Pinyin: Fu Zi  Chinese: 附子
Pharmaceutical: Radix Aconiti Lateralis Praeparata
Taxonomy: Aconitum carmichaeli
English: Wolf's-bane Root / Monkshood Root / Aconite Root

Tastes: Pungent, sweet, hot, toxic
Meridians Entered: Heart, Kidney and Spleen

Actions & Indications:

1. Restores Devastated Yang and rescues from rebellion
   Devastated Yang with diarrhoea containing undigested food, chills, cold extremities and a faint almost imperceptible pulse (often as a result of severe vomiting, diarrhoea or sweating)
2. Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang
   Heart Yang Deficiency
   Spleen Yang Deficiency
   Kidney Yang Deficiency
3. Disperses Cold and Dampness, warms the channels and stops pain
   Wind-Damp-Cold Bi
   Cold blocking the organs, channels, bones and Blood vessels
   Yin flat abscesses
   Gu Parasites / chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-15g in decoction. Fire Spirit practitioners prescribe doses of 60-200g per day (Fruehauf, 2009).
Cautions: It is contraindicated for heat syndrome, yin-deficiency leading to hyperactivity of yang and the pregnant because of its pungent, hot, dry and drastic properties. It must be soaked and decocted for about half and hour to one hour until numbing taste disappears for oral use. Over-dosage and incorrect processing must be avoided.

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: Rou Gui  Chinese: 肉桂
Pharmaceutical: Cortex Cinnamomi
Taxonomy: Cinnamomum cassia
English: Cinnamon Bark

Tastes: Pungent, sweet, hot
Meridians Entered: Kidney, Spleen, Heart and Liver

Actions & Indications:

1. Warms the Kidneys, Spleen and Heart and strengthens Yang and Ming Men Fire
   Kidney Yang Deficiency and Deficiency of Ming-Men Fire with aversion to Cold, cold limbs, weak back, impotence and urinary frequency
   Spleen and Kidney Yang Deficiency with abdominal pain and Cold, reduced appetite and diarrhoea
   Kidney Unable to Grasp Qi
   Heart Yang Deficiency, particularly with chest Bi
2. Disperses deep Cold, warms the channels, unblocks the channels and vessels and alleviates pain
   Deep Cold causing Qi Stagnation or Blood Stasis with Cold in the Blood causing amenorrhea or dysmenorrhea, Cold-Damp Bi, Yin-type boils (chronic sores that are usually concave and ooze a clear fluid) and sores or abscesses that do not heal
   It enters the Blood aspect and, in small amounts, enhances the Blood moving action of other substances
3. Leads the Fire back to its source
   Upward Floating of Deficient Yang (False Heat, True Cold or Heat Above and Cold Below) with flushed face, wheezing, severe sweating (the sweat pours out like oil), weak and cold lower extremities and a deficient and rootless pulse
   Any condition with Heat in the Upper body (dry mouth, sore throat, or teeth which is worse at night) and Cold in the Lower body (Lower back pain, cold lower extremities, diarrhoea and weakness in the proximal portion of the pulse)
4. Assists in the generation of Qi and Blood
   Chronic Qi and Blood Deficiency (auxiliary)
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, enable one to communicate with spirits, 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: 1-5g in decoction. It should be decocted later.
Cautions: It is contraindicated for syndrome of yin deficiency with fire effulgent, haemorrhage due to blood heat and pregnant women. It is incompatible with Chi Shi Zhi (nineteen incompatibilities).

Pinyin: Lu Jiao Jiao  Chinese: 鹿角胶
Pharmaceutical: Colla Cornu Cervi Pantotrichum
English: Deer Antler Glue

Tastes: Sweet, salty, warm
Meridians Entered: Liver and Kidney

Actions:
Nourish blood and tonify essence.

Indications:
Lumbago, morbid leucorrhea, thin and weak due to asthenic disease, deficiency of kidney-qi, impotence, spermatorrhea, metrorrhagia and metrostaxis, cold uterus, dorsal furuncle

Standard Dosage: 3g melted in boiling water or millet wine, or taken as powder, 3 times per day.
Cautions: It is contraindicated for yin-deficiency leading to hyperactivity of yang.

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 Rou Cong Rong and Xu Duan.

Pinyin: Shu Di Huang  Chinese: 熟地黄
Pharmaceutical: Radix Rehmanniae Preparata
Taxonomy: Rehmannia glutinosa
English: Prepared Chinese Foxglove Root

Tastes: Sweet, slightly warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Nourishes the Blood
   Blood Deficiency with facial pallor, dizziness, palpitations, insomnia, irregular menstruation, uterine bleeding and postpartum bleeding
2. Nourishes Liver and Kidney Yin
   Kidney and Liver Yin Deficiency with a weak low back and limbs, dizziness, tinnitus, tidal fevers, night sweats and nocturnal emissions
3. Strongly enriches Yin and relieves wasting and thirsting disorder
   Lower Jiao wasting (it can be used as a stand-alone herb for this)
4. Nourishes Jing and Blood and fills the Marrow
   Exhausted Jing and Blood problems such as delayed development during childhood, blunted affect, premature aging, diminished mental acuity, graying of hair, impotence and memory loss
5. Arrests coughing and wheezing
   Kidney Deficient coughing, wheezing and asthma, such as inability of the Kidneys to grasp Qi

Standard Dosage: 10-30g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, loose stool due to fullness in abdomen and qi stagnation with excessive phlegm because it is greasy and will produce indigestion.

