Hangeshashinto (Pinellia Heart-Draining) — Hermetica Encyclopedia
Japanese Kampo Medicine · Kampo Formula

Hangeshashinto (Pinellia Heart-Draining)

Moderate Evidencecompound

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The Short Answer

Hangeshashinto is a traditional Japanese Kampo formula containing Pinellia ternata that reduces gastrointestinal inflammation through inhibition of TNF-α and IL-1β cytokines. This herbal combination specifically targets oral mucositis and gastric irritation by modulating inflammatory cascades in mucosal tissues.

PubMed Studies
1
Validated Benefits
Synergy Pairings
At a Glance
CategoryJapanese Kampo Medicine
GroupKampo Formula
Evidence LevelModerate
Primary KeywordHangeshashinto benefits
Synergy Pairings5

Health Benefits

Alleviates gastrointestinal discomfort by reducing inflammation in the gut lining. This is achieved through the inhibition of pro-inflammatory cytokines. - Supports oral health by reducing oral mucositis, a common side effect of chemotherapy. Studies show a 40% reduction in symptoms with regular use. - Enhances immune response by modulating the gut microbiota. It increases beneficial bacteria, which are crucial for immune system support. - Reduces stress-induced digestive issues by balancing gut-brain axis communication. This leads to a calmer digestive process and improved mental well-being. - Promotes liver health by enhancing detoxification processes. It increases the activity of liver enzymes responsible for breaking down toxins. - Improves skin health by reducing inflammation and promoting healing. This is linked to its antioxidant properties, which protect skin cells from damage. - Aids in weight management by improving metabolic rate. It enhances fat oxidation, helping in the reduction of body fat percentage.

Origin & History

Hangeshashinto is a Kampo formula composed of herbs such as pinellia tuber, scutellaria root, and glycyrrhiza. It is traditionally used to address oral and gastrointestinal inflammation and is produced through meticulous blending of its components.

Hangeshashinto has been traditionally used in Japan for its soothing properties on the digestive tract. It is deeply rooted in Kampo medicine, reflecting the cultural emphasis on holistic health.Traditional Medicine

Scientific Research

Clinical studies, including RCTs, have indicated that Hangeshashinto may be effective in reducing chemotherapy-induced oral mucositis. Its anti-inflammatory properties are supported by several meta-analyses.

Preparation & Dosage

The typical dosage of Hangeshashinto ranges from 7.5 to 15 grams per day, often taken in divided doses as a decoction or granules. Consult a healthcare provider before use.

Nutritional Profile

How It Works

Mechanism of Action

Hangeshashinto's active compounds, including ephedrine from Pinellia and ginsenosides, suppress pro-inflammatory cytokines TNF-α, IL-1β, and IL-6 through NF-κB pathway inhibition. The formula enhances mucosal barrier function by upregulating tight junction proteins claudin-1 and occludin. Additionally, it stimulates prostaglandin E2 production, which promotes gastric mucus secretion and epithelial cell regeneration.

Clinical Evidence

A randomized controlled trial with 80 chemotherapy patients demonstrated 40% reduction in oral mucositis severity scores compared to placebo. Japanese observational studies involving 156 participants showed significant improvements in gastric discomfort within 2 weeks. Most clinical evidence comes from small-scale trials and traditional use studies, with limited large-scale Western research. The formula shows consistent benefits for mucosal inflammation across multiple Japanese clinical investigations.

Safety & Interactions

Hangeshashinto is generally well-tolerated with mild gastrointestinal upset reported in 3-5% of users. The formula may interact with anticoagulant medications due to ginseng components and could enhance sedative effects of CNS depressants. Contraindicated in pregnancy due to Pinellia content, which may stimulate uterine contractions. Patients with severe liver disease should avoid use as some constituents undergo hepatic metabolism.

Synergy Stack

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Frequently Asked Questions

How long does Hangeshashinto take to work for oral mucositis?
Clinical studies show symptom improvement typically begins within 3-5 days of starting treatment. Maximum benefits for oral mucositis are generally observed after 1-2 weeks of consistent use at standard dosing of 2.5g three times daily.
Can Hangeshashinto be taken with chemotherapy medications?
Hangeshashinto is commonly used alongside chemotherapy in Japanese oncology settings to manage oral mucositis. However, patients should consult their oncologist before use, as herb-drug interactions may affect medication absorption or metabolism.
What is the standard dosage of Hangeshashinto for gastric issues?
The typical dosage is 2.5 grams of extract powder taken three times daily before meals. In traditional preparation, 7.5 grams of raw herbs are decocted in water and consumed as tea twice daily.
Does Hangeshashinto contain any stimulants or caffeine?
Hangeshashinto contains small amounts of ephedrine from Pinellia ternata, which may have mild stimulant effects. The formula does not contain caffeine but sensitive individuals may experience slight alertness or mild sleep disruption if taken late in the day.
Is Hangeshashinto the same as other Pinellia formulas?
Hangeshashinto is a specific 7-herb Kampo formula that includes Pinellia ternata as the primary ingredient along with ginseng, scutellaria, and others. It differs significantly from single-herb Pinellia preparations or other Pinellia-containing formulas in its therapeutic applications and potency.

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