Can Chuanxiong treat nausea?

Sep 04, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Under normal circumstances, Chuanxiong (Ligusticum chuanxiong) is generally not used directly to treat nausea. It may only be used as an auxiliary medicinal component in combination therapy when nausea is caused by specific etiologies and corresponds to a particular TCM syndrome differentiation. It should not be used alone as the primary herb for treating nausea. In daily life, if nausea occurs, the underlying cause should first be identified, such as improper diet, gastrointestinal discomfort, or emotional fluctuations.

Generally speaking, Chuanxiong (Ligusticum chuanxiong) is not typically used directly to treat nausea. It may only be used as an auxiliary medicinal ingredient in combination therapies when nausea is caused by specific etiologies and conforms to certain TCM syndrome differentiation patterns, but it should not be used alone as the primary herb for treating nausea. Detailed analysis is as follows:

The core functions of Chuanxiong are promoting blood circulation, regulating qi flow, expelling wind, and relieving pain. It is primarily used to treat conditions such as headaches, dysmenorrhea, and rheumatic pain caused by blood stasis with qi stagnation or invasion of wind pathogens. It does not have direct effects of harmonizing the stomach or relieving vomiting and nausea. Nausea is often associated with dysfunction of the spleen and stomach and upward reversal of stomach qi, such as food stagnation, internal retention of phlegm-dampness, or liver qi invading the stomach. Treatment should mainly focus on harmonizing the stomach, lowering逆qi, promoting digestion, and regulating liver qi—actions that are distinctly different from Chuanxiong's therapeutic focus.

If nausea is caused by specific conditions such as blood stasis impairing the spleen and stomach's transforming function, or severe headache accompanied by nausea, under the guidance of TCM syndrome differentiation, Chuanxiong may be combined with other herbs that harmonize the stomach and relieve vomiting. In this context, Chuanxiong's ability to promote blood circulation, regulate qi, and relieve headache may indirectly help alleviate nausea caused by blood stasis or headache.

In daily life, if nausea occurs, the first step is to identify the underlying cause, such as improper diet, gastrointestinal discomfort, or emotional fluctuations. Symptoms may often be relieved through dietary adjustments and emotional relaxation.

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