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Photo: Stanislav Doronenko, CC BY 2.5 (via Wikimedia Commons)

Ox Knee

Achyranthes bidentata

Also known as Niu Xi, Achyranthes, Twotooth Achyranthes, Chinese Achyranthes, Radix Achyranthis Bidentatae

At a glance
Family
Amaranthaceae (amaranth family)
Type
Perennial herb
Parts used
Root
Size
20 to 120 cm tall (about 8 inches to 4 feet)
Bloom
Late summer into autumn, with small greenish flowers held on slender spikes
Habitat
Roadsides, field margins, open woodland edges, and disturbed ground across temperate and subtropical Asia
Acquisition
Buy

Key benefits

Traditionally supports joint comfort
Traditionally eases lower back
Traditionally aids healthy circulation
Traditionally moves stagnant blood

Traditional uses

Ox knee takes its name, and its Chinese name Niu Xi, from the swollen, knobby nodes along its stem that early herbalists thought resembled the bent knee joint of an ox. For centuries in Chinese herbalism, the root has been dug, dried, and simmered into decoctions meant to strengthen the tendons and bones and to ease stiffness and aching that settles into the low back and knees. Herbalists traditionally valued it as a herb that moves blood and guides other remedies downward through the body toward the legs, which is why it so often appears in formulas built around the lower half of the body. It has also long held a place in traditional women's health practices, prized for its ability to encourage healthy circulation.

How to grow & use it

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Pairs well with
  • Eucommia bark
  • Dipsacus root
  • Chinese rehmannia
Substitutes
  • Cyathula root (a close botanical relative often used interchangeably)
  • Dipsacus asper (for traditional tendon and joint support)
Choose it when

For when you want old, steady wisdom for the low back and knees, the kind passed down through generations of root diggers.

Did you know?

The swollen joints along the stem that give this plant its ox knee name were traditionally read as a kind of botanical signature, a visual clue that led old herbalists to reach for the root whenever knees and joints needed support.

Safety

Ox knee root is traditionally avoided in pregnancy, since its blood-moving action was believed to raise miscarriage risk, and also avoided with heavy menstrual bleeding. Use caution if you take blood thinners like warfarin, since it may add to bleeding risk.