Pinyin: Bi Xie  Chinese: 萆薢
Pharmaceutical: Rhizoma Dioscoreae Hypoglaucae
Taxonomy: Dioscorea Hypoglauca
English: Fish Poison Yam Rhizome / Tokoro / Long Yam Root / Seven-Lobed Yam (Mian Bei Xie)

Tastes: Bitter, bland
Meridians Entered: Kidney and Stomach

Actions & Indications:

1. Separates the pure from the turbid (resolves turbid Dampness in the Lower Jiao)
   Turbid Dampness in the Lower Jiao with cloudy urine, vaginal discharge
   Deficiency Heat or Damp-Heat
2. Expels Wind-Dampness, relaxes the sinews and unblocks the Luo channels
   Wind-Damp Bi or Damp-Heat Bi with low back pain, numbness or stiffness of the lower extremities, muscle aches (mild effect)
3. Clears Damp-Heat from the skin
   Damp-Heat skin lesions (eczema, pustular sores)

Standard Dosage: 5-10g in decoction.

Pinyin: Huang Bai  Chinese: 黄柏
Pharmaceutical: Cortex Phellodendri
Taxonomy: Phellodendron amurense seu chinense
English: Amur Corktree Bark

Tastes: Bitter, cold
Meridians Entered: Liver, Gallbladder, Large Intestine, Kidney and Bladder

Actions & Indications:

1. Drains Damp-Heat especially from the Lower Jiao
   Thick, yellow vaginal discharge, foul smelling diarrhoea or dysenteric disorder
   Damp-Heat in the Lower Jiao
   Hot Leg Qi with red, swollen, painful knees, legs or feet
   Damp-Heat jaundice
2. Drains Kidney Fire (False Heat, Deficiency Heat)
   Kidney Yin Deficiency with Empty Fire Rising (steaming bone disorder, night sweats, afternoon fevers and sweating, occasionally with nocturnal emissions and spermatorrhea)
3. Drains Fire and relieves Fire toxicity
   Toxic sores and Damp-skin lesions (internally and topically)

Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Overdosage and long-time taking will impair spleen and stomach.

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: 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: Bai Zhu  Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome

Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
   Spleen Yang failure to rise
2. Dries Dampness and promotes water metabolism
   Spleen Damp or accumulation of fluids affecting the digestion
   Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
   Tan Yin, masses, swelling
   Auxiliary for Damp painful obstruction
3. Stabilizes the Exterior and stops sweating
   Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
   With appropriate herbs, other types of sweating
4. Calms the fetus
   Restless fetus disorder due to Spleen Qi Deficiency
   With appropriate herbs, other types of Restless Fetus Disorder
5. 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, prolong life 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: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen.

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: Che Qian Zi  Chinese: 車前子
Pharmaceutical: Semen Plantaginis
Taxonomy: Plantago asiatica
English: Plantago Seeds / Plantain Seeds / Psyllium Seeds

Tastes: Sweet, slightly cold
Meridians Entered: Kidney, Bladder, Liver and Lung

Actions & Indications:

1. Promotes urination and clears Damp-Heat
   Damp-Heat, generally Damp-Heat in the Lower Jiao with oedema, painful urinary dysfunction
2. Promotes urination to solidify the stool
   Diarrhoea due to Damp-Heat
   Summerheat with Dampness
3. Clears Liver Heat and clears the eyes
   Eye problems due to Liver and Kidney Yin Deficiency with dry eyes and diminished visual acuity
   Heat in the Liver Channel with red, painful, swollen eyes and sensitivity to light
   Hypertension, high blood sugar, diabetes, obesity and hyperlipidemia (Chen et al., 2022; Zhu et al., 2024)
4. Clears the Lungs, expels Phlegm and stops coughing
   Lung Heat induced cough with yellow copious 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, 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: 9-15g in decoction.

Pinyin: Lian Zi Xin  Chinese: 莲子心
Pharmaceutical: Plumula Nelumbinis
English: Lotus Plumule

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

Actions & Indications:

1. Drains Heart Fire and relieves irritability
   Ying Stage Heat Attacking the Pericardium with a high fever, mental confusion or delirium Heart Fire with insomnia or irritability
2. Stops bleeding and astringes Jing
   As a powder for hematemesis or spermatorrhea

Standard Dosage: 1.5-3g in decoction.