Sichuan ox knee (Cyathula officinalis)
Cyathula officinalis
Chinese Herbalism
Chinese Herbalism

Sichuan ox knee

Cyathula officinalis

Also known as cyathula root, ox knee, chuan niu xi, chuān niú xī, jiǔ chuān niú xī.

NeutralTaste: SweetTaste: Bitter

Chuan niu xi is the long, cylindrical, greyish-brown root of a perennial herb of the amaranth family cultivated in the mountains of Sichuan, Yunnan and Guizhou, dug in autumn or winter and dried. Its name means Sichuan ox knee, from the swollen leaf nodes that resemble a knee joint, and its reputation is likewise for the knees and legs. It is one of two ox knee roots in the materia medica: chuan niu xi moves blood and unblocks, while huai niu xi (Achyranthes bidentata) is the gentler tonic for liver and kidney.

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Actions

Moves bloodEmmenagogueAntirheumaticDiureticAntihypertensive (animal data)Immunomodulating (polysaccharide data)Anti-inflammatoryDownward-guiding herb

Indications what the tradition reached for it in

Specific indications

A painful, swollen knee or heavy aching lower legs where stasis and damp are held below the waist and the patient is not weak

Menstrual pain with dark clotted blood that eases once the flow is established

Safety

The record lists 6 contraindications; open the plate in the library to read them in full.

In practice

Choose chuan niu xi when you want movement below the waist. It drives out stasis for amenorrhea, clotted dysmenorrhea and retained placenta, it unblocks the joints for knee and leg pain with damp and stasis, and it opens the water passages for painful or bloody urination and stones.

In Chinese medicine

Temperature: neutral. Taste: sweet, slightly bitter. Channels: Liver, Kidney. Actions: Drives out blood stasis and unblocks the menses; Unblocks and benefits the joints, especially of the lower body; Promotes urination and relieves painful urinary dysfunction; Guides the action of other herbs downward.

Dosing as the sources wrote it

PreparationAs writtenMetric
Decoction5-10 g dried root daily5000-10000 mg
Wine-fried root in decoction5-10 g daily5000-10000 mg
Tincture (1:5, 45%)2-4 mL three times daily2-4 mL

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

From the sources

Overview. Chuan niu xi is the long, cylindrical, greyish-brown root of a perennial herb of the amaranth family cultivated in the mountains of Sichuan, Yunnan and Guizhou, dug in autumn or winter and dried. Its name means Sichuan ox knee, from the swollen leaf nodes that resemble a knee joint, and its reputation is likewise for the knees and legs. It is one of two ox knee roots in the materia medica: chuan niu xi moves blood and unblocks, while huai niu xi (Achyranthes bidentata) is the gentler tonic for liver and kidney.

Clinical Notes. Choose chuan niu xi when you want movement below the waist. It drives out stasis for amenorrhea, clotted dysmenorrhea and retained placenta, it unblocks the joints for knee and leg pain with damp and stasis, and it opens the water passages for painful or bloody urination and stones.

Chinese Medicine Profile. Temperature: neutral. Taste: sweet, slightly bitter. Channels: Liver, Kidney. Actions: Drives out blood stasis and unblocks the menses; Unblocks and benefits the joints, especially of the lower body; Promotes urination and relieves painful urinary dysfunction; Guides the action of other herbs downward.

In formulas

Sichuan ox knee stands in 18 documented formulas in the library, among them zúo gui wán, tiàn má gòu tếng yìn, jia wèi èr miào wán, sãn bì tāng, shên tông zhú yù tāng.

Often paired with

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