Stems and woodsWind-extinguishingRamulus Uncariae cum Uncis

Gou Teng (Uncaria Stem with Hooks)

A practical guide to Gou Teng: what it is, how Traditional Chinese Medicine uses it, the classical formulas it appears in, and who should be careful with it.

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Last reviewed Sep 25, 2026

Quick Facts

Latin NameRamulus Uncariae cum Uncis
Chinese Name & Pinyin 鉤藤 · Gou Teng
Medicinal PartStems and woods
The herbGou Teng is the hook-bearing stem of the Uncaria species above. Old stems without hooks are not preferred. South American U. tomentosa is not this drug.
Nature and channelsSweet, cool. Enters the Liver and Pericardium. Sweetness moderates. Coolness clears Liver heat and extinguishes Liver wind.
Pharmacopoeia lineExtinguishes wind and stops spasm. Clears heat and calms the Liver. Used for internal Liver wind, fright epilepsy and convulsions, eclampsia, headache, and dizziness.
Pattern cuesConvulsions. Headache and dizziness. Red face and restlessness. Twitching sinews. Wiry pulse.
In this articleWhy Gou Teng is added late. How it differs from Tian Ma, Shi Jue Ming, and Ju Hua. Why it is not cat’s claw. Who should skip it.

What Is Gou Teng?

Gou Teng (钩藤; Gōu Téng; Latin: Uncariae Ramulus Cum Uncis; English: Uncaria vine with hooks / gambir) is the dried hook-bearing stem of Uncaria rhynchophylla (Miq.) Miq. ex Havil., or of U. macrophylla, U. hirsuta, U. sinensis, or U. sessilifructus. In Chinese medicine it is a Liver-calming, wind-extinguishing herb. It is sweet and cool, enters the Liver and Pericardium channels, and its core actions are to extinguish wind and stop spasm, and to clear heat and calm the Liver. The hooks on the twig are the identification mark. It is not South American cat’s claw (Uncaria tomentosa). Same genus, different species. They are not interchangeable official drugs.

It is used most often for three patterns:

  • Internal stirring of Liver wind — fright epilepsy, convulsions, wriggling of the hands and feet
  • Ascendant Liver yang — headache, dizziness, red face, restlessness
  • Liver wind in pregnancy — eclampsia belongs in urgent medical care, not a home decoction

In a decoction it should be added near the end. Long boiling weakens the wind-extinguishing effect. The usual dose is 3–12 g. Deficiency-cold, or patterns with no wind and no heat, are a poor match. Sweet-cool clearing is not an unlimited daily “blood-pressure vine.”

When Liver yang rises or Liver wind is about to stir, dizziness, a swollen head, and twitching sinews are common. Gou Teng is sweet and cool. It clears, extinguishes, and settles, which is why it appears in Tian Ma Gou Teng Yin. It clears and directs down more than it warms. A cold yang-deficient headache that likes warmth gets worse if more cooling is added.

Gou Teng is not a catch-all for dizziness or cramps, and it does not replace emergency care for eclampsia. In Liver cold or blood deficiency with no heat and no wind, using it alone can injure yang. Whether to add it late in a formula should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.

Gou Teng Uncaria Vine

Gou Teng: Materia Medica Profile

Identification & Quality Standard

Ramulus Uncariae cum Uncis

Botanical Origin

The dried branch with hooks of Uncaria rhynchophylla (Miq.) Jacks. (Rubiaceae)

Production Regions

Primarily produced in the Chinese provinces of Guangdong, Guangxi, Hunan, Hubei.

Quality Requirements

Superior medicinal material has thin stem, two firm hooks, smooth and purplish-red.

Macroscopic Features

Stem is cylindrical or sub-square, 2~6mm diameter. Externally reddish-brown to purplish-brown or brown, with thin wrinkles without hair. Stem has raised nodes, two opposing hooks curved downward or singular hook, 1~2cm long, shaped like a ship's mast, gradually pointy apex and relatively round base. Hook base has indented points of fallen leaf stem and ring-like scars of stipules. Light, hard texture; fractured surface has brownish-red outer layer; pith is pale brown or pale yellow. faint odor; tasteless.

Authentic Regions and Quality Identification

  • Sourcing: Traditionally, the highest quality Gou Teng comes from provinces like Zhejiang, Jiangxi, Fujian, Guangdong, Guangxi, and Yunnan.
  • Quality Marks: Premium quality pieces are cylindrical, featuring a red-brown to purple-red surface that is smooth with fine lines.
  • Identification: Raw versions have a brighter color, while stir-fried versions are darker. It's important for professionals to distinguish true Gou Teng from similar looking vines that do not share the exact same clinical benefits.

