Gao Liang Jiang

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Alpinia officinarum Hance

Not yet clinically reviewed

Genus: Alpinia Species: officinarum Pinyin: Gao Liang Jiang
Lesser galangal rhizome高良姜

Traditionally used for

  • Digestion
  • Bowel health

Cautions & contraindications

  • Toxic — professional use only
Moderate evidence · 6 studies

☯ TCM Properties

Category: warming interior
Temperature: hot
Taste: pungent
Meridians: spleen, stomach
Functions:

Warms the Interior and Dispels Cold; Stops Vomiting; Dispels Cold and Alleviates Pain; Moves Qi; Promotes Digestion and Resolves Food Stagnation

Traditional Chinese Uses

Gao Liang Jiang (lesser galangal rhizome) is a hot, pungent herb used to warm the Stomach and Spleen and dispel cold, addressing acute cold-type stomach pain, vomiting, and diarrhea with great effectiveness. It is one of the most specifically warming herbs for the Stomach channel — directly targeting cold lodged in the Stomach — and is used when chilling foods or cold weather have caused sudden severe gastric pain, nausea, or digestive collapse. Combined with dried ginger, it forms classical formulas for acute cold in the Stomach.

Western Herbalism Properties

Actions:
carminativestimulantantispasmodic

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Botanical Description

Alpinia officinarum, lesser galangal or Gao Liang Jiang, is a tufted, rhizomatous perennial herb in the Zingiberaceae, native to southern China (especially Hainan and Guangdong) and now also cultivated in adjacent parts of Southeast Asia. The plant grows from a horizontal, cylindrical, branched rhizome 1 to 2 cm thick, reddish-brown on the outside with prominent annular leaf-scars and pale orange-yellow, intensely aromatic flesh on cutting. From the rhizome arise tufted leafy pseudostems 30 to 110 cm tall, each bearing two ranks of narrow, linear-lanceolate leaves 15 to 30 cm long and 1.2 to 2.5 cm wide, with a long-acuminate tip and glabrous, glossy green surfaces. The terminal inflorescence is a slender raceme 6 to 10 cm long bearing few flowers; each is white with conspicuous red veins on the labellum and pink stamen. The fruit is a small, globose, red capsule about 1 cm across. The dried rhizome is the medicinal drug, pungent and aromatic with cineole and galangol.

Active Constituents

Galangin

Flavonol (3,5,7-trihydroxyflavone)

Concentration: The principal flavonoid of the rhizome and the compound most often used as its analytical marker

Carries most of the antioxidant and anti-inflammatory activity attributed to the rhizome in preclinical work, and has been studied extensively for antimicrobial and antiproliferative effects in cell culture. Human pharmacokinetic and efficacy data on galangin from Alpinia officinarum are essentially absent.

1,7-Diphenyl-5-hydroxy-3-heptanone and related linear diarylheptanoids

Diarylheptanoid

The chemically distinctive class of the rhizome, structurally related to the curcuminoids of turmeric. Members of this group have shown antibacterial, cytotoxic and neuroprotective activity in isolated-compound assays, and the diarylheptanoid profile is what separates Alpinia officinarum from other members of the genus.

Kaempferide and galangin 3-methyl ether

Methylated flavonols

Methylated flavonol congeners of galangin present in the rhizome, contributing to the flavonoid fingerprint used for chromatographic identity testing.

1,8-Cineole and alpha-pinene

Monoterpenes (essential oil)

The main volatiles of the rhizome oil. They account for the aromatic pungency of the drug and plausibly for its carminative effect on the stomach, which is its principal traditional indication.

⚠ Drug Interactions

Alpinia galanga (greater galangal, Da Gao Liang Jiang; its fruit is Hong Dou Kou)

Moderate Evidence: Established

Both rhizomes are sold in the West simply as galangal, and Alpinia galanga is much the more widely traded of the two as a culinary root. They are not chemically equivalent: Alpinia officinarum is characterised by galangin and linear diarylheptanoids, while Alpinia galanga is characterised by phenylpropanoid acetates. Most of the small human trial literature on the genus has used Alpinia galanga preparations, so it should not be read across to Gao Liang Jiang. Substituting one for the other is a loss of identity rather than a poisoning risk, but it means the material in the pot is not the drug the prescription named.

Clinical note: Order by binomial and check the certificate of analysis for galangin. Do not cite Alpinia galanga clinical data in support of Gao Liang Jiang, and do not accept culinary galangal from a food supplier as pharmacopoeial Rhizoma Alpiniae Officinarum.

Drugs cleared by cytochrome P450 with narrow therapeutic indices

Theoretical Evidence: Theoretical

Galangin is a flavonol, and flavonols as a class interact with cytochrome P450 and phase II conjugating enzymes in vitro. No human pharmacokinetic interaction study of Alpinia officinarum or of galangin has been published, and the reviews of this drug report no clinical interaction data at all. This entry records the absence of evidence rather than a demonstrated effect.

Clinical note: No specific action is warranted at culinary or customary decoction doses. Concentrated galangin extracts and long courses alongside narrow-index drugs are simply uncharacterised territory.

Antihyperglycaemic drugs

Theoretical Evidence: Theoretical

Extracts and isolated constituents of Alpinia officinarum have shown hypoglycaemic and insulin-sensitising effects in rodent models, as summarised in the pharmacological reviews of the species. Whether that translates into any additive effect with oral hypoglycaemics or insulin in humans has not been tested.

Clinical note: If a diabetic patient takes Gao Liang Jiang regularly at more than culinary quantities, it is reasonable to keep an eye on glucose readings during the first weeks, without expecting a change.

