Pinyin: Tian Ma  Chinese: 天麻
Pharmaceutical: Rhizoma Gastrodiae
Taxonomy: Gastrodia elata
English: Gastrodia Rhizome

Tastes: Sweet, neutral
Meridians Entered: Liver

Actions & Indications:

1. Extinguishes Wind, calms the Liver and stops spasms and tremors
   Liver Wind due to either Heat or Cold with headache, dizziness, childhood convulsions, epilepsy, tonic-clonic spasms, opisthotonos, tetany and Wind-stroke
2. Extinguishes Wind, subdues Rising Liver Yang and alleviates pain
   Wind-Phlegm patterns with headaches, dizziness and migraines
   Wind-stroke with hemiplegia, dizziness and numbness in the extremities
   Hypertension (high blood pressure), both with symptoms and as a preventative measure (Sun et al., 2023)
   Can be used for both Excess and Deficiency conditions
3. Disperses Wind-Damp Bi
   Pain and numbness of the lower back and extremities due to Wind-Damp Bi

Standard Dosage: 3-10g in decoction.
Cautions: This plant is endangered and any supplies should be accompanied by CITES certification.

Pinyin: Chuan Bei Mu  Chinese: 川贝母
Pharmaceutical: Bulbus Fritillariae cirrhosae
Taxonomy: Fritillaria cirrhosa
English: Yellow Himalayan Fritillary Bulb

Tastes: Bitter, sweet, lightly cold
Meridians Entered: Lung and Heart

Actions & Indications:

1. Clears Heat, transforms Phlegm, stops coughing and nourishes and moistens the Lungs
   Chronic cough especially due to Yin Deficiency with Empty Fire Rising with chronic cough, slight sputum, difficult to expectorate, blood streaked sputum
   Cough with Qi Stagnation with reduced appetite and a stifling sensation in the chest and abdomen
2. Clears Heat and dissipates nodules
   Phlegm-Fire nodules (Chuang Yung sores, swellings, scrofula, Lung or breast abscesses)

Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou.

Pinyin: Ban Xia  Chinese: 半夏
Pharmaceutical: Rhizoma Pinelliae
Taxonomy: Pinellia ternata
English: Pinellia Rhizome

Tastes: Pungent, warm, toxic
Meridians Entered: Lung, Spleen and Stomach

Actions & Indications:

1. Dries Dampness and transforms Phlegm
   Cold-Phlegm in the Lungs (cough with copious sputum)
   Especially effective for Damp-Phlegm of the Spleen (Cold-Damp Stagnation)
2. Descends Rebellious Qi and stops vomiting (harmonizes the Stomach)
   Vomiting due to Phlegm-Damp in the Stomach (Tan Yin), Cold thin mucus, Stomach Deficiency, Stomach Heat or pregnancy
3. Dissipates nodules and reduces Stagnation (clumps)
   Phlegm in the chest (nodules, pressure, distention, pain)
   Phlegm nodules in the neck (goiter, scrofula)
   Focal distension in the chest and epigastrium
   Obstruction caused by Phlegm anywhere in the body
4. Treats sores, skin ulcerations and carbuncles and reduces swelling (external)
   Topically as a powder for sores, skin ulcerations and carbuncles

Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou. Use with cautions during gestation.

Must be processed before use as raw Ban Xia is toxic. Ingesting the raw form can cause severe irritation of the mouth, pharynx, and gastrointestinal tracts, and has toxic effects on the nervous system. Symptoms of toxicity include a dry mouth, numbness of the tongue, gastric discomfort, burning sensations and swelling of the mouth, tongue, throat and salivation. In serious cases ingesting Ban Xia can result in hoarseness, spasms, dyspnoea and asphyxia.

Processing can be done with ginger and alum (Jiang Ban Xia) to make a warming herb best suited for Cold-Damp and thin Phlegm conditions, or with liquorice (Fa Ban Xia) to make a more neutral herb that is less drying and can be used for Damp-Heat conditions too.

Pinyin: Fu Ling  Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread

Tastes: Sweet, bland, neutral
Meridians Entered: Heart, Spleen, and Kidney

Actions & Indications:

1. Strengthens the Spleen and harmonizes the Middle Jiao
   Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
2. Strengthens the Spleen
   Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
3. Promotes urination and leaches out Dampness
   Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
4. Quiets the Heart, calms the Spirit and soothes the nerves
   Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, quiet the Hun, nourish the Shen, make one free from hunger 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: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold.

