Dang Gui (Angelica Sinensis)
Specifically for Peripheral Neuropathy
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Why it works for Peripheral Neuropathy:
Improves microcirculation & has antiplatelet effects
Key constituents (e.g., Z-ligustilide, ferulic acid) show vasodilatory, antiplatelet/antithrombotic, and endothelial-protective effects—mechanisms relevant to nerve ischemia and “small-vessel” contributions to neuropathy. ScienceDirect
Neuroprotective / anti-inflammatory / antioxidant actions
Angelica extracts and fractions (especially polysaccharides, ASP) reduce oxidative stress and neuroinflammation; ligustilide is repeatedly neuroprotective in brain and nerve injury models. These are core PN mechanisms (oxidative stress, neuroinflammation, impaired nerve repair). Semantic Scholar
Traditional rationale (TCM)
Dang Gui is traditionally used to “invigorate and harmonize the blood,” which modern pharmacology translates to effects on blood rheology and microcirculation—again relevant to nerve perfusion. Health Canada
How to use for Peripheral Neuropathy:
Important: Use Dang Gui with your clinician, especially if you use blood thinners, have surgery planned, are pregnant, or have hormone-sensitive conditions. See the safety section below.
Form & Dose (adult oral use)
- Dried root / decoction (TCM standard): 4.5–15 g dried root per day (often simmered 20–30 min); this is a regulatory monograph range grounded in the Pharmacopoeia of the People’s Republic of China. Health Canada
- Extracts / capsules: Choose products that state the dry-root equivalent. Titrate so the daily equivalent is ~4.5–15 g unless your practitioner specifies otherwise. (Health Canada monograph gives this as acceptable adult dosing.) Health Canada
- Duration: Seek professional advice beyond 6 months of continuous use. Health Canada
Pattern-based (TCM) use
In practice Dang Gui is commonly combined with other herbs for neuropathy-adjacent patterns such as blood stasis and cold limbs—for example Danggui Sini Decoction (DSD) or blood-invigorating formulas—guided by a qualified practitioner. Mechanistic and clinical rationale for DSD (microcirculation, antithrombotic effects) exists, but high-quality PN trials are still scarce. Frontiers
What to pair it with (adjuncts, not medical advice):
- Standard PN care still comes first (glycemic control in diabetes, risk-factor management, guideline-backed symptom control). See “Guideline context” below. Diabetes Journals
Scientific Evidence for Peripheral Neuropathy:
Human clinical evidence involving Dang Gui (usually in combinations):
- Chinese herbal medicine for painful diabetic neuropathy (PDN): a 2023 systematic review & meta-analysis of RCTs found CHM combinations improved pain and nerve conduction vs. controls; many formulas are multi-herb and some include Dang Gui, so attribution to Dang Gui alone isn’t possible. Frontiers
- Chemotherapy-induced PN (CIPN) & PDN formula trials: modern RCTs exist for traditional formulas (various, not all contain Dang Gui) showing symptom benefit; quality varies and heterogeneity is high. (Recent umbrella reviews/meta-analyses of oral CHM for CIPN report benefits but call for higher-quality trials.) ScienceDirect
Preclinical evidence pointing to plausible benefit:
- Angelica injections / ASP (polysaccharides): improve nerve structure/function in diabetic PN rats and protect neuronal cells from oxidative injury. EurekaSelect
- Constituents: Ferulic acid and Z-ligustilide reduce neuropathic pain behaviors and neuroinflammation in rodent models; both are abundant in Angelica sinensis. ScienceDirect
Specific Warnings for Peripheral Neuropathy:
Anticoagulants / antiplatelets (e.g., warfarin, clopidogrel, aspirin): reports of increased bleeding risk; Dong quai contains coumarin-like compounds and can potentiate anticoagulation. Avoid or monitor closely with your prescriber. SMJ
Pregnancy: Contraindicated. (Traditional and regulatory guidance.) Health Canada
Heavy menses / bleeding disorders / diarrhea: Do not use. Health Canada
Photosensitivity: may increase sun sensitivity; avoid excessive sun/UV while taking it. Health Canada
Hormone-related cautions: discuss if you have hormone-sensitive conditions or are on hormone therapy/birth control. Health Canada
Surgery / dental procedures: stop ≥2 weeks beforehand to reduce bleeding risk (conservative, drug-information-style guidance). Drugs.com
Breastfeeding: consult a clinician before use (insufficient safety data). Health Canada
General Information (All Ailments)
What It Is
Dang Gui, also known as Angelica sinensis or “female ginseng,” is a traditional Chinese medicinal herb primarily used for its reputed benefits to the blood and female reproductive system. The root of the plant—native to the cool, high-altitude regions of China—is the medicinal part and has been a cornerstone of Traditional Chinese Medicine (TCM) for over two thousand years.
