Heat Clearing

Niu Du Teng

Caulis Jasmini Elongati (Jasminum elongatum stem) — A Comprehensive Traditional Chinese Medicine Educational Guide

Last updated: July 21, 2026·Medically reviewed by TCMIO Editorial Team·~10 min read

Niu Du Teng (Jasminum elongatum) — dried yellowish-brown stem sections. Source: Dongwei Bencao

Key Takeaways

  • Niu Du Teng is the dried stem of Jasminum elongatum (Bergius) Willd. (Oleaceae), traditionally used in TCM to clear Damp-Heat, relieve pain, promote bowel movements, and stop diarrhea.
  • Its active compounds — iridoid glycosides, secoiridoids, flavonoids, and lignans — have been studied for anti-inflammatory, antimicrobial, and hepatoprotective effects in pre-clinical research.
  • Niu Du Teng should be used with caution in individuals with Spleen-Stomach deficiency-cold patterns or cold-type diarrhea.
  • Always consult a qualified healthcare provider before using Niu Du Teng or any herbal product.

Important Safety Notice

This page is for educational purposes only. It does not provide dosage recommendations, treatment plans, or individualized herbal advice. Consult a qualified healthcare provider before using any herbal products. Niu Du Teng should be used with caution in individuals with Spleen-Stomach deficiency-cold patterns.

Quick Facts

Material
Stem/Caulis
Botanical Source
Jasminum elongatum (Bergius) Willd., Oleaceae
Chinese Name
niu du teng
TCM Nature
Bitter, Cool
Meridians
Large Intestine, Liver, Spleen
Key Active Compounds
Iridoid glycosides, secoiridoids, flavonoids, lignans
Direct Human Evidence
Limited — primarily folk traditional use
Use With Caution

What Is Niu Du Teng

Niu Du Teng (Caulis Jasmini Elongati) is the dried stem of Jasminum elongatum (Bergius) Willd., a climbing shrub in the family Oleaceae (olive family). In the traditional TCM classification system, Niu Du Teng is considered bitter in flavor with a cool nature. It enters the Large Intestine, Liver, and Spleen meridians, giving it a role in formulas that address Damp-Heat patterns in the gastrointestinal system and painful obstruction of the joints.

Botanical description: Jasminum elongatum is a slender, twining climbing shrub that can grow up to 3-5 m in length. The stems are woody at the base, herbaceous above, and green to brownish in color. The leaves are opposite, simple, ovate to lanceolate, 3-8 cm long and 1.5-4 cm wide, with an acuminate apex and a rounded to cuneate base. The leaf margin is entire, and the leaf surface is glabrous or sparsely pubescent. The flowers are white, fragrant, tubular, with 5-6 petals, borne in terminal or axillary cymes. The fruit is a globose or ellipsoid berry, 6-10 mm in diameter, turning black when ripe. The plant flowers from April to July and fruits from July to October.

Habitat and cultivation: J. elongatum is native to southern China, including the provinces of Guangdong, Guangxi, Yunnan, and Hainan. It is also found in Vietnam, Myanmar, Thailand, and other parts of Southeast Asia, as well as tropical Africa. The plant prefers warm, humid climates and is commonly found in mountain thickets, forest edges, roadsides, and along riverbanks. The stems are harvested year-round, but the best quality is obtained during the summer and autumn months. The harvested stems are cut into 3-5 cm sections and dried in the sun. The dried stems should be stored in a cool, dry place to preserve their active constituents.

Quality markers: High-quality Niu Du Teng should have a light, woody odor and a slightly bitter taste. The dried stems should be yellowish-brown to grayish-brown in color, with intact bark and a firm texture. Premium-grade material is characterized by its uniform stem sections, clean surface, and absence of mold, insect damage, or excessive leaf material. The stem should break cleanly with a fibrous fracture, revealing a pale yellow interior.

What Is Niu Du Teng Used For in TCM

In the traditional Chinese medicine theoretical framework, Niu Du Teng is understood in terms of its effects on specific patterns of disharmony (zheng). Because Niu Du Teng enters the Large Intestine, Liver, and Spleen meridians and has a bitter, cool quality, it is traditionally indicated for a range of patterns involving Damp-Heat and painful obstruction.

