Individual Herbs Notebook

Xi Shu

Translation: Happy Tree

Pharmaceutical: Fructus et Cortex Camptothecae
Taxonomy: Camptotheca acuminata

Other names: Cancer Tree Fruit and Bark / Happy Tree Fruit and Bark

Category: Herbs that Regulate the Blood



Properties: Bitter, cold

Meridans Entered:
Primary: Stomach, Spleen, Liver


Traditional Actions/Indications:
  1. Disperses Stagnant Blood, disperses accumulation and inhibits carcinoma
    Common colds, psoriasis, liver problems and digestive problems
    Brain tumors, liver cancer, gastric cancer, leukemia, esophageal cancer, rectal cancer, carcinoma of bladder and other kinds of cancer
    Most notable for containing Camptothecin, a topoisomerase inhibitor which inhibits DNA replication causing apoptosis. It is synthesized into topotecan and irinotecan chemotherapy drugs.

Suggested Daily Dosage: 9-15g of bark or 3-9g of fruit in decoction.


Cautions: This herb is forbidden to decocted in iron vessels. It is also an endangered species so exports are restricted. Due to the cytotoxicity of camptothecin and its scarcity it is generally better to use synthesized versions which can be precisely controlled and not harm native populations. Poisoning manifests as nausea and vomiting, loss of appetite, cystitis, abdominal distension , leukopenia, massive diarrhoea, dyspnoea, coma, and finally death from respiratory paralysis.


Notable Constituents:
Does not appear in any formulae listed on this site
Research Links & References: (click to display)