Pinyin: Gui Ban  Chinese: 龟板
Pharmaceutical: Carapax et Plastrum Testudinis
English: Fresh-Water Turtle Plastron

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

Actions & Indications:

1. Nourishes Yin and anchors Yang
   Yin Deficiency with Yang Rising with fever, night sweats, dizziness, tinnitus and steaming bone disorder
   Kidney and Liver Yin Deficiencies generating Internal Wind with facial spasms and tremors of the hands and feet
2. Benefits the Kidneys and strengthens the bones
   Kidney Yin Deficiency with soreness of the lower back, weakness in the legs, retarded skeletal development in children or failure of the fontanel to close
3. Nourishes the Blood, enriches Yin and stabilizes the Chong and Ren channels
   Red and white vaginal discharge or uterine bleeding
4. Cools the Blood and stops uterine bleeding
   Blood Heat causing excessive menstruation or uterine bleeding
5. Nourishes the Blood and tonifies the Heart
   Heart Yin and/or Blood Deficiencies with anxiety, insomnia and forgetfulness
6. Treats non-healing sores and ulcerations
   Non-healing sores and ulcerations

Standard Dosage: 10-15g 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 Mo Han Lian and Nu Zhen Zi or Xuan Shen.

Turtles may also act as viral reservoirs and have been proposed as the potential intermediate host for coronavirus between bats and humans (Liu et al., 2020).

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: 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: Long Gu  Chinese: 龙骨
Pharmaceutical: Ossa Draconis
English: Fossilised Bones

Tastes: Sweet, astringent, neutral
Meridians Entered: Liver, Heart and Kidney

Actions & Indications:

1. Settles anxiety and calms the Spirit
   Agitated Heart and Spirit with emotional distress, restlessness, insomnia, palpitations with anxiety, seizures, or withdrawal mania
2. Calms the Liver and anchors and preserves Floating Yang
   Irritability, restlessness, dizziness, vertigo, blurred vision and a bad temper due to Liver Yin Deficiency with Liver Yang Rising
3. Prevents leakage of fluids
   Loss of fluids due to Deficiency with spermatorrhea, night sweats, spontaneous sweating, nocturnal emissions, vaginal discharge and uterine bleeding
4. Topically generates muscles and astringes ulcers
   Chronic non-healing sores and ulcerations
5. Treats Ghost Possession
   Said in the Shen Nong Ben Cao Jing to treat Heart and Abdomen Ghost Possession, Spiritual Matters (精物 Jing Wu) and Old Ghosts (老鬼). This refers to difficult to treat disorders thought to be of supernatural origin.
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of animal parts which can, with protracted taking, make the body light, enable one to communicate with the Spirit Light (Shen Ming 神明), and lengthen the lifespan. 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: 15-30g in decoction.
Cautions: The high mineral content of this medication may prevent the oral absorption of the fluoroquinolone class of antibiotics.

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 Bai Shao and Wu Wei Zi.

If viewed from a western perspective as a source of calcium which may cause sleep disturbances, then supplementation or inclusion of high calcium/magnesium content herbs (e.g. Kun Bu) could be considered, especially if other signs such as oesteoporosis or muscle cramps are present and risk of side effects from calcium/magnesium supplements are low (stones, calcified arteries, GI issues). However, this assumes a mechanism which does not match many of the traditional patterns for which it is prescribed.