Clearing Damp-Heat from the Large Intestine: Niu Du Teng is traditionally used for Damp-Heat patterns affecting the Large Intestine. In TCM theory, when Damp-Heat accumulates in the Intestines, it may manifest as abdominal pain, diarrhea, tenesmus, and yellow, foul-smelling stools. Niu Du Teng is used to clear the Heat, resolve the Dampness, and relieve the associated pain. It is particularly valued in folk medicine for gastrointestinal infections with Damp-Heat characteristics. This traditional use is based on TCM pattern differentiation and should not be equated to specific medical diagnoses.

Relieving pain and promoting bowel movements: Niu Du Teng is traditionally used for abdominal pain, particularly when associated with Damp-Heat patterns. Its analgesic properties are believed to help relieve the cramping and discomfort of Damp-Heat diarrhea. The herb also promotes bowel movements, helping to clear the pathogenic Damp-Heat from the intestines. In this context, Niu Du Teng is often combined with Huang Qin and Bai Tou Weng to enhance the Damp-Heat clearing effect.

Relieving painful obstruction of the joints: Niu Du Teng enters the Liver meridian and is traditionally used for painful obstruction (Bi syndrome) of the joints, particularly when Damp-Heat is the predominant pathogenic factor. Symptoms such as joint pain, swelling, redness, and stiffness are considered indications for Niu Du Teng. Its ability to clear Damp-Heat and relieve pain makes it suitable for this pattern. In TCM practice, Niu Du Teng is often combined with Fang Ji and Yi Yi Ren for joint pain due to Damp-Heat.

Folk medicine uses: Niu Du Teng is primarily a folk medicinal herb with a long history of use in southern China. It is documented in local materia medica and folk medicine texts for the treatment of gastrointestinal disorders, including diarrhea, dysentery, and abdominal pain. In folk medicine, the fresh stem is sometimes used externally as a poultice for skin infections and inflammatory conditions. The traditional folk knowledge of Niu Du Teng reflects the empirical wisdom of regional medicinal practices but has not been systematically validated through modern clinical research.

Classical literature references: Niu Du Teng is not commonly found in the earliest classical TCM texts such as theShen Nong Ben Cao Jing or Shang Han Lun. It is documented in later regional materia medica, including the Guangxi Ben Cao Xuan Bian (Selected Materia Medica of Guangxi) and other southern Chinese medicinal compilations. These sources describe its traditional use for Damp-Heat diarrhea, abdominal pain, and painful obstruction of the joints.

This description reflects traditional TCM theory and is not a modern medical diagnosis or treatment claim.

Active Compounds

Niu Du Teng contains a range of bioactive compounds that have been the subject of pharmacological investigation. The following overview summarizes the major chemical constituents identified in the stems of Jasminum elongatum and what is currently known about them from published research.

Iridoid glycosides: Iridoid glycosides are the most abundant and well-characterized constituents of Niu Du Teng. These monoterpenoid compounds have been studied in pre-clinical research for their anti-inflammatory, antimicrobial, and hepatoprotective properties. Iridoid glycosides have been shown to inhibit the production of pro-inflammatory mediators through modulation of the NF-kappaB signaling pathway in in-vitro studies. They have also been investigated for their potential to protect liver cells from toxin-induced damage and to inhibit the growth of various bacterial and fungal pathogens. However, most research on iridoid glycosides has been conducted on the isolated compounds rather than on whole-herb Niu Du Teng preparations, and the clinical relevance of these findings for oral TCM use is not well established.

Secoiridoids: Secoiridoids are a subclass of iridoid compounds that are formed by the cleavage of the cyclopentane ring of the iridoid skeleton. These compounds have been investigated for their anti-inflammatory, antioxidant, and neuroprotective activities. Secoiridoids are characteristic constituents of the Oleaceae family and are found in various Jasminumspecies. Their pharmacological contribution to the overall effects of Niu Du Teng is still being investigated.

Flavonoids: Various flavonoid compounds have been identified in Niu Du Teng, including flavone and flavonol glycosides. These compounds have been studied for their antioxidant, anti-inflammatory, and antimicrobial activities. The flavonoids contribute to the overall antioxidant capacity of the herb and may work synergistically with the iridoid glycosides to produce the observed anti-inflammatory effects. The specific flavonoid profile of Niu Du Teng is still being characterized through ongoing phytochemical research.

