Pinyin: Chuan Xiong  Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root

Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
   Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
2. Expels Wind and alleviates pain
   Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
   Wind skin disorders
3. Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs.

Pinyin: Gui Zhi  Chinese: 桂枝
Pharmaceutical: Ramulus Cinnamomi
Taxonomy: Cinnamomum cassia
English: Cinnamon Twig

Tastes: Pungent, sweet, warm
Meridians Entered: Lung, Heart, Kidney, Liver

Actions & Indications:

1. Releases the Exterior, assists Yang, adjusts the Ying and Wei and releases the muscle layer
   Taiyang Wind Strike (Taiyang Zhongfeng, 太阳中风) - a weak person who catches cold easily with spontaneous sweating, aversion to drafts, fever and chills, nasal congestion, stiff and aching head and muscles
2. Warms the channels and collaterals to relieve pain
   Wind-Cold-Damp Bi
3. Unblocks Yang and transforms Qi and thin mucus
   Edema due to Cold-Phlegm or Yang Qi Deficiency with urinary dysfunction, dizziness and palpitations
4. Assists Heart Yang and warms and facilitates the flow of Yang Qi in the chest
   Palpitations due to Yang Obstruction in the chest due to Stagnation or Deficiency
   Listless chest Yang with upward movement of Phlegm and thin mucus and disorderly descent of Lung Qi with shortness of breath, chest and back pain and palpitations
   Heart and Spleen Yang Deficiency
5. Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels
   Wind-Cold-Damp Bi
   Blood Stasis due to Cold, causing amenorrhea or dysmenorrhea with or without abdominal masses
6. Warms the Middle and directs Turbid Yin downward
   Middle Jiao Yang Deficiency
   Heart and Spleen Yang Deficiency (patient usually craves sweets)
7. 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, prevent forgetfulness, and render the face bright and efflorescent, thus forever looking charming, like a child's face. 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: 3-10g in decoction for exterior conditions, or up to 15g for Bi Syndromes.
Cautions: This herb induces heat, damages the yin and moves blood. It is prohibited for those with warm pathogens, yin deficiency with effulgent fire, or reckless movement of the blood due to heat in the blood. Use with caution in pregnant women.

Pinyin: Hong Hua  Chinese: 红花
Pharmaceutical: Flos Carthami
English: Safflower

Tastes: Pungent, warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain
   Blood Stasis, especially in women for gynecological problems such as abdominal pain, amenorrhea, postpartum dizziness, retained lochia and abdominal masses
   Trauma, non suppurative sores, carbuncles and dark, purplish erythema
   Incomplete expression of rash of measles
   Chest Bi due to Blood Stasis

Standard Dosage: 3-10g in decoction.

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: Xue Jie  Chinese: 血竭
Pharmaceutical: Sanguis Draconis
Taxonomy: Calamus draco seu rotang seu didymophyllus seu Dracaena draco seu cinnabaris seu cochinchinensis seu Croton lechleri seu draconoides seu palanostigma seu perpecosus seu rimbachii seu sampatik seu erythrochilus seu Pterocarpus officinalis
English: Dragon's Blood / Calamus Resin / Dracaena Resin / Croton Resin

Tastes: Sweet, salty, neutral
Meridians Entered: Heart and Liver

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis and alleviates pain
   Pain from Blood Stasis, especially due to traumatic injury such as injury from falls, fractures, contusions and sprains
2. Stops bleeding
   Applied topically for bleeding due to external injury
3. Protects the surface of ulcers, prevents decay and generates flesh
   Chronic non-healing ulcers and cancers

Standard Dosage: 1-2g in pill or powder for internal use.

Pinyin: Zi Ran Tong  Chinese: 自然铜
Pharmaceutical: Pyritum
Taxonomy: FeS₂
English: Pyrite

Tastes: Pungent, neutral
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Dispels Blood Stasis, relieves pain and promotes healing of bones and sinews
   Swellings and pain related to Stasis of Qi and Blood caused by external injury and especially fractures. Promotes healing of fractures

Standard Dosage: 10-15g in decoction.
Cautions: 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. Du zhong, Xu Duan or Gu Sui Bu would make some appropriate substitutes.

