
Geranium wilfordii
Also known as Chinese cranesbill, old crane herb, lao guan cao, lǎo guàn cǎo.
Lao guan cao is the dried summer-cut aerial parts of Geranium wilfordii, a small hairy cranesbill of hillsides and field edges across northern and central China, Korea, Japan and the Russian Far East, named for its long beaked fruit. The Pharmacopoeia also admits Geranium carolinianum and the storksbill Erodium stephanianum under the same drug name. It is a tannin-rich, neutral herb of the wind-damp class, used for arthritic pain and hot diarrhea, and differs in use from the American cranesbill and herb Robert though it shares their astringency.

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Ask HerbertAching, stiff joints that worsen in damp weather with numbness of the limbs, in a patient who also tends to loose stools, where a gentle, neutral herb is wanted that will not heat or cool
Acute watery or mucousy diarrhea with abdominal cramping in a hot climate, where an astringent, heat-clearing herb is needed
The record lists 7 contraindications; open the plate in the library to read them in full.
For wind-damp bi with stiff, aching, numb joints, lao guan cao combines well with wei ling xian, sang zhi, hai feng teng and du huo, and with hong hua and dang gui where stasis and blood deficiency contribute; a medicinal wine or a topical liniment of the herb is traditional for chronic cases.
Temperature: neutral. Taste: acrid, bitter. Channels: Liver, Kidney, Spleen. Actions: Dispels wind-dampness and unblocks the channels and collaterals; Relaxes the sinews and eases stiff, painful, numb joints; Clears heat, resolves toxin and stops diarrhea and dysentery; Astringes weeping skin and wounds when applied externally.
| Preparation | As written | Metric |
|---|---|---|
| Decoction | 9-15 g dried herb daily in decoction | 9000-15000 mg |
| Medicinal wine | 15-30 g dried herb steeped in 500 mL rice wine for 2 weeks, 10-20 mL twice daily | 15000-30000 mg |
| Tincture (1:5, 45%) | 2-4 mL three times daily | 2-4 mL |
| Topical wash | 30-60 g decocted in 500 mL water, cooled, applied as a wash or compress twice daily | 30000-60000 mg |
Doses are reproduced from the sources for practitioners and are not a recommendation for any person.
Overview. Lao guan cao is the dried summer-cut aerial parts of Geranium wilfordii, a small hairy cranesbill of hillsides and field edges across northern and central China, Korea, Japan and the Russian Far East, named for its long beaked fruit. The Pharmacopoeia also admits Geranium carolinianum and the storksbill Erodium stephanianum under the same drug name. It is a tannin-rich, neutral herb of the wind-damp class, used for arthritic pain and hot diarrhea, and differs in use from the American cranesbill and herb Robert though it shares their astringency.
Clinical Notes. For wind-damp bi with stiff, aching, numb joints, lao guan cao combines well with wei ling xian, sang zhi, hai feng teng and du huo, and with hong hua and dang gui where stasis and blood deficiency contribute; a medicinal wine or a topical liniment of the herb is traditional for chronic cases.
Chinese Medicine Profile. Temperature: neutral. Taste: acrid, bitter. Channels: Liver, Kidney, Spleen. Actions: Dispels wind-dampness and unblocks the channels and collaterals; Relaxes the sinews and eases stiff, painful, numb joints; Clears heat, resolves toxin and stops diarrhea and dysentery; Astringes weeping skin and wounds when applied externally.

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