Pinyin: Da Huang  Chinese: 大黄
Pharmaceutical: Radix et Rhizoma Rhei
Taxonomy: Rheum palmatum
English: Chinese Rhubarb Root

Tastes: Bitter, cold
Meridians Entered: Large Intestine, Spleen, Stomach, Liver and Heart

Actions & Indications:

1. Drains Heat and purges accumulations
   Intestinal Heat Excess, with high fever, profuse sweating, thirst, constipation, abdominal distention and pain, delirium, a yellow tongue coat and a full pulse
   Yang-Ming Fu Stage
   Qi Level Heat in the Intestines
2. Drains Fire
   Fire from Excess with intense fever, sore throat, and painful eyes and constipation
   Fire toxin sores due to Xue Level Heat, especially with constipation
3. Clears Heat, transforms Dampness and promotes urination
   Damp-Heat with oedema, jaundice, painful urinary dysfunction and acute, hot dysenteric disorders
4. Drains Heat from the Blood
   Bloody stool either from hemorrhoids or Heat in the Intestines
   Chaotic movement of hot Blood with hemoptysis or epistaxis with constipation
   It can be powdered and administered orally for bleeding in the upper digestive tract
5. Invigorates the Blood and dispels Blood Stasis
   Blood Stasis with amenorrhea, fixed abdominal masses or fixed pain
   Blood Stasis due to traumatic injury
   Intestinal abscess
6. Clears Heat and reduces Fire toxicity
   Topically or internally for burns or skin lesions (Chuang Yung) due to Heat
7. Clears Heat and eliminates Phlegm
   Chronic Accumulation of Phlegm-Heat with cough, dyspnea, mania, disorientation and other symptoms of Phlegm Misting the Heart

Standard Dosage: 10-15g in decoction. Excessive decoction will reduce the purgative action. Therefore it should be added at end to achieve this purpose and over-decocted to eliminate this action.
Cautions: It should be used with caution in case of spleen and stomach deficiency for its bitter and cold property which is easily to damage stomach qi. It is contraindicated to women during pregnancy, menstruation or lactation for it has actions of activating blood and resolving stasis, and can make the purged substances follow lactating out.

Pinyin: Mu Dan Pi  Chinese: 牡丹皮
Pharmaceutical: Cortex radicis Moutan
Taxonomy: Paeonia suffruticosa
English: Tree Peony Root Bark / Moutan Peony Root Bark

Tastes: Bitter, pungent, light cold
Meridians Entered: Heart, Liver and Kidney

Actions & Indications:

1. Clears Heat and cools (and harmonizes) the Blood
   Xue Stage Heat with epistaxis, hemoptysis, hematemesis or subcutaneous bleeding
   Menorrhagia due to Blood Heat
2. Clears Deficiency Fire
   Yin Deficiency Heat signs especially in the aftermath of Warm Febrile Disease with fever at night and coolness in the morning (most appropriate when the is no sweating)
3. Invigorates the Blood and dispels Blood Stasis
   Blood Stasis with amenorrhea, abdominal masses, lumps or bruises due to trauma
   Liver Blood Stagnation
4. Clears Liver Fire
   Liver Fire with headache, eye pain, flank pain, flushing and dysmenorrhea
5. Drains pus and reduces swelling
   Non-draining sores (topical)
   Intestinal abscesses (internal)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of profuse menstruation and pregnant women.

Pinyin: Tao Ren  Chinese: 桃仁
Pharmaceutical: Semen Persicae
Taxonomy: Prunus persica
English: Peach Seed

Tastes: Bitter, sweet, neutral, lightly toxic
Meridians Entered: Heart, Liver, Lung and Large Intestine

Actions & Indications:

1. Breaks up Blood Stasis and invigorates Blood circulation
   Menstrual disorders, abdominal pain, traumatic injury, flank pain, Lung abscess and Intestinal abscess with fixed abdominal masses associated with Blood Stasis
2. Moistens the Intestines and unblocks the bowels
   Constipation due to dry Intestines
3. Drains abscesses
   Lung and Intestinal abscesses

Standard Dosage: 5-10g in decoction.
Cautions: Prohibited for pregnant women. Use with cautions for loose stool. Not overuse because of its toxicity.

Pinyin: Mang Xiao  Chinese: 芒硝
Pharmaceutical: Natrii Sulfas
Taxonomy: Na₂SO₄·10H₂O
English: Glauber's Salt / Mirabilite

Tastes: Salty, bitter, cold
Meridians Entered: Stomach and Large Intestine

Actions & Indications:

1. Purges accumulations, guides out Stagnation, softens hardness and moistens Dryness
   Heat in the Stomach and Intestines with constipation and hard knots
2. Clears Heat and drains Fire
   Heat in the Stomach or Lungs especially accumulated Phlegm or clumping in the Intestines
3. Clears Heat and reduces swelling
   Red, swollen, painful eyes
   Painful, ulcerated, swollen mouth or throat (topical)
   Red, swollen skin lesions (topical)
   Mastitis (topical) (promotes lactation)

Standard Dosage: 10-15g dissolved into decoction at end.
Cautions: Use with caution for women during lactation for its milk regurgitation action. It is contraindicated to pregnant women.

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. It is generally substituted with Yu Li Ren. If the osmotic laxative effects of salts are required then Epsom salts (magnesium sulfate) are more commonly available in the UK, although they still come under the same laws and would have to be included as lifestyle advice, to be sourced and dosed by the patient, not prescribed and given by the herbalist.

Pinyin: Dong Gua Zi  Chinese: 冬瓜子
Pharmaceutical: Semen Benincasae
Taxonomy: Benincasa hispida
English: Chinese Waxgourd Seed / Winter Melon Seed

Tastes: Sweet, slightly cold
Meridians Entered: Lung and Large Intestine

Actions & Indications:

1. Clears Heat, expels Phlegm, expels pus and moistens the Lungs
   Lung Heat with expectoration of thick, yellow sputum
   Intestinal Heat
   Damp-Heat with Phlegm Obstruction in the Upper or Lower Jiao as in Intestinal abscess
2. Clears Heat and drains Dampness
   Damp-Heat vaginal discharge
3. 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.