Sheng dihuang

Related Terms

Chinese foxglove, Digitalis glutinosa, di huang, dihuang, gan dihuang (dried rehmannia), Gesneriaceae (family), glutinous rehmannia, Go-shajinki-gan, Hachimijio-gan, huaiquing dihuang, juku-jio (Chinese or Japanese steamed or processed root), Kan-jio (Korean or Japanese dried root), Liu Wei rehmannia oral liquid, Rehmannia chinensis, Rehmannia glutinosa Liboschitz, Rehmannia glutinosa Libosch Forma hueichingenis Hsiao (Kaikei-jio in Japanese), Rehmannia glutinosa steamed root (RGAE), Rehmannia polysaccharide (PRP), Rehmanniae radix, Rhizoma rehmanniae, saengjihwang (Korean), Scrophulariaceae (family), sheng di huang (raw rehmannia), sho-jio (fresh root), shu di huang (cooked or cured rehmannia), sook-ji-whang, to-byun, Var. pupurea Makino (Akaya-jio in Japanese), xian dihuang (fresh rehmannia).

Background

Rehmannia has been used extensively in traditional Chinese medicine (TCM). Although thorough clinical trials are lacking, rehmannia has been used to treat rheumatoid arthritis, asthma, urticaria (hives), and chronic nephritis (kidney inflammation) in Chinese studies. Rehmannia may also be used to prevent the suppressive effects of corticosteroid (steroid) drugs.
Rehmannia looks promising in treating aplastic anemia, mitigating side-effects of chemotherapeutic agents and HIV medications, curing obdurate eczema (dry skin), relieving pain from lung or bone cancer or disc protrusion, and helping ameliorate lupus nephritis (kidney inflammation) and type 2 diabetes with hyperlipidemia (high cholesterol). However, presently, there are no high-quality, large randomized, controlled trials supporting the efficacy of rehmannia for any of these indications.
Rehmannia is in the Pharmacopoeia of the People's Republic of China. However, it is not on the United Kingdom's General Sale List, and is not covered by a Commission E monograph in Germany. The U.S. Food and Drug Administration (FDA) has not granted generalized recognized as safe (GRAS) status to rehmannia; it is available in the United States as a dietary supplement under the Dietary Supplement Health and Education Act of 1994.

Evidence Table

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. GRADE *
These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. GRADE *


Rehmannia is frequently recommended to mitigate duration and severity of aplastic anemia. Although preliminary results appear promising, additional study is needed to draw a firm recommendation.

C


Rehmannia is frequently recommended to mitigate duration and severity of aplastic anemia. Although preliminary results appear promising, additional study is needed to draw a firm recommendation.

C


Rehmannia glutinosa has been used in the treatment of Sheehan's syndrome. However, the magnitude of therapeutic effects of rehmannia on Sheehan's syndrome remains unclear. More research is necessary in this area.

C


Rehmannia glutinosa has been used in the treatment of Sheehan's syndrome. However, the magnitude of therapeutic effects of rehmannia on Sheehan's syndrome remains unclear. More research is necessary in this area.

C
* Key to grades

A: Strong scientific evidence for this use
B: Good scientific evidence for this use
C: Unclear scientific evidence for this use
D: Fair scientific evidence for this use (it may not work)
F: Strong scientific evidence against this use (it likley does not work)
* Key to grades

A: Strong scientific evidence for this use
B: Good scientific evidence for this use
C: Unclear scientific evidence for this use
D: Fair scientific evidence for this use (it may not work)
F: Strong scientific evidence against this use (it likley does not work)

Tradition / Theory

The below uses are based on tradition, scientific theories, or limited research. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. There may be other proposed uses that are not listed below.

Dosing

Adults (18 years and older):
There is no proven safe or effective dose for rehmannia. Herbal decoctions used in clinical trials have contained 12-30 grams of rehmannia. For Sheehan's syndrome, 90 grams of cleaned and finely chopped Rehmannia glutinosa root added to 900 milliliters of water and boiled down to 200 milliliters has been used in three day courses with an intermission of three, six, and 14 days. After a one-month cessation, the second round of treatment commenced. Another dosing regimen used was 45-50 grams of Rehmannia glutinosa daily in five-day courses with an intermission of five days each time for 2-5 months.

Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Interactions

Interactions with Drugs
The concomitant use of aminoglycosides and rehmannia may decrease toxicity associated with aminoglycoside therapy.
Man-Shen-Ling is a combination product that contains rehmannia, which may increase the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants ("blood thinners") such as warfarin (Coumadin?) or heparin, anti-platelet drugs such as clopidogrel (Plavix?), and non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (Motrin?, Advil?) or naproxen (Naprosyn?, Aleve?).
Rehmannia may interact with antihistamines.
Although not well studied in humans, Liu wei di huang t'ang (decoction of rehmannia with six components) may lower blood pressure. Caution is advised in patients with high blood pressure or taking any antihypertensive (blood pressure lowering) agents.
Rehmannia and corticosteroids (steroids) may result in a synergistic effect and possibility of reduced side effects.
Theoretically, rehmannia may decrease toxicity associated with chemotherapy. Shi-Quan-Da-Bu-Tang (SQT), which contains Rehmannia glutinosa, Paeonia lactiflora, Liqusticum wallichii, Angelica sinesis, Glycyrrhiza uralensis, Poria cocos, Atractlyodes macrocephala, Panax ginseng, Astragalus membranaceus and Cinnamomum cassia, was found to potentiate therapeutic activity of chemotherapy, radiotherapy, and prevent or minimize associated adverse events.
Rehmannia may have an additive effect with diuretics.
Rehmannia may interact additively with drugs that alter blood sugar because it can cause hypoglycemia (low blood sugar). Caution is advised in patients with diabetes or hypoglycemia and in those taking drugs that affect blood sugar. Serum glucose levels may need to be monitored by a healthcare provider, and medication adjustments may be necessary.
The concomitant use of cholesterol-lowering drugs with rehmannia may result in additive effects.
Rehmannia may have an additive effect with thyroid drugs. In a study on Sheehan's syndrome, Rehmannia glutinsoa may have improved clinical symptoms and stimulated the hypothalamic-pituitary system.

Attribution

This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

Bibliography

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