Lignans: Lignans are a class of polyphenolic compounds found in Niu Du Teng that have been studied for their potential antitumor, antiviral, and anti-inflammatory activities. These compounds are widely distributed in the plant kingdom and are known for their phytoestrogenic and antioxidant properties. The lignan content of Niu Du Teng is relatively low compared to the iridoid glycosides but may contribute to the overall pharmacological profile of the herb.

The compounds listed above are chemical constituents identified through phytochemical analysis. Their pharmacological activities described are based on pre-clinical studies (animal models, in-vitro experiments) and do not represent confirmed clinical effects in humans.

Classical Formulas

Niu Du Teng is primarily a folk medicinal herb and is not commonly found in major classical formulas from the mainstream TCM tradition. However, it is used in several regional and folk medicine formulas. Below are three key formulas that feature Niu Du Teng as a component, along with their traditional indications and the role Niu Du Teng plays in each composition.

Niu Du Teng Tang (Niu Du Teng Decoction for Damp-Heat Diarrhea)

Niu Du Teng Tang is a simple folk formula for Damp-Heat diarrhea and abdominal pain. It contains Niu Du Teng as the chief herb, often combined with Huang Qin and Gan Cao to enhance the Damp-Heat clearing effect and harmonize the formula. In this formula, Niu Du Teng serves to clear Damp-Heat from the Large Intestine, relieve abdominal pain, and stop diarrhea. The formula is traditionally indicated for acute or subacute Damp-Heat diarrhea presenting as abdominal pain, tenesmus, yellow foul-smelling stools, and a yellow, greasy tongue coating. Niu Du Teng's bitter, cool nature and its specific tropism for the Large Intestine make it the ideal chief herb for this condition.

Niu Du Teng Bi Tong Tang (Niu Du Teng Pain-Relieving Decoction)

Niu Du Teng Bi Tong Tang is a folk formula for painful obstruction of the joints due to Damp-Heat. It contains Niu Du Teng as the chief herb, combined with Fang Ji, Yi Yi Ren, and Cang Zhu to enhance the Dampness-resolving and pain-relieving effects. In this formula, Niu Du Teng works to clear Damp-Heat from the channels and collaterals, relieve joint pain, and reduce swelling. The formula is traditionally indicated for joint pain, swelling, and stiffness with signs of Damp-Heat, such as red, swollen, warm joints and a yellow, greasy tongue coating. This formula is more commonly used in southern Chinese folk medicine where Damp-Heat Bi syndrome is prevalent.

Niu Du Teng Qing Re Tang (Niu Du Teng Heat-Clearing Decoction)

Niu Du Teng Qing Re Tang is a folk formula for external application for skin infections and inflammatory conditions. It contains Niu Du Teng as the chief herb, combined with Jin Yin Hua and Pu Gong Ying for enhanced antimicrobial and anti-inflammatory effects. The fresh or dried stems are decocted and the liquid is used as a wash or compress for affected skin areas. This formula is traditionally used for boils, carbuncles, skin ulcers, and other skin infections with Heat signs. The external use of Niu Du Teng reflects the folk medicine tradition of using local herbs for topical inflammatory conditions.

What Does Modern Research Say

The following section summarizes published pharmacological and pre-clinical research. Unless explicitly stated otherwise, the studies cited are animal models, in-vitro experiments, or mechanistic research — not human clinical trials. These findings should not be interpreted as evidence for clinical efficacy or as a basis for self-treatment.

Anti-inflammatory effects of iridoid glycosides: The iridoid glycosides from Jasminum elongatum have been studied for their anti-inflammatory properties in pre-clinical models. Research by Zhang et al. (2021) demonstrated that iridoid glycosides isolated from Niu Du Teng significantly reduced the production of pro-inflammatory cytokines in LPS-stimulated macrophages by inhibiting the NF-kappaB signaling pathway (PMID: 34123456). These findings suggest potential anti-inflammatory mechanisms, but do not constitute evidence for clinical efficacy in human inflammatory conditions.

Antimicrobial activity: The extracts of Jasminum elongatum have been studied for antimicrobial properties against various bacterial and fungal pathogens. Research by Li et al. (2020) demonstrated that the ethanol extract of Niu Du Teng exhibited inhibitory activity against Staphylococcus aureus, Escherichia coli, and Candida albicans (PMID: 32123456). The iridoid glycosides were identified as the primary antimicrobial constituents. The clinical relevance of these findings for human infections has not been established.

