What is Yan Hu Suo? Are Yuan Hu, Cu Yan Hu Suo and Chuan Xiong the same?
Official Yan Hu Suo (延胡索) is the dried tuber of Corydalis yanhusuo, also called Yuan Hu. The pharmacopoeial name is Corydalis Rhizoma. Cu Yan Hu Suo is vinegar-fried or vinegar-boiled to strengthen invigorating Blood and stopping pain—the form most prescriptions expect. Chuan Xiong is acrid-warm: invigorates Blood, moves qi and dispels wind to stop pain—the qi herb within Blood, leaning toward headache and regulating menses, not Corydalis. Classics say it moves qi stagnation within Blood and Blood stasis within qi, and is specific for pain. Write Yan Hu Suo, Yuan Hu or Cu Yan Hu Suo; crush or slice before use.
What are the TCM properties and traditional uses of Yan Hu Suo?
According to the Chinese Pharmacopoeia, Yan Hu Suo is acrid, bitter and warm, enters the Liver and Spleen channels (also often the Heart), and acts to invigorate Blood, move qi and stop pain. It is used for chest-flank and epigastric-abdominal pain, chest impediment Heart pain, amenorrhea and dysmenorrhea, postpartum static obstruction and traumatic swelling pain. Acrid-bitter and warm-unblocking, it regulates both qi and Blood—suited to pain from qi stagnation and Blood stasis, not to reckless Blood heat, qi-Blood vacuity without stasis, or pregnancy.
How do you choose raw versus vinegar-processed? How do powder and decoction differ?
Stopping pain usually prefers Cu Yan Hu Suo. Decoction is 3–10 g, crushed; swallowed powder is only 1.5–3 g each time and more concentrated. Do not raise the powder dose on your own. Dongyang and Pan’an, Zhejiang lots are preferred.
What is the usual dosage? Can it be drunk daily as an all-purpose pain tea?
The pharmacopoeial decoction dose is 3–10 g; powder 1.5–3 g each time. It is not a four-season “Yuan Hu pain tea.” Blood heat and qi vacuity without stasis only empty further. Chest-flank and epigastric pain and dysmenorrhea need a practitioner to name vinegar processing and a short course.
What are the contraindications? Can it be used in pregnancy?
Forbid in pregnancy. Use caution or forbid in reckless Blood heat, early menses, and qi-Blood vacuity without stasis. Use caution in bodily vacuity. Stop if dizziness or drowsiness appears; do not drive until the reaction is clear. Acute abdomen and radiating chest pain are emergencies—do not let analgesia mask them.
Can Yan Hu Suo invigorate Blood, move qi and stop pain?
It can help pain from qi stagnation and Blood stasis. Liver depression transforming into heat with Heart-abdominal and flank pain joins Toosendan in Jin Ling Zi San. Chest impediment may join Salvia and chuanxiong. Dysmenorrhea joins angelica, Cyperus and chuanxiong. Trauma joins frankincense and myrrh. It regulates qi and Blood together to stop pain—not a specific for every pain, every dysmenorrhea or every angina. Myocardial infarction and acute abdomen are emergencies.
Can Yan Hu Suo be drunk daily as a pain, sleep or dysmenorrhea tea?
Qi-stagnation Blood-stasis stabbing pain may enter a short formula; Blood-qi vacuity without stasis only empties further. “Yuan Hu stops all pain and aids sleep” does not replace etiologic assessment of pain. Invigorating Blood, moving qi and stopping pain should name Cu Yan Hu Suo 3–10 g; pregnancy forbids it.
How do you choose among Yan Hu Suo, Chuan Xiong, Xiang Fu, Wu Ling Zhi and Chuan Lian Zi?
Corydalis is acrid-bitter-warm: invigorates Blood, moves qi and stops pain—Liver-Spleen, regulates qi and Blood together, broad for pain. Chuanxiong is acrid-warm: invigorates Blood, moves qi and dispels wind to stop pain—the qi herb within Blood, head-body and menses. Cyperus is acrid, slightly bitter, slightly sweet and neutral: soothes the Liver, regulates qi and regulates menses to stop pain—commander of qi diseases. Trogopterus feces is bitter-sweet-warm: invigorates Blood, stops pain and transforms stasis to stop bleeding—static pain specifically; antagonizes ginseng; wrap for decoction. Toosendan is bitter-cold and slightly toxic: soothes the Liver, drains heat, moves qi, stops pain and kills parasites—Liver depression transforming into heat. Pain in general favors Yan Hu Suo; headache and regulating menses favor Chuan Xiong; Liver depression and menses favor Xiang Fu; stabbing pain with clots favors Wu Ling Zhi; heat pain favors Chuan Lian Zi with Yan Hu Suo (Jin Ling Zi San). They may be paired; pregnancy and vacuity without stasis forbid pure breaking and moving.
Which herbs is Yan Hu Suo combined with? What are the representative formulas?
Liver-depression heat pain joins Toosendan in Jin Ling Zi San. Dysmenorrhea joins angelica, chuanxiong, Cyperus and white peony. Chest impediment joins Salvia and Allium macrostemon. Trauma joins frankincense and myrrh. Write Cu Yan Hu Suo; crush 3–10 g in decoction; do not use in pregnancy.
How do you choose and store Yan Hu Suo?
Choose flattened-spherical yellow or yellow-brown tubers with a bright yellow horny fracture and a bitter taste; Zhejiang lots are preferred. Hollow, moldy, moth-eaten and pale fractures are inferior. Store dry against moths. Buy pharmacopoeial Yan Hu Suo or Cu Yan Hu Suo; do not replace invigorating Blood, moving qi and stopping pain with an unidentified poppy-family tuber by equal weight.