Shu Di Huang (Rehmannia glutinosa, prepared)
Shu di Huang (prepared Rehmannia glutinosa) is a processed Chinese herbal medicine containing catalpol and rehmanniosides that supports kidney function and blood tonification. It activates the hypothalamic-pituitary-adrenal axis to regulate cortisol and enhance cellular energy production.

Origin & History
Shu Di Huang is the prepared root of Rehmannia glutinosa, a plant native to China. The root is steamed and dried to enhance its medicinal properties.
Historical & Cultural Context
Shu Di Huang has been a key component in traditional Chinese medicine, often used in formulas to strengthen the blood and support overall vitality.
Health Benefits
- Supports adrenal health by modulating cortisol levels, crucial for stress management. - Enhances kidney function by promoting detoxification, vital for overall health. - Boosts energy levels by improving mitochondrial function, providing sustained vitality. - Acts as an anti-inflammatory, reducing inflammation markers, beneficial for chronic pain management. - Supports bone health by enhancing calcium absorption, crucial for maintaining strong bones. - Improves blood circulation by dilating blood vessels, promoting cardiovascular health. - Exhibits antioxidant properties, protecting cells from oxidative damage, reducing disease risk.
How It Works
Shu di Huang's primary bioactive compound catalpol modulates the HPA axis by inhibiting 11β-hydroxysteroid dehydrogenase type 1, reducing cortisol production. Rehmanniosides enhance mitochondrial ATP synthesis through cytochrome c oxidase activation. The herb also suppresses NF-κB inflammatory pathways while supporting nephron function via antioxidant mechanisms.
Scientific Research
Research indicates potential benefits of Shu Di Huang in supporting blood health and kidney function, though more clinical trials are needed to establish efficacy.
Clinical Summary
Most research on Shu di Huang consists of animal studies and small human trials with 30-80 participants. A 2019 study showed 23% improvement in fatigue scores after 8 weeks of supplementation. Traditional use studies indicate benefits for kidney function, but large-scale randomized controlled trials are limited. Evidence is primarily observational with moderate quality supporting adrenal and energy benefits.
Nutritional Profile
Shu Di Huang (prepared Rehmannia glutinosa) is a root-based traditional herb with the following documented composition: Iridoid glycosides are the primary bioactive compounds, with catalpol (an iridoid) present at approximately 0.1–0.5% in prepared forms (lower than raw due to steaming process). Oligosaccharides including stachyose, raffinose, and verbascose constitute approximately 15–25% of dry weight, contributing to prebiotic activity. Rehmanniosides A, B, C, and D are characteristic glycosides present at trace to low-percentage concentrations. 5-Hydroxymethylfurfural (5-HMF) forms during the steaming/wine preparation process and is present at approximately 0.05–0.3% dry weight, contributing to antioxidant activity. Amino acids are present at approximately 3–6% total dry weight, including arginine, glutamic acid, and alanine as predominant forms. Mannitol is present at approximately 1–3% dry weight. Minerals include iron (~15–25 mg/100g dry weight), zinc (~2–4 mg/100g), manganese (~1–3 mg/100g), potassium (~800–1200 mg/100g), calcium (~80–120 mg/100g), and magnesium (~40–80 mg/100g). Polysaccharides (Rehmannia polysaccharides, RPS) are present at approximately 3–8% dry weight and demonstrate immunomodulatory properties with moderate oral bioavailability (~20–40%). Vitamins are minimal; trace amounts of B-complex vitamins are present. Total carbohydrate content is high at approximately 60–75% dry weight due to sugars and polysaccharides. Fat content is negligible (<1%). Protein content is approximately 4–7% dry weight. Bioavailability note: Steaming with wine (the 'Shu' preparation) increases bioavailability of polysaccharides and reduces the cold properties of raw Rehmannia; catalpol content is reduced compared to Sheng Di Huang (raw form) but 5-HMF increases significantly, which may contribute to neuroprotective effects. Iridoid glycosides show limited oral bioavailability (~10–20%) but are subject to gut microbiome metabolism.
Preparation & Dosage
Typical dosage ranges from 9-30 grams per day. Consult a healthcare provider before use.
Synergy & Pairings
Dang Gui, Ren Shen, Fu Ling
Safety & Interactions
Shu di Huang is generally well-tolerated but may cause digestive upset in sensitive individuals. It can potentially interact with diabetes medications by affecting blood sugar levels. The herb may enhance effects of sedative medications due to its adaptogenic properties. Pregnant and breastfeeding women should avoid use due to insufficient safety data.