Licorice Root, Gān Cǎo, 甘草, Radix Glycyrrhizae Uralensis

Disclaimer    For educational purposes only.  Do not use as medical advice

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Health Benefits
For: Sore throat • Cough • Wheezing • Leg spasms • Abdominal spasms • Irregular pulse • Sores • Abscess • Food poisoning • Pesticide poisoning • Herbicide poisoning
Attributes: Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
Products (online examples)

Dried Root

Raw Root

Extract

Zhi Gan Cao Root

Dried Root

Granules

Tincture

Zhi Gan Cao Pills

Research (sample)
Articles:
Constituents: 
Glycyrrhizin • Glycyrrhetic acid • Glycyrrhizinic acid • Enoxolone • Liquiritigenin • Isoliquiritigenin • Triterpene saponins • Isoflavonoids • Stilbenoids • Coumarins • Liqcoumarin • Umbelliferone

Photos (Click to enlarge)
Fun Facts
Other Names: Adimaduram • Bekh-e-mahak • Bois doux • Kanpo • Lakritzenwurzel • Neekhiyu • Spanish licorice • Süssholzwurzel • Yashtimadhu
Plant Family: Fabaceae
The term Glycyrrhiza comes from the Greek glykys (“sweet”) and rhiza (“root”).  There are two main forms popular in Chinese medicine.Licorice is 50 times sweeter than sucrose and table sugar.  Glycyrrhizin is the chemical responsible for its sweetness. [ref]  Over 60% of licorice production is used in tobacco products. 

Licorice candy has very little, if any, licorice in it.Overdose of licorice (more than 100g) can lead to high blood pressure, muscle weakness, impaired breathing, heart papitations, and heart failure.[ref] Licorice Root is listed in the following pharmacopeias: German Commission E 1992 • Martindale Extra Pharmacopoeia 1972 • WHO 1999

Species
American Licorice Glycyrrhiza lepidota, Chinese Licorice Glycyrrhiza uralensis, European Licorice Glycyrrhiza glabra, Chinese Licorice Glycyrrhiza inflata (rarely used), Russian Licorice (Glycyrrhiza echinata)
Growth
Glycyrrhiza uralensis is NOT in the USDA Plant Database.  Glycyrrhiza lepidota(American Licorice) and Glycyrrhiza glabra (European licorice) are both found in multiple states in the US.

USA: Glycyrrhiza uralensis is not found in the wild.   American licorice is native, but rarely used commercially.  G. Glabra and G. Uralensis are sweeter and more cultivated.

USDA Zones: 5-9

Native: China, Japan, Mongolia, Siberia

Habitats: Woodlands, meadows

 