Pinyin: Fu Shen  Chinese: 茯神
Pharmaceutical: Poria cum Radix Pini
Taxonomy: Poria cocos syn. Wolfiporia extensa et Pinus spp.
English: China-Root Core with Tree Bark

Tastes: Sweet, mild, neutral
Meridians Entered: Heart and Spleen

Actions & Indications:

1. Quiets the Heart, calms the Spirit and soothes the nerves
   Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
   Shen disturbance
   Restless Heart
2. Strengthens the Spleen and harmonizes the Middle Jiao
   Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
3. Strengthens the Spleen
   Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
4. Promotes urination and leaches out Dampness
   Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
   Fluid Stagnation
5. Calms the Spirit agitated by Dampness from Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated in case of difficult urination due to kidney deficiency or spermatorrhea due to deficiency-cold.

Pinyin: Dan Nan Xing  Chinese: 胆南星
Pharmaceutical: Arisaema Cum Bile
Taxonomy: Arisaema consanguineum
English: Bile prepared Jack-in-the-Pulpit Rhizome

Tastes: Bitter, cold
Meridians Entered: Heart, Liver and Lung

Actions & Indications:

1. Clears Heat, dissolves Phlegm, calms Wind and stops convulsions
   Muscle spasms and cramps, infantile convulsions, seizures, facial paralysis, tetanus and stroke

Standard Dosage: 3-6g in decoction.
Cautions: This herb is prohibited from use in the UK due to its being processed in cow bile making it partially an animal product. The unprepared from (Tian Nan Xing) can be used with its Phlegm-Heat resolving actions being enhanced by adding Zhu Ru, or it can be substituted with Tian Zhu Huang.

Pinyin: Shi Chang Pu  Chinese: 石菖蒲
Pharmaceutical: Rhizoma Acori tatarinowii seu graminei
Taxonomy: Acorus tatarinowii seu gramineus
English: Grass-leaf Sweet Flag Rhizome

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

Actions & Indications:

1. Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit and disperses Wind
   Phlegm-Dampness Veiling and Blocking the Sensory Orifices with deafness, dizziness, forgetfulness, dulled senses, and seizures or stupor
   Wind-Phlegm with seizures or stupor
2. Transforms turbid Dampness, harmonizes the Middle Jiao, awakens the Spleen and promotes the movement of Qi
   Dampness Distressing the Spleen and Stomach with chest and epigastric fullness and abdominal fullness and pain due to Dampness and Turbidity Obstructing the Middle Jiao
3. Promotes Blood flow, reduces swelling and alleviates Wind-Damp Bi and sores (internally and topically)
   Wind-Cold-Damp Bi Sores (internally and topically)
   Trauma
4. Benefits the throat
   Hoarse voice due to laryngitis or inflammation of the vocal cords
5. Kills Parasites and expels Demons
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
6. 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, improve memory, prevent confusion 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: 5-10g in decoction.
Cautions: Avoid high doses for long periods due to β-asarone content (see below).

Pinyin: Quan Xie  Chinese: 全蝎
Pharmaceutical: Buthus Martensi
Taxonomy: Buthus Martensii
English: Scorpion

Tastes: Pungent, neutral, toxic
Meridians Entered: Liver

Actions & Indications:

1. Extinguishes Wind and stops tremors and convulsions
   Liver Wind and Wind-Phlegm-Heat with spasms, acute or chronic childhood convulsions, tetany, opisthotonos, tics, muscular tetany, and seizures
2. Tracks down Wind, unblocks the collaterals and stops pain
   Stubborn headaches and Bipain
3. Attacks and relieves Fire toxins and dissipates nodules and rashes
   Topically for toxic sores, swellings scrofula (Chuang Yung) and cancer

Standard Dosage: 2-5g in decoction.
Cautions: It is toxic, so large dose of it should not be used. It is contraindicated for pregnant women.

Animal 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. It is generally substituted with Gou Teng and Tian Zhu Huang.

Pinyin: Bai Jiang Can  Chinese: 白僵蠶
Pharmaceutical: Bombyx Batryticatus
English: Silkworm

Tastes: Salty, pungent, neutral
Meridians Entered: Liver and Lung

Actions & Indications:

1. Extinguishes Wind and stops spasms and convulsions
   Childhood convulsions and facial paralysis Seizures due to Liver Wind or especially Wind-Phlegm-Heat
2. Dispels Wind, disperses Wind-Heat and stops itching and pain
   Headache, red eyes, a sore, swollen throat and itching skin lesions such as Wind-Rash from externally contracted Wind-Heat or Liver Wind Loss of voice
3. Transforms Phlegm, softens hardness, eliminates toxins and dissipates nodules
   Phlegm-Heat scrofula and other Phlegm nodules
4. Removes the Three Worms
   Said in the Shen Nong Ben Cao Jing that it removes the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.

