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: Huang Qi  Chinese: 黄芪
Pharmaceutical: Radix Astragali
Taxonomy: Astragalus membranaceus
English: Astragalus Root / Mongolian Milkvetch Root

Tastes: Sweet, warm
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Tonifies Qi and Blood
   Postpartum fever due to Qi and Blood Deficiency
   Recovery from severe Blood loss
2. Strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach
   Spleen Qi Deficiency with anorexia, fatigue and diarrhoea
   Central Qi Sinking (prolapse)
   Lung and Spleen Qi Deficiency
   Qi Failing to contain Blood
   Qi and Blood Deficiency
   Fever from Qi Deficiency
3. Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs (aids circulation of moisture downward from the face)
   Wei Qi Deficiency with spontaneous sweating
   Lung Qi Deficiency with frequent colds or shortness of breath
   Excessive sweating associated with Qi, Yang or Yin Deficiency
   Dampness in the head
4. Promotes urination and reduces oedema
   Spleen Deficiency oedema or superficial oedema with reduced urination (It can be used as a stand-alone herb for this)
5. Promotes the discharge of pus, generates flesh and expels toxins
   Chronic ulcerations and sores that either have trouble forming pus or have formed pus but are not draining well
6. Generates Body Fluids
   Wasting and thirsting disorder (消渴 Xiao Ke)
   Bi Syndrome with numbness of the limbs and paralysis
7. Relieves numbness and pain
   Numbness and pain due to Deficiency of Qi and Blood
8. Tonifies the Qi while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 10-15g in decoction. Large dosages of up to 30g can be used for severe debilitation, Blood deficiency or unhealing sores (e.g. Dang Gui Bu Xue Tang).
Cautions: It is contraindicated in cases of exterior excess with excessive pathogen, internal obstruction, yin deficiency with yang hyperactivity, early stage of sores and ulcers of excessive pathogen and no deficiency of heathy qi, because it can tonify qi, raise yang and strengthen superficial.Caution with patients on immunosuppressents due to its immune modulating effects.

Pinyin: Shan Zhu Yu / Shan Yu Rou  Chinese: 山茱萸 / 山萸肉
Pharmaceutical: Fructus Corni
Taxonomy: Cornus officinalis
English: Dogwood Fruit

Tastes: Sour, slightly warm
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Stabilizes the Kidneys and astringes Jing and Body Fluids
   Leakage of fluids due to weak Jing with urinary frequency, incontinence, spermatorrhea and excessive sweating
2. Stops excessive sweating and supports that which has collapsed
   Collapse of Qi with excessive sweating and shock
   Devastated Yang with excessive sweating and shock
   Sweating mistakenly induced as a treatment
3. Tonifies Liver and Kidney Yin and strengthens Kidney Yang
   Lightheadedness, dizziness, soreness and weakness of the lower back and knees or impotence due to Kidney and Liver Yin Deficiency and Kidney Yang Deficiency
4. Stabilizes the menses and stops bleeding
   Excessive uterine bleeding and prolonged menstruation due to Deficiency (weak effect)
5. Expels Cold-Dampness and Evil Qi
   The Shen Nong Ben Cao Jing places this in the middle class of woods and says it treats "evil qi below the heart and cold and heat. It warms the centre and expels Cold-Damp Bi."
6. Aids fasting
   The Shen Nong Ben Cao Jing says this herb can, with protracted taking, make the body light. 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).
7. Removes the Three Worms
   The Shen Nong Ben Cao Jing also says that it removes the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.

Standard Dosage: 5-10g in decoction.

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. Eliminates Evil Qi, breaks up Blood Stasis, disperses accumulations and fortifies Qi
   The Shen Nong Ben Cao Jing places this in the middle class of herbs and says that "It mainly treats Evil Qi and abdominal pain, eliminates blood impediment, breaks hard gatherings and cold and heat mounting conglomeration, relieves pain, disinhibits urination, and boosts the qi.
6. 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: Long Gu  Chinese: 龙骨
Pharmaceutical: Ossa Draconis
English: Fossilised Bones

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

Actions & Indications:

1. Settles anxiety and calms the Spirit
   Agitated Heart and Spirit with emotional distress, restlessness, insomnia, palpitations with anxiety, seizures, or withdrawal mania
2. Calms the Liver and anchors and preserves Floating Yang
   Irritability, restlessness, dizziness, vertigo, blurred vision and a bad temper due to Liver Yin Deficiency with Liver Yang Rising
3. Prevents leakage of fluids
   Loss of fluids due to Deficiency with spermatorrhea, night sweats, spontaneous sweating, nocturnal emissions, vaginal discharge and uterine bleeding
4. Topically generates muscles and astringes ulcers
   Chronic non-healing sores and ulcerations
5. Treats Ghost Possession
   Said in the Shen Nong Ben Cao Jing to treat Heart and Abdomen Ghost Possession, Spiritual Matters (精物 Jing Wu) and Old Ghosts (老鬼). This refers to difficult to treat disorders thought to be of supernatural origin.
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, make the body light, enable one to communicate with the Spirit Light (Shen Ming 神明), and lengthen the lifespan. 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.

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 Bai Shao and Wu Wei Zi.

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) could be considered, especially if other signs such as oesteoporosis or muscle cramps are present and 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.

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.

Pinyin: Hai Piao Xiao  Chinese: 烏賊骨
Pharmaceutical: Os Sepiae
English: Cuttlefish Bone

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

Actions & Indications:

1. Restrains, holds in and stops bleeding
   A wide variety of bleeding patterns, especially due to Deficiency
   Topically as a powder to stop bleeding from traumatic injury
2. Secures Jing and stops discharge
   Nocturnal emissions, premature ejaculation, or vaginal discharge due to Kidney Deficiency.
   It treats vaginal discharge due to a wide variety of causes
3. Controls acidity and alleviates pain
   Stomach acidity with Stomach or epigastric pain, distasteful belching or acid regurgitation
4. Resolves Dampness and promotes healing (moves Blood)
   Powdered and used topically for chronic, non-healing skin ulcers or Damp rashes of long duration

Standard Dosage: 6-20g in decoction.

Pinyin: Zong Lu Pi  Chinese: 棕櫚皮
Pharmaceutical: Petiolus Trachycarpi
English: Chinese Palm

Tastes: Neutral, Bitter, Sour
Meridians Entered: Liver, Large Intestine, Lung, Spleen

Actions & Indications:

1. Astringes leakage of Blood and stops bleeding
   Hemoptysis, hematemesis, epistaxis, hemafecia and excessive uterine bleeding

Standard Dosage: 3-15g in decoction

Pinyin: Wu Bei Zi  Chinese: 五倍子
Pharmaceutical: Galla Chinensis
Taxonomy: Rhus chinensis et Melaphis chinensis
English: Chinese Gall

Tastes: Sour, pungent, cold
Meridians Entered: Lung , Large Intestine and Kidney

Actions & Indications:

1. Astringes Lung Qi and stops cough
   Chronic cough due to Lung Qi Deficiency
2. Astringes the Intestines and stops diarrhea
   Chronic diarrhea, dysenteric disorders, chronic hemafecia and rectal prolapse
3. Astringes sweat, astringes the Kidneys and stops bleeding
   Nocturnal emissions, spermatorrhea, excessive sweating and bleeding
4. Descends Fire (relieves Fire toxicity), absorbs moisture (clears Dampness) and reduces swellings
   Topically as a powder or wash for sores, dermatosis, toxic swellings and Damp, ulcerated skin
   Scar tissue
5. Cools Deficiency Fire
   Lung Yin Deficiency and Deficiency Fire with chronic cough with Blood or Blood-streaked sputum
6. Stops bleeding
   Various bleeding disorders such as uterine bleeding, hematochezia, bleeding gums, hematuria, and epistaxis

Standard Dosage: 3-9g in decoction.
Cautions: Use with caution for diarrhea or dysentery of damp-heat type.

Due to the gallnuts being created by aphids infesting the bark of Rhus chinensis, the Chinese sumac tree, this is considered an animal product and so prohibited under the Medicines Act 1968 ch. 67. The sour astringent qualities of Wu Wei Zi and similarity shape, texture and function of Rou Dou Kou make this combination the best substitute from the Chinese pharmacopoeia. Regular Sumac from the Middle East is also sour and contains high levels of tannins so might make a suitable substitute.

Pinyin: Qian Cao Gen  Chinese: 茜草根
Pharmaceutical: Radix Rubiae cordifoliae
Taxonomy: Rubia cordifolia
English: Indian Madder Root / Manjistha

Tastes: Bitter, cold
Meridians Entered: Liver

Actions & Indications:

1. Cools the Blood and stops bleeding
   Bleeding due to Blood Heat with epistaxis, hematemesis, hemoptysis, hemafecia, hematuria and uterine bleeding
2. Invigorates the Blood and dispels Blood Stasis
   Pain due to Blood Stasis, especially chest and flank pain
   Retained lochia Pain from traumatic injury and joint pain
   Early-stage carbuncles
3. Disperses Wind-Dampness
   Bi pain
4. Unblocks the channels and vessels
   Wind pain in the bones and joints
5. Cools the Liver and transforms Phlegm
   Chronic, stubborn cough with pain in the chest due to Liver Fire Attacking the Lungs

Standard Dosage: 10-15g in decoction, but can be up to 30g.