Baikal skullcap

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Scutellaria baicalensis

Family: Lamiaceae Genus: Scutellaria Species: baicalensis

Synonyms: Scutellaria macrantha, Scutellaria baicalensis f. albiflora, Scutellaria lanceolaria, Scutellaria speciosa, Scutellaria davurica

Baikal skullcap
Baikal skullcap

Western Herbalism Properties

Actions:
antimicrobialanti-inflammatorybitterantioxidant

Botanical Description

Scutellaria baicalensis, the Baikal skullcap or Chinese skullcap, is a perennial herb of the mint family (Lamiaceae) native to northeastern China, Mongolia, Korea, eastern Siberia and the Russian Far East, where it grows on sunny, dry, grassy and stony slopes. It develops a stout, fleshy taproot that is yellow within and is the part used medicinally. The square stems are erect to spreading, 20 to 60 cm tall, bearing opposite, lance-shaped to narrowly elliptic, nearly stalkless leaves. The two-lipped, tubular flowers are violet-blue to purple and are borne in one-sided, leafy-bracted terminal racemes, each calyx bearing the small scale-like protuberance that gives skullcaps their name. Flowering occurs in summer. The fruit comprises four small nutlets enclosed in the persistent calyx.

Native Region: Amur, Buryatiya, China North-Central, China South-Central, Chita, Inner Mongolia, Irkutsk, Khabarovsk, Korea, Manchuria, Mongolia, Primorye, Vietnam

Active Constituents

Baicalin

Flavone glucuronide (baicalein 7-O-glucuronide)

Concentration: Dominant flavonoid of the root, often 10% or more of dried root

The principal marker compound of Huang Qin. Baicalin has documented anti-inflammatory, antioxidant, antiviral, hepatoprotective and neuroprotective activity, largely mediated by inhibition of NF-kB signalling and modulation of cytokine release.

Baicalein

Flavone (aglycone of baicalin)

Concentration: Major root flavone

Aglycone with potent antioxidant, anti-inflammatory and 12/15-lipoxygenase-inhibiting activity; studied for anticancer, antiviral and neuroprotective effects.

Wogonin

Flavone

Concentration: Major root flavone

Anti-inflammatory and anxiolytic flavone with reported anticancer activity; acts partly at GABA-A receptors and modulates inflammatory signalling.

Wogonoside

Flavone glucuronide (7-O-glucuronide of wogonin)

Concentration: Abundant glycoside of the root

Glycosidic form of wogonin with anti-inflammatory and anti-allergic effects; hydrolysed to wogonin by gut microflora.

Oroxylin A

Flavone

Concentration: Minor root flavone

Neuroactive flavone studied for anti-inflammatory, cognition-enhancing and anticancer effects, in part via GABA-A modulation and NF-kB inhibition.

Scutellarein / scutellarin

Flavone / flavone glucuronide

Concentration: Minor constituents

Antioxidant flavones; scutellarin is studied for cerebrovascular and cardioprotective effects and is a substrate/inhibitor of hepatic OATP uptake transporters.

Skullcapflavone II

Methoxylated flavone

Concentration: Minor root flavone

Lipophilic flavone investigated for anti-inflammatory, antifibrotic and antitumour activity in preclinical studies.

⚠ Drug Interactions

Rosuvastatin

Moderate Evidence: Probable

In a human pharmacokinetic study, baicalin lowered rosuvastatin plasma exposure in an OATP1B1 haplotype-dependent manner by modulating hepatic OATP1B1-mediated uptake of the statin.

Clinical note: Separating administration or monitoring lipid response is prudent when Scutellaria/baicalin products are combined with OATP1B1-substrate statins.

Cyclosporine (ciclosporin)

Moderate Evidence: Theoretical

In animal studies repeated baicalin dosing decreased ciclosporin oral bioavailability, attributed to induction of intestinal P-glycoprotein; clinical relevance in humans is not established.

Clinical note: Given the narrow therapeutic index of ciclosporin, avoid concomitant high-dose baicalin or monitor drug levels.

Antidiabetic drugs

Minor Evidence: Theoretical

Scutellaria flavonoids show hypoglycaemic activity in preclinical models, so additive effects with antidiabetic agents are theoretically possible.

Clinical note: Monitor blood glucose if used with antidiabetic therapy.

Preparation Methods

Decoction

Parts: root

Dried root sliced and simmered in water (a typical traditional dose is around 3-10 g of root per day), taken as a bitter, cold-clearing decoction, often in formula with other herbs.

Powdered root / granule extract

Parts: root

Standardized dried-extract granules or powder providing defined baicalin content, reconstituted in hot water.

Tincture / standardized extract

Parts: root

Hydroalcoholic or dry extracts standardized to baicalin used in Western herbal and supplement practice. Rare reports link some skullcap-containing products to hepatotoxicity (often from adulteration with Teucrium), so use identity-verified material and monitor in those with liver disease.

Clinical Studies

The Effect of Herbal Medicine Baicalin on Pharmacokinetics of Rosuvastatin, Substrate of Organic Anion-transporting Polypeptide 1B1

Fan L, Zhang W, Guo D, Tan ZR, Xu P, Li Q, et al. (2008) Clinical Pharmacology & Therapeutics Human pharmacokinetic (drug interaction) study

In healthy volunteers, baicalin significantly reduced rosuvastatin plasma exposure, with the effect depending on OATP1B1 genotype, demonstrating a clinically relevant transporter-mediated herb-drug interaction.

The effect of Scutellaria baicalensis and its active ingredients on major depressive disorder: a systematic review and meta-analysis of literature in pre-clinical research

Yang X, et al. (2024) Frontiers in Pharmacology Systematic review and meta-analysis (preclinical)

Meta-analysis of animal studies found Scutellaria baicalensis and its flavonoids produced significant antidepressant-like effects, with mechanisms including modulation of monoamines, HPA-axis and neuroinflammation.

Historical Texts

Shennong Bencao Jing (Divine Farmer's Materia Medica)

Han dynasty (c. 200 CE compilation)
Huang Qin (Scutellaria baicalensis root) is recorded among the classical materia medica for clearing heat and drying dampness, a core traditional indication maintained in later Chinese pharmacopoeias.

Shanghan Lun (Treatise on Cold Damage) by Zhang Zhongjing

c. 200-220 CE
Huang Qin appears in foundational classical formulas (e.g. Huang Qin Tang), documenting its long-standing use for febrile and gastrointestinal disorders.

References

  1. Zhao T, Tang H, Xie L, Zheng Y, Ma Z, Sun Q, Li X. Scutellaria baicalensis Georgi. (Lamiaceae): a review of its traditional uses, botany, phytochemistry, pharmacology and toxicology . Journal of Pharmacy and Pharmacology (2019) [DOI]
  2. Wang ZL, Wang S, Kuang Y, Hu ZM, Qiao X, Ye M. A comprehensive review on phytochemistry, pharmacology, and flavonoid biosynthesis of Scutellaria baicalensis . Pharmaceutical Biology (2018) [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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