Standard Dosage: 3-10g in decoction.
Cautions: Animal 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. It is generally substituted with Tian Ma and Tian Zhu Huang.

Pinyin: Hu Po  Chinese: 琥珀
Pharmaceutical: Succinum
English: Amber

Tastes: Sweet, neutral
Meridians Entered: Heart, Liver and Bladder

Actions & Indications:

1. Stops tremors and palpitations and calms the Spirit
   Shen disturbance with palpitations with anxiety, excessive dreams, insomnia, forgetfulness, and seizures
   Childhood convulsions and seizures due to Heart Blood Deficiency with Internal Wind
2. Activates the Blood, dissipates Stasis and unblocks the menses
   Amenorrhea or pain associated with palpable immobile masses due to Blood Stasis (can be used alone for this)
   Coronary artery disease
3. Promotes urination and unblocks painful urinary dysfunction
   Urinary retention or painful urinary dysfunction (especially bloody urine)
4. Reduces swelling and promotes healing (topical)
   Sores, carbuncles, and skin ulcerations
   Swelling and pain of the scrotum or vulva

Standard Dosage: 1.5-3g in powder or pills. Should not be decocted.

Pinyin: Deng Xin Cao  Chinese: 灯心草
Pharmaceutical: Medulla Junci
Taxonomy: Juncus effusus
English: Bulrush Pith / Rush Pith

Tastes: Sweet, mild, slightly cold
Meridians Entered: Heart, Lung and Small Intestine

Actions & Indications:

1. Promotes urination, leaches out Dampness and unblocks painful urinary dysfunction
   Heat Excess Hot painful urinary dysfunction with dark, scanty urination
2. Clears Heat from the Heart channel by directing Fire downward and calms the Spirit
   Pediatric sleep disorders with dark, scanty urine and irritability (especially at night) (can be used alone)
   Lack of Communication between the Heart and Kidneys with insomnia and restless sleep
   Heart Fire with Kidney Yin Deficiency
   Heart and Kidney Yin Deficiency
   Small Intestine Shi Heat
3. Clears Lung Heat
   Sore throat (charred internally and topically relieves pain)
4. Cools the Blood and stops bleeding
   Use charred to stop bleeding

Standard Dosage: 1-3g in decoction.
Cautions: It is contraindicated in case of urinary incontinence or deficiency-cold in lower energizer.

Pinyin: Chen Pi  Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel

Tastes: Pungent, bitter, warm
Meridians Entered: Spleen and Lung

Actions & Indications:

1. Regulates Qi, adjusts the Middle and relieves the diaphragm
   Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
2. Dries Dampness and transforms Phlegm
   Phlegm-Damp Obstructs the Lung with coughing, a stifling sensation in the chest and/or diaphragm and copious, viscous sputum
   Turbid Damp Obstructs the Middle with a stifling sensation in the chest, abdominal distention, anorexia, fatigue, loose stools and a thick, greasy tongue coat
3. Helps prevent Stagnation from tonic herbs
   Tonic herbs causing Stagnation
4. Descends Qi
   Qi Rebellion
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, remove foul breath, precipitate the Qi, and enable one to communicate with spirits. 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: Yuan Zhi  Chinese: 遠志
Pharmaceutical: Radix Polygalae
Taxonomy: Polygala tenuifolia
English: Chinese Senega / Thin-Leaf Milkwort

Tastes: Bitter, pungent, slightly warm
Meridians Entered: Liver, Kidney and Lung

Actions & Indications:

1. Calms the Spirit, sedates the Heart and clears the channel joining the Heart and Kidney
   Insomnia, palpitations with anxiety, restlessness, and disorientation.
   Most effective for excessive brooding or pent-up emotions
   Lack of communication between the Heart and Kidneys
2. Expels Phlegm, opens the Orifices, clears the Lungs and stops coughing
   Phlegm Blocking the Heart Orifices with emotions and mental disorientation, spasms or seizures
   Phlegm Obstructing the Lungs with copious sputum, especially when it is difficult to expectorate
   Angina pectoris
3. Reduces abscesses and dissipates swellings
   Boils, abscesses, sores, and swollen, painful breasts (powdered and applied topically or taken with wine)
4. 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 prevent forgetfulness. 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: 3-9g in decoction.
Cautions: It should be used with cautions for excess fire or phlegm-heat because of its warm nature. It should be used with cautions for gastritis and duodenal ulcer because it will stimulate the stomach and intestine. Unprepared will irritate the stomach mucosa causing nausea and vomiting so is usually prepared with Gan Cao (Zhi Yuan Zhi) or honey (Mi Zhi Yuan Zhi)

