Frankincense (Olibanum)

Frankincense (Olibanum) in TCM: Benefits, Uses, and More

Research shows that in traditional Chinese medicine, frankincense is often used to improve blood circulation, reduce blood stasis, and relieve pain.
  • Research shows that in traditional Chinese medicine, frankincense is often used to improve blood circulation, reduce blood stasis, and relieve pain. It’s especially helpful for conditions related to blood stagnation or blocked energy flow.
  • There’s good evidence suggesting that frankincense has anti-inflammatory and pain-relieving effects, but taking it orally might interact with certain medications, like blood thinners.
  • In the Western world, turmeric is mainly used as a cooking spice and dietary supplement. It’s become popular because of its anti-inflammatory and antioxidant properties.
Frankincense (Olibanum)

Frankincense, known as Ru Xiang (乳香) in Traditional Chinese Medicine (TCM), is a resin harvested from the Boswellia tree, celebrated for centuries for its ability to ease pain, boost circulation, and heal wounds. Whether you’re curious about natural remedies or exploring TCM for the first time, this ancient herb—also called Olibanum—offers a fascinating blend of tradition and science. Picture it as nature’s multitasker: a soothing balm for aching joints, a healer for stubborn sores, and a potential ally against inflammation.

In this article, we’ll dive into what makes Frankincense a standout in TCM, unpack its benefits and uses, and explore how modern research backs up its age-old reputation. We’ll also cover how to use it safely and what to watch out for—because even natural remedies come with a few ground rules. Let’s get started!

What Is Frankincense in TCM?

Frankincense comes from the resin of the Boswellia tree (Boswellia carterii or Boswellia bhaw-dajiana), native to places like Ethiopia and Somalia. In TCM, it’s called Ru Xiang, meaning “milk fragrance,” a nod to its milky, aromatic resin. This herb is prized for its pungent, bitter, and warm nature, targeting the heart, liver, and spleen meridians to invigorate blood and relieve pain1.

  • Appearance: It often looks like pale yellowish droplets or irregular chunks, sometimes dusted with a powdery coating. Over time, it darkens slightly but retains a glassy or waxy sheen when broken.
  • Aroma: Its distinct fragrance is warm and resinous, with a slightly bitter taste that hints at its potency.

Historically, ancient texts like Shen Nong’s Herbal Classic praised Frankincense for treating “wind-water swelling” and “toxic sores.” Today, it remains a go-to in TCM for everything from bruises to arthritis2.

Small pieces of Chinese herbal frankincense

Traditional Uses of Frankincense in TCM

In TCM, Frankincense shines as a remedy for blood stasis (when circulation stalls) and qi stagnation (blocked energy). Its versatility makes it a staple in both internal and external treatments. Here’s how it’s traditionally used3:

  • Pain Relief4:
    • Eases postpartum abdominal pain, menstrual cramps, and stomachaches caused by poor circulation.
    • Soothes joint pain and muscle stiffness from arthritis or injury.
    • Often paired with herbs like Myrrh (Mo Yao) or Angelica (Dang Gui) for a stronger effect—think of it as a herbal tag-team for tackling stubborn pain.
  • Swelling and Trauma5:
    • Reduces swelling from bruises or sprains.
    • A key player in formulas like Huo Luo Xiao Ling Dan, which targets traumatic injuries.
  • Wound Healing6:
    • Applied to sores, ulcers, or early-stage abscesses to reduce inflammation and encourage tissue repair.
    • Historical texts like Ben Cao Shi Yi note its use for “internal sores” and skin infections.

From ancient healers to modern practitioners, Frankincense has earned its reputation as a must-have for pain and healing in TCM.

Summary: In TCM, Frankincense is a versatile remedy. It relieves pain from various causes, reduces swelling from trauma, and aids wound healing. It’s often combined with other herbs and has been valued by healers for centuries.

Benefits of Frankincense: Tradition Meets Science

What’s behind Frankincense’s staying power? Both TCM wisdom and modern studies point to some impressive benefits. Here’s what you need to know:

1. Fights Inflammation

Frankincense is loaded with boswellic acids, compounds that calm inflammation. Studies, like a 2014 Cochrane review, show it can ease arthritis symptoms—less pain, better movement. It’s like giving your joints a gentle, natural hug.

2. Relieves Pain

Whether it’s a sore knee or a cramping stomach, Frankincense steps in as a natural painkiller. Research highlights how it blocks inflammation pathways, making it a solid pick for chronic pain—like osteoarthritis or menstrual discomfort7.

3. Boosts Blood Flow

In TCM, Frankincense “moves blood” to break up stagnation. Modern studies back this up, showing its essential oil improves skin circulation (PubMed). Better flow means faster healing and less pain.

4. Heals Wounds and Skin

Got a cut or sore? Frankincense’s antimicrobial and anti-inflammatory properties help it heal wounds and fight infection8. TCM practitioners have long used it for ulcers and abscesses, and science agrees it speeds up tissue repair.

5. Potential Cancer Fighter

Early lab studies suggest boswellic acids might slow cancer cell growth, especially in leukemia or brain tumors (Medical News Today). It’s not a cure, but it’s a promising area for future research.

Summary: Frankincense has many benefits. It fights inflammation, relieves pain, boosts blood flow, heals wounds and skin. Early studies also hint it might fight cancer. Both TCM and modern science support these advantages.

orange flower on white book page
Photo by Alina Vilchenko on Pexels.com

How to Use Frankincense Safely

Frankincense comes in various forms, each with its own use in TCM. Here’s a quick guide9:

  • Resin:
    • Boiled into decoctions (3-5 grams daily) or ground into powders for internal use.
    • Used externally as a paste for wounds or swelling.
  • Essential Oil:
    • Dabbed on skin for pain or healing—just dilute it first to avoid irritation.
  • Supplements:
    • Capsules (300-500 mg daily) offer a convenient option, but check for boswellic acid content.

