Combining Rheum Palmatum with Other Chinese Herbal Medicines for Enhanced Therapeutic Effects

January 16, 2024

Perennial herb Rheum palmatum is the root or branch of the plant Rheum palmatum, also known as "two-sided needle" in Chinese medicine. It has the effects of dispelling wind, alleviating pain, reducing swelling, and detoxifying. It can be combined with the following Chinese herbal medicines to achieve better therapeutic effects.


  1. Combination with Ephedra

  Ephedra has a pungent taste and enters the lung meridian, dispelling cold and promoting sweat. Rheum palmatum has a pungent taste and warm nature, entering the heart meridian, dispersing and warming, promoting blood circulation, and unblocking the meridians. When the two medicines are combined, they can dispel wind and cold, promote blood circulation, and alleviate pain.

  2. Combination with Achyranthes bidentata

  Rheum palmatum can disperse stagnation, warm and unblock the meridians, while Achyranthes bidentata has a bitter taste, promotes blood circulation, eliminates blood stasis, strengthens tendons and bones, and has a downward direction. When used together, they can promote the smooth flow of qi and blood, eliminate blood stasis, and alleviate pain.

  3. Combination with Coptis chinensis

  If the spleen and stomach are weak, pathogenic factors can invade, causing a mix of cold and heat, and disorder in ascending and descending movements. This can lead to distension and fullness in the epigastric region, aversion to warmth, nausea, diarrhea, thin yellow tongue coating, and rapid pulse. When the two medicines are combined, they can dispel cold, clear heat, and eliminate pathogenic factors, resolving the distension and fullness in the stomach.

  4. Combination with Saposhnikovia divaricata

  Saposhnikovia divaricata can expel wind and eliminate dampness, unblock meridians, and alleviate pain. When wind, cold, and dampness obstruct the meridians and hinder the smooth flow of qi and blood, joint swelling and pain can occur. When the two medicines are combined, they can dispel wind, promote sweating, promote blood circulation, and alleviate pain caused by wind and blood stasis, allowing the dampness to be eliminated and the meridians to be unblocked.

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