Traditional Properties & Historical Lineage

Nature, Flavour & Channel Tropism

Sweet; CoolLiverPericardium

1. Historical Records

  • Ancient Texts: The classic text Ming Yi Bie Lu documented its safety and effectiveness for treating childhood fevers and spasms.
  • The legendary Ben Cao Gang Mu (Compendium of Materia Medica) noted that Gou Teng is essential for Liver meridian issues. It highlighted its ability to treat dizziness, vertigo, and spasms by "calming the wind and extinguishing the fire" within the body.

2. Evolution of TCM Understanding

  • Flexible Application: Over centuries, some TCM doctors have focused on its ability to clear heat and anchor ascending Liver Yang (ideal for stress-induced headaches and dizziness). Others emphasize its power to extinguish wind and stop tremors (useful for pediatric spasms).
  • Ultimately, its application is never "one-size-fits-all" but is carefully tailored to the individual patient's constitution.
Gou Teng Uncaria Vine

Core Efficacies & Traditional Applications

Traditional Functions

Clears heat, calms the liver, extinguishes wind, relieves tentany. Apply to infantile frightened epilepsy, night cry, exuberating heat stirring wind, eclampsia, dizzing due to liver yang, head swelling pain due to liver fire.

1. Primary Focus: Clearing Heat and Pacifying the Liver

  • Traditional Efficacy: Gou Teng (Uncaria) is widely used to clear heat and pacify the liver, effectively relieving symptoms caused by "Liver Yang rising."
  • Target Symptoms: It is commonly used for headaches, dizziness, ringing in the ears (tinnitus), a red face and eyes, and irritability or restlessness.
  • Common Combinations: Often paired with herbs like Shi Jue Ming (Abalone Shell), Tian Ma (Gastrodia Rhizome), and Niu Xi (Achyranthes Root) to strengthen its ability to anchor the rising Liver energy.
  • When to Avoid Self-Use: If your symptoms are severe or persistent, or if you have a "deficiency-cold" constitution, do not use this on your own. Always consult a professional.

2. Secondary Focus: Extinguishing Wind and Stopping Tremors

  • Traditional Efficacy: It extinguishes internal "wind" and stops spasms or convulsions.
  • Target Symptoms: Often seen in pediatric spasms, high-fever convulsions, or tremors.
  • Common Combinations: Frequently used alongside Ling Yang Jiao (Antelope Horn), Niu Huang (Calculus Bovis), or Quan Xie (Scorpion) for stronger anti-spasmodic effects.
  • When to Avoid Self-Use: In cases of frequent convulsions, seizures, or coma, this is a medical emergency. Do not attempt self-treatment; seek immediate emergency care.

3. Common Single-Herb Pairings

  • Gou Teng + Tian Ma: Tian Ma calms the liver and extinguishes wind, while Gou Teng clears heat and pacifies the liver. Together, they are a classic duo for headaches and dizziness caused by Liver Yang rising. This requires a professional diagnosis.
  • Gou Teng + Chan Tui: Chan Tui (Cicada Slough) disperses wind-heat and relieves spasms. When combined with Gou Teng, it is excellent for pediatric wind-heat colds accompanied by mild spasms, though it must be guided by a TCM doctor.
Gou Teng Uncaria Vine

Modern Research

Modern research offers useful context, but Traditional Chinese Medicine prescribes on whole-pattern diagnosis rather than isolated compounds.

1. Primary Chemical Components

  • Modern lab analysis shows that Gou Teng contains various alkaloids (such as rhynchophylline). In laboratory settings, these components have demonstrated potential blood-pressure-lowering and mild sedative properties.

2. Modern Pharmacological Focus

  • Western medical research is currently focused on exploring how Gou Teng regulates the nervous system and relaxes blood vessels. While animal studies show it can help calm the nervous system and lower blood pressure, extensive human clinical trials are still needed to confirm standard dosages and efficacy.

3. Limitations of Modern Research

  • Lab vs. Life: Animal and test-tube results cannot be directly applied to human clinical practice.
  • Whole Herb Synergy: In TCM, the traditional whole-herb decoction works through the synergy of hundreds of compounds. This is very different from taking an isolated chemical extract in a modern lab.
  • Dosage Variables: Different lab extraction methods yield different results, meaning a single isolated compound cannot fully define the healing power of the entire Gou Teng herb.

Comparing Similar Herbs

1. Common Ground

  • Both Gou Teng (Uncaria) and Tian Ma (Gastrodia Rhizome) can pacify the liver and are used to treat headaches and dizziness.
  • They often appear together in classic formulas targeting vertigo.
  • Both require careful dosage adjustments based on the patient's physical constitution.

