Pinyin: Huang Bai  Chinese: 黄柏
Pharmaceutical: Cortex Phellodendri
Taxonomy: Phellodendron amurense seu chinense
English: Amur Corktree Bark

Tastes: Bitter, cold
Meridians Entered: Liver, Gallbladder, Large Intestine, Kidney and Bladder

Actions & Indications:

1. Drains Damp-Heat especially from the Lower Jiao
   Thick, yellow vaginal discharge, foul smelling diarrhoea or dysenteric disorder
   Damp-Heat in the Lower Jiao
   Hot Leg Qi with red, swollen, painful knees, legs or feet
   Damp-Heat jaundice
2. Drains Kidney Fire (False Heat, Deficiency Heat)
   Kidney Yin Deficiency with Empty Fire Rising (steaming bone disorder, night sweats, afternoon fevers and sweating, occasionally with nocturnal emissions and spermatorrhea)
3. Drains Fire and relieves Fire toxicity
   Toxic sores and Damp-skin lesions (internally and topically)

Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Overdosage and long-time taking will impair spleen and stomach.

Pinyin: Zhi Mu  Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome

Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney

Actions & Indications:

1. Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
   Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
   Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
   Yang Ming Heat
   Stomach Heat
2. Nourishes Yin and moistens Dryness
   Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
   (Stomach Yin Deficiency)
   Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
3. Generates Fluids, clears Deficiency Fire and quenches thirst
   Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
4. Ameliorates the Dryness of tonifying or warming herbs
   For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying

Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea.

Pinyin: Shu Di Huang  Chinese: 熟地黄
Pharmaceutical: Radix Rehmanniae Preparata
Taxonomy: Rehmannia glutinosa
English: Prepared Chinese Foxglove Root

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

Actions & Indications:

1. Nourishes the Blood
   Blood Deficiency with facial pallor, dizziness, palpitations, insomnia, irregular menstruation, uterine bleeding and postpartum bleeding
2. Nourishes Liver and Kidney Yin
   Kidney and Liver Yin Deficiency with a weak low back and limbs, dizziness, tinnitus, tidal fevers, night sweats and nocturnal emissions
3. Strongly enriches Yin and relieves wasting and thirsting disorder
   Lower Jiao wasting (it can be used as a stand-alone herb for this)
4. Nourishes Jing and Blood and fills the Marrow
   Exhausted Jing and Blood problems such as delayed development during childhood, blunted affect, premature aging, diminished mental acuity, graying of hair, impotence and memory loss
5. Arrests coughing and wheezing
   Kidney Deficient coughing, wheezing and asthma, such as inability of the Kidneys to grasp Qi

Standard Dosage: 10-30g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, loose stool due to fullness in abdomen and qi stagnation with excessive phlegm because it is greasy and will produce indigestion.

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: 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: Suo Yang  Chinese: 鎖陽
Pharmaceutical: Herba Cynomorii coccineum
English: Maltese Mushroom / Desert Thumb / Red Thumb / Tarthuth

Tastes: Sweet, warm
Meridians Entered: Kidney, Liver and Large Intestine

Actions & Indications:

1. Tonifies the Kidneys, benefits Jing and marrow, strengthens Yang, nourishes Liver Yin and Blood and strengthens the sinews and bones
   Kidney Yang Deficiency with impotence, infertility urinary frequency and spermatorrhea
   Weak sinews due to Deficient Jing and Blood
   Atrophy disorder (Wei Syndrome) from damaged Liver and Kidney Yin
2. Moistens the Intestines, unblocks the bowels and nourishes the Blood
   Constipation due to Deficient Qi and Blood

Standard Dosage: 5-15g in decoction.
Cautions: It is contraindicated in cases of yin deficiency with effulgent fire, diarrhea due to spleen deficiency, constipation of excess heat type.

Pinyin: Gan Jiang  Chinese: 干姜
Pharmaceutical: Rhizoma Zingiberis
Taxonomy: Zingiber officinale
English: Dried Ginger

Tastes: Pungent, hot
Meridians Entered: Spleen, Stomach, Kidney, Heart and Lung

Actions & Indications:

1. Warms the Middle and expels Cold
   External Cold affecting the Spleen and Stomach Spleen and Stomach Yang Deficiencies
2. Dispels Wind-Dampness seeping into the Lower Jiao
   Lower Jiao Wind-Cold-Damp Bi
3. Rescues Devastated Yang and expels Interior Cold
   Devastated Yang with a very weak pulse and cold limbs
4. Warms the Lungs and transforms thin mucus
   Lung Cold with expectoration of thin, watery or white sputum
5. Warms the channels (unblocks the pulse) and stops bleeding
   Haemorrhage due to Deficiency Cold, especially uterine bleeding (only if the bleeding is chronic and pale in colour with cold limbs, ashen white face and a soggy thin pulse)
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, remove foul smell and enable one to communicate withe Spirit Light (Shen Ming 神明). 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.
Cautions: It is contraindicated for yin deficiency with internal heat and haemorrhage due to blood heat.

Pinyin: Chen Pi  Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel

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

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
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, remove foul breath, precipitate the Qi, and enable one to communicate with spirits. 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).
6. Suppresses Gu Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g 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.