Eastern tradition · Chinese tonic herb

Gastrodia (Tianma) 天麻

A rhizomatous orchid prized in Yunnan for neuroprotection, dizziness relief, and cognitive support — gastrodin crosses the blood-brain barrier directly.

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Origin & tradition

Tianma (天麻) has been used in Chinese medicine for over 2,000 years as a wind-eliminating, liver-calming herb for headaches, dizziness, and numbness. Grown wild in Yunnan's temperate forests, it was historically so prized it was reserved for imperial households.

Why longevity buyers care

Key active: Gastrodin (p-hydroxybenzyl alcohol glucoside).

Gastrodin, the primary active compound, crosses the blood-brain barrier and has demonstrated neuroprotective, anti-neuroinflammatory, and neurotrophic effects in animal and cell models. Human trials show moderate evidence for migraine prevention and mild cognitive support.

Effect summary

Studied health outcomes

Editorial summary — This table is curated by hand from published research consensus, not automatically calculated from our trial database. Grades reflect our interpretation of the literature. Treat as a starting point, not a definitive verdict. See the Evidence panel below for the underlying trial and paper counts sourced directly from ClinicalTrials.gov and PubMed.
Health outcomeEffectMagnitudeGrade
Migraine frequencyDecreasesModerateB
Dizziness / vertigoDecreasesModerateB
Neuroinflammation markersDecreasesMinorC
Cognitive functionIncreasesMinorC
Blood pressureDecreasesMinorC

Grade: A = robust RCTs · B = several RCTs / meta-analysis · C = limited or mixed RCTs · D = observational or early data

Dosage guidance

How Gastrodia (Tianma) is typically used

Typical dose
300–600 mg/day standardized extract (standardized to ≥25% gastrodin)
Form
capsule or tablet
Timing
any time, with or without food

Traditional decoction uses 3–10g dried rhizome. Yunnan's Zhaotong region is regarded as producing the highest-quality Tianma. Gastrodin injections are used clinically in China for ischemic stroke and Parkinson's — oral supplement effects are more modest.

Informational only — not a prescription or personalised medical advice. Consult a qualified clinician before starting any supplement or medication.

Evidence summary

What the research actually says

66Evidence confidence
Human RCT evidence31 randomized controlled trials · 4 meta-analyses / systematic reviews

Moderate human trial data (migraine, dizziness); strong mechanistic data

Gastrodin, the primary active compound, crosses the blood-brain barrier and has demonstrated neuroprotective, anti-neuroinflammatory, and neurotrophic effects in animal and cell models. Human trials show moderate evidence for migraine prevention and mild cognitive support.

48registered clinical trials reference this intervention
2selected from 312+ PubMed papers (longevity / aging angle)
Key active: Gastrodin (p-hydroxybenzyl alcohol glucoside).

According to PubMed and ClinicalTrials.gov: trial counts from ClinicalTrials.gov, peer-reviewed literature from PubMed. Counts auto-refresh weekly; last checked 2026-06-14. They include trials across many endpoints, not only longevity.

Informational only — not medical advice, a treatment claim, or a substitute for a qualified clinician. Evidence strength varies; we show mixed and null results on purpose.

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