Pinyin: E Jiao  Chinese: 阿胶
Pharmaceutical: Colla Corii Asini
English: Donkey-Hide Gelatin / Ass-Hide Glue

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

Actions & Indications:

1. Tonifies the Blood
   Blood Deficiency with dizziness, sallow or pale complexion and palpitations
2. Nourishes the Blood and stops bleeding
   Any kind of bleeding, especially consumptive disorders with hemoptysis, hemafecia, menorrhagia or metrorrhagia
3. Nourishes and moistens Yin
   Yin Deficiency with irritability and insomnia in the aftermath of a Warm febrile disease
4. Moistens the Lungs and Large Intestine
   Dry Lung coughs due to Yin Deficiency or consumption

Standard Dosage: 5-10g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, poor appetite, loose stool due to spleen deficiency because it is greasy and will produce indigestion.

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 may be substituted with a variety of Blood and Yin tonics depending on the formula, or gelatin from other animal sources such as pigs or cows included as dietary advice, provided it is not supplied by the herbalist as part of the prescription.

Pinyin: Bai Shao  Chinese: 白芍
Pharmaceutical: Radix Paeoniae Alba
Taxonomy: Paeonia lactiflora
English: White Peony Root

Tastes: Bitter, sour, sweet, slightly cold
Meridians Entered: Spleen and Liver

Actions & Indications:

1. Nourishes the Blood and regulates menstruation
   Liver Blood Deficiency with menstrual dysfunction, vaginal discharge and uterine bleeding accompanied by a pale face, a lusterless complexion and dull, lusterless nails
   Anemia
   Breast distention and premenstrual syndrome
2. Astringes Yin and adjusts the Ying and Wei
   Yin Deficiency sweating Sweating due to Yin Collapse
   Disharmony between the Liver and Spleen
   Disharmony between the Ying and Wei with non-productive sweating
3. Calms Liver Yang and Liver Wind and alleviates pain
   Liver Qi Stagnation with Liver Yang Rising
   Liver Wind with Yin and Blood Deficiency
   Bi syndrome due to Blood Deficiency with pain and spasms
4. Softens the Liver and relieves pain
   Diarrhoea, borborygmus and abdominal pain
   Dysenteric disorders with tenesmus
5. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 10-30g in decoction.
Cautions: Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin.

Pinyin: Gan Cao  Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root

Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians)

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
   Qi and Blood Deficiency with an irregular pulse and/or palpitations
   Heart Qi Deficiency or Heart Yang Deficiency
2. Moistens the Lungs, resolves Phlegm and stops coughing
   Lung Heat or Cold
   Productive or non-productive coughing
3. Moderates spasms and alleviates pain
   Painful muscle spasms of the abdomen and legs
4. Clears Heat and relieves Fire Toxicity
   Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
5. Antidote for many toxic substances (internal and topical)
   Poisoning
   Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
6. Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
   Often added in small doses to harmonise formulas
7. Tonifies the Qi while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
8. 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 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: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.

The NHS recommends avoiding during pregnancy.

Pinyin: Wu Wei Zi  Chinese: 五味子
Pharmaceutical: Fructus Schisandrae
Taxonomy: Schisandra chinensis
English: Schisandra Fruit / Chinese Magnolia-vine Fruit

Tastes: Sour, sweet, warm
Meridians Entered: Lung, Heart and Kidney

Actions & Indications:

1. Astringes the leakage of Lung Qi and stops coughing
   Chronic cough and wheezing due to Lung Qi Deficiency
   Lung and Kidney Deficiency patterns
2. Tonifies the Kidneys, binds up Essence (astringes Jing) and stops diarrhoea and spermatorrhea
   Kidney Deficiency with nocturnal emissions, spermatorrhea, vaginal discharge and urinary frequency
   Spleen and Kidney Deficiency with daybreak diarrhoea
3. Astringes sweat and generates fluids
   Excessive sweating. especially when accompanied by thirst or a dry throat
   In combination, it is used for spontaneous sweating, night sweats and wasting and thirsting disorder
4. Quiets the Spirit and calms and contains Heart Qi
   Heart and Kidney Blood and Yin Deficiency, with irritability, palpitations, dream-disturbed sleep and insomnia
5. Tonifies Qi
   Heart and Spleen Qi Deficiency

Standard Dosage: 3-6g in decoction. 1-3g as powder.
Cautions: It is contraindicated in cases of external pathogen existence, internal excess heat, acute cough, early stage of measles.