Pro Tip: In TCM, preparation matters. Vinegar-processed Frankincense (Cu Ru Xiang) enhances pain relief, while frying it reduces its harshness on the stomach10. Always follow a practitioner’s advice for dosing.

Risks and Precautions

Frankincense is generally safe, but it’s not for everyone. Here’s what to watch out for11 12:

  • Skin Reactions: Topical use might irritate sensitive skin—test a small patch first.
  • Drug Interactions: It could amplify blood thinners or NSAIDs, raising bleeding risks.
  • Pregnancy: Skip it if you’re pregnant or breastfeeding—there’s not enough safety data.
  • Stomach Upset: Too much can cause nausea, especially if your stomach’s sensitive.

TCM wisdom adds: Don’t use it after sores rupture or if pus is present—it’s best for early stages. And if you’re on meds, chat with your doctor first.

Modern Research on Frankincense

Science is catching up to TCM’s claims. Recent highlights include:

  • Anti-Inflammatory Action: Studies show Frankincense targets MAPK pathways to reduce swelling13.
  • Pain Relief: Clinical trials confirm it helps osteoarthritis patients move better and hurt less14.
  • Wound Healing: Its antimicrobial edge supports its traditional use for sores15.

While cancer research is still in early stages, the buzz around Frankincense keeps growing.

Frankincense vs. Other Herbs: A Quick Look

How does Frankincense stack up? Here’s a comparison with turmeric, a Western favorite:

FeatureFrankincense (TCM)Turmeric (Western)
Main UsePain, circulation, woundsInflammation, antioxidants
Key CompoundBoswellic acidsCurcumin
FlavorBitter, pungentEarthy, spicy

Both tackle inflammation, but Frankincense leans into pain and healing, while turmeric shines in overall wellness.

Q&A

Got questions? We’ve got answers:

What’s Frankincense used for in TCM?
It’s a champ at relieving pain, boosting blood flow, and healing wounds or sores.

Can I use it on my skin?
Yes! It’s great for cuts or infections—just don’t overdo it if pus is present16.

Is it safe during pregnancy?
Nope, steer clear—there’s not enough evidence to say it’s safe17.

How’s it different from Myrrh?
They’re like siblings: Frankincense moves blood, Myrrh excels at reducing swelling. Together, they’re a powerhouse.

Summary Table: Benefits and Risks

BenefitsRisks
Reduces inflammationSkin irritation possible
Eases painMay interact with medications
Improves circulationAvoid during pregnancy
Heals woundsNausea if overused

The Bottom Line

Frankincense, or Ru Xiang, bridges ancient TCM with modern health goals. Whether you’re soothing a sore joint, healing a scrape, or just curious about natural remedies, it’s a herb worth knowing. Backed by centuries of use and a growing pile of research, it’s a testament to nature’s ingenuity—just don’t skip the step of checking with a pro.

Ready to explore Olibanum in your routine? Start small, source wisely, and let a TCM expert guide you. Your body might just thank you.

Trusted Source

  1. https://www.britannica.com/topic/frankincense ↩︎
  2. https://baike.baidu.com/item/%E4%B9%B3%E9%A6%99/2544103 ↩︎
  3. http://www.zysj.com.cn/zhongyaocai/ruxiang/index.html ↩︎
  4. 李茜西,毛爱湘,张露,等.一种用于缓解疼痛的中药贴及其制备方法:CN201710184446.8[P].CN107029031A[2025-03-17]. ↩︎
  5. 蔡煜林,李希文,潘建科,等.基于关联规则的踝关节扭伤外用中药膏剂的用药规律研究[J].西部中医药, 2018, 31(12):4.DOI:CNKI:SUN:GSZY.0.2018-12-014. ↩︎
  6. 张一恺.乳香药效物质基于”解毒,生肌”的胃保护及促愈合作用及机制研究[D].第四军医大学[2025-03-17].DOI:CNKI:CDMD:2.1016.778073. ↩︎
  7. https://pmc.ncbi.nlm.nih.gov/articles/PMC4556964/ ↩︎
  8. https://pmc.ncbi.nlm.nih.gov/articles/PMC9268443/ ↩︎
  9. https://www.baidu.com/bh/dict/ydyp_15799212442145794225?contentid=ydyp_15799212442145794225&query=%E4%B9%B3%E9%A6%99&sf_ch=ch_search_5713&sf_ref=search&subTab=%E7%94%A8%E8%8D%AF%E8%AF%B4%E6%98%8E&from=dicta&isPageHome=1 ↩︎
  10. https://patents.google.com/patent/CN102526162B/en ↩︎
  11. https://www.webmd.com/vitamins/ai/ingredientmono-448/frankincense ↩︎
  12. https://www.rxlist.com/supplements/frankincense.htm ↩︎
  13. https://pmc.ncbi.nlm.nih.gov/articles/PMC4556964/ ↩︎
  14. https://pmc.ncbi.nlm.nih.gov/articles/PMC9984289/ ↩︎
  15. https://pmc.ncbi.nlm.nih.gov/articles/PMC9268443/ ↩︎
  16. https://www.webmd.com/diet/health-benefits-frankincense-essential-oil ↩︎
  17. https://www.medicinesinpregnancy.org/leaflets-a-z/frankincense-oil/ ↩︎
Michael Zhang
Michael Zhang

Michael Zhang is a long-time health buff. He's committed to a lifestyle that's rooted in science. You can count on his articles to be accurate and reliable.

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