
Evodia rutaecarpa: Traditional Warming Herb for Pain Relief, Digestion, and Circulatory Support
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Evodia rutaecarpa, also known as Wu Zhu Yu in Traditional Medicine, is a small fruit-bearing tree native to East Asia. Its dried, unripe fruit—called Fructus Evodiae—has been used for centuries as a warming herb to relieve cold-induced pain, aid digestion, and promote smooth qi and blood flow.
Modern pharmacological research supports its traditional use, showing that Evodia rutaecarpa possesses anti-inflammatory, analgesic, vasodilatory, and gastrointestinal-modulating properties. It is particularly valued in formulas addressing cold stagnation in the middle burner, headaches, and menstrual discomfort.

Table of contents
Phytochemical Composition
The fruits of Evodia rutaecarpa contain:
- Alkaloids (e.g., evodiamine, rutaecarpine): Provide analgesic, anti-inflammatory, and vasodilatory effects
- Essential Oils: Support digestion and modulate gastric activity
- Limonoids and Flavonoids: Offer antioxidant and antimicrobial protection
- Volatile Compounds: Stimulate circulation and reduce pain
5 Key Health Benefits of Evodia rutaecarpa
1. Pain Relief and Anti-inflammatory Effects

Evodiamine and rutaecarpine act on pain receptors and inflammatory pathways, offering natural relief for cold-type headaches, abdominal pain, and joint inflammation (Zhang et al., 2016).
2. Gastrointestinal Regulation and Nausea Control
Evodia warms the stomach, dispels cold, and relieves nausea, vomiting, and poor appetite. It is traditionally used for acid reflux, gastritis, and diarrhea caused by cold-dampness.
3. Cardiovascular and Circulatory Support

Rutaecarpine has vasodilatory effects and may promote nitric oxide production, improving blood flow and potentially lowering blood pressure (Wu et al., 2014).
4. Menstrual and Abdominal Cramp Relief

The herb’s warming and blood-activating properties make it effective in relieving menstrual cramps, cold-related amenorrhea, and lower abdominal discomfort in women.
5. Antioxidant and Antimicrobial Activities
Flavonoids and volatile oils in Evodia rutaecarpa provide free radical scavenging benefits and inhibit the growth of certain bacteria and fungi, supporting immune defense.
Traditional Medicinal Uses
In Traditional Chinese Medicine, Evodia rutaecarpa (Wu Zhu Yu) is used to:
- Warm the middle burner and alleviate abdominal pain and diarrhea
- Redirect rebellious qi to stop vomiting and acid reflux
- Warm the liver and alleviate hernia or flank pain
- Treat cold-type headaches and vertex pain
- Promote blood circulation and regulate menstruation
Recommended Usage
- Decoction: 1.5–6 grams of dried fruit in formulas, always used with caution due to its potency
- Pill or Powder Form: Often processed with ginger juice or vinegar to reduce bitterness and toxicity
- Typical Formulas: Combined with ginger, ginseng, or Coptis in classic formulas like Zuo Jin Wan or Wu Zhu Yu Tang
Note: Due to its warming and acrid nature, Wu Zhu Yu should be used under professional supervision.
Safety and Side Effects
- Pregnancy and Lactation: Not recommended due to strong qi-moving and warming actions
- Possible Side Effects: Oral or esophageal irritation, dry mouth, or nausea if improperly dosed
- TCM Cautions: Contraindicated in heat conditions or yin deficiency with fire
Frequently Asked Questions (FAQs)
What is Evodia rutaecarpa used for?
Traditionally for cold-related pain, digestive disorders, menstrual cramps, and headaches.
Can it relieve acid reflux or nausea?
Yes, it is especially effective for cold-induced vomiting and sour regurgitation.
Is it safe for daily use?
Not typically. It’s a strong herb best used in short-term, professionally guided treatments.
Can it improve circulation?
Yes, rutaecarpine promotes blood flow and may support cardiovascular health.
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References:
Zhang, Y., et al. (2016). Analgesic and anti-inflammatory effects of evodiamine and rutaecarpine from Evodia rutaecarpa. Phytotherapy Research, 30(9), 1456–1463. https://doi.org/10.1002/ptr.5640
Wu, L., et al. (2014). Cardiovascular protective effects of rutaecarpine from Wu Zhu Yu. European Journal of Pharmacology, 735, 77–83. https://doi.org/10.1016/j.ejphar.2014.03.030
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