Dynasty text Ben Cao Yan Yi records that combining He Shou Wu with radish causes premature greying of hair, directly counteracting its intended benefit.

Special Populations

Pregnancy

He Shou Wu should be used with significant caution during pregnancy and is best avoided unless specifically prescribed by an experienced practitioner. Raw He Shou Wu contains anthraquinones (similar to those in Da Huang/rhubarb) which have laxative and potentially uterine-stimulating properties, making the raw form contraindicated in pregnancy. Additionally, the well-documented risk of hepatotoxicity is a serious concern during pregnancy, when liver function changes and drug metabolism is altered. Cases of pregnant women developing severe liver damage from He Shou Wu-containing preparations have been reported. The processed form (Zhi He Shou Wu) is sometimes included in traditional pregnancy-support formulas, but given the hepatotoxicity risk, modern guidance recommends caution.

Breastfeeding

Safety data on He Shou Wu during breastfeeding is extremely limited. Given the documented hepatotoxicity risk and the potential for active compounds (particularly anthraquinones) to transfer into breast milk, caution is strongly advised. Anthraquinone-containing herbs are generally avoided during breastfeeding because these compounds can pass into breast milk and may cause loose stools or gastrointestinal irritation in the infant. If a breastfeeding mother requires Blood-nourishing therapy, safer alternatives such as Shu Di Huang (prepared Rehmannia) or Dang Gui should be considered first.

Pediatric Use

He Shou Wu is generally not recommended for children. Cases of liver injury in pediatric patients have been documented, including a case of a 5-year-old girl who developed jaundice after 4 months of taking Shou Wu Pian for hair loss. Children's livers are more vulnerable and their drug metabolism pathways are still developing. If used at all in older children for specific indications, the dose should be significantly reduced (typically one-third to one-half of adult dose) and liver function should be monitored. It should never be given to children as a general tonic or hair supplement.

Dietary Advice

Avoid radish (turnip), onion (葱), and garlic while taking He Shou Wu. This is one of the most well-known classical food prohibitions in Chinese medicine, recorded in multiple texts. Radish in particular is said to counteract the tonic and hair-darkening effects of He Shou Wu. Avoid strong tea and cold, raw foods during a course of treatment. As He Shou Wu is a rich Blood-nourishing tonic, greasy and heavy foods should be moderated to avoid overburdening the Spleen and creating dampness.

Cautions & Warnings

Although this formula 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.