2. Core Differences

  • Nature and Flavor: Gou Teng is slightly cold and excels at clearing heat. Tian Ma is neutral and milder.
  • Clinical Strength: Gou Teng is better at clearing liver heat and stopping tremors (great for heat-induced symptoms). Tian Ma is the ultimate specialist for anchoring Liver Yang and treating all kinds of dizziness, regardless of heat or cold.
  • Energy Movement: Gou Teng has a slight "ascending" property, guiding the medicine upward. Tian Ma is more steady and balancing.
  • Target Symptoms: Choose Gou Teng when liver heat is obvious (red face, irritability). Choose Tian Ma for general dizziness or vertigo.

3. Summary of Differences

In short, Gou Teng leans towards clearing heat and stopping tremors (best for excess heat patterns), while Tian Ma focuses on anchoring the liver and treating general dizziness. They are not simply interchangeable.

Gou Teng Uncaria Vine

Classical Formulas Containing Gou Teng

Formulas vs. Single Herbs

  • Synergy is Key: A formula is a balanced team. The healing power comes from how the herbs interact, so a single herb cannot simply replicate a full formula's effects.
  • Holistic Balance: The exact dosage and combination in a formula affect the entire body. Never try to mix or alter these formulas at home based on internet articles.

Diet & Daily Home Use

1. Home Recipes and Teas

  • Gou Teng and Chrysanthemum Tea:
    • Ingredients: 10g Gou Teng, 5g Chrysanthemum flowers (Ju Hua).
    • Method: Rinse both, place in a teapot, and steep with boiling water for 10-15 minutes.
    • Best for: Headaches, dizziness, or red eyes caused by Liver Yang rising.
    • Note: Avoid if you have a weak or cold digestive system (Spleen/Stomach deficiency-cold). Gou Teng is a medicinal herb and should not be consumed in large amounts as a daily beverage. Limit to 1-2 times a day when needed.

2. Decoction and Processing

  • Boiling Rules: Raw Gou Teng is tough, and boiling it for too long destroys its active components. It should be added during the last 5 to 10 minutes of the decoction process (this is called "adding later" or hou xia).
  • Stir-fried versions are looser in texture and extract easier. Always follow the specific preparation method given by your practitioner.

3. Usage and Dosage

  • Standard Dosage: Clinical prescriptions usually range from 3 to 12 grams.
  • Usage Cycle: Do not use continuously long-term to avoid adverse reactions. Special populations (pregnant, elderly, liver/kidney issues) must consult a professional before use.
Gou Teng Uncaria Vine

Contraindications & Safety Warnings

1. Inappropriate Populations

  • Avoid: Individuals with a "deficiency-cold" constitution (poor digestion, frequent loose stools, cold hands and feet) should use it with extreme caution.
  • Special Care: Pregnant or nursing women, children, the elderly, and those with existing liver or kidney issues must consult a doctor before use.

2. Herb-Drug Interactions and Dietary Notes

  • Medication Conflicts: Gou Teng can lower blood pressure and act as a mild sedative. If you are taking blood pressure medications, sedatives, blood thinners, or diabetes drugs, it may amplify their effects. You must consult your doctor to prevent dangerous interactions.

3. Adverse Reactions and Overdose Risks

  • Symptoms: Overuse or improper use may cause gastrointestinal discomfort, such as nausea, vomiting, or stomach pain, as well as allergic reactions like rashes or itching.
  • Emergency Action: If you experience severe allergies, persistent vomiting, difficulty breathing, or rapid worsening of symptoms, stop taking it immediately and seek emergency medical care.

