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Qing Pi
| 3-9g | |
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Pinyin: Qing Pi
Chinese: 青皮
Pharmaceutical: Pericarpium Citri Reticulatae Viride
English: Unripe Tangerine Peel |
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Tastes: Pungent, bitter, warm
Meridians Entered: Liver, Gallbladder, Spleen and Stomach |
Actions & Indications:
- Spreads Liver Qi and breaks up Stagnant Qi
Liver Qi Stagnation with chest, hypochondriac and breast distention and pain or bulging disorder
- Dissipates accumulations and reduces Food Stagnation
Food Stagnation with accumulation manifesting as pain, distention or a stifling sensation in the epigastrium
Severe Food Stagnation
Qi Stagnation which leads to Blood Stagnation with masses
- Dries Dampness and transforms Phlegm
Phlegm-Damp with malarial disorders
Breast abscess
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Standard Dosage: 3-10g in decoction.
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Chen Pi
| 3-9g | |
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Pinyin: Chen Pi
Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen and Lung |
Actions & Indications:
- Regulates Qi, adjusts the Middle and relieves the diaphragm
Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- 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
- Helps prevent Stagnation from tonic herbs
Tonic herbs causing Stagnation
- Descends Qi
Qi Rebellion
- 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).
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Standard Dosage: 3-10g in decoction.
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Zhi Zi
| 3-12g | |
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Pinyin: Zhi Zi
Chinese: 栀子
Pharmaceutical: Fructus Gardeniae
Taxonomy: Gardenia jasminoides
English: Gardenia Fruit |
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Tastes: Bitter and cold
Meridians Entered: Heart, Liver, Stomach and Lung |
Actions & Indications:
- Clears Heat, reduces Fire and eliminates irritability in the San Jiao
Excess Heat in the Heart, Stomach and Liver with high fever, irritability, restlessness, a stifling sensation in the chest, insomnia or delirious speech, eye problems, anger, jaundice
- Clears Heat and resolves Dampness (Drains Damp-Heat)
Damp-Heat in the Lower Jiao with painful urinary dysfunction (Lin Syndrome)
Damp-Heat in the Liver/Gallbladder with jaundice
Damp-Heat in the San Jiao
Damp-Heat in the Gallbladder and San Jiao channels of the face affecting the nose and eyes or causing sores in the mouth or facial region
- Cools the Blood and relieves toxicity (stops bleeding by astringing)
Heat in the Blood with epistaxis, hematemesis, hemafecia or hematuria (partially charred)
- Reduces swelling and invigorates the Blood
Blood Stagnation due to trauma (topical)
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Standard Dosage: 5-15g in decoction.
Cautions: Being strongly bitter in flavor and cold in nature, it is not good for deficiency-cold syndrome because it can easily impair spleen and stomach. It is contraindicated in case of loose stool due to spleen deficiency. |
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Mu Dan Pi
| 6-12g | |
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Pinyin: Mu Dan Pi
Chinese: 牡丹皮
Pharmaceutical: Cortex radicis Moutan
Taxonomy: Paeonia suffruticosa
English: Tree Peony Root Bark / Moutan Peony Root Bark |
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Tastes: Bitter, pungent, light cold
Meridians Entered: Heart, Liver and Kidney |
Actions & Indications:
- Clears Heat and cools (and harmonizes) the Blood
Xue Stage Heat with epistaxis, hemoptysis, hematemesis or subcutaneous bleeding
Menorrhagia due to Blood Heat
- 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)
- Invigorates the Blood and dispels Blood Stasis
Blood Stasis with amenorrhea, abdominal masses, lumps or bruises due to trauma
Liver Blood Stagnation
- Clears Liver Fire
Liver Fire with headache, eye pain, flank pain, flushing and dysmenorrhea
- Drains pus and reduces swelling
Non-draining sores (topical)
Intestinal abscesses (internal)
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Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of profuse menstruation and pregnant women. |
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Ze Xie
| 4.5-16g | |
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Pinyin: Ze Xie
Chinese: 澤瀉
Pharmaceutical: Rhizoma Alismatis
Taxonomy: Alisma plantago-aquatica seu orientale
English: Water Plantain Rhizome |
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Tastes: Sweet, bland, cold
Meridians Entered: Kidney and Bladder |
Actions & Indications:
- Promotes urination and leaches out Dampness
Stagnation due to Dampness with urinary difficulty, painful urinary dysfunction, diarrhoea and dizziness
Especially useful for Damp-Heat in the Lower Jiao
- Settles Ministerial Fire in the Kidneys by draining Damp-Heat from the lower Jiao
Spermatorrhea due to Damp-Heat in the Lower Jiao disturbing the ministerial Fire of the Kidneys
- Drains Kidney Fire
Kidney Yin Deficiency with Fire Rising
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make one free from hunger, prolong life, make the body light, render the face brilliant, and enable one to walk over water. 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).
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Standard Dosage: 4.5-15g in decoction. Sometimes up to 30g in extreme cases.
Cautions: Overdose, extended use or combination with diuretic drugs could cause electrolyte imbalance due to diuretic effect. |
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Bai Shao
| 5-30g | |
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Pinyin: Bai Shao
Chinese: 白芍
Pharmaceutical: Radix Paeoniae Alba
Taxonomy: Paeonia lactiflora
English: White Peony Root |
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Tastes: Bitter, sour, sweet, slightly cold
Meridians Entered: Spleen and Liver |
Actions & Indications:
- 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
- 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
- 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
- Softens the Liver and relieves pain
Diarrhoea, borborygmus and abdominal pain
Dysenteric disorders with tenesmus
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-30g in decoction.
Cautions: Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin. |
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Tu Bei Mu
| 6-15g | | |
Pinyin: Tu Bei Mu
Chinese: 土贝母
Pharmaceutical: Rhizoma Bolbostemmae
English: Bulbostemma |
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Tastes: Bitter, cool
Meridians Entered: Lung and Spleen |
Actions & Indications:
- Clears Heat and resolves Toxicity
Rhinitis
- Disperses Stagnation
Hyperplasia of the mammary glands
- Eliminates pathogenic External Phlegm, reduces sores and swellings
Mastitis, scrofula warts
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Standard Dosage: 9-30g in decoction.
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Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.