Costus (Saussurea costus)
Saussurea costus
Chinese and Ayurvedic herbalism
Chinese and Ayurvedic herbalism

Costus

Saussurea costus

Also known as costus root, kuth, Indian costus, Mu Xiang, Aucklandia, Kushtha, Vapya, Kashmiraja.

WarmingDryingTaste: BitterTaste: PungentTaste: SweetTaste: Aromatic

Saussurea costus is a tall perennial of the daisy family with a thick, aromatic taproot, native to the high valleys of Kashmir, Himachal Pradesh and Uttarakhand between 2500 and 3500 meters and now cultivated there because wild stocks have been nearly exhausted. Ayurveda calls the root Kushtha, a warming, bitter, aromatic drug for cough, asthma, fever, skin disease and painful vata disorders, and it is a fixture of the medicated oils and pastes of Kerala practice. The same root is a major drug in Chinese and Tibetan medicine and was traded across Asia for centuries as costus.

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Actions

Aromatic carminativeAntispasmodicBronchodilatorExpectorantAnti-inflammatoryAnalgesic (topical)AntimicrobialAnthelminticHepatoprotectiveAntiulcerNervineQi-regulatingCarminativeCholereticGastroprotectivePromote the movement of qiRelieve painStrengthen the SpleenRegulate the Stomach and IntestinesResolve stagnation

Indications what the tradition reached for it in

Specific indications

Wheezy cough with sticky white phlegm in a cold, heavy patient who feels worse in damp weather

Painful, stiff, cold joints or muscles that ease with warmth and rubbing, treated with a warm oil massage

Cramping abdominal pain with gas and a slow, cold digestion, relieved by heat and pressure

A pale, chilly patient with weak libido, low appetite and a tendency to catarrh

Safety

Pregnancy: No published safety class is known to us; the tradition does not give the root internally in pregnancy because of its heating, penetrating and blood-moving nature, though topical oils are used for backache; avoid internal use.

The record lists 7 contraindications; open the plate in the library to read them in full.

In practice

The Ayurvedic practitioner uses Kushtha internally for kapha-vata disease of the chest and gut and externally for pain. In cough, asthma and hiccup the powder is given with honey or ghee, often with Pippali and Vasa; in fever with chills and body ache it joins Musta and Guduchi in kwatha; in weak digestion with cramping it is a warming carminative comparable to Shunthi but with a deeper action on vata.

In Ayurveda

Rasa: tikta (bitter), katu (pungent), madhura (sweet). Virya: ushna (heating). Vipaka: katu (pungent). Guna: laghu (light), ruksha (dry), tikshna (sharp). Dosha: pacifies kapha and vata; aggravates pitta in excess. Karma: deepana (kindles digestion); pachana (digests ama); shukrala (increases semen); vrishya (aphrodisiac); varnya (improves complexion); kushthaghna (relieves skin disease); vishaghna (counters poisons); jvaraghna (relieves fever); kasahara (relieves cough); shvasahara (relieves dyspnea); vedanasthapana (relieves pain); shothahara (reduces swelling); rasayana (rejuvenative). Classical indications: kasa (cough); shvasa (dyspnea, asthma); hikka (hiccup); kushtha (skin disease); visarpa (erysipelas, spreading skin inflammation); vatavyadhi (neuromuscular and joint disorders); amavata (rheumatoid arthritis); jvara (fever); agnimandya (weak digestion); shirahshula (headache); hridroga (heart disease); klaibya (male sexual dysfunction). The dried aromatic root is used as fine churna with honey or warm water, in kwatha for cough and fever, and above all in medicated oils and pastes for pain, swelling and skin disease: it leads the Kerala formula Kottamchukkadi and is a standing ingredient of Dashanga lepa and of many vata oils. Classical formulations: Kottamchukkadi taila, Kottamchukkadi churna, Dashanga lepa, Mahanarayana taila, Kushthadi churna, Rasnadi churna, Dhanvantara taila, Manasamitra vataka. Described in: Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Bhavaprakasha Nighantu, Dhanvantari Nighantu, Raja Nighantu, Kaiyadeva Nighantu, Madanapala Nighantu, Ayurvedic Pharmacopoeia of India.

Dosing as the sources wrote it

PreparationAs writtenMetric
Churna1-3 g powdered root daily with honey or warm water1000-3000 mg
Kwatha30-60 mL decoction twice daily30-60 mL
Taila, topical (Kottamchukkadi)10-20 mL warmed oil massaged into the affected part10-20 mL
Lepa, topical10-20 g warm paste applied to swellings10000-20000 mg
Dried root decoctionDried root decoction: 1.5-9 g/day (add near end of cooking to preserve aromatics)1500-9000 mg
Tincture (1:5)Tincture (1:5): 1-3 ml three times daily1-3 mL

Doses are reproduced from the sources for practitioners and are not a recommendation for any person.

From the sources

Overview. Saussurea costus is a tall perennial of the daisy family with a thick, aromatic taproot, native to the high valleys of Kashmir, Himachal Pradesh and Uttarakhand between 2500 and 3500 meters and now cultivated there because wild stocks have been nearly exhausted. Ayurveda calls the root Kushtha, a warming, bitter, aromatic drug for cough, asthma, fever, skin disease and painful vata disorders, and it is a fixture of the medicated oils and pastes of Kerala practice. The same root is a major drug in Chinese and Tibetan medicine and was traded across Asia for centuries as costus.

Clinical Notes. The Ayurvedic practitioner uses Kushtha internally for kapha-vata disease of the chest and gut and externally for pain. In cough, asthma and hiccup the powder is given with honey or ghee, often with Pippali and Vasa; in fever with chills and body ache it joins Musta and Guduchi in kwatha; in weak digestion with cramping it is a warming carminative comparable to Shunthi but with a deeper action on vata.

primary-actions. Mu Xiang acts primarily as: Qi-regulating, Antispasmodic, Carminative, Choleretic, Anti-inflammatory, Gastroprotective, Antimicrobial. Secondary actions include Promote the movement of qi, Relieve pain, Strengthen the Spleen, Regulate the Stomach and Intestines, Resolve stagnation.

indications. Mu Xiang is traditionally indicated for: Qi stagnation of the Spleen and Stomach, Epigastric and abdominal distension and pain, Poor appetite, Bloating and fullness, Damp-heat dysentery with tenesmus, Diarrhea with abdominal pain, Hypochondriac pain, Sluggish digestion, Belching and nausea.

In formulas

Costus stands in 221 documented formulas in the library, among them Daśamūlāriṣṭa, Pippalyādyāsava, Mṛdvīkāriṣṭa, Sārasvatāriṣṭa, Sārivādyāsava, Madhusnuhī Rasāyana.

Often paired with

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