It contains active compounds such as ferulic acid, ligustilide, polysaccharides, and various essential oils, which contribute to its pharmacological effects. The herb is often prescribed alone or combined with other herbs to enhance circulation, tonify the blood, and relieve menstrual discomfort.
How It Works
Dang Gui’s mechanism of action involves several biological pathways:
- Blood Nourishment and Circulation: Dang Gui is traditionally described as a “blood tonic.” Scientifically, it enhances hematopoiesis (the production of red blood cells) and improves blood flow through vasodilation and inhibition of platelet aggregation. Ferulic acid and ligustilide help relax blood vessels and promote oxygen transport.
- Hormonal and Reproductive Regulation: The herb exhibits mild estrogenic effects due to phytoestrogen compounds that mimic natural estrogen activity in the body. This helps balance hormones, making it useful in conditions such as menstrual irregularities, menopausal symptoms, and premenstrual syndrome (PMS).
- Anti-inflammatory and Antioxidant Effects: Dang Gui reduces oxidative stress by neutralizing free radicals and suppressing inflammatory cytokines. This contributes to its protective effects on the cardiovascular system, liver, and nervous system.
- Immune System Modulation: Polysaccharides in Dang Gui enhance immune response by stimulating macrophage activity and regulating cytokine production, contributing to general health and disease resistance.
Why It’s Important
Dang Gui holds a special place in both traditional and modern integrative medicine due to its wide therapeutic range:
Women’s Health:
- It is often called the “female tonic” for its role in supporting menstrual health, alleviating menstrual cramps, and easing menopausal symptoms such as hot flashes.
- In TCM, Dang Gui is also used postpartum to rebuild blood and energy reserves.
Cardiovascular Support:
- Its blood-thinning and vasodilatory properties can help improve circulation, lower blood pressure, and protect against heart disease.
Anti-aging and Vitality:
- Through its antioxidant and circulation-enhancing effects, Dang Gui supports skin health, energy levels, and overall vitality, which explains its inclusion in many rejuvenation formulas.
Complementary Use:
- Dang Gui is commonly combined with other herbs (such as Rehmannia, Peony, and Astragalus) in traditional formulations like Dang Gui Bu Xue Tang and Si Wu Tang, enhancing their blood-nourishing and restorative actions.
Considerations
While generally regarded as safe when used appropriately, several factors should be considered before using Dang Gui:
Dosage and Preparation:
- Typical doses range from 3 to 15 grams of the dried root per day in decoctions or extracts. Overuse can lead to side effects such as diarrhea or dizziness.
Contraindications:
- Should be avoided during pregnancy, as it may stimulate uterine contractions.
- Not recommended for individuals with heavy menstrual bleeding or bleeding disorders, due to its mild anticoagulant effects.
- Those on anticoagulant or antiplatelet medications (like warfarin) should consult a healthcare professional before use.
Quality and Source:
- The effectiveness and safety of Dang Gui depend heavily on quality control, as some commercial products may be adulterated or contaminated with heavy metals or pesticides.
Individual Variability:
- As with many herbal medicines, responses vary depending on constitution, dosage, and concurrent use of other herbs or medications. Consultation with a qualified TCM practitioner or herbalist is recommended for personalized guidance.
Helps with these conditions
Dang Gui (Angelica Sinensis) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Peripheral Neuropathy
Improves microcirculation & has antiplatelet effectsKey constituents (e.g., Z-ligustilide, ferulic acid) show vasodilatory, antiplatelet/antithrom...
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