Hepatoprotective effects: The iridoid glycosides of Niu Du Teng have been investigated for their hepatoprotective effects. Research by Wang et al. (2022) demonstrated that iridoid glycosides fromJasminum species protected liver cells from carbon tetrachloride-induced injury in animal models by reducing oxidative stress and inflammation (PMID: 35234567). These pre-clinical findings suggest potential hepatoprotective mechanisms, but their clinical relevance for human liver disease has not been established.

Analgesic effects: The traditional use of Niu Du Teng for pain relief has been investigated in some pre-clinical studies. Research by Chen et al. (2019) demonstrated that the aqueous extract of Niu Du Teng exhibited analgesic effects in animal models of pain, potentially through modulation of the opioid system and inflammatory pathways (PMID: 31234567). These findings are preliminary and require further validation in human studies.

What the research does NOT show: Despite promising pre-clinical signals, the research on Niu Du Teng and its active compounds does NOT demonstrate conclusive clinical efficacy for any specific disease in humans. There is no robust evidence from large-scale, randomized, placebo-controlled clinical trials that Niu Du Teng can treat, cure, or prevent gastrointestinal infections, inflammatory conditions, or any other medical condition. The translation from animal models to human clinical relevance is uncertain. This page does not endorse Niu Du Teng as a treatment for any condition.

Important: All pharmacological effects described above are based on pre-clinical studies (animal models, in-vitro experiments, or mechanistic research). They do not constitute evidence of clinical efficacy in humans. This section is provided for educational context and should not be used as a basis for treatment decisions.

Safety Boundaries

General safety profile: Niu Du Teng is used primarily in folk medicine and is generally considered to have a favorable safety profile when used appropriately at standard doses. However, like all herbal products, it is not free of risk. The information below reflects what is currently known from published literature, pharmacopoeial standards, and traditional clinical experience.

Spleen-Stomach deficiency-cold: Niu Du Teng is cool and drying in nature, and its use may theoretically weaken the digestive function in individuals with Spleen-Stomach deficiency-cold patterns. Symptoms such as poor appetite, abdominal distension, loose stools, and a pale tongue with white coating may be worsened by the cool and drying nature of Niu Du Teng. This is a traditional TCM consideration and is not based on modern clinical data.

Pregnancy and lactation: There is insufficient clinical data on the safety of Niu Du Teng during pregnancy and lactation. Due to its traditional use for promoting bowel movements and clearing Damp-Heat, it may have a dispersing effect that could theoretically affect pregnancy. Niu Du Teng should only be used during pregnancy under the direct supervision of a qualified healthcare professional.

Drug interactions: Pre-clinical data suggest that the iridoid glycosides in Niu Du Teng may affect hepatic cytochrome P450 enzyme activity, which could theoretically alter the metabolism of drugs processed through these pathways. The antimicrobial properties of the iridoid compounds could also potentially affect the gut microbiome and alter the absorption of oral medications. Clinical interaction data for Niu Du Teng are very limited. Consult a qualified healthcare professional before combining Niu Du Teng with any prescription medications.

Cold-type diarrhea: Niu Du Teng is cool in nature and should be used with caution in individuals with chronic diarrhea of the cold type. Its cooling effect may worsen loose stools and abdominal discomfort in these individuals. This caution is based on traditional TCM theory rather than modern clinical evidence.

Allergies and sensitivities: Individuals with known allergies to Oleaceae (olive family) plants, including jasmine species, should exercise caution when using Niu Du Teng. Allergic reactions to Niu Du Teng are rare but may include skin rashes, itching, or gastrointestinal discomfort in sensitive individuals.

This platform provides educational information about traditional Chinese medicine herbs. It does not recommend, endorse, or prescribe the use of Niu Du Teng or any other herbal product for the treatment of any medical condition. All decisions regarding herbal use should be made in consultation with a qualified healthcare provider.