Pinyin: Xu Duan  Chinese: 续断
Pharmaceutical: Radix Dipsaci
English: Himalayan Teasel Root

Tastes: Sweet, pungent, slightly warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Tonifies the Liver and Kidneys and strengthens the sinews and bones
   Liver and Kidney Deficiency with sore and painful lower back and knees, stiffness in the joints and weakness in the legs
   Urinary dribbling from Kidney Deficiency
2. Stops uterine bleeding, calms the fetus and prevents miscarriage
   Bleeding during pregnancy
   Restless fetus
   Threatened miscarriage
   Ren channel Deficiency related uterine bleeding and vaginal discharge
3. Promotes the movement of Blood, alleviates pain, generates flesh and reconnects the sinews and bones
   Trauma (topical and internal) especially pain and swelling in the lower back and limbs
   External sores (topical)
   Bi pain
4. Reduces swellings, abscesses and sores
   Toxic abscesses and sores
5. Expels Gu Parasites
   Chronic inflammatory disease (Fruehauf, 2015)
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, boost the Qi and physical strength. 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: Dang Gui  Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root

Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Tonifies the Blood and regulates the menses
   Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
   Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
2. Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
   Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
   Postpartum menstruation
   Pregnancy (use with caution)
   Blood Deficiency with chronic Wind-Damp-Bi
3. Moistens the Intestines and unblocks the bowels
   Dry Intestines due to Blood Deficiency
4. Reduces swelling, expels pus, generates flesh and alleviates pain
   Sores and abscess (Chuang Yung), internally and topically
5. Stops coughing and treats dyspnea
   Used adjunctively for coughing
6. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.

Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).

Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age.

Pinyin: Tu Bie Chong  Chinese: 土鳖虫
Pharmaceutical: Eupolyphagae seu Steleophagae
Taxonomy: Eupolyphaga sinensis seu Steleophaga plancyi
English: Woodlouse

Tastes: Salty, cold, lightly toxic
Meridians Entered: Liver

Actions & Indications:

1. Breaks up and drives out Blood Stasis, invigorates Blood circulation and disperses lumps and masses
   Blood Stasis with abdominal masses and amenorrhea
   Swollen tongue due to Blood Stasis
2. Knits together sinews and joins bones
   Traumatic injury with lacerations, contusions and fractures
   Lumbar strain (toasted and ground into a powder)

Standard Dosage: 3-10g in decoction, or 1-1.5g in yellow wine.
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 E Zhu and Ru Xiang.

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: Ru Xiang  Chinese: 乳香
Pharmaceutical: Olibanum
Taxonomy: Boswellia serrata
English: Frankincense

Tastes: Pungent, bitter, warm
Meridians Entered: Liver, Heart and Spleen

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Pain due to Blood Stasis from traumatic injury
   Early stage toxic sores, carbuncles, swellings and pain
   Blood Stasis with chest, epigastric or abdominal pain
2. Relaxes the sinews, activates the channels and alleviates pain
   Wind-Damp Bi with rigidity and spasms
3. Reduces swelling and generates flesh
   Topically as an ointment or powder to reduce swelling, generate flesh, alleviate pain and promote healing of sores, carbuncles, and traumatic injury
   Pain, redness and swelling of the gums, mouth and throat

Standard Dosage: 3-10g in decoction.
Cautions: This herb is drasticly pungent with strong stimulation to stomach and easily causes nausea and vomiting. So it should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women.

Pinyin: Mo Yao  Chinese: 沒藥
Pharmaceutical: Resina Commiphorae
Taxonomy: Commiphora mukul
English: Myrrh

Tastes: Pungent, Bitter, Neutral
Meridians Entered: Heart, Liver and Spleen

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis, alleviates pain and reduces swelling
   Blood Stasis with pain from trauma, sores, carbuncles, swellings, fixed abdominal masses, painful obstruction, chest pain, abdominal pain and amenorrhea
2. Generates flesh and promotes healing
   Chronic non-healing sores

Standard Dosage: 3-10g in decocotion.
Cautions: Like Ru Xiang this herb is drastically pungent with strong stimulation to stomach and easily causes nausea and vomiting. It should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women.

