What is Bai Zhi? Are Dang Gui, Qiang Huo and Cang Er Zi the same?
Official Bai Zhi (白芷) is the dried root of Angelica dahurica or Hang Bai Zhi. The pharmacopoeial name is Angelicae Dahuricae Radix. Acrid-warm and aromatic, it travels the Yangming and stops pain while opening the nose. Dang Gui is sweet-acrid-warm: tonifies and invigorates Blood, regulates menses and stops pain. Qiang Huo is acrid-bitter-warm: releases the exterior, disperses cold, expels wind and overcomes damp—Taiyang headache. Cang Er Zi is acrid-bitter-warm: disperses wind-cold, opens the nasal orifices and expels wind-damp. Write Bai Zhi or Hang Bai Zhi. Kitchen “Bai Zhi stewed chicken” is not the medicinal dose. Forbid in Yin vacuity with Blood heat.
What are the TCM properties and traditional uses of Bai Zhi?
According to the Chinese Pharmacopoeia, Bai Zhi is acrid and warm, enters the Stomach, Large Intestine and Lung channels, and acts to release the exterior and disperse cold, expel wind and stop pain, open the nasal orifices, dry damp and stop vaginal discharge, disperse swelling and expel pus. It is used for common-cold headache, supraorbital pain, nasal congestion with runny nose, allergic rhinitis, sinusitis, toothache, vaginal discharge and sores with swelling and pain. Acrid-aromatic and warm-drying, it suits wind-cold-damp and Yangming headache—not Yin-vacuity Blood heat or Yin-vacuity yang-ascent headache.
Does Bai Zhi need processing? How does it differ from Cang Er Zi and Xin Yi?
The pharmacopoeia mainly uses raw slices in decoction or powdered externally. Frontal and supraorbital pain, Yangming headache, toothache and cold-damp discharge more often use Bai Zhi. Sinusitis with congestion often joins Xanthium and Magnolia flower in Cang Er Zi San. Early sores may be taken internally and applied. It contains coumarins; do not use large amounts long. Use caution if you are photosensitve.
What is the usual dosage? Can it be drunk daily as a nose-opening whitening tea?
The pharmacopoeial decoction dose is 3–10 g; externally, an appropriate amount is powdered and sprinkled or mixed. It is not a four-season “Bai Zhi whitening sinus tea.” Yin vacuity only grows more painful as it dries. Sinusitis and headache need a practitioner to name a short course; it does not replace sinus and neurologic assessment.
What are the contraindications? Can it be used in pregnancy?
Forbid in Yin vacuity with Blood heat and in Yin-vacuity yang-ascent headache. Acrid-aromatic and warm-drying; use caution in pregnancy. Stop if dry mouth and nose, rash or worsening headache appear. Tell the practitioner if you use photosensitizing or anticoagulant drugs. High fever with convulsions and severe headache with vomiting are emergencies.
Can Bai Zhi stop pain, open the nose and stop discharge?
It can help wind-cold-damp and Yangming-channel pain. Sinusitis joins Xanthium, Magnolia flower and mint in Cang Er Zi San. Wind-cold headache joins Chuanxiong, Notopterygium and Asarum in a Chuan Xiong Cha Tiao San type formula. Cold-damp discharge joins Atractylodes and Poria. Sores join honeysuckle and Trichosanthes root. It releases the exterior, disperses cold, expels wind, stops pain and opens the nose—not a specific for every rhinitis, every migraine or every whitening claim.
Can Bai Zhi be drunk daily as a whitening, spot-fading or sinus tea?
Wind-cold nasal congestion and Yangming headache may enter a short formula; Yin-vacuity Blood heat only darkens spots as it dries. “Bai Zhi whitens and fades spots” does not replace dermatologic and sinus assessment. Releasing the exterior, dispersing cold and opening the nose should name Bai Zhi 3–10 g.
How do you choose among Bai Zhi, Qiang Huo, Cang Er Zi, Xin Yi and Xi Xin?
Dahurian angelica is acrid-warm: releases the exterior, disperses cold, expels wind, stops pain, opens the nose, dries damp, stops discharge, disperses swelling and expels pus—Yangming, forehead and supraorbital pain. Notopterygium is acrid-bitter-warm: releases the exterior, disperses cold, expels wind and overcomes damp—Taiyang vertex and whole-body pain. Xanthium is acrid-bitter-warm: disperses wind-cold, opens the nose and expels wind-damp. Magnolia flower is acrid-warm: disperses wind-cold and opens the nose. Asarum is acrid-warm: releases the exterior, disperses cold, expels wind, stops pain, opens orifices and warms the Lung to transform rheum—small dose. Forehead and toothache favor Bai Zhi; nape Taiyang favors Qiang Huo; sinusitis often uses the three together; severe pain may join Xi Xin. They may be paired; Yin-vacuity Blood heat forbids large Bai Zhi and Xi Xin.
Which herbs is Bai Zhi combined with? What are the representative formulas?
Sinusitis joins Xanthium, Magnolia flower and mint in Cang Er Zi San. Wind-cold headache joins Chuanxiong, Notopterygium, Schizonepeta and Asarum in Chuan Xiong Cha Tiao San. Write Bai Zhi 3–10 g; note separately if used as external powder.
How do you choose and store Bai Zhi?
Choose plump firm roots with a white powdery break, brown oil dots, a strong aroma and an acrid slightly bitter taste. Hollow, moldy, moth-eaten lots that have lost aroma are discarded. Store cool and dry against moths. Buy pharmacopoeial Bai Zhi; do not replace releasing the exterior, dispersing cold and opening the nose with Dang Gui or an unidentified umbellifer root by equal weight.