Corydalis yanhusuo
What it is
A Chinese medicinal rhizome (Corydalis yanhusuo) whose alkaloid fraction includes dehydrocorybulbine (DHCB), a dopamine D2 receptor antagonist with unusual analgesic activity against inflammatory, neuropathic, and injury-related pain in animal models. Traditional use for headache, menstrual cramps, and visceral pain spans over 2000 years. Human clinical evidence is emerging but limited; preliminary trials suggest benefit in chronic musculoskeletal and abdominal pain. Should not be combined with antipsychotics or dopaminergic drugs.
Dose
1–3 g dried rhizome or 500–1000 mg standardised extract 2–3 times daily
Time of day & tips
Avoid with antipsychotics, anti-parkinsonian drugs, and during pregnancy; may cause drowsiness — avoid driving initially; best evidence is for inflammatory/neuropathic rather than acute pain
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