⛰️Tibetan Medicine

Ephedra (Mtshe Ldong)

Ephedra gerardiana

About Ephedra (Mtshe Ldong)

Ephedra (Mtshe Ldong) (Ephedra gerardiana) is a herb used in the Tibetan Medicine tradition to help with Asthma, Respiratory Issues, Common Cold, and Edema. The aerial parts and leaves are the parts traditionally used, taken internally.

Botanical background

Ephedra gerardiana (Gerard's jointfir, 山岭麻黄 shan ling ma huang) is a species of Ephedra, endemic to the mountains of Afghanistan, Bhutan, northern India, Nepal, Pakistan, Sikkim, Tajikistan, and Tibet. It is a perennial small shrub composed primarily of fibrous stalks, generally about 8 inches though sometimes growing to 24 inches in height, with small, yellow flowers followed by round, red, edible fruits. It is sometimes used as a stimulant, and in Ayurvedic medicine its tea is...

Source: Wikipedia, via iNaturalist

Parts used

Aerial Parts · internalLeaves · internal
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Tea / Infusion

1–3 cups daily
  • Steep 1–2 tsp of dried Ephedra (Mtshe Ldong) in freshly boiled water for 5–10 minutes.
  • Cover while steeping.
  • Strain and drink.
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Tincture

20–40 drops in water, 2–3× daily
  • Pack dried Ephedra (Mtshe Ldong) into a jar and cover with 40–60% alcohol.
  • Seal and steep for 4–6 weeks, shaking daily.
  • Strain and store in a dark dropper bottle.
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Powder / Capsule

500 mg – 1 g, 1–3× daily
  • Grind dried Ephedra (Mtshe Ldong) into a fine powder.
  • Fill size 00 capsules or stir into smoothies or honey.
♨️

Steam Inhalation

1–2× daily during acute symptoms
  • Add 2–3 tbsp of Ephedra (Mtshe Ldong) to a bowl of just-boiled water.
  • Drape a towel over your head and inhale steam for 5–10 minutes.

Pregnancy, Breastfeeding & Children

Pregnancy

Avoid

Ephedra is contraindicated in pregnancy — its strong stimulant effect raises blood pressure and heart rate and has been linked to serious cardiovascular complications; it is banned as a dietary supplement ingredient in many countries.

Breastfeeding

Avoid

Contraindicated during breastfeeding due to strong stimulant effects and documented serious cardiovascular risk.

Children

Avoid

Contraindicated in children due to serious cardiovascular risk.

Contraindications

  • Autoimmune conditions (lupus, MS, RA) — may overstimulate immune response
  • Significant kidney impairment — diuretic herbs may worsen renal function

Warnings

⚠️ Kidney Disease

Some diuretic herbs are contraindicated in those with kidney disease. Consult your doctor if you have impaired kidney function.

⚠️ Allergic Reactions

Discontinue immediately if you experience rash, itching, swelling, or difficulty breathing.

⚠️ Not Medical Advice

This information is for educational purposes only. Always consult a qualified healthcare provider before using herbal remedies.

Drug & herb interactions

MAOIs, stimulants, blood pressure medications

Risk of dangerously elevated blood pressure and heart rate.

Cardiac glycosides (digoxin)

Increases risk of irregular heart rhythm.

Where to find in nature

Native region

Tibet, Bhutan, Nepal, northern India

Climate

High-altitude alpine

Habitat

Alpine meadows, rocky slopes, and valleys above 3,000 m in the Himalayan region

🌿 To see Ephedra (Mtshe Ldong) growing, visit botanical gardens, university plant collections, or specialist herb nurseries near you. If foraging in the wild, always work with an expert identifier — never consume a plant you are not 100% certain of.

Where to buy

In store

  • Health food stores (Whole Foods, Natural Grocers, Holland & Barrett, GNC)
  • Naturopathic clinics and integrative medicine practices
  • Specialist herbal apothecaries and herbalist practices
  • Farmers markets with herb vendors

Online

iHerb

Wide selection of standardised extracts, capsules, and powders with lab testing

Mountain Rose Herbs

Premium bulk dried herbs — certified organic, ethically sourced

Starwest Botanicals

Large selection of certified organic bulk herbs and powders

Herb Pharm

High-quality liquid extracts and tinctures, rigorous quality standards

Amazon

Convenient — verify brand certifications and check third-party testing

Etsy

Small-batch artisan herbalists, hand-harvested and wildcrafted herbs

Quality tips

When buying Ephedra (Mtshe Ldong), look for: certified organic labelling, clearly stated country of origin, third-party lab testing for heavy metals and pesticides, and a batch expiry date. Standardised extracts offer consistent dosing; bulk dried herbs are more economical for regular use. Avoid very cheap, unlabelled products — quality varies enormously.