Pinyin: Dan Shen  Chinese: 丹參
Pharmaceutical: Radix Salviae miltiorrhizae
Taxonomy: Salvia miltiorrhiza
English: Red Sage Root / Salvia Root / Zi Dan Shen 紫丹參 (Purple Cinnabar Ginseng) / Xue Shen 血參 (Blood Ginseng)

Tastes: Bitter, slightly cold
Meridians Entered: Heart and Liver

Actions & Indications:

1. Invigorates the Blood and regulates menstruation, removes Blood stasis and relieves pain
   Irregular menstruation , amenorrhea , dysmenorrhea
   Abdominal masses, chest and abdominal pain
   Hot Bi Syndrome
2. Cools the Blood and soothes irritability
   Ying Stage Heat with restlessness, irritability, palpitations and insomnia
   Heart and Kidney Yin Deficiency
3. Reduces swellings
   Sores and swellings, early-stage breast abscesses
4. Nourishes the Blood and calms the Spirit
   Palpitations and insomnia due to Ying and Xue Stage Heat or Heart Blood Deficiency
5. Calms the Spirit agitated by Gu Parasites
   Agitation and restlessness caused by Heat from Gu Syndrome due to Blood Stasis or Blood deficiency
   Chronic inflammatory disease (Fruehauf, 2015)
   The Shen Nong Ben Cao Jing places it in the middle class of herbs and says it treats "Evil Qi in the Heart and abdomen with continual gurgling of the intestines like water running, cold and heat, and gatherings and accumulations. It breaks up concretions and eliminates conglomerations, relieves vexatious fullness, and boosts the qi."

Standard Dosage: 5-15g in decoction.
Cautions: Use with caution for pregnant women. Contraindicated to Li Lu.

Pinyin: Mai Men Dong  Chinese: 麥門冬
Pharmaceutical: Radix Ophiopogonis
English: Dwarf Lilyturf Root

Tastes: Sweet, slightly bitter, slightly cold
Meridians Entered: Stomach, Lung and Heart

Actions & Indications:

1. Moistens the Lungs, nourishes Yin and stops coughing
   Lung Yin Deficiency with a hacking, dry cough or a cough with thick, difficult to expectorate sputum, or hemoptysis
   Pathogenic Warm-Dryness Dryness that has transformed into Fire
2. Nourishes Stomach Yin and generates Fluids
   Stomach Yin Deficiency with dry mouth and tongue
3. Moistens the Intestines
   Constipation, dry mouth and irritability as a result of febrile disease or Yin Deficiency
4. Clears the Heart and eliminates irritability
   Ying Stage Heat with fever and irritability which is worse at night
   Yin Deficiency with fever and irritability which is worse at night
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, prevent senility and make one free from hunger. 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: 10-15g in decoction.

Pinyin: Zhu Sha  Chinese: 朱砂
Pharmaceutical: Cinnabaris
Taxonomy: HgS
English: Cinnabar / Vermilion / Mercury (II) Sulfide / 丹 Dan / 朱雀 Zhu Que (Red Raven)

Tastes: Sweet, cold, toxic
Meridians Entered: Heart

Actions & Indications:

1. Sedates the Heart and calms the Spirit
   Restlessness, palpitations, anxiety, insomnia and convulsions associated with a disturbed Spirit
   Heart Fire (with appropriate herbs)
   Phlegm Fire Disturbs the Heart (with appropriate herbs)
   Heart Blood Deficiency (with appropriate herbs)
2. Expels Phlegm and sedates jitteriness and convulsions while stopping tremors
   Seizures, childhood convulsions and other problems due to Phlegm-Heat Blocking the Pericardium and Heart
   Wind-Phlegm dizziness
   Lung Heat
3. Clears Heat, relieves toxicity and prevents putrefaction
   Topically for carbuncles, mouth sores, sore throat and snake bite
4. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of minerals which can, with protracted taking, enable one to communicate with the spirit light (Shenming) and prevent senility. 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) and spiritual practice.

Standard Dosage: No dosage is permissible due to mercury toxicity. 0.1-0.5g in powder or pills is traditional.
Cautions: Prohibited from use today due to its mercury content, it is generally omitted or substituted with Hu Po. Historically it was sometimes confused with Xue Jie, so this could also make a potential substitute in the right circumstances.

Zhao, Li & Wang (2022) claim that grinding and washing was a traditional method of removing the toxicity but any amount of mercury toxicity is unacceptable today.

Traditional contraindications include overdose and taking for a long period of time, or calcinification.