• Dr. Bill Rawls

    ABOUT BILL RAWLS, M.D.

    Dr. Rawls' groundbreaking approach to wellness comes from decades of practicing medicine, extensive research in alternative therapies, and firsthand experience helping thousands find their path to wellness. Dr. Rawls is a best-selling author, Medical Director and Co-Founder of Vital Plan, a holistic health company and Certified B Corporation.
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  • Chinese Skullcap: Uses, Benefits, Dosage, Side Effects | Vital Plan
    Chinese Skullcap
    By Vital Plan
    Reviewed by Bill Rawls, MD
    Medical Director of Vital Plan

    Summary | What is it? | Benefits and How It Works | History & Traditional Use |
    How to Use and Dosing | Interactions | Precautions & Side Effects | References

    QUICK FACTS

    Common name: Chinese Skullcap
    Scientific name: Scutellaria baicalensis
    Other names: Baikal skullcap, scute root, golden root, Huang-qin (Chinese)
    Location: Native to China, Korea, Mongolia, Russia, and Siberia
    Known for: Its broad-spectrum antiviral properties and importance as a traditional Chinese medicinal herb
    Part Used: Roots
    Fun fact: Chinese skullcap flowers have been said to resemble skullcaps worn by many during the Middle Ages.
    Good for: Immune health, respiratory and GI infections, microbiome balance, liver protection, and nerve health
    Key Properties & Actions: Antiviral, antibacterial, immunomodulator, anti-tumor, hepatoprotectant, neuroprotectant, antioxidant, anti-inflammatory

    Summary

    With over 2,000 years of medicinal use, Chinese skullcap has become an increasingly popular herb for its various beneficial effects on the body. Most notably, it is a strong antiviral, immunomodulator, and protective of the liver and nerves.

    What is Chinese Skullcap?

    Chinese skullcap is a perennial herb native to China, Korea, Mongolia, Russia, and Siberia. This mint family (Lamiaceae) member has vibrant green leaves and purple flowers, growing up to one foot in height.

    Chinese skullcap enjoys sandy and rocky habitats near water and can thrive at sea level and up to 6,000 feet in altitude. It can commonly be found growing near waterways like creeks or alongside seashores.1

    Beyond its beautiful appearance and convenient use as a drought and cold-tolerant garden plant, Chinese skullcap offers medicinal benefits that have been known and utilized for thousands of years.2

    Scutellaria root used in chinese herbal medicine over white background.  Huang qin.

    Baicalin, a phytochemical present in the root of Chinese skullcap, has antiviral, antibacterial, anti-tumor, and antioxidant properties.3

    Modern research continues to confirm its beneficial medicinal actions, with many studies focused on its antimicrobial, immune-supportive, liver-protective, and nerve-protective activity.3

    Benefits of Chinese Skullcap and How It Works

    Antimicrobial Benefits

    When microbes like viruses, bacteria, and fungi get out of hand, they can cause oxidative stress and a wide spectrum of cellular damage that can progress disease and worsen symptoms in their host.

    Chinese skullcap is a proven antimicrobial herb offering potent antiviral activity against a range of different viruses, as well as some antibacterial and antifungal properties.

    Most of Chinese skullcap’s antimicrobial actions happen through the herb’s ability to stimulate the immune system, reduce inflammation, and protect cells.

    Its antiviral mechanisms include increasing interferon, a substance produced by the body to help fight infections and tumors, modulating immunological and inflammatory pathways, and inhibiting cell death.3

    Chinese skullcap has been found to have antiviral activity against reactivated Epstein-Barr virus, herpes viruses in general, and SARS-CoV-2 that causes COVID-19.1,3

    In vitro studies show that Chinese skullcap has an antibacterial effect against H. pylori, a bacteria that can cause stomach infections, and Staphylococcus aureus, a bacteria that can cause antibiotic-resistant infections.4,5

    Immune Health

    Chinese skullcap helps to balance the immune system. This means it calms overactive portions of the immune system associated with destructive inflammation and boosts the immune system’s ability to fight off infections.6,7

    When used consistently, Chinese skullcap’s ability to downregulate excessive immune responses can be helpful for allergies and autoimmune conditions, which are both marked by an overactive immune system.

    In an animal study, Chinese skullcap extract reduced inflammatory allergic response in mice by decreasing mast cell activity and histamine release and regulating inflammation.8

    Multiple studies have demonstrated that Chinese skullcap extract can fight a broad range of cancer cells. These effects have been tied to the herb’s ability to fight oxidative stress and weaken inflammatory pathways.9

    An in vitro study from 2002 showed that Chinese skullcap strongly inhibited the growth of some of the most common human cancer cells, including skin, breast, liver, prostate, and colon. The authors suggest that this may be due to its ability to inhibit inflammatory COX-2 activity.7

    In an animal study, Chinese skullcap extract inhibited tumor growth, the mechanism of which was thought to be due to the herb’s immune and antioxidant effects.11

    Scutellaria baicalensis chinese skullcap purple flowers growing from stem

    Liver Protection

    Chinese skullcap is an ingredient in several traditional Chinese medicine formulas used for liver conditions like hepatitis and fibrosis. Today, modern research confirms these uses.9,12