Pinyin: Sheng Di Huang  Chinese: 生地黃
Pharmaceutical: Radix Rehmanniae
Taxonomy: Rehmannia glutinosa
English: Chinese Foxglove Root / Rehmannia Root

Tastes: Sweet, bitter, cold
Meridians Entered: Heart, Liver, Stomach and Kidney

Actions & Indications:

1. Clears Heat and cools the Blood
   Ying Stage Heat with high fever, thirst and a scarlet tongue
   Xue Stage Heat
   Hemorrhage due to Blood Heat
2. Nourishes Yin, generates fluids, increases saliva and treats wasting and thirsting
   Yin Deficiency with Heat signs
   Injury to fluids
   Throat pain due to Yin Deficiency
   Wasting and thirsting disorder (消渴 Xiao Ke - diabetes)
3. Cools Heart Fire
   Heart Fire
4. Calms the Spirit agitated by Parasites damaging the Yin
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
5. Breaks up Blood Stasis, expels Cold and Hot Bi, replenishes Bone Marrow and promotes the growth of Muscles and Flesh
   Broken bones or severed sinews from falls and a damaged center (Shen Nong Ben Cao Jing)
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 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: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea, abdomen distention due to spleen deficiency.

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: Huo Ma Ren  Chinese: 火麻仁
Pharmaceutical: Semen Cannabis
Taxonomy: Cannabis sativa
English: Cannabis Seed

Tastes: Sweet, mild
Meridians Entered: Large Intestine, Spleen and Stomach

Actions & Indications:

1. Nourishes, moistens and lubricates the Intestine
   Constipation in the elderly
   Constipation after a warm febrile disease
   Postpartum constipation
   Constipation due to Blood Deficiency
2. Nourishes Yin
   Yin Deficiency with constipation
3. Clears Heat and promotes healing of sores
   Sores and ulcerations (auxiliary - internal and topical)
4. Moistens Dryness and benefits the hair
   Promotes hair growth and treats dry hair

Standard Dosage: 10-15g in decoction.

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: Bie Jia  Chinese: 鳖甲
Pharmaceutical: Carapax Trionycis
English: Soft Turtle Shell

Tastes: Salty, cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Nourishes Yin and anchors Yang
   Yin Deficiency with fever, steaming bone disorder, night sweats or consumption
   Internal stirring of Liver Wind
2. Invigorates the Blood, promotes menstruation, softens hardness and dissipates nodules
   Chest and flank accumulations with pain and amenorrhea
   Excessive menstruation due to Hot Blood
   Malarial disorders with palpable masses
3. Heavily anchors, descends, unblocks and facilitates the functions of the Blood vessels
   Problems in children due to internal clumping

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 Qing Hao and Sheng Di Huang, or Huang Jing.

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: Mu Li  Chinese: 牡蛎
Pharmaceutical: Concha Ostreae
English: Oyster Shell

Tastes: Salty, astringent, slightly cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Heavily settles and calms the Spirit
   Agitated Heart and Spirit with palpitations with anxiety, restlessness and insomnia
2. Calms the Liver, benefits Yin and anchors Floating Yang
   Liver Yin Deficiency with Liver Yang Rising or Yin Deficiency with internal Heat with restlessness, irritability, palpitations and spontaneous sweating
3. Prevents leakage of fluids
   Continuous sweat after febrile disease or in patients with steaming bone disorder
   Loss of fluids due to Deficiency with night sweats, spontaneous sweating, nocturnal emissions, spermatorrhea or vaginal discharge and uterine bleeding
4. Softens hardness and dissipates nodules
   Various kinds of lumps particularly neck lumps such as goiter or scrofula
5. Absorbs acidity and alleviates pain (calcined)
   Excessive Stomach pain with a sour taste in the mouth
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, fortify the bones and joints (骨节 Gu Jie), kill evil ghosts (邪鬼 Xie Gui), 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: 15-30g in decoction.
Cautions: The high mineral content of this medication may prevent the oral absorption of the fluoroquinolone class of antibiotics.

Caution should also be taken due to the possibility of heavy metal absorption from the oysters' environment. If decocting it is advisable to leave the dregs at the bottom as heavy metal particles will naturally sink. It is still probably advisable to avoid for long term use unless the source is known to be clean.

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 Xuan Shen, Bai Shao and Wu Wei Zi or Tian Ma.

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 which is also salty and softens nodulation) could be considered, especially if other signs such as oesteoporosis or muscle cramps are present and the 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.