Pinyin: Tian Nan Xing  Chinese: 天南星
Pharmaceutical: Rhizoma Arisaematis
Taxonomy: Arisaema consanguineum
English: Jack-in-the-Pulpit Rhizome

Tastes: Bitter, pungent, warm, toxic
Meridians Entered: Lung, Liver and Spleen

Actions & Indications:

1. Dries Dampness and expels Phlegm
   Stubborn (extremely sticky) Phlegm in the Lungs with cough and a distended sensation in the chest
2. Disperses Wind-Phlegm in the channels and stops spasms
   Wind-Phlegm Obstructing the Channels with dizziness, vertigo, numbness in the limbs, facial paralysis, spasms in the hands and feet, opisthotonis, stroke, seizures or lockjaw
3. Reduces swelling and alleviates pain
   Topically for Chuang Yung (deep rooted sores, ulcers and carbuncles. Swelling due to traumatic injury and joint pain secondary to Phlegm Topically for cervical cancer

Standard Dosage: 3-10g in decoction.
Cautions: Prohibited for yin deficiency with dry phlegm and the pregnant women.

Pinyin: Ban Xia  Chinese: 半夏
Pharmaceutical: Rhizoma Pinelliae
Taxonomy: Pinellia ternata
English: Pinellia Rhizome

Tastes: Pungent, warm, toxic
Meridians Entered: Lung, Spleen and Stomach

Actions & Indications:

1. Dries Dampness and transforms Phlegm
   Cold-Phlegm in the Lungs (cough with copious sputum)
   Especially effective for Damp-Phlegm of the Spleen (Cold-Damp Stagnation)
2. Descends Rebellious Qi and stops vomiting (harmonizes the Stomach)
   Vomiting due to Phlegm-Damp in the Stomach (Tan Yin), Cold thin mucus, Stomach Deficiency, Stomach Heat or pregnancy
3. Dissipates nodules and reduces Stagnation (clumps)
   Phlegm in the chest (nodules, pressure, distention, pain)
   Phlegm nodules in the neck (goiter, scrofula)
   Focal distension in the chest and epigastrium
   Obstruction caused by Phlegm anywhere in the body
4. Treats sores, skin ulcerations and carbuncles and reduces swelling (external)
   Topically as a powder for sores, skin ulcerations and carbuncles

Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou. Use with cautions during gestation.

Must be processed before use as raw Ban Xia is toxic. Ingesting the raw form can cause severe irritation of the mouth, pharynx, and gastrointestinal tracts, and has toxic effects on the nervous system. Symptoms of toxicity include a dry mouth, numbness of the tongue, gastric discomfort, burning sensations and swelling of the mouth, tongue, throat and salivation. In serious cases ingesting Ban Xia can result in hoarseness, spasms, dyspnoea and asphyxia.

Processing can be done with ginger and alum (Jiang Ban Xia) to make a warming herb best suited for Cold-Damp and thin Phlegm conditions, or with liquorice (Fa Ban Xia) to make a more neutral herb that is less drying and can be used for Damp-Heat conditions too.

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: Zhi Shi  Chinese: 枳实
Pharmaceutical: Fructus Aurantii Immaturus
Taxonomy: Citrus aurantium
English: Immature Seville Orange / Immature Bitter Orange / Immature Sour Orange

Tastes: Pungent, bitter, slightly cold
Meridians Entered: Spleen, Stomach and Large Intestine

Actions & Indications:

1. Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels and removes Stagnant Food
   Qi Stagnation and accumulation with epigastric or abdominal pain and distention or indigestion with focal distention or gas
   Food Stagnation
2. Transforms Phlegm, reduces distention and resolves hardenings
   Turbid Phlegm Obstructing the Qi with focal distention and fullness in the chest and epigastrium

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for pregnant women.

Pinyin: Ju Hong  Chinese: 橘红
Pharmaceutical: Exocarpium Citri Rubrum
English: Outermost Red Tangerine Peel

Tastes: Pungent, bitter, warm
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Regulates Qi, adjusts the Middle and relieves the diaphragm
   Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
2. Dries Dampness and transforms Phlegm
   Phlegm-Damp Obstructs the Lung with coughing, a stifling sensation in the chest and/or diaphragm and copious, viscous sputum
   Turbid Damp Obstructs the Middle with a stifling sensation in the chest, abdominal distention, anorexia, fatigue, loose stools and a thick, greasy tongue coat
3. Helps prevent Stagnation from tonic herbs
   Tonic herbs causing Stagnation
4. Descends Qi
   Qi Rebellion

Standard Dosage: 3-9g in decoction.
Cautions: It is contraindicated for yin deficiency with dry cough and qi deficiency.

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: Ren Shen  Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root

Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart

Actions & Indications:

1. Powerfully tonifies Yuan Qi
   Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
   Collapse of Yang
   Collapse of Yin
2. Tonifies Spleen and Stomach Qi
   Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
3. Tonifies Lung Qi
   Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
4. Generates Body Fluids and stops thirst
   Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
5. Tonifies Heart Qi and calms the Spirit
   Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
6. Treats impotence
   With Kidney Yang tonics for impotence
7. Tonifies Qi in Deficiency patients with Exterior conditions
   Exterior disorder with Interior Deficiency
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: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen.

Pinyin: Zhu Ru  Chinese: 竹茹
Pharmaceutical: Caulis Bambusae in Taeniam
English: Bamboo Shavings

Tastes: Sweet, lightly cold
Meridians Entered: Lung, Heart and Stomach

Actions & Indications:

1. Clears Heat and transforms Hot Phlegm
   Lung Heat with viscous sputum a stifling sensation in the chest or hemoptysis (Phlegm-Heat in the Lungs)
   Gallbladder Fire harboring Phlegm and Phlegm-Heat
2. Clears Heat and stops vomiting
   Stomach Heat with bad breath, vomiting bitter or sour fluid, aversion to Heat, a greasy, yellow tongue coat (due to either Excess or Deficiency)
3. Cools the Blood and stops bleeding
   Blood Heat bleeding
4. Calms the fetus
   Restless fetus

Standard Dosage: 6-10g in decoction.

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.