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Astragalus (Astragalus membranaceus) has been used in traditional Chinese
medicine for thousands of years to promote the discharge of urine, lower blood
pressure, and increase endurance. Clinically, it is used primarily for general
digestive disorders such as diarrhea, gas, and bloating, as well as chronic
phlegm production. This herb is also used for its immune enhancing properties,
especially for the prevention and treatment of the common cold and chronic hepatitis.
In the United States, astragalus has been investigated as a possible treatment
for patients whose immune systems have been compromised by chemotherapy or radiation.
Astragalus supplements have been shown to speed recovery and extend life expectancy
in these patients. Research regarding the use of astragalus in people with AIDS
has yielded intriguing but inconclusive results.
Recent research in China indicates that astragalus may offer antioxidant benefits
in people with severe forms of heart disease, relieving symptoms and improving
heart function. Because astragalus has many potential applications and few,
if any, side effects, it holds promise as an alternative treatment option.
Plant Description
Astragalus is a perennial plant, approximately 16 inches tall, that is native
to the northern and eastern parts of China as well as Mongolia. It has hairy
stems with leaves made up of 12 to 18 pairs of leaflets. The root is usually
harvested from 4-year-old plants.
Available Forms
Astragalus root may be available in a variety of forms:
- Capsules for internal use
- Injectable forms for use in clinical settings
- Ointments for application to the skin
How to Take It
Recommended doses are as follows:
- Decoction (strong boiled tea): 3 to 6 g of dried root per 12 oz water
- Fluidextract (1:1) in 25% ethanol: 2 to 4 ml three times a day
- Powdered extract (solid): 100 to 150 mg of a product standardized to 0.5%
4-hydroxy-3-methoxy isoflavone. Note: this chemical is only used as
a manufacturing marker, not as a guarantee of potency or effectiveness.
- Ointment: 10% astragalus applied to surface of wound
- Tincture (1:5) in 30% ethanol: 3 to 5 ml three times a day
Precautions
Astragalus has no known side effects and can be used safely even in individuals
who may not tolerate many other supplements.
If you are pregnant or breastfeeding, you should consult with your physician
before taking any medication, including herbs.
Possible Interactions
Astragalus may increase the effects of some antiviral medications such as acyclovir
and interferon.
Astragalus may also counteract the immune-suppressing effects of cyclophosphamide,
a medication used to reduce the chances of rejection in transplant recipients.
Consult your healthcare provider before using astragalus with any of these
medications.
Supporting Research
Castillo C, Valencia I, Reyes G, Hong E. An analysis of the antihypertensive
properties of 3-nitropropionic acid, a compound from plants in the genus Astragalus
[in Spanish]. Arch Inst Cardiol Mex. 1993;63(1):11-16.
Chen LX, Liao JZ, Guo WQ. Effects of Astragalus membranaceus on left
ventricular function and oxygen free radical in acute myocardial infarction
patients and mechanism of its cardiotonic action [in Chinese]. Chung Kuo
Chung Hsi I Chieh Ho Tsa Chih. 1995;15(3):141-143.
Chevallier A. The Encyclopedia of Medicinal Plants. New York, NY: DK
Publishing; 1996.
Chu DT, Wong WL, Mavligit GM. Immunotherapy with Chinese medicinal herbs. I.
Immune restoration of local xenogeneic graft-versus-host reaction in cancer
patients by fractionated Astragalus membranaceus in vitro. J Clin
Lab Immunol. 1988a;25(3):119-123.
Chu DT, Wong WL, Mavligit GM. Immunotherapy with Chinese medicinal herbs. II.
Reversal of cyclophosphamide-induced immune suppression by administration of
fractionated Astragalus membranaceus in vivo. J Clin Lab Immunol.
1988b;25(3):125-129.
Hong CY, Ku J, Wu P. Astragalus membranaceus stimulates human sperm
motility in vitro. Am J Chin Med. 1992;20(3-4):289-294.
Huang KC. The Pharmacology of Chinese Herbs. 2nd ed. New York, NY: CRC
Press; 1999.
Khoo KS, Ang PT. Extract of Astragalus membranaceus and Ligustrum
lucidum does not prevent cyclophosphamide-induced myelosuppression. Singapore
Med J. 1995;36:387-390.
Kurashige A, Akuzawa Y, Endo F. Effects of astragali radix extract on carcinogenesis,
cytokine production, and cytotoxicity in mice treated with a carcinogen, N-butyl-N
cents-butanolnitrosoamine.
Cancer Invest. 1999;17(1):30-35.
Li SQ, Yuan RX, Gao H. Clinical observation on the treatment of ischemic heart
disease with Astragalus membranaceus [in Chinese]. Chung Kuo Chung
Hsi I Chieh Ho Tsa Chih. 1995;15(2):77-80.
Li XY. Immunomodulating Chinese herbal medicines. Mem Inst Oswaldo Cruz.
1991;86(suppl 2):159-164.
Luo HM, Dai RH, Li Y. Nuclear cardiology study on effective ingredients of
Astragalus membranaceus in treating heart failure [in Chinese]. Chung
Kuo Chung Hsi I Chieh Ho Tsa Chih. 1995;15(12):707-709.
Ma J, Peng A, Lin S. Mechanisms of the therapeutic effect of Astragalus
membranaceus on sodium and water retention in experimental heart failure.
Chin Med J (Engl). 1998;111(1):17-23.
McGuffin M, Hobbs C, Upton R, eds. American Herbal Products Association's
Botanical Safety Handbook. Boca Raton, Fla: CRC Press; 1997.
Miller L, Murray W, eds. Herbal Medicinals: A Clinician's Guide. New
York, NY: Pharmaceutical Products Press; 1998.
Murray M, Pizzorno J. Encyclopedia of Natural Medicine. 2nd ed. Rocklin,
Calif: Prima Publishing; 1998.
Peng T, Yang Y, Riesemann H, Kandolf R. The inhibitory effect of Astragalus
membranaceus on coxsackie B-3 virus RNA replication. Chin Med Sci J.
1995;10(3):146-150.
Upton R. American Herbal Pharmacopoeia and Therapeutic Compendium -
Astragalus Root. Santa Cruz, Calif: American Herbal Pharmacopoeia; 1999.
Wagner H, Bauer R, Xiao P, Chen J, Offerman F. Chinese drug monographs and
analysis - Radix Astragali (Huang Qi). Verlag Fur Ganzheitliche Medizin.
1996;1(8).
Wang LX, Han ZW. The effect of Astragalus polysaccharide on endotoxin-induced
toxicity in mice [in Chinese]. Yao Hsueh Hsueh Pao. 1992;27(1):5-9.
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