Frequently Asked Questions About Gou Teng

What is Gou Teng? Is it the same as large-leaf Uncaria or “cat’s claw”?
Official Gou Teng (钩藤) is the dried hook-bearing stem of Uncaria rhynchophylla, U. macrophylla, U. hirsuta, U. sinensis or U. sessilifructus. The pharmacopoeial name is Uncariae Ramulus cum Uncis. Only stems that carry hooks are the official drug; bare rods are weaker. Mao Zhua Cao is the tuber of Ranunculus ternatus, a different clearing-and-dissipating herb. West African “cat’s claw” is not Gou Teng. Write Gou Teng on the script.
What are the TCM properties and traditional uses of Gou Teng?
According to the Chinese Pharmacopoeia, Gou Teng is sweet and cool, enters the Liver and Pericardium channels, and acts to extinguish wind and settle fright, and clear heat to calm the Liver. It is used for internal stirring of Liver wind, fright-epilepsy and convulsions, high-fever fright spasms, a cold that carries fright, infantile night crying, pregnancy eclampsia, headache and dizziness. Sweet-cool and not drying, it clears heat and extinguishes wind while it calms and anchors Liver Yang—suited to heat generating wind, not to deficient-cold wind without fire.
Why is Gou Teng added late? Does it need processing?
The pharmacopoeia specifies 3–12 g, added late. The active alkaloids do not survive long boiling; drop it in for the last few minutes when the rest of the pot is nearly done. Long boiling weakens the Liver-calming force. Slices are usually used raw and cut; they are not routinely fried. Double hooks and many hooks are better. Do not cook Gou Teng from the start like an ordinary root.
What is the usual dosage? Can it be steeped daily to lower blood pressure?
The pharmacopoeial decoction dose is 3–12 g, added late; it may also enter powders. It is not a daily blood-pressure tea. Hypertension needs proper care. Gou Teng calms the Liver only for Liver-Yang rising and internal wind with headache and dizziness; low pressure and deficient-cold dizziness grow emptier. Do not self-steep a high dose for a long time.
What are the contraindications? Can it be used in pregnancy?
Use caution in Spleen-Stomach deficient cold and in deficient wind without fire. Coolness can injure the middle; classics say the deficient and those without fire should not take it. Low blood pressure and people already on antihypertensives or sedatives need a practitioner. The monograph lists pregnancy eclampsia among indications—that is a specialist prescription, not a license for every pregnant woman to calm the Liver. Reduce or stop if loose stool, fatigue or overly low pressure appears.
Can Gou Teng calm the Liver, stop spasms and lower blood pressure?
It can help Liver-heat generating wind—headache, dizziness, fright-epilepsy, and high-fever infantile crying—often with Gastrodia, abalone shell and Scutellaria in Tian Ma Gou Teng Yin. It extinguishes wind from extreme heat or Yang rising, not a specific for every epilepsy or every hypertension. Convulsions, eclampsia and hypertensive crisis are emergencies; do not rely on Gou Teng alone.
Can Gou Teng be drunk daily as a calming blood-pressure tea?
No. Liver-Yang rising may be treated in a short paired course; dual Qi-Blood deficiency and middle-cold loose stool only grow emptier with more coolness. Insomnia has many causes; Gou Teng is not a dedicated spirit-calmer. Commercial “Gou Teng tea bags” have unknown contents and doses. Calming the Liver and extinguishing wind should be prescribed, with instructions to add it late.
How do you choose among Gou Teng, Tian Ma, Shi Jue Ming, Bai Ji Li and Quan Xie?
Gou Teng is sweet-cool: clears heat, calms the Liver and settles fright—suited to heat generating wind. Gastrodia is sweet-neutral: extinguishes wind, stops spasm and also unblocks wind in the collaterals—usable in both excess and deficient wind. Abalone shell is salty-cold and heavy: stronger to calm and anchor Liver Yang. Tribulus is acrid-bitter and slightly warm: soothes the Liver, disperses wind and brightens the eyes. Scorpion is acrid-neutral and toxic: fierce to extinguish wind and unblock. Liver-heat headache favors Gou Teng; deficient-wind dizziness favors Gastrodia; Yang rising favors the shell. They may be paired; deficient-cold without fire cautions against Gou Teng.
Which herbs is Gou Teng combined with? What are the representative formulas?
Liver-Yang rising with headache and dizziness joins Gastrodia, abalone shell, gardenia and Scutellaria in Tian Ma Gou Teng Yin. Infantile fright-wind may join antelope horn and cicada slough. A cold that carries fright may join mint and cicada. In a decoction it must be added late. Write Gou Teng, not Mao Zhua Cao, and disclose blood-pressure medicines.
How do you choose and store Gou Teng?
Choose double or many hooks, firm curved tips, slender stems, a red-brown or purple-red surface, a yellow-brown section, a faint odor and a bland taste. Bare rods without hooks, shed hooks and mold are inferior. Store dry. Buy labeled Gou Teng slices from a regulated source; do not replace them with mixed vines or a “cat’s claw” wellness tea.

Medical Disclaimer — This article is provided for educational purposes only and describes traditional Chinese medicine concepts. It is not medical advice, and it is not intended to diagnose, treat, cure or prevent any disease. Always consult a qualified practitioner before using any herb, particularly if you are pregnant, nursing, taking medication or managing a diagnosed condition.

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Gou Teng (Uncaria Vine): Extinguish Wind, Stop Spasms, and Calm the Liver