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Herbs & Cultures
Image of Chinese ephedra (ma huang)

Asia · Herb · № 125

Ephedra sinica

Region
Asia
Origin
Steppes and arid areas of Mongolia, northern China and Russia. Ephedra sinica
Other names
Efedra
3 traditionsImage: alexlomas on Flickr · CC BY 2.0

Herb · Asia

Chinese ephedra (ma huang)

Ephedra sinica

Contains ephedrine, which widens the airways and stimulates the nervous system and heart. It is the origin of modern ephedrine and pseudoephedrine medicines. As a supplement it has proved dangerous.

Safety notes

May cause heart rhythm problems, heart attack, stroke, seizures and death. Do not self-medicate, especially with caffeine, heart disease, high blood pressure or thyroid disorders. Regulated in many countries.

Cautions by tradition (2)
  • Herbal medicine worldwide: Not with MAO inhibitors, not with severe high blood pressure, glaucoma or thrombosis. Poisonous or risky: only under expert supervision. No dosage is given here on purpose.
  • Chinese materia medica: Not with high blood pressure, heart complaints, insomnia or spontaneous sweating; not for long periods. Concentrated ephedra extracts as energy or slimming aids are dangerous for heart and blood vessels. In the Netherlands ephedra is banned in herbal preparations.

Preparation

In Chinese medicine as a decoction in herbal formulas under expert supervision; banned in US dietary supplements. No dosage is given here.

Use in traditions

Ma huang has been used in China for some five thousand years for asthma and colds. Ephedrine was isolated from it in the 1920s. After deaths linked to weight-loss and sports supplements, the US FDA banned its sale as a dietary supplement in 2004.

Applications

Use by tradition

How different herbal traditions describe this herb. Amounts are traditional guidelines checked for obvious errors; they are not medical advice. For poisonous plants no dosage is given on purpose.

Herbal medicine worldwide

Attributed effects

Twigs antispasmodic, fever-reducing, induce sweating, diuretic, antibacterial, antiviral; root reduces sweating.

Preparation and amount

Traditionally used forms: decoction, tincture.

Caution: Not with MAO inhibitors, not with severe high blood pressure, glaucoma or thrombosis. Poisonous or risky: only under expert supervision. No dosage is given here on purpose.

Ways to prepare herbs
DecoctionTincture