Category: Tonify Qi 
English: Licorice Root    Pinyin:  Gan Cao      Pharmaceutical: Radix Glycyrrhizae Uralensis  
Organs: Heart • Lung • Spleen • Stomach (minor effects on all 12 organs)      Temperature: Neutral  
Taste: Sweet      Toxicity: Overdose at 100 grams within 1 week - may lead to high blood pressure, palpitations, heart failure. See caution section.  
Patterns: Spleen deficiency • Qi deficiency • Blood deficiency 
Actions:  Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects
Indications: Coughing • Wheezing • Leg spasms • Abdominal spasms • Irregular pulse • Sores • Abscess • Shortness of breath • Loose stool • Irregular pulse • Qi and blood deficiency • Lassitude • Dry cough • Toxicity from herb, food, or drug
Contraindications: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Typical Dosage: 1.5g to 9 g          Guidelines
Parts Used: Root  
Other: Enters all 12 channels, often serve as envoy in a formula.
Combine With Purpose
Dang Shen Spleen deficiency: fatigue, poor appetite, mushy stool
Ma Huang + Xing Ren Wind cold: coughing and wheezing
Bai Shao Spasms: intestinal, abdominal, calf, and muscle spasms
Hai Piao Xiao + Wa Leng Zi Gastro pain, acid reflux, and heart burn
Jie Geng Clear heat, Sore throat, Laryngitis, Cough, Thick phlegm, and Detox
Jin Yin Hua Acne, skin rash
Pu Gong Ying Abscesses, boils
Xing Ren + Chuan Bei Mu Dry cough from heat
Lu Dou Antidote for toxins
Dui Yao Pairs Purpose In Formulas
Gan Cao + Hua Shi Clear heat, unblock urination, ease painful and difficult urination from strangury Liu Yi San Fang Feng Tong Sheng San ⌕ 
Gan Cao + Jie Geng Clear heat, Sore throat, Laryngitis, Cough, Thick phlegm, and Detox Jie Geng Tang • Fang Feng Tong Sheng San  ⌕ 
Formulas with Gan Cao
Gan Cao (dried): Ba Zheng SanBai He Gu Jin TangBan Xia Bai Zhu Tian Ma Tang • Bao Chan Wu You Fang • Bao Yin Jian • Bu Dai Wan • Bu Huan Jin Zheng Qi San • Bamg er Bo Dpi Uam Famg • Chai Ge Jie Ji TangChai Hu Qin g Gan Tang • Chen Xiang Jiang Qi Tang • Chuan Xiong Cha Tiao SanDa Huang Zhe Chong Wan Da Yuan Yin • Da Huang Zhe Chong wan •Da Qin Jiao Tang • Dang Gui Yin Zi • Dao Chi Qing Xin Tang • Dao Chi San • Di Tan Tang • Ding Chuan TangE Jiao Ji Zi Huang Tang • Fang Feng Tong Sheng SanFu Yuan Huo Xue TangGan Cao Gan Jiang Fu Ling Bai Zhu TangGan Mai Da Zao TangGe Gen Huang lian Huang Qin TangGe Gen Jia Ban Xia Tang • Ge Gen TangGe Xia Zhu Yu TangGui Ling Gan Lu YinGui Zhi Jia Long Gu Mu Li TangGui Zhi Shao Yao Zhi Mu TangHai Zao Yu Hu Tang • Huang Lian Wen Dan Tang • Huang Long Tang • Huang Tu Tang • Hui Chun Dan • Jian Pi WanJiao ai TangJie Geng Tang • Jiu Wei Qiang Huo TangJu Pi Zhu Ru Tang • Li Yan Cha • Liang Ge San • Ling Gan Wu Wei Jiang Xin Tang • Ling Gui Zhu Gan TangLing Jiao Gou Teng TangLiu Yi SanLong Dan Xie Gan Tang • Ma Huang Lian Qiao Chi Xiao dou Tang • Mai Men Dong Tang • Mu Xiang Liu Qi Yin • Ping Gan Kai Yu Zhi Xie Tang • Pu Ji Xiao Du Yin • Qing Fei Tang • Qing Gu SanQing Shu Yi Qi Tang • Qing Wen Bai Du Yin • Qing Zao Jiu Fei Tang • Ren Shen Bai Du SanSang Ju YinShao Yao TangShen Tong Zhu Yu TangShi Wei Bai du San • Shi Wei San • Shu Jing Huo Xie Tang • Si Miao Yong an TangSu Zi Jiang Qi TangSuan Zao Ren TangTiao Wei Cheng Qi Tang • Wan Dai Tang • Wen Pi TangWen Dan TangWen Jing Tang • Wu Hu Tang • Wu Ji San • Xian Fang Huo Ming YinXiao Feng SanXiao Ji Yin Zi • Xiao Xu Ming Tang • Xie Huang SanXin Jia Huang Long Tang • Xin Yi Qing Fei Yin • Xing Su San • Xuan Yu Tong Jing Tang • Xue Fu Zhu Yu TangYang He Tang • Yang Yin Qing Fei Tang • Yi Gan San • Yin Qiao San • Yue Bi Tang • Zai Zao SanZhen Gan Xi Feng TangZhen Gan Xi Feng Tang • Zhen Ren Huo Ming Yin • Zhen Ren Yang Zang TangZhi Sou San
Variations for Gan Cao

Raw (dried) Gan Cao: This is a common form used in formulas and is the focus of this blog.

Zhi Gan Caohoney fried Gan Cao.  More effective than raw form in treating spasms and less effective in clearing heat and relieving food poisoning.  (How to make)  Zhi Gan Cao is used in 100+ Chinese formulas.

Gan Cao Shao: root tip – less used ingredient.  Promotes urination, treat strangury, purge fire.  It is sweet and cold.  It enters the liver, heart and spleen channels.  Decoct 1.5~4.5 g 

Alert
Be cautions with all medicine.
  • Gan Cao is incompatible with pork, seaweed and chinese cabbage
  • Do not use if pregnant, it is an emmenagogue
  • Gan Cao is incompatible with multiple herbs (see potential drug interactions)
  • Long term use of Gan Cao may deplete the body's potassium [ref]
  • Gan Cao contains glycyrrhizinic acid, which can be dangerous if more than 100 grams are taken within 1 week.  It can lead to high blood pressure and hormonal changes. [ref]
Potential Drug Interactions
Herbal medicine may interact negatively with pharma drugs and other herbs.  Examples below:

Herbs: ♦ Incompatible: Gan Sui • Da Ji • Yuan Hua • Hai Zao ♦ Antidiabetic: Mei Gui Hua, Du Zhong, Dang Shen, HuoLong Guo, rougui, Celery, Chamomile, Moringa Tree, Basil, Ku Gua, Hibiscus, Gou Qi Zi, Ju Hua, Xia Ku Cao, Dang Gui, Zhi Mu, Shi gao, Xuan Shen, Cang Zhu, Shan yao, Huang Qi, Artichoke

Pharma Drugs:Medications: anti-diabetic , diuretic, high blood pressure, estrogen, diuretics, corticosteriods, wafarin • Grapefruit effect - check all biomedical drugs when taken formulas with this herb.

Bibliography: [3], [5], [15]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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