Pinyin: Shan Zhu Yu / Shan Yu Rou  Chinese: 山茱萸 / 山萸肉
Pharmaceutical: Fructus Corni
Taxonomy: Cornus officinalis
English: Dogwood Fruit

Tastes: Sour, slightly warm
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Stabilizes the Kidneys and astringes Jing and Body Fluids
   Leakage of fluids due to weak Jing with urinary frequency, incontinence, spermatorrhea and excessive sweating
2. Stops excessive sweating and supports that which has collapsed
   Collapse of Qi with excessive sweating and shock
   Devastated Yang with excessive sweating and shock
   Sweating mistakenly induced as a treatment
3. Tonifies Liver and Kidney Yin and strengthens Kidney Yang
   Lightheadedness, dizziness, soreness and weakness of the lower back and knees or impotence due to Kidney and Liver Yin Deficiency and Kidney Yang Deficiency
4. Stabilizes the menses and stops bleeding
   Excessive uterine bleeding and prolonged menstruation due to Deficiency (weak effect)
5. Expels Cold-Dampness and Evil Qi
   The Shen Nong Ben Cao Jing places this in the middle class of woods and says it treats "evil qi below the heart and cold and heat. It warms the centre and expels Cold-Damp Bi."
6. Aids fasting
   The Shen Nong Ben Cao Jing says this herb 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).
7. Removes the Three Worms
   The Shen Nong Ben Cao Jing also says 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: 5-10g in decoction.

Pinyin: Shan Yao  Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu

Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney

Actions & Indications:

1. Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
   Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
2. Tonifies Lung Qi and nourishes Lung Yin
   Lung Qi and/or Yin Deficiency with chronic cough
3. Tonifies Kidney Yin and astringes Jing
   Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
   消渴 Xiao Ke due to Qi and Yin Deficiency
4. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make the body light, 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). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.

Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.

Pinyin: Gou Qi Zi  Chinese: 枸杞子
Pharmaceutical: Fructus Lycii
Taxonomy: Lycium barbarum seu chinense
English: Goji Berries / Wolfberries / Boxthorn Berries

Tastes: Sweet, neutral
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Nourishes and tonifies Liver and Kidney Blood and Yin
   Blood and Yin Deficiency with sore back and legs, low-grade abdominal pain, impotence, nocturnal emissions, wasting and thirsting disorder and consumption
   Liver and Kidney Deficiency
   Added to baths during spring to promote skin health and delay aging
2. Benefits Jing and brightens the eyes
   Liver and Kidney Deficiency where Jing and Blood cannot nourish eyes with dizziness, blurred vision and diminished visual acuity
3. Nourishes Yin and moistens the Lungs
   Consumptive cough and wasting and thirsting disorder

Standard Dosage: 10-15g in decoction.
Cautions: In vitro testing suggests that unidentified wolfberry phytochemicals in goji tea may inhibit metabolism of other medications, such as those processed by the cytochrome P450 liver enzymes. Such drugs include warfarin, or drugs for diabetes or hypertension. However, no in vivo statistics support this.

Pinyin: Tu Si Zi  Chinese: 菟丝子
Pharmaceutical: Semen Cuscutae
English: Chinese Dodder Seeds

Tastes: Sweet, astringing, slightly warm
Meridians Entered: Kidney, Spleen and Liver

Actions & Indications:

1. Strengthens Yang, nourishes Yin, astringes Jing and urine and benefits the marrow
   Kidney Yang Deficiency with impotence, nocturnal emissions, premature ejaculation, tinnitus, urinary frequency, sore painful back and vaginal discharge
2. Tonifies the Kidneys and Liver and improves vision
   Deficient Liver and Kidney Yin, Yang and Jing with dizziness, tinnitus, blurred vision or spots before the eyes
3. Benefits the Kidneys and Spleen and stops (astringes) diarrhoea
   Diarrhoea, loose stools and anorexia from Spleen and Kidney Deficiency
4. Calms the fetus
   Habitual or threatened miscarriage
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, brighten the eyes, 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: 10-15g in decoction.
Cautions: It is contraindicated in cases of yin deficiency with effulgent fire and difficult urination because of its warm property and tonifying and astringing actions.

Pinyin: Du Zhong  Chinese: 杜仲
Pharmaceutical: Cortex Eucommiae
Taxonomy: Eucommia ulmoides
English: Hardy Rubber Tree / Chinese Rubber Tree

Tastes: Sweet, warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Tonifies the Kidneys and Liver and strengthens the sinews and bones
   Kidney and Liver Deficiency with a weak, sore or painful lower back and knees, fatigue and urinary frequency
   Weakness of sinews and bones
2. Aids the smooth flow of Qi and Blood
   Promotes circulation for weak sinews and bones
3. Calms the fetus
   Deficiency Cold patterns with bleeding during pregnancy
   Prevents miscarriage when the fetus is agitated or restless and when a pregnant woman has significant back pain or presents with a deficient condition
   Threatened abortion
4. Lowers blood pressure
   Hypertension with dizziness and light-headedness due to Liver Yang Rising
5. Tonifies Kidney Yang
   Reproductive and urinary disorders such as impotence and incontinence
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 and slow ageing. 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: 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.