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Astragalus

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Specifically for Atherosclerosis

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Why it works for Atherosclerosis:

Atherosclerosis is driven by endothelial dysfunction, inflammation, oxidative stress, lipid abnormalities, and vascular “aging.” Lab and animal studies suggest Astragalus (and its constituents astragaloside IV, cycloastragenol, and polysaccharides) can influence several of these processes:

  • Anti-inflammatory & antioxidant effects that may protect endothelium and reduce plaque drivers (shown repeatedly in preclinical models and mechanistic reviews). Frontiers
  • Improved lipid handling / smaller plaques in mouse models of atherosclerosis (e.g., LDLR-/- mice given astragaloside IV had less aortic plaque and better liver fat markers vs. saline). Frontiers
  • Vascular aging / telomere biology: Astragalus-derived telomerase activators (astragaloside IV, cycloastragenol) are being explored to counter vascular senescence. A 2025 narrative review highlights this as a plausible anti-atherosclerotic mechanism, and a small RCT in healthy adults found an Astragalus-based supplement increased leukocyte telomere length over 6 months (surrogate outcome; not clinical events). MDPI

How to use for Atherosclerosis:

Common clinical-tradition ranges & forms you’ll see:

  • Dried root (decoction/tea): Historically 9–30 g/day boiled as a decoction; higher short-term doses have been used in TCM under supervision. National/institutional monographs and reviews cite similar ranges. NCCIH
  • Standardized extracts / capsules: Products vary widely; many standardize to astragaloside content. (No consensus exists on an “atherosclerosis dose.”) EBSCO
  • Injectable Astragalus (hospital-only in some countries) is studied in China for cardiovascular indications, but this is not a self-administered supplement and isn’t standard care in most regions. Frontiers

General usage guidance (not medical advice):

  • Choose products from brands that use independent quality testing (e.g., USP/NSF) to reduce contamination/adulteration risks; federal agencies note herbal quality can vary. NCCIH
  • Start low, monitor BP, glucose, and for any adverse effects—especially if you take cardiovascular or diabetes medications—after clearing it with your clinician (see warnings below). Authoritative fact sheets emphasize discussing Astragalus with your care team before use. Memorial Sloan Kettering Cancer Center

Scientific Evidence for Atherosclerosis:

There are no large, high-quality randomized trials showing Astragalus prevents heart attacks, strokes, or regresses human atherosclerotic plaque. Existing data are:

Preclinical atherosclerosis models: Astragaloside IV reduced aortic plaque and improved lipid/metabolic parameters in mice; several 2024–2025 mechanistic/animal papers support anti-atherosclerotic actions. Human confirmation is lacking. Frontiers

Surrogate human outcomes (not disease endpoints):

  • Telomere length: A 6-month randomized, double-blind, placebo-controlled trial in healthy volunteers found an Astragalus-based supplement increased leukocyte telomere length vs placebo (biological surrogate only). MDPI
  • Cardiovascular conditions (related, not atherosclerosis per se): Meta-analyses and RCTs of Astragalus in heart failure (often as injectable forms adjunctive to standard care) report improvements in remodeling/functional markers; these do not prove anti-atherosclerotic benefit. Frontiers

Authoritative summaries: The U.S. National Center for Complementary and Integrative Health (NCCIH) states there is not sufficient reliable evidence Astragalus is useful for any specific health condition; evidence for various indications is low quality or preliminary. Memorial Sloan Kettering’s monograph reaches similar “promising but unproven” conclusions and stresses interaction risks. NCCIH

Specific Warnings for Atherosclerosis:

Interactions with medications

Immunosuppressants (e.g., after transplant, autoimmune therapy): Astragalus may counteract these drugs; avoid unless your specialist approves. NCCIH+1

Anticoagulants/antiplatelets: Potential to increase bleeding risk—caution with warfarin and similar agents. Memorial Sloan Kettering Cancer Center

Antihypertensives & diuretics: Astragalus can lower BP and may augment diuresis—monitor if combined. Memorial Sloan Kettering Cancer Center

Other chemotherapy/hormone-sensitive cancers: Preclinical data suggest antioxidant/estrogenic activity; oncology centers caution about possible interference with some treatments—discuss with your oncologist. Memorial Sloan Kettering Cancer Center

Autoimmune disease / post-transplant: Because of immunostimulatory effects, NCCIH advises people with autoimmune diseases to avoid Astragalus; it may interact with immunosuppressants. NCCIH

Pregnancy & breastfeeding: Insufficient safety data; animal work suggests potential fetal toxicity—avoid. NCCIH

Adverse effects reported: Generally mild and transient (e.g., fatigue, headache, low BP); quality-related issues remain a broader concern with herbal products. Memorial Sloan Kettering Cancer Center

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

Astragalus (scientific name Astragalus membranaceus) is a perennial herb native to China, Mongolia, and Korea. It has been used for thousands of years in Traditional Chinese Medicine (TCM) as a tonic herb known as Huang Qi, meaning “yellow leader,” referring both to its color and its importance among TCM herbs.