Dosage

Form Amount Frequency Duration Population Notes
decoction 3–6 g Daily — — 中国药典 2020 【用法与用量】3~6g。 【性味与归经】辛,热。归脾、胃经。 — Chinese Pharmacopoeia 2020, quoted verbatim; route and cautions preserved. Replaces a cleared category-filler value.

Dui Yao — Herb Pairs

The classical two-herb combinations this herb appears in, each with an action neither herb has alone.

with Gan Jiang 干姜

Two warming rhizomes that together strongly warm the stomach and disperse cold, stopping cold epigastric pain and vomiting.

Cold in the stomach with epigastric pain and vomiting of clear fluid.

Core pair of a classical formula — Er Jiang Wan, Tai Ping Hui Min He Ji Ju Fang

with Xiang Fu 香附

Warming the middle and dispersing cold is combined with spreading liver qi, treating epigastric pain from cold and qi stagnation.

Core pair of a classical formula — Liang Fu Wan, Liang Fang Ji Ye

Evidence Tier

Moderate evidence · 6 studies

Recorded studies by study design, strongest design at the top. This is a study-design tier only, not a GRADE rating: it does not weigh risk of bias, consistency or precision.

Verified: design read from PubMed for a DOI that resolves to the cited paper Unverified: taken from the study's recorded description

Clinical Studies

A review on the ethnomedicinal uses, phytochemistry and pharmacology of Alpinia officinarum Hance

Abubakar Ibrahim Babangida; Malami Ibrahim; Yahaya Yakubu; Sule Sahabi Manga (2018) Journal of Ethnopharmacology systematic review Verified: Other / unclassified

Collects the ethnomedicinal, phytochemical and pharmacological literature on Alpinia officinarum. The pharmacology it summarises is preclinical throughout; the review identifies no controlled clinical trial of the rhizome, which is the honest state of the evidence for this drug.

Alpinia officinarum Hance: a comprehensive review of traditional uses, phytochemistry, pharmacokinetic and pharmacology

Lei Xia; Wang Jiapeng; Zuo Kun; Xia Tianli; Zhang Jinfeng; Xu Xiangyue; Liu Qing; Li Xiaoliang (2024) Frontiers in Pharmacology systematic review Verified: Other / unclassified

An updated synthesis covering traditional use, constituents, pharmacokinetics and reported activities. It confirms galangin and the diarylheptanoids as the characteristic chemistry and again finds the pharmacology to rest on animal and cell studies rather than on patients.

New diarylheptanoids from the rhizome of Alpinia officinarum Hance

An Ning; Zhang Hong-wu; Xu Li-zhen; Yang Shi-lin; Zou Zhong-mei (2010) Food Chemistry in vitro

Isolates and characterises previously undescribed diarylheptanoids from the rhizome, extending the known chemistry of the drug.

Three new antibacterial active diarylheptanoids from Alpinia officinarum

Zhang Bei-Bei; Dai Yuan; Liao Zhi-Xin; Ding Li-Sheng (2010) Fitoterapia in vitro

Reports antibacterial activity for three newly isolated diarylheptanoids in culture. Isolated-compound in vitro activity, with no bearing on the clinical use of the decocted rhizome.

Diarylheptanoids from the rhizome of Alpinia officinarum Hance.

ITOKAWA HIDEJI; MORITA HIROSHI; MIDORIKAWA IKUKO; AIYAMA RITSUO; MORITA MAKOTO (1985) Chemical and Pharmaceutical Bulletin in vitro

The early structural work that established diarylheptanoids as a defining constituent class of the Alpinia officinarum rhizome.

New cytotoxic diarylheptanoids from the rhizomes of Alpinia officinarum Hance

Liu Dan; Liu Yan-Wen; Guan Fu-Qin; Liang Jing-Yu (2014) Fitoterapia in vitro

Describes further diarylheptanoids from the rhizome with cytotoxic activity against tumour cell lines in culture.

Historical Texts

Ming Yi Bie Lu (Miscellaneous Records of Famous Physicians), attributed to Tao Hongjing

Six Dynasties period, about 500 CE
The earliest Chinese record of Gao Liang Jiang, named for the Gaoliang commandery of what is now western Guangdong, where the drug was gathered. The name is geographical and has nothing to do with ginger proper.

Ben Cao Gang Mu (Compendium of Materia Medica), Li Shizhen

Ming dynasty, 1596
Places Gao Liang Jiang among the warming interior drugs for cold epigastric pain and vomiting, and distinguishes it from the fruit of the related greater galangal, which enters the materia medica separately as Hong Dou Kou.

Liang Fu Wan, the Gao Liang Jiang and Xiang Fu pair

Qing dynasty formula literature, from about the eighteenth century
The two-herb formula pairing Gao Liang Jiang with Cyperus rotundus for cold and qi stagnation epigastric pain remains the drug's best-known clinical context, with the proportions varied according to whether cold or stagnation predominates.

References

  1. Kong Ling-Yi; Zhang Wei-Jie; Luo Jian-Guang. The genus Alpinia: A review of its phytochemistry and pharmacology . World Journal of Traditional Chinese Medicine (2016) [DOI]
  2. Ding Ping. Alpinia officinarum Hance 高良姜 (Gaoliangjiang, galangal) . Dietary Chinese Herbs (2015) [DOI]

This information is for educational purposes only and is not intended to replace professional medical advice. Always consult a qualified healthcare provider before using any herbal remedy, especially if you are pregnant, nursing, or taking medications.

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