Chinese herbs Chinese herbal medicine Dried Chinese herbs Traditional Chinese medicine

Chuān Jiāo (川椒) — Sichuan Pepper

On this page

  1. Overview
  2. Properties
  3. Actions and indications
  4. Key formulas
  5. Incompatibilities
  6. Cautions
  7. Treatment at my clinic

1. Overview

Chuān Jiāo (川椒) — also known as Hua Jiao (花椒) — is the dried fruit husk of Zanthoxylum bungeanum, the Sichuan pepper. It is one of the most powerfully warming herbs in the Chinese pharmacopoeia, with the characteristic tongue-numbing pungency that is also familiar from Sichuan cuisine. Its medicinal use is to warm the Middle Jiao, disperse deep Cold from the Spleen-Stomach and expel intestinal parasites — particularly roundworm. It is the second ingredient (after Wu Mei) of the classical anti-parasitic Wu Mei Wan.

2. Properties

Pinyin nameChuān Jiāo (Huā Jiāo)
Chinese characters川椒 / 花椒
Latin namePericarpium Zanthoxyli / Zanthoxylum bungeanum
English nameSichuan pepper
NatureHot (mildly toxic)
FlavourAcrid
Channels enteredSpleen, Stomach, Kidney
CategoryWarm interior herbs that expel Cold

3. Actions and indications

Principal actions

  1. Warms the Middle Jiao and disperses Cold
  2. Expels parasites (particularly roundworm)
  3. Stops itching (topical use)

Indications

  1. Cold-pattern epigastric pain relieved by warmth and pressure
  2. Vomiting and diarrhoea from Cold in the Middle Jiao
  3. Roundworm and other intestinal parasites with abdominal pain and vomiting
  4. Cold-pattern dysmenorrhoea and infertility from Cold in the Uterus
  5. Topical use for itchy skin conditions and eczema

4. Key formulas containing Chuān Jiāo

  • Wu Mei Wan — Roundworm with mixed Cold and Heat pattern
  • Da Jian Zhong Tang — Cold from deficiency in the Middle Jiao with severe abdominal pain

5. Incompatibilities

Chuān Jiāo (川椒) Sichuan Pepper is not listed in either of the two classical incompatibility texts — Shi Ba Fan (Eighteen Antagonisms) or Shi Jiu Wei (Nineteen Mutual Inhibitions). As with every Chinese herb it should be prescribed only as part of a balanced formula by a registered Chinese herbalist (RCHM), who will check for interactions with any other herbs and prescription medications you are taking.

6. Cautions

Contraindicated in Yin deficiency with Heat, pregnancy and Stomach Fire patterns. Mildly toxic in large doses. Standard clinical doses (3–6 g) are safe. Always consult a qualified Chinese herbalist registered with the RCHM.

Pattern contraindications

Contraindicated in Heat patterns, Yin deficiency with Empty Heat, hypertension with Liver Yang rising and during the acute phase of febrile illness. Pregnancy: most warming interior herbs are contraindicated except under expert prescription for specific cold patterns.

Modern drug interactions

May interact with antihypertensives (variable effect) and cardiac medication. Fu Zi (Aconite, prepared) can interact with cardiac glycosides (digoxin) — only prescribed by practitioners trained in toxic-herb safety.

7. Treatment at my clinic

I see patients at my clinic in Wokingham, Berkshire. Online consultations are available. Return to the Chinese herb directory.

Prefer to be treated from home? Chinese herbal medicine online consultations are available throughout the UK and worldwide. After a full video consultation, Dr (TCM) Attilio D'Alberto formulates a bespoke herbal prescription and posts your Chinese herbs directly to your door.

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