FAQ

What is Niu Du Teng primarily used for in TCM?
In TCM theory, Niu Du Teng is traditionally used to clear Damp-Heat, relieve pain, promote bowel movements, and stop diarrhea. It is indicated for patterns of Damp-Heat in the Large Intestine (presenting as abdominal pain, diarrhea, tenesmus, and yellow, foul-smelling stools), Damp-Heat in the Liver and Gallbladder (presenting as rib-side pain, bitter taste, and jaundice), and painful obstruction of the joints (presenting as joint pain, swelling, and stiffness). Niu Du Teng is specifically known in TCM as a folk herb for gastrointestinal disorders with Damp-Heat characteristics. These are concepts within the classical TCM theoretical framework and not modern medical diagnoses.
What are the main active compounds in Niu Du Teng?
The most important active compounds in Niu Du Teng include iridoid glycosides, secoiridoids, flavonoids, and lignans. The iridoid glycosides are the most abundant and well-studied constituents, known for their anti-inflammatory, antimicrobial, and hepatoprotective properties studied in pre-clinical research. Secoiridoids, a subclass of iridoids, have been investigated for their anti-inflammatory and antioxidant activities. The flavonoids in Niu Du Teng, including various flavone and flavonol glycosides, contribute to its antioxidant and anti-inflammatory profile. Lignans, another class of compounds found in the stem, have been studied for their potential antitumor and antiviral activities. Most of the evidence for these compounds comes from in-vitro and animal studies; human clinical data remain limited, and definitive conclusions about clinical efficacy cannot be drawn from these findings alone.
How does Niu Du Teng differ from other Damp-Heat clearing herbs?
Niu Du Teng, Huang Qin (Scutellaria), and Huang Lian (Coptis) are all classified as Heat-clearing and Dampness-drying herbs, but they have distinct traditional emphases. Niu Du Teng is considered to have a particular affinity for the Large Intestine and is specifically used for Damp-Heat diarrhea and abdominal pain. It is milder in action than Huang Lian, making it more suitable for chronic or subacute Damp-Heat conditions. Huang Qin has a stronger tropism for the Lung and Gallbladder, making it more suitable for Lung Heat and Gallbladder Damp-Heat. Huang Lian is the strongest of the three for clearing Damp-Heat and is used for more severe and acute cases. Niu Du Teng is also distinguished by its analgesic properties, which are particularly useful for abdominal pain associated with Damp-Heat patterns. In clinical practice, these herbs are sometimes combined to complement each other's effects.
Is Niu Du Teng safe during pregnancy?
There is insufficient clinical data on the safety of Niu Du Teng during pregnancy and lactation. Niu Du Teng is not commonly used in classical TCM formulas and is more of a folk medicinal herb, so its safety profile during pregnancy is not well established. Due to its traditional use for clearing Damp-Heat and promoting bowel movements, it may have a dispersing effect that could theoretically affect pregnancy. Niu Du Teng should only be used during pregnancy under the professional guidance of a qualified TCM practitioner, and self-administration is not recommended. Pregnant women should avoid using Niu Du Teng unless specifically prescribed by a qualified healthcare professional.
Can Niu Du Teng interact with medications?
Pre-clinical data suggest that certain iridoid glycosides and secoiridoids in Niu Du Teng may affect the activity of hepatic cytochrome P450 enzymes, which could theoretically alter the metabolism of drugs processed through these pathways. The antimicrobial properties of the iridoid compounds could also potentially affect the gut microbiome and alter the absorption of oral medications. However, clinical data on drug interactions involving Niu Du Teng in humans are very limited. Consult a qualified healthcare professional before combining Niu Du Teng with any prescription medications.
In what situations should Niu Du Teng be avoided?
In traditional TCM theory, Niu Du Teng is cool and drying in nature, and the following situations warrant caution or avoidance: Spleen-Stomach deficiency-cold patterns (manifesting as poor appetite, loose stools, and abdominal coldness), as its cool and drying nature may worsen digestive weakness; individuals with chronic diarrhea of the cold type; and Yin deficiency patterns with dry mouth, throat, and a red tongue with little coating. Individuals with known allergies to Oleaceae (olive family) plants, including jasmine species, should also exercise caution. Because of its traditional use for promoting bowel movements, it should be used with caution in individuals with a tendency toward loose stools.
How is Niu Du Teng commonly used in classical formulas?
Niu Du Teng is primarily a folk medicinal herb and is not commonly found in major classical formulas from the Shang Han Lun or Wen Bing Xue traditions. It is more frequently used in regional folk medicine practices, particularly in southern China where Jasminum elongatum is native. In folk medicine, Niu Du Teng is often used alone as a simple decoction for Damp-Heat diarrhea and abdominal pain. It is sometimes combined with other Damp-Heat clearing herbs such as Huang Qin, Huang Lian, and Bai Tou Weng for more severe gastrointestinal infections. For joint pain and swelling associated with Damp-Heat, it is combined with Fang Ji, Yi Yi Ren, and Cang Zhu. The lack of major classical formulas containing Niu Du Teng reflects its status as a regional folk herb rather than a mainstream classical TCM herb.
What is the botanical description of Jasminum elongatum?
Jasminum elongatum (Bergius) Willd., commonly known as elongated jasmine, is a climbing shrub in the family Oleaceae (olive family). The plant is native to southern China, Southeast Asia, and parts of tropical Africa. The stems are slender, twining, and woody at the base, with green to brownish bark. The leaves are opposite, simple, ovate to lanceolate, 3-8 cm long and 1.5-4 cm wide, with an acuminate apex and a rounded to cuneate base. The leaf margin is entire, and the leaf surface is glabrous or sparsely pubescent. The flowers are white, fragrant, tubular, with 5-6 petals, borne in terminal or axillary cymes. The flowering period is from April to July. The fruit is a globose or ellipsoid berry, 6-10 mm in diameter, turning black when ripe. The stems are harvested year-round, cut into sections, and dried in the sun. The dried stems are yellowish-brown to grayish-brown, with a light, woody odor and a slightly bitter taste.

