Pinyin: Shi Gao  Chinese: 石膏
Pharmaceutical: Gypsum Fibrosum / Calcium Sulphate
Taxonomy: CaSO₄
English: Gypsum / Plaster of Paris

Tastes: Pungent, sweet, cold
Meridians Entered: Lung and Stomach

Actions & Indications:

1. Clears Heat in the Qi Stage, drains Fire, relieves irritability and quenches thirst
   Heat in the Qi Stage or Yangming Heat with high fever, no chills, irritability, intense thirst, profuse sweating, restlessness, encephalitis, a flooding, big pulse and a red tongue with a yellow coat
2. Clears Excess Heat from the Lungs
   Lung Heat with cough, wheezing, fever and a thick viscous sputum
3. Clears Blazing Stomach Fire
   Stomach Fire with headache, toothache or swollen gums
4. Heals eczema, burns and ulcerated sores and wounds
   Sores and wounds (topically or internally)

Standard Dosage: 15-60g 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.

Conventional replacements include Huang Lian and Zhi Mu but its actions are difficult to substitute in many cases and the patient may have to rely on OTC mineral based antacids from the pharmacy such as sodium bicarbonate and calcium carbonate which have a similar effect of binding and neutralising the stomach acid, then using herbal medicines as an adjunctive treatment. Another possibility would be to use sodium alginate that is often found in antacid medications and extracted from seaweed.

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: Gan Cao  Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root

Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians)

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
   Qi and Blood Deficiency with an irregular pulse and/or palpitations
   Heart Qi Deficiency or Heart Yang Deficiency
2. Moistens the Lungs, resolves Phlegm and stops coughing
   Lung Heat or Cold
   Productive or non-productive coughing
3. Moderates spasms and alleviates pain
   Painful muscle spasms of the abdomen and legs
4. Clears Heat and relieves Fire Toxicity
   Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
5. Antidote for many toxic substances (internal and topical)
   Poisoning
   Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
6. Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
   Often added in small doses to harmonise formulas
7. Tonifies the Qi while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
8. 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 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: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.

The NHS recommends avoiding during pregnancy.

Pinyin: Jing Mi  Chinese: 粳米
Pharmaceutical: Semen Oryzae
English: Non-Glutinous Rice Seed

Tastes: Sweet, neutral
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Tonifies Yang
   Diarrhoea due to Yang Deficiency
2. Tonifies the Qi of the Lungs, Spleen and Intestines and stops restlessness
   Qi Deficiency with spontaneous perspiration and weakness
3. Stops thirst and generates fluids
   Body Fluid Deficiency

Standard Dosage: 9-30g in decoction.

Pinyin: Ling Yang Jiao  Chinese: 羚羊角
Pharmaceutical: Cornu Saigae Tataricae
English: Antelope's Horn

Tastes: Salty, cold
Meridians Entered: Liver and Heart

Actions & Indications:

1. Drains Liver Heat, calms the Liver, extinguishes Wind and controls spasms and convulsions
   Childhood seizure and convulsion disorder especially due to high fever Ying and Xue Stage Heat with stubborn high fevers
   Extreme Heat Generating Wind
   Liver Wind
2. Calms the Liver and anchors Yang
   An important substance for Liver Yang Rising with dizziness, vertigo, irritability, restlessness and splitting headaches
3. Clears the Liver and improves vision
   Headache, red and swollen eyes or photophobia due to Blazing Liver Fire
4. Drains Heat and clears Fire toxicity
   Heat Attacks the Pericardium with high fever, delirium, manic behavior and, in extreme case, loss of consciousness
5. Clears Damp-Heat
   Wind-Damp-Heat Bi
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of animal parts which can, with protracted taking, fortify the sinews and bones and 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).

Standard Dosage: 1-3g in decoction.

Pinyin: Shui Niu Jiao  Chinese: 水牛角
Pharmaceutical: Cornu Bubali
English: Water Buffalo Horn

Tastes: Bitter, salty, cold
Meridians Entered: Heart, Liver, Stomach

Actions & Indications:

1. Clears Heat from the Ying and Xue, relieves Fire toxicity, cools the Blood and stops bleeding
   Very high fever and chaotic movement of Blood (erythema, purpura, epistaxis, hematemesis, convulsions and delirium)
2. Clears Heat and arrests tremors
   Unremitting high fever, loss of consciousness, delirium, convulsions or manic behaviour due to Warm-Disease
   Used externally as a material for Gua Sha tools where it excels in regulating the Blood and clearing Heat

Standard Dosage: 15-30g in decoction or made into Gua Sha tools for external use.