    In an animal study, Chinese skullcap extract had a liver-protective effect against alcohol-induced liver injury in mice. Mice treated with the extract had more glutathione activity and less liver swelling and inflammation. Although more research is needed, the authors believe this effect is due to the herb’s ability to regulate oxidative stress and programmed cell death, which are important factors in regulating liver health.12

    Baicalin, a biologically active compound in Chinese skullcap, has potential protective effects against liver injury caused by drugs and environmental toxins.13 In acetaminophen-treated mice, it significantly reduced oxidative stress and inflammation.14

    Chinese-skullcap’s antiviral actions have also shown promise in virus-related liver disorders like hepatitis.13

    Nerve Health

    Recent scientific research has started to focus on Chinese skullcap’s capacity to protect the brain and nervous system. Both in vitro and in vivo studies have demonstrated these neuroprotective effects.13,15

    In vitro studies show that baicalin, a flavonoid present in Chinese skullcap, can protect nerve cells from oxidative stress and can inhibit nerve cell death, which are common features of neurodegenerative diseases like Alzheimer’s and Parkinson’s.15

    In addition to these anti-inflammatory, antioxidant, and antiapoptotic effects, Chinese skullcap can regulate glutamate activity, an excitatory neurotransmitter that, in excess, can damage brain cells.15

    Chinese skullcap can also help to improve memory. An animal study found the extract to improve poor memory through its antioxidant, anti-inflammatory, and immune-modulating actions.16

    History & Traditional Use

    Chinese skullcap has been used as a medicinal plant in China for thousands of years. One of the 50 fundamental herbs used in traditional Chinese medicine (TCM), it was originally documented in Shennong Bencao Jing, a Chinese book on agriculture and medicinal plants produced during the Eastern Han Dynasty of 25 CE-220 CE.9

    Later, it appeared in Bencao Gangmu, one of the most authoritative books on TCM. In this text, first published in 1593, Chinese skullcap was reportedly used for diarrhea, hypertension, insomnia, inflammation, and respiratory infections. Its author, Li Shizhen, reported successfully using Chinese skullcap for a severe lung infection at 20 years old.9

    In TCM, the root is used for many conditions, including hepatitis, viral infections, atherosclerosis, and ulcerative colitis.2

    The leaves are sometimes used as a steamed vegetable, and the dried leaves are common as a tea.1

    Scutellaria root chinese herbal medicine in a black stone mortar with pestle over white background. Huang qin. Skullcap.

    How to Use and Dosing

    Chinese skullcap is most commonly taken as capsules or as a tincture.

    The suggested dosage of a powdered root extract capsule is 400-1000 mg, two to three times daily. An extract standardized to at least 30% baicalin is preferred.

    1-2 mL of Chinese skullcap tincture is generally taken up to 3x daily.

    Note that American skullcap, Scutellaria lateriflora, does not offer the same antimicrobial properties and should not be substituted for that purpose.

    To enhance Chinese skullcap’s antimicrobial effects, consider combining it with other antimicrobial herbs like andrographis, cat’s claw, garlic, and Japanese knotweed.

    For immunomodulating benefits, it pairs well with adaptogenic herbs like cordyceps and ashwagandha, among others.

    For added liver protection, Chinese skullcap combines well with turmeric, milk thistle, and reishi mushroom.

    Interactions

    Consult your health care practitioner if you are pregnant and interested in consuming Chinese skullcap. Use caution if you are taking pharmaceuticals, as Chinese skullcap can possibly increase their impact.

    Always check with your health care practitioner before use if you are taking medications. For more general education on potential interactions between herbs and medications, check out Dr. Bill Rawls’ article: Is it Safe to Take Herbs with My Medications?

    Precautions & Side effects

    Side effects are uncommon and are mostly gastrointestinal.

    Disclaimer: This information is intended only as general education and should not be substituted for professional medical advice. Any mentioned general dosage options, safety notices, or possible interactions with prescription drugs are for educational purposes only and must be considered in the context of each individual’s health situation and the quality and potency of the product being used. Use this information only as a reference in conjunction with the guidance of a qualified healthcare practitioner.

    The Cellular Wellness Solution

    Discover more in Dr. Bill Rawls’ new #1 Bestselling book: The Cellular Wellness Solution: Tap Into Your Full Health Potential with the Science-Backed Power of Herbs.

    An eye-opening and empowering book that the world needs right now: The Cellular Wellness Solution will fundamentally change how you think about herbs and the powerful role they play in cultivating wellness at the cellular level.”

    Mark Hyman5 stars
    Mark Hyman, MD
    Fourteen-time #1 New York Times Bestselling Author

    Want to See the Science? Check Out Our References Below.

