What is Shan Zhu Yu? Are Yu Rou, Jiu Yu Rou and Wu Zhu Yu the same?
Official Shan Zhu Yu (山茱萸) is the dried ripe sarcocarp of Cornus officinalis. The pharmacopoeial name is Corni Fructus, habitually called Yu Rou, Zao Pi or Shan Yu Rou. Use the flesh after removing the pit. Jiu Yu Rou is wine-stewed or wine-steamed: warmer supplementation, less sour. Wu Zhu Yu is the nearly ripe fruit of Evodia: acrid-bitter-hot and slightly toxic, disperses cold to stop pain and directs rebellion downward to stop vomit—one character apart, wholly different source and action. Write Shan Zhu Yu or Jiu Yu Rou; do not dispense Wu Zhu Yu.
What are the TCM properties and traditional uses of Shan Zhu Yu?
According to the Chinese Pharmacopoeia, Shan Zhu Yu is sour, astringent and slightly warm, enters the Liver and Kidney channels, and acts to supplement and benefit Liver and Kidney, and astringe to secure collapse. It is used for dizziness and tinnitus, lumbar-knee aching, impotence and emission, enuresis and urinary frequency, flooding and spotting or vaginal discharge, profuse sweating with collapse, and interior-heat wasting-thirst. Sour-astringent and slightly warm, it supplements while astringing—suited to Liver-Kidney insufficiency and insecure slippage, not to blazing life-gate fire, damp-heat strangury or inhibited urination.
How do you choose raw versus wine-processed Yu Rou? Must the pit be removed?
Securing essence, reducing urination and stopping sweat to secure collapse more often use raw Yu Rou; dizziness, cold lumbar pain, impotence and frequency more often use Jiu Yu Rou. The pit must be removed; the stone is not the official drug. Decoct as usual. Do not mix it with Wu Zhu Yu.
What is the usual dosage? Can it be drunk daily as a Kidney tea?
The pharmacopoeial decoction dose is 6–12 g; securing collapse and stopping sweat may briefly reach 30–60 g under supervision. It is not a four-season “cornus Kidney tea.” Damp-heat painful strangury and inhibited urination only stagnate further when astringed. Liver-Kidney slippage needs a practitioner to name raw or wine-processed and a course.
What are the contraindications? Can it be used in pregnancy?
Forbid in blazing life-gate fire, habitual damp-heat, and painful inhibited urination. Sour astringency is wrong without insecure vacuity. Pregnancy data are limited—only under assessment; damp-heat fetal stirring should not be astringed. Stop if burning painful urination appears.
Can Shan Zhu Yu supplement Liver-Kidney, secure essence and stop sweat?
It can help Liver-Kidney insufficiency and slippage. Kidney-Yin vacuity joins prepared rehmannia, Chinese yam, Poria, Alisma and Moutan in Liu Wei Di Huang Wan. Kidney-Yang vacuity joins aconite, cinnamon bark, prepared rehmannia and Chinese yam in Jin Gui Shen Qi Wan. Profuse sweating with collapse joins ginseng, aconite, dragon bone and oyster shell in Zhang Xichun’s Lai Fu Tang. It supplements while astringing—not a specific for every impotence, every night sweat or every flooding. Shock with profuse sweat and heavy vaginal bleeding are emergencies.
Can Shan Zhu Yu be drunk daily as an anti-aging, anti-sweat or essence-securing tea?
Liver-Kidney vacuity that fails to secure may enter a short formula; damp-heat and blazing fire only suffer more when astringed. “Cornus anti-ages and secures essence” does not replace endocrinology and urology. Supplementing and astringing should name Shan Zhu Yu (not Wu Zhu Yu) and a 6–12 g dose.
How do you choose among Shan Zhu Yu, Wu Zhu Yu, Shu Di, Shan Yao and Wu Wei Zi?
Cornus is sour-astringent and slightly warm: supplements Liver-Kidney and astringes to secure collapse—supplements while binding. Evodia is acrid-bitter-hot and slightly toxic: disperses cold to stop pain, directs rebellion downward to stop vomit and assists Yang to stop diarrhea—for cold hernia headache, acid regurgitation and diarrhea, not to fill essence. Prepared rehmannia is sweet and slightly warm: enriches Yin, supplements Blood and fills essence—cloaking, not astringent. Chinese yam is sweet-neutral: supplements Spleen, Lung and Kidney and astringes essence to stop diarrhea—both Qi and Yin. Schisandra is sour-sweet-warm: constrains the Lung, enriches the Kidney, generates fluid, constrains sweat, astringes essence and calms the Heart—enters all five zang. Vacuity that fails to secure favors Shan Zhu Yu, Wu Wei Zi and Shan Yao; large Yin-Blood depletion favors Shu Di; cold binding with vomit and diarrhea favors Wu Zhu Yu. They may be paired; all are wrong as pure sour astringency in damp-heat strangury, and Shan Zhu Yu must not be called the same “Zhu Yu” as Wu Zhu Yu.
Which herbs is Shan Zhu Yu combined with? What are the representative formulas?
Liver-Kidney Yin vacuity joins prepared rehmannia, Chinese yam, Moutan, Poria and Alisma in Liu Wei Di Huang Wan. Kidney-Yang insufficiency adds aconite and cinnamon bark in Jin Gui Shen Qi Wan. Profuse sweating with collapse joins ginseng, aconite, dragon bone and oyster shell in Lai Fu Tang. Write Shan Zhu Yu or Jiu Yu Rou, pit removed; do not dispense Wu Zhu Yu.
How do you choose and store Shan Zhu Yu?
Choose plump flesh, purple-red to purple-black, glossy, pit-free or nearly so, sour-astringent and slightly bitter. Withered, pit-heavy, moldy, moth-eaten and sour-spoiled lots are discarded. Store dry against moths. Buy pharmacopoeial Shan Zhu Yu or Jiu Yu Rou; do not replace supplementing the Kidney and securing collapse with an equal weight of Wu Zhu Yu or pitted-poor material.