Tong Cao (Rice Paper Pith, Tetrapanax)

Chinese Herb Actions

Chinese Herb Dosage

• 2-5 grams in decoction or 15-18 grams to promote lactation ¹²
• 2-4.5 grams in decoction ¹³

Chinese Herb Contraindications & Cautions

• Do not use during pregnancy.
• Use caution in cases with Middle Jiao Cold.

Chinese Herb Toxicity & Overdose

• Possible side effects to overdose include epigastric pain, vomiting, nausea, hyperlipidemia, hypercholesterolinemia, and increased liver triglyceride synthesis.

Herb-Drug Interactions

• Due to the diuretic effect of this herb, care should be used when taking prescription diuretics.

Western / Biomedical Research

Chinese Herb Clinical Studies & Research

Provided as research context — a summary of published biomedical study, not a therapeutic or medical claim.

• Structure-activity studies of some oleanane triterpenoid glycosides and their related compounds from the leaves of Tetrapanax papyriferum on anti-inflammatory activities.
  Sugishita E, Amagaya S, Ogihara Y. - J Pharmacobiodyn. 1982 Jun; 5(6):379-87.
• Studies on the mechanism of anti-inflammatory activities of papyriogenin A and papyriogenin C.
  Amagaya S, Ogihara Y. - J Pharmacobiodyn. 1983 May;6(5):287-94.
• Antihepatotoxic actions of papyriogenins and papyriosides, triterpenoids of Tetrapanax papyriferum leaves.
  Hikino H, Kiso Y, Amagaya S, Ogihara Y. - J Ethnopharmacol. 1984 Nov;12(2):231-5.
• Antithrombin activity of medicinal plants from central Florida.
  Chistokhodova N, Nguyen C, Calvino T, Kachirskaia I, Cunningham G, Howard Miles D. - J Ethnophar macol. 2002 Jul;81(2):277-80.

Chinese Herb Notes

• Tong Cao and Mu Tong both unblock and promote urination. Tong Cao is not as bitter as Mu Tong so its effects are less powerful and is used for mild cases of damp-heat or combined with stronger herbs for more severe cases.