    1. Stephen Harrod Buhner. HERBAL ANTIVIRALS : Natural Remedies for Emerging & Resistant Viral Infections. Storey Books; 2021.
    2. Wang L, Zhang D, Wang N, Li S, Tan HY, Feng Y. Polyphenols of Chinese skullcap roots: from chemical profiles to anticancer effects. RSC Adv. 2019;9(44):25518-25532. Published 2019 Aug 15. doi:10.1039/c9ra03229k
    3. Li K, Liang Y, Cheng A, et al. Antiviral Properties of Baicalin: a Concise Review. Rev Bras Farmacogn. 2021;31(4):408-419. doi:10.1007/s43450-021-00182-1
    4. ​​Wu J, Hu D, Wang KX. Zhong Yao Cai. 2008;31(5):707-710.
    5. Qiu F, Meng L, Chen J, Jin H, Jiang L. In vitro activity of five flavones from Scutellaria baicalensisin combination with Cefazolin against methicillin resistant Staphylococcus aureus (MRSA). Medicinal Chemistry Research. 2016;25(10):2214-2219. doi:10.1007/s00044-016-1685-9
    6. Jung HS, Kim MH, Gwak NG, et al. Antiallergic effects of Scutellaria baicalensis on inflammation in vivo and in vitro. J Ethnopharmacol. 2012;141(1):345-349. doi:10.1016/j.jep.2012.02.044
    7. Orzechowska B, Chaber R, Wiśniewska A, et al. Baicalin from the extract of Scutellaria baicalensis affects the innate immunity and apoptosis in leukocytes of children with acute lymphocytic leukemia. Int Immunopharmacol. 2014;23(2):558-567. doi:10.1016/j.intimp.2014.10.005
    8. Bui TT, Piao CH, Song CH, Lee CH, Shin HS, Chai OH. Baicalein, wogonin, and Scutellaria baicalensisethanol extract alleviate ovalbumin-induced allergic airway inflammation and mast cell-mediated anaphylactic shock by regulation of Th1/Th2 imbalance and histamine release. Anat Cell Biol. 2017;50(2):124-134. doi:10.5115/acb.2017.50.2.124
    9. Zhao Q, Chen XY, Martin C. Scutellaria baicalensis, the golden herb from the garden of Chinese medicinal plants. Sci Bull (Beijing). 2016;61(18):1391-1398. doi:10.1007/s11434-016-1136-5
    10. Ye F, Xui L, Yi J, Zhang W, Zhang DY. Anticancer activity of Scutellaria baicalensis and its potential mechanism. J Altern Complement Med. 2002;8(5):567-572. doi:10.1089/107555302320825075
    11. Peng Y, Guo CS, Li PX, et al. Immune and anti-oxidant functions of ethanol extracts of Scutellaria baicalensis Georgi in mice bearing U14 cervical cancers. Asian Pac J Cancer Prevention. 2014;15(10):4129-4133. doi:10.7314/apjcp.2014.15.10.4129
    12. Dong Q, Chu F, Wu C, et al. Scutellaria baicalensis Georgi extract protects against alcohol‑induced acute liver injury in mice and affects the mechanism of ER stress. Mol Med Rep. 2016;13(4):3052-3062. doi:10.3892/mmr.2016.4941
    13. Yang JY, Li M, Zhang CL, Liu D. Pharmacological properties of baicalin on liver diseases: a narrative review. Pharmacol Rep. 2021;73(5):1230-1239. doi:10.1007/s43440-021-00227-1
    14. Liao CC, Day YJ, Lee HC, Liou JT, Chou AH, Liu FC. Baicalin Attenuates IL-17-Mediated Acetaminophen-Induced Liver Injury in a Mouse Model. PLoS One. 2016;11(11):e0166856. Published 2016 Nov 17. doi:10.1371/journal.pone.0166856
    15. Gaire BP, Moon SK, Kim H. Scutellaria baicalensis in stroke management: nature’s blessing in traditional Eastern medicine. Chin J Integr Med. 2014;20(9):712-720. doi:10.1007/s11655-014-1347-9
    16. Jeong K, Shin YC, Park S, et al. Ethanol extract of Scutellaria baicalensis Georgi prevents oxidative damage and neuroinflammation and memorial impairments in artificial senescense mice. J Biomed Sci. 2011;18(1):14. Published 2011 Feb 8. doi:10.1186/1423-0127-18-14
    17. Wang Z, Ling D, Wu C, Han J, Zhao Y. Baicalin prevents the up-regulation of TRPV1 in dorsal root ganglion and attenuates chronic neuropathic pain. Vet Med Sci. 2020;6(4):1034-1040. doi:10.1002/vms3.318
    18. Pang P, Zheng K, Wu S, et al. Baicalin Downregulates RLRs Signaling Pathway to Control Influenza A Virus Infection and Improve the Prognosis. Evid Based Complement Alternat Med. 2018;2018:4923062. Published 2018 Feb 26. doi:10.1155/2018/4923062

    *This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Always consult your qualified healthcare provider before beginning any diet or program.
    About the Medical Director
    Dr. Bill Rawls
    Dr. Rawls is a licensed medical doctor in North Carolina and a leading expert in integrative health. He has extensive training in alternative therapies, and is the Medical Director of Vital Plan, a holistic health and herbal supplement company in Raleigh, NC.
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