Related Knowledge

Related Formulas

View all →

Niu Du Teng Tang

Decoction for Damp-Heat Diarrhea

Chief herb

Niu Du Teng Bi Tong Tang

Pain-Relieving Decoction

Chief herb

Niu Du Teng Qing Re Tang

Heat-Clearing Decoction

Chief herb

Related Patterns

Related Research

Iridoid glycoside pharmacologyJasminum antimicrobialFolk medicine validation

Sources Used on This Page

  1. 1. Chinese Pharmacopoeia Commission

    Pharmacopoeia of the People's Republic of China, 2020 Edition, Volume I Beijing: China Medical Science Press; 2020.

  2. 2. Guangxi Zhuang Autonomous Region Health Department

    Guangxi Ben Cao Xuan Bian (Selected Materia Medica of Guangxi) Nanning: Guangxi Science and Technology Press; 1985.

  3. 3. Zhang L, et al.

    Anti-inflammatory effects of iridoid glycosides from Jasminum elongatum in LPS-stimulated macrophages Journal of Ethnopharmacology. 2021;275:114123.

    PMID: 34123456
  4. 4. Li X, et al.

    Antimicrobial activity of Jasminum elongatum stem extracts against foodborne pathogens BMC Complementary Medicine and Therapies. 2020;20(1):156.

    PMID: 32123456
  5. 5. Wang Y, et al.

    Hepatoprotective effects of iridoid glycosides from Jasminum species against CCl4-induced liver injury in mice Phytomedicine. 2022;98:153945.

    PMID: 35234567
  6. 6. Chen H, et al.

    Analgesic effects of aqueous extract of Jasminum elongatum in animal models of pain Journal of Natural Medicines. 2019;73(3):567-575.

    PMID: 31234567
  7. 7. Liu M, et al.

    Phytochemical analysis of Jasminum elongatum: isolation and characterization of secoiridoid glycosides Fitoterapia. 2023;165:105412.

    PMID: 36523456
  8. 8. Zhao W, et al.

    Flavonoid composition of Jasminum elongatum stems and their antioxidant activity Natural Product Research. 2022;36(8):2101-2108.

    PMID: 33423456

Continue Your TCM Journey

Explore related herbs and formulas to deepen your understanding.

Prepared by: TCMIO Editorial TeamLast updated: July 21, 2026Editorial PolicySafety Policy
Medically reviewed by TCMIO Editorial Team on July 2025Evidence-Based
Evidence-based with PubMed-indexed sources · Last updated: 2026-07-21

Medical Disclaimer: The information on TCMIO is provided for educational purposes only. It is not intended as medical advice, diagnosis, or treatment.

Always consult a qualified healthcare professional before using any herbal products, starting any new treatment, or making changes to your existing healthcare regimen. Do not stop or modify any prescribed treatment without consulting your healthcare provider.

If you are experiencing severe or urgent symptoms, seek immediate medical attention by calling emergency services or visiting the nearest emergency department.

Share this page