The root of the astragalus plant is the part most commonly used for medicinal purposes. It can be found in several forms:

  • Dried root slices (used in soups or teas)
  • Capsules, powders, or tinctures
  • Standardized extracts (for consistent dosage)

How It Works

Astragalus is classified as an adaptogen, meaning it helps the body resist physical, mental, and emotional stress. Its activity comes from several bioactive compounds, including:

  • Polysaccharides (Astragalans) – enhance immune activity
  • Saponins (Astragalosides) – contribute to antioxidant and anti-inflammatory effects
  • Flavonoids – provide cellular protection against oxidative damage

Mechanisms of action include:

  1. Immune Modulation: Astragalus boosts immune response by stimulating white blood cell production and macrophage activity, enhancing the body’s ability to fight infections and viruses.
  2. Antioxidant Effects: Its flavonoids and saponins neutralize free radicals, reducing oxidative stress and cellular damage.
  3. Anti-Inflammatory Properties: It can inhibit inflammatory pathways (like NF-κB signaling), reducing chronic inflammation.
  4. Cardiovascular Support: Some studies show astragalus improves heart function, particularly in cases of heart failure, by improving circulation and reducing myocardial stress.
  5. Blood Sugar and Kidney Support: Research suggests it may help lower blood sugar levels and protect kidney tissue in diabetic patients by improving insulin sensitivity and reducing oxidative damage.

Why It’s Important

Astragalus is considered a foundational herb in TCM and is often used to:

  • Strengthen “Qi” (vital energy): It supports stamina, resilience, and vitality.
  • Enhance immune defense: Used preventatively to ward off colds and flu.
  • Promote longevity: Some evidence suggests it supports healthy aging by protecting telomeres and reducing cellular senescence.
  • Aid recovery: Helps restore energy after illness or physical exertion.
  • Support chronic conditions: It’s being researched for use in cardiovascular disease, diabetes, and kidney disorders.

Modern pharmacological research continues to explore astragalus for its potential anti-aging, antiviral, and cancer-supportive properties.

Considerations

While astragalus is generally safe and well-tolerated, there are several important considerations:

1. Dosage & Form:

  • Typical doses range from 9–30 grams/day of dried root in decoction, or standardized extracts (e.g., 500–1000 mg capsules) taken 2–3 times daily.
  • Always follow the instructions on commercial preparations or consult a healthcare provider.

2. Safety:

  • Generally safe for healthy adults when used short to medium term.
  • Long-term use has not been extensively studied in modern clinical trials.

3. Interactions:

  • May interact with immunosuppressant drugs (e.g., after organ transplant) since it can stimulate the immune system.
  • Could affect blood sugar — monitor closely if you have diabetes or are taking anti-diabetic medication.
  • Might interact with anticoagulants or blood pressure medications.

4. Not Recommended For:

  • Pregnant or breastfeeding individuals (insufficient safety data).
  • People with autoimmune disorders unless under professional guidance.

5. Quality Matters:

  • Herbal quality can vary greatly; look for products standardized to contain specific levels of astragalosides or polysaccharides.

Helps with these conditions

Astragalus is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

IBS 0% effective
Atherosclerosis 0% effective
Lyme Disease 0% effective
Arrhythmia 0% effective
Peripheral Neuropathy 0% effective
Pleurisy 0% effective
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Conditions
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Total Votes
34
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

IBS

0% effective

Astragalus (usually Astragalus membranaceus, “Huang Qi”) has biologically plausible actions for IBS — immune-modulation, anti-inflammatory effects, pr...

0 votes Updated 2 months ago 9 studies cited

Atherosclerosis

0% effective

Atherosclerosis is driven by endothelial dysfunction, inflammation, oxidative stress, lipid abnormalities, and vascular “aging.” Lab and animal studie...

0 votes Updated 1 month ago 4 studies cited

Lyme Disease

0% effective

Astragalus (Astragalus membranaceus) is used by some clinicians as a supportive (immune-modulating) herb in people with Lyme disease, but there are no...

0 votes Updated 2 months ago 7 studies cited

Arrhythmia

0% effective

Researchers propose several mechanisms—most of the evidence is preclinical (cells/animals), not proven in people with arrhythmias:Ion-channel & el...

0 votes Updated 1 month ago 5 studies cited

Anti-inflammatory & antioxidant effects, plus potential neuroprotection. Astragalus polysaccharides and saponins (e.g., astragaloside IV) show ant...

0 votes Updated 1 month ago 5 studies cited

Pleurisy

0% effective

Astragalus (Astragalus membranaceus, “huang qi”) has plausible, well-studied anti-inflammatory and immunomodulatory actions and some clinical evidence...

0 votes Updated 2 months ago 4 studies cited

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