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: Bo He  Chinese: 薄荷
Pharmaceutical: Herba Menthae haplocalycis
Taxonomy: Mentha haplocalyx
English: Field Mint / Wild Mint

Tastes: Pungent, cool
Meridians Entered: Lung and Liver

Actions & Indications:

1. Disperses Wind-Heat, cools and clears the head and eyes and benefits the throat
   Wind-Heat with fever, cough, headache, red eyes and a sore throat
2. Vents rashes
   Early-stage rashes e.g. measles
3. Relieves Stagnation of Liver Qi
   Liver Qi Stagnation with pressure in the chest or flanks, emotional instability and gynecological problems
4. Expels turbid filth
   Exposure to unclean Qi in the Summertime leading to gastric distress with abdominal pain, vomiting. diarrhoea and a thick, yellow, greasy tongue coat
5. Releases the Exterior and Drives Out Snakes
   Chronic inflammatory disease (Fruehauf, 2015)
   One of the chief herbs for treating Gu Syndrome, along with Bai Zhi and Zi Su Ye, classed as "open the exterior with snake killing herbs" (Fruehauf, 1998).

Standard Dosage: 3-10g in decoction.

Pinyin: Qiang Huo  Chinese: 羌活
Pharmaceutical: Rhizoma seu Radix Notopterygii
Taxonomy: Notopterygium incisium, N. forbesii
English: Notopterygium Root and Rhizome

Tastes: Pungent, bitter, warm
Meridians Entered: Bladder and Kidney

Actions & Indications:

1. Releases the Exterior and disperses Cold
   Wind-Cold with chills, fever, headache, body aches and pains
   Usually used when accompanied by Dampness with joint pain, a general feeling of heaviness, sleepiness or occipital pain
2. Expels Wind-Cold-Dampness, unblocks painful obstruction and alleviates pain
   Wind-Cold-Damp Bi especially in the upper limbs and back
3. Guides Qi to the Taiyang and Du channels
   Directs the other herbs to the Taiyang and Du channels

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for blood deficiency because of its strong pungent, fragrant, warm and dry property. It is not appropriate for weakness of spleen and stomach because large dose of this herb induces vomiting.

Pinyin: Xiang Fu  Chinese: 香附
Pharmaceutical: Rhizoma Cyperi
English: Nut-Grass Rhizome

Tastes: Pungent, slightly bitter and sweet, bland
Meridians Entered: Liver and Triple Energizer

Actions & Indications:

1. Spreads and regulates Liver Qi
   Liver Qi Stagnation with hypochondriac pain and epigastric distention
   Disharmony between the Liver and Spleen
2. Regulates menstruation and alleviates pain
   Gynecological disorders due to Liver Qi Stagnation with dysmenorrhea or irregular menstruation

Standard Dosage: 6-10g in decoction.

Pinyin: Gao Ben  Chinese: 藁本
Pharmaceutical: Radix et Rhizoma Ligustici Sinensis
Taxonomy: Ligusticum sinense, L. jiholens
English: Straw Weed / Chinese Lovage Root

Tastes: Pungent, warm
Meridians Entered: Bladder, Liver and Du Mai

Actions & Indications:

1. Expels Wind and Cold
   Wind-Cold, especially headache and nasal conditions
   Alone for Wind-Cold lodged in the Taiyang with headache involving the crown and vertex or linked to the teeth and jaw
2. Dispels Wind-Dampness and alleviates pain
   Acute low back pain due to Wind-Cold Wind-Damp-Cold Bi pain
3. Guides other herbs to the vertex
   Vertex headaches associated with Taiyang, Jueyin and Du Mai patterns.
4. Releases the Exterior and Drives Out Snakes
   Gu Toxins and Parasites
   Chronic inflammatory disease (Fruehauf, 1998; 2015)

Standard Dosage: 3-10g in decoction.
Cautions: Being warm and dry, it is prohibited for strong heat and yin and blood deficiency.

Pinyin: Fang Feng  Chinese: 防风
Pharmaceutical: Radix Saposhnikoviae seu Ledebouriellae
English: Siler

Tastes: Pungent, sweet, slightly warm
Meridians Entered: Lung, Liver and Spleen

Actions & Indications:

1. Releases the Exterior and expels External Wind
   Wind-Cold with headache, chills, aversion to Cold, and body aches
2. Expels Wind-Dampness and alleviates pain
   Wind-Damp Bi, especially with Wind predominant
3. Expels Internal Wind and stops spasms
   As an auxiliary for Liver Wind with trembling of hands and feet and tetany
   Intestinal-Wind due to imbalance between Spleen and Liver with recurrent tenesmus and painful diarrhoea with bright blood in the stool
   Migraine headaches
4. Relieves diarrhoea and stops bleeding
   Liver and Spleen Disharmony with recurrent painful diarrhoea, borborygmus and abdominal pain
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, make the body light. 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).

