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: Mei Gui Hua  Chinese: 玫瑰花
Pharmaceutical: Flos Rosae Rugosae
English: Rose Flower

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

Actions & Indications:

1. Promotes the movement of Qi and relieves Stagnation
   Liver-Stomach disharmony with a stifling sensation in the chest, pain and distention in the flanks and epigastrium, belching and anorexia
2. Moves Qi, harmonizes the Blood, disperses Stasis and regulates menstruation
   Irregular menstruation, premenstrual breast tenderness and menstrual pain due to Blood Stasis
   Blood Stasis due to trauma
3. Soothes the Liver, controls pain and astringes diarrhoea
   Neurotic gastritis, chronic gastritis, hepatitis

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated in case of yin deficiency with effulgent fire.

Pinyin: Dang Shen  Chinese: 党參
Pharmaceutical: Radix Codonopsis
Taxonomy: Codonopsis pilosula
English: Pilose Asiabell Root / Bonnet Bellflower Root / Poor Man's Ginseng / Bastard Ginseng

Tastes: Sweet, neutral
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Tonifies the Middle Jiao and augments Qi
   Any chronic illness due to Spleen Qi Deficiency with anorexia, fatigue, tired limbs, diarrhoea and vomiting
2. Tonifies the Lungs
   Lung Qi Deficiency with chronic coughing and shortness of breath
   Copious sputum due to Spleen Qi Deficiency
3. Restores the constitution and assists herbs that release the exterior or drain downward when there is significant Qi Deficiency
   Supports the normal while other herbs expel pathogenic influences
4. Nourishes the Blood and promotes the generation of Body Fluids
   Deficiency of Qi, Blood and Body Fluids especially due to chronic illness

Standard Dosage: 10-30g 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.