Pinyin: Dang Gui  Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root

Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Tonifies the Blood and regulates the menses
   Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
   Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
2. Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
   Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
   Postpartum menstruation
   Pregnancy (use with caution)
   Blood Deficiency with chronic Wind-Damp-Bi
3. Moistens the Intestines and unblocks the bowels
   Dry Intestines due to Blood Deficiency
4. Reduces swelling, expels pus, generates flesh and alleviates pain
   Sores and abscess (Chuang Yung), internally and topically
5. Stops coughing and treats dyspnea
   Used adjunctively for coughing
6. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.

Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).

Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age.

Pinyin: Chuan Xiong  Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root

Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
   Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
2. Expels Wind and alleviates pain
   Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
   Wind skin disorders
3. Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs.

Pinyin: Ru Xiang  Chinese: 乳香
Pharmaceutical: Olibanum
Taxonomy: Boswellia serrata
English: Frankincense

Tastes: Pungent, bitter, warm
Meridians Entered: Liver, Heart and Spleen

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Pain due to Blood Stasis from traumatic injury
   Early stage toxic sores, carbuncles, swellings and pain
   Blood Stasis with chest, epigastric or abdominal pain
2. Relaxes the sinews, activates the channels and alleviates pain
   Wind-Damp Bi with rigidity and spasms
3. Reduces swelling and generates flesh
   Topically as an ointment or powder to reduce swelling, generate flesh, alleviate pain and promote healing of sores, carbuncles, and traumatic injury
   Pain, redness and swelling of the gums, mouth and throat

Standard Dosage: 3-10g in decoction.
Cautions: This herb is drasticly pungent with strong stimulation to stomach and easily causes nausea and vomiting. So it should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women.

Pinyin: Mo Yao  Chinese: 沒藥
Pharmaceutical: Resina Commiphorae
Taxonomy: Commiphora mukul
English: Myrrh

Tastes: Pungent, Bitter, Neutral
Meridians Entered: Heart, Liver and Spleen

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis, alleviates pain and reduces swelling
   Blood Stasis with pain from trauma, sores, carbuncles, swellings, fixed abdominal masses, painful obstruction, chest pain, abdominal pain and amenorrhea
2. Generates flesh and promotes healing
   Chronic non-healing sores

Standard Dosage: 3-10g in decocotion.
Cautions: Like Ru Xiang this herb is drastically pungent with strong stimulation to stomach and easily causes nausea and vomiting. It should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women.

Pinyin: Mu Xiang  Chinese: 木香
Pharmaceutical: Radix Aucklandiae
English: Costus Root

Tastes: Pungent, bitter, warm
Meridians Entered: Spleen, Stomach, Large Intestine and Gall Bladder

Actions & Indications:

1. Promotes the movement of Qi and alleviates pain
   Spleen/Stomach Qi Stagnation with anorexia, a feeling of food sitting in the Stomach, epigastric or abdominal pain or distention, nausea and vomiting
   Liver or Gallbladder Qi Stagnation with flank pain, distention or soreness
2. Adjusts and regulates stagnant Qi in the Intestines
   Intestinal Qi Stagnation with diarrhoea or dysenteric disorders, abdominal pain and tenesmus
3. Strengthens the Spleen and prevents Stagnation
   Stagnation from tonic herbs, especially when the transportive and transformative functions of the Spleen are weak
4. Dispels Damp-Heat and harmonizes the Liver and Spleen
   Disharmony of the Liver and Spleen with hypochondriac pain and distention, a bitter taste in the mouth, a yellow tongue coat and possibly jaundice
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, prevent oppressive Ghost Dreams whether sleeping during the day or the night. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
6. Suppresses Gu Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.

Pinyin: Chuan Wu  Chinese: 川乌
Pharmaceutical: Radix Aconiti Preparata
Taxonomy: Aconitum carmichaeli
English: Sichuan Aconite Root / Monkshood Mother Root

Tastes: Pungent, bitter, hot, strongly toxic
Meridians Entered: Heart, Liver, Kidney and Spleen

Actions & Indications:

1. Expels Wind-Dampness, disperses Cold, warms and activates the channels and stops pain
   Wind-Damp Painful Obstruction (Bi) with
   Severe sub-cardiac and abdominal pain from Wind-Cold-Dampness
   Headache
   Trauma
   Anesthesia
   (Can be applied topically)
2. Reduces swellings, induces ulceration and dispels putrefication
   Topically for Yin flat abscesses
   Used when hard abscesses do not soften and ulcerate or do not heal
3. Treats unconsciousness caused by Phlegm Stagnation
   Unprocessed can treat unconsciousness, deviation of the mouth and eyes and a roaring sound of Phlegm in the throat (very rare usage)

Standard Dosage: 1.5-3g in decoction.
Cautions: It is contraindicated to pregnancy, and antagonistic to Ban Xia, Gua Lou, Bei Mu, Bai Lian and Bai Ji. It should be processed for oral administration by decocting until no numbing taste is left before adding the other herbs. Caution should be paid when the crude products are taken orally or it is used in wine soak and decocted in wine which will easily lead to toxic reactions.

This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA. It is generally substituted with various Yang tonics depending on the presentation although none can imitate its powerful cardiovascular effects making them ineffective substitutes for rescuing devastated Yang. External use is permitted at 1.3% or below.

Pinyin: Huang Dan  Chinese: 黄丹
Pharmaceutical: Minium
Taxonomy: Pb²⁺₂Pb⁴⁺O₄
English: Red Lead / Lead Tetraoxide

Tastes: Pungent, slightly cold, toxic
Meridians Entered: Heart and Liver

Actions:
Counteract toxic pathogen and resolve putridity and promote tissue regeneration, astringe dampness and kill parasites and relieve itching.

Standard Dosage: Highly toxic but traditionally used in doses of 0.3-0.6g internally.
Cautions: It is toxic so it should not be used overdose or for a long time to prevent cumulative toxication.

Pinyin: Gu Sui Bu  Chinese: 骨碎补
Pharmaceutical: Rhizoma Drynariae
English: Boneknit Rhizome / Fortune's Drynaria Rhizome

Tastes: Bitter, warm
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Tonifies Kidney Yang, strengthens the sinews and bones and benefits the ears (also helps regain strength after injuries)
   Weak low back and knees, diarrhoea, tinnitus, diminished hearing, loose, painful teeth and bleeding gums associated with Kidney Deficiency
2. Promotes mending of sinews and bones
   Traumatic injuries such as falls, fractures, contusions and sprains
   Especially useful for ligament injuries and simple fractures
3. Stimulates hair growth (topical)
   Topically as a tincture for alopecia
4. Invigorates the Blood
   Blood Stagnation especially due to trauma

Standard Dosage: 3 - 9g dried in decoction, or 6 - 15g if fresh, or applied topically to site.
Cautions: This herb is warm that can invigorate yang. Use with cautions for the yin deficiency and internal heat.