Standard Dosage: 5-10g in decoction.
Cautions: It should be used with caution for blood deficiency and internal wind induced by heat because of its warm property.

Pinyin: Jing Jie  Chinese: 荆芥
Pharmaceutical: Herba Schizonepetae
English: Japanese Catnip

Tastes: Pungent, slightly warm
Meridians Entered: Lung and Liver

Actions & Indications:

1. Releases the Exterior and expels Wind
   Wind-Cold or Wind-Heat Carbuncles or boils (Chuang Yung) when they first erupt - especially with chills and fever
2. Vents rashes and relieves itching
   Initial-stage measles and pruritic skin eruptions
3. Stops bleeding
   Hemorrhage (auxiliary)
4. Dispels Wind and relieves muscle spasms
   Postpartum spasms, trismus, muscle cramps and spasms due to Wind

Standard Dosage: 5-10g 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: Zhi Ke  Chinese: 枳壳
Pharmaceutical: Fructus Aurantii
Taxonomy: Citrus aurantium
English: Seville Orange / Bitter Orange / Sour Orange

Tastes: Bitter, pungent, sore and slightly cold
Meridians Entered: Spleen and Stomach

Actions & Indications:

1. Promotes the movement of Qi, reduces distention and pressure and resolves hardenings
   Qi Stagnation and accumulation (especially in weak or deficient patients)
2. Removes stagnated food
   Food Stagnation

Standard Dosage: 3-10g in decoction.
Cautions: Used with caution for pregnant women.

Pinyin: Shi Gao  Chinese: 石膏
Pharmaceutical: Gypsum Fibrosum / Calcium Sulphate
Taxonomy: CaSO₄
English: Gypsum / Plaster of Paris

Tastes: Pungent, sweet, cold
Meridians Entered: Lung and Stomach

Actions & Indications:

1. Clears Heat in the Qi Stage, drains Fire, relieves irritability and quenches thirst
   Heat in the Qi Stage or Yangming Heat with high fever, no chills, irritability, intense thirst, profuse sweating, restlessness, encephalitis, a flooding, big pulse and a red tongue with a yellow coat
2. Clears Excess Heat from the Lungs
   Lung Heat with cough, wheezing, fever and a thick viscous sputum
3. Clears Blazing Stomach Fire
   Stomach Fire with headache, toothache or swollen gums
4. Heals eczema, burns and ulcerated sores and wounds
   Sores and wounds (topically or internally)

Standard Dosage: 15-60g in decoction.
Cautions: Mineral products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only.

Conventional replacements include Huang Lian and Zhi Mu but its actions are difficult to substitute in many cases and the patient may have to rely on OTC mineral based antacids from the pharmacy such as sodium bicarbonate and calcium carbonate which have a similar effect of binding and neutralising the stomach acid, then using herbal medicines as an adjunctive treatment. Another possibility would be to use sodium alginate that is often found in antacid medications and extracted from seaweed.

Pinyin: Bai Zhi  Chinese: 白芷
Pharmaceutical: Radix Angelicae dahuricae
Taxonomy: Angelica dahurica
English: Dahurian Angelica Root

Tastes: Pungent and warm
Meridians Entered: Lung, Stomach and Large Intestine

Actions & Indications:

1. Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain
   External Wind-Cold patterns, especially with headache
   Supra orbital pain, nasal congestion and toothache, arthritis
   Any External Wind invasion of the Yangming channels of the head with a frontal headache
2. Reduces swelling, eliminates toxins and expels pus
   Early-stage superficial sores, boils and carbuncles, pruritis
3. Expels Dampness, alleviates discharge and treats leukorrhea and diarrhoea
   Vaginal discharge due to Cold-Dampness in the Lower Jiao
4. Releases the Exterior and Drives Out Snakes
   Chronic inflammatory disease (Fruehauf, 2015)
   One of the chief herbs for treating Gu Syndrome, along with Bo He and Zi Su Ye, classed as "open the exterior with snake killing herbs" (Fruehauf, 1998).
   Also used topically for fungal infections which may explain some of its anti-Gu actions.

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for Blood Heat induced by Yin deficiency because of its pungent, fragrant, warm, dry property.

Pinyin: Gan Cao  Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root

Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians)

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
   Qi and Blood Deficiency with an irregular pulse and/or palpitations
   Heart Qi Deficiency or Heart Yang Deficiency
2. Moistens the Lungs, resolves Phlegm and stops coughing
   Lung Heat or Cold
   Productive or non-productive coughing
3. Moderates spasms and alleviates pain
   Painful muscle spasms of the abdomen and legs
4. Clears Heat and relieves Fire Toxicity
   Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
5. Antidote for many toxic substances (internal and topical)
   Poisoning
   Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
6. Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
   Often added in small doses to harmonise formulas
7. Tonifies the Qi while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
8. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. 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).

Standard Dosage: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.

The NHS recommends avoiding during pregnancy.

Pinyin: Xi Xin  Chinese: 细辛
Pharmaceutical: Herba cum Radix Asari
Taxonomy: Asarum sieboldii
English: Chinese Wild Ginger

Tastes: Pungent, warm, slightly toxic
Meridians Entered: Lung, Kidney and Heart

Actions & Indications:

1. Releases Exterior Wind and Cold
   As an adjunctive for any exterior Wind-Cold especially with Dampness in Lung or underlying Yang Deficiency
   Frequently used for Wind-Cold when the dominant symptoms are head and body aches
2. Disperses Wind-Cold and Internal Cold and alleviates pain
   Pain due to Wind and/or Cold anywhere in the body, particularly headache, painful obstruction, abdominal pain or headache due to obstruction of Fluids and Blood by Cold, often with anhydrous Wind-Cold-Damp Bipain
3. Warms the Lungs and transforms Phlegm and Thin Mucus (circulates water)
   Cough and Qi which surges upward and fullness in the chest in the chest with continuous cough from clumped Qi in the chest and diaphragm marked by copious, watery sputum due to Phlegm-Damp or Wind-Cold with congested fluids
4. Disperses and unblocks the Qi of the nasal orifices (clears the orifices of the head)
   Nasal congestion
   Oral pathology
   Loss of consciousness
5. Promotes healing of oral ulcerations
   Oral lesions or ulcerations
6. Relieves toothache
   Toothache
7. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. 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).

Standard Dosage: 1-3g in decoction.
Cautions: Traditionally contraindicated for headache due to hyperactivity of yang caused by yin deficiency and dry cough caused by lung dryness hurting yin. It is incompatible with Li Lu.

While not prohibited in the UK, the RCHM has enacted a voluntary ban by use due to possible fears of aristolochic acid. It is usually substituted with Gui Pi (Cinnamon Bark), or Rou Gui, or Gui Zhi and Qiang Huo for channel problems, Zi Su Ye and Bai Qian for lung issues, Gao Ban and Bai Zhi for treating the head and Cong Bai and Bai Zhi for the sinuses.

Pinyin: Ma Huang  Chinese: 麻黄
Pharmaceutical: Herba Ephedrae
Taxonomy: Ephedra sinica seu intermedia seu equisetina
English: Ephedra Stem / Joint Pine / Joint Fir / Mormon Tea / Brigham Tea

Tastes: Pungent, slightly bitter, warm
Meridians Entered: Lung and Bladder

Actions & Indications:

1. Induces sweating and releases the Exterior
   Taiyang Stage Wind-Cold Invasion of the Lung, with anhidrosis, chills, fever, headache and a tight, floating pulse
2. Disseminates and facilitates Lung Qi, calms wheezing and stops coughing
   Wind-Cold Obstructs Lung Qi
3. Promotes urination and reduces oedema
   Externally generated oedema
4. Warms and disperses Cold pathogens
   Wind-Cold Bi
   Cold extremities (Reynaud's disease)
5. Breaks up concretions, firmness, accumulations and gatherings (Shen Nong Ben Cao Jing)
   Yin sores that are firm, deeply rooted and without a head

Standard Dosage: 1.5-9g in decoction to release the exterior, and 10-15g for the treatment of oedema. Maximum dose is 20g. Toxic dose is considered to be 30-45g but side effects and risks are possible at any dosage.
Cautions: It is prohibited to be used for patients with deficient dyspnea without blockage of the lung qi and should be used with caution for patients with hypertension and insomnia because ephedrine can stimulate central nervous system and raise blood pressure. The Shang Han Lun recommends removing the nodes and decocting Ma Huang first, scooping the foam from the top of the decoction. It has been argued this is to reduce the "vexing" effects although the efficacy of this is debated and rarely done today.

It should not be used in conjunction with MAOIs, central nervous system stimulants, alkaloids ergotamines and xanthines enhancing their effects by acting as a receptor level agonist.

In the UK the maximum daily dose permitted without prescription is 1.8g daily in three 0.6g doses. This makes it difficult to achieve a pharmacologically active effect and must be complemented with other herbs that release the exterior and expel Wind-Cold such as Gui Zhi, Jing Jie, Fang Feng and Zi Su Ye.

Huang Hua Zi (Sida cordifolia), more common in Ayurveda where it is known as Bala बला, also contains ephedrine at lower concentrations and has no legal restrictions placed on it by the UK MHRA. It is considered more cooling, Heat clearing and Damp draining without Exterior Releasing properties in Chinese medicine so best used as a substitute in Warm Diseases, especially Damp-Warm Disease, or supplemented with increased warm Exterior Releasing herbs like those described above.