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Astragalus Extract Powder

Also known as: Astragalus, Huang Qi, Astragalus Extract Powder, Astragalus membranaceus

Overview

Astragalus Extract Powder is primarily derived from the root of Astragalus membranaceus, a leguminous plant with a long history of use in Traditional Chinese Medicine (TCM). This herbal supplement is rich in bioactive compounds, including polysaccharides, saponins, and flavonoids. It is commonly utilized for its potential immune-modulating, anti-inflammatory, and kidney-protective properties. Additionally, it is explored as an adjunctive therapy in cancer treatment to mitigate chemotherapy side effects and enhance patient quality of life. While research maturity is moderate, with a growing body of clinical trials and meta-analyses, many studies involve its use in combination with conventional Western medicine.

Benefits

Astragalus has demonstrated several evidence-based benefits, primarily as an adjunct to conventional treatments. Meta-analyses indicate that Astragalus-containing formulas, when combined with Western medicine, significantly improve renal function in chronic kidney disease patients by reducing serum creatinine levels (SMD ~0.62, p<0.001), though study heterogeneity exists. In oncology, combining Astragalus with chemotherapy has been shown to improve tumor response rates and quality of life in colorectal cancer patients, while also reducing chemotherapy-related side effects. Furthermore, it appears to enhance cellular immunity in cancer patients undergoing chemotherapy by increasing peripheral blood lymphocyte subsets (CD3+, CD4+, NK cells) and improving CD4+/CD8+ T cell ratios. Animal studies suggest anti-inflammatory and antioxidant effects, particularly in models of ulcerative colitis, but human data in this area are limited.

How it works

The therapeutic effects of Astragalus are primarily attributed to its active compounds, particularly polysaccharides and saponins. Astragalus polysaccharides are known to modulate immune function by enhancing the activity of T cells and Natural Killer (NK) cells, thereby bolstering the body's immune response. Its anti-inflammatory properties are mediated through the downregulation of pro-inflammatory cytokines and the modulation of oxidative stress pathways. In the context of kidney protection, Astragalus may exert its effects by reducing fibrosis and improving renal microcirculation. Saponins contribute to its antioxidant activity, further supporting its protective roles within the body's systems.

Side effects

Astragalus is generally well tolerated in clinical studies, particularly when used as an adjunct to standard therapies, with no major safety concerns frequently reported in meta-analyses. However, detailed adverse event reporting in some studies is limited. Caution is advised due to potential interactions with immunosuppressants, given its immunomodulatory effects, and with chemotherapy agents, where its use should be medically supervised. While specific contraindications are not well established, individuals with autoimmune diseases or those who are pregnant should exercise caution due to its immune-modulating properties. It is crucial to consult a healthcare professional before use, especially if on other medications or with pre-existing health conditions.

Dosage

Dosage recommendations for Astragalus vary widely across clinical studies, and there is no universally established maximum safe dose. In animal studies, polysaccharide doses have ranged from less than 400 mg/kg/day to over 400 mg/kg/day. Human clinical trials typically utilize standardized extracts as adjunctive therapies, with exact dosing dependent on the specific formulation and the intended indication. Dosing should ideally follow protocols established in clinical trials or traditional use guidelines under professional supervision. Timing of administration is often concurrent with conventional treatments, such as chemotherapy or Western medicine, in research settings. Due to the variability, personalized guidance from a healthcare provider is recommended.

FAQs

Is Astragalus a standalone treatment for serious conditions?

No, Astragalus extract is primarily used as an adjunct to conventional medical treatments, not as a standalone cure for serious conditions like cancer or kidney disease.

How long does it take to see benefits from Astragalus?

The benefits of Astragalus, particularly for kidney function and immune enhancement, may take several weeks to months of consistent use to become noticeable.

Is it safe to combine Astragalus with other medications?

Safe use of Astragalus, especially when combined with other medications like chemotherapy or immunosuppressants, requires medical supervision due to potential interactions.

Can Astragalus replace conventional cancer or kidney disease treatments?

Absolutely not. Astragalus is not a substitute for conventional cancer or kidney disease treatments and should only be used as a complementary therapy under medical guidance.

Research Sources

  • https://pmc.ncbi.nlm.nih.gov/articles/PMC11885490/ – This systematic review and meta-analysis of 9 RCTs found that Astragalus combined with Western medicine significantly reduced serum creatinine levels in CKD patients, indicating improved renal function. Despite high heterogeneity, sensitivity analyses supported the findings, suggesting moderate evidence for its kidney-protective effects.
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC6700271/ – This meta-analysis involving 1,409 colorectal cancer patients indicated that Astragalus combined with chemotherapy improved tumor response rates, enhanced quality of life, and reduced chemotherapy side effects. However, the study noted limitations due to low methodological quality and potential risk of bias in the included trials.
  • https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2021.632168/full – A systematic review and meta-analysis of 796 cancer patients revealed that Astragalus combined with chemotherapy significantly increased peripheral blood lymphocyte subsets (CD3+, CD4+, NK cells) and improved CD4+/CD8+ T cell ratios. This suggests an enhancement of cellular immunity, despite some clinical heterogeneity among studies.
  • https://www.spandidos-publications.com/10.3892/br.2025.1963 – This systematic review and meta-analysis, including animal and some clinical data, showed that Astragalus polysaccharide improved renal markers (creatinine, BUN) in animal models of diabetic nephropathy in a dose and time-dependent manner. While promising, the evidence for human application is still limited, primarily relying on preclinical findings.
  • https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.1043236/full – This systematic review and meta-analysis focused on animal models of ulcerative colitis, demonstrating that Astragalus polysaccharides (APS) reduced inflammation and oxidative stress. While providing insights into potential mechanisms, the findings are currently limited to preclinical data and lack human clinical trials for direct translation.