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Huo Ma Ren
| 30g | |
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Pinyin: Huo Ma Ren
Chinese: 火麻仁
Pharmaceutical: Semen Cannabis
Taxonomy: Cannabis sativa
English: Cannabis Seed |
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Tastes: Sweet, mild
Meridians Entered: Large Intestine, Spleen and Stomach |
Actions & Indications:
- Nourishes, moistens and lubricates the Intestine
Constipation in the elderly
Constipation after a warm febrile disease
Postpartum constipation
Constipation due to Blood Deficiency
- Nourishes Yin
Yin Deficiency with constipation
- Clears Heat and promotes healing of sores
Sores and ulcerations (auxiliary - internal and topical)
- Moistens Dryness and benefits the hair
Promotes hair growth and treats dry hair
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Standard Dosage: