Gua Lou

primary-actions. Gua Lou acts primarily as: Expectorant, Antitussive, Anti-inflammatory, Demulcent, Hypoglycemic, Antitumor, Abortifacient (root protein trichosanthin). Secondary actions include Clear heat and transform phlegm, Moisten the Lung and intestines, Generate fluids, Dissipate nodules (fruit), Drain pus and reduce swelling (root).

indications. Gua Lou is traditionally indicated for: Phlegm-heat cough with thick sputum, Chest painful obstruction and oppression (Gua Lou), Constipation from dryness, Wasting-thirst and diabetes (Tian Hua Fen root), Lung and breast abscess, Swellings and sores, Dry mouth and thirst from heat.

dose-reference. Reference preparation/dosing for Gua Lou: Whole fruit decoction: 9-15 g/day; Root (Tian Hua Fen) decoction: 9-15 g/day; Tincture (1:5): 2-4 ml three times daily; Powder/capsule: 1-3 g/day; Fruit for chest/phlegm, root for fluids and swellings

safety-cautions. Gua Lou - Contraindications: Pregnancy: the root (Tian Hua Fen) contains trichosanthin, an abortifacient protein - contraindicated in pregnancy, Spleen deficiency with loose stools or cold-phlegm, Classically incompatible with Aconite, Use fruit and root according to their distinct actions | Side effects: GI upset and loose stools, Root protein can cause allergic and febrile reactions when used parenterally, Avoid in pregnancy | Safety flags: not considered safe in pregnancy.