Pinyin: Ze Lan  Chinese: 泽兰
Pharmaceutical: Herba Lycopi
English: Bugleweed

Tastes: Pungent, bitter, slightly warm
Meridians Entered: Liver and Spleen

Actions & Indications:

1. Invigorates the Blood and dispels Blood Stasis (Regulates menstruation)
   Blood Stasis obstructing menstruation Postpartum abdominal pain due to Blood Stasis
   Pain and swelling from abscess or trauma (internal and topical)
   Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
2. Promotes urination and disperses swellings
   Systemic and facial oedema (adjunctively) Postpartum painful urinary dysfunction (adjunctively)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated to people without blood stasis.

Pinyin: Chi Shao  Chinese: 赤芍
Pharmaceutical: Radix Paeoniae Rubra
Taxonomy: Paeonia lactiflora seu veitchii
English: Red Peony Root

Tastes: Bitter, pungent, light cold
Meridians Entered: Liver

Actions & Indications:

1. Clears Heat and cools the Blood
   Xue Stage Heat Stage Heat or Blood Heat with fever, a purple tongue, maculae, hemorrhage and Blood Heat gynecological problems
2. Clears Liver Fire and relieves eye pain
   Liver Fire with redness, swelling and pain of the eyes
3. Reduces swelling from sores and abscesses
   Early stage abscesses and boils

Standard Dosage: 6-12g in decoction.
Cautions: It is antagonistic to Li Lu. It should be used with caution in hot skin conditions where it may aggravate by "fanning the flames". Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin.

Pinyin: Fu Zi  Chinese: 附子
Pharmaceutical: Radix Aconiti Lateralis Praeparata
Taxonomy: Aconitum carmichaeli
English: Wolf's-bane Root / Monkshood Root / Aconite Root

Tastes: Pungent, sweet, hot, toxic
Meridians Entered: Heart, Kidney and Spleen

Actions & Indications:

1. Restores Devastated Yang and rescues from rebellion
   Devastated Yang with diarrhoea containing undigested food, chills, cold extremities and a faint almost imperceptible pulse (often as a result of severe vomiting, diarrhoea or sweating)
2. Warms Ming Men Fire and assists Heart, Kidney and Spleen Yang
   Heart Yang Deficiency
   Spleen Yang Deficiency
   Kidney Yang Deficiency
3. Disperses Cold and Dampness, warms the channels and stops pain
   Wind-Damp-Cold Bi
   Cold blocking the organs, channels, bones and Blood vessels
   Yin flat abscesses
   Gu Parasites / chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-15g in decoction. Fire Spirit practitioners prescribe doses of 60-200g per day (Fruehauf, 2009).
Cautions: It is contraindicated for heat syndrome, yin-deficiency leading to hyperactivity of yang and the pregnant because of its pungent, hot, dry and drastic properties. It must be soaked and decocted for about half and hour to one hour until numbing taste disappears for oral use. Over-dosage and incorrect processing must be avoided.

This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA. It is generally substituted with various Yang tonics depending on the presentation although none can imitate its powerful cardiovascular effects making them ineffective substitutes for rescuing devastated Yang. External use is permitted at 1.3% or below.

Pinyin: Gu Sui Bu  Chinese: 骨碎补
Pharmaceutical: Rhizoma Drynariae
English: Boneknit Rhizome / Fortune's Drynaria Rhizome

Tastes: Bitter, warm
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Tonifies Kidney Yang, strengthens the sinews and bones and benefits the ears (also helps regain strength after injuries)
   Weak low back and knees, diarrhoea, tinnitus, diminished hearing, loose, painful teeth and bleeding gums associated with Kidney Deficiency
2. Promotes mending of sinews and bones
   Traumatic injuries such as falls, fractures, contusions and sprains
   Especially useful for ligament injuries and simple fractures
3. Stimulates hair growth (topical)
   Topically as a tincture for alopecia
4. Invigorates the Blood
   Blood Stagnation especially due to trauma

Standard Dosage: 3 - 9g dried in decoction, or 6 - 15g if fresh, or applied topically to site.
Cautions: This herb is warm that can invigorate yang. Use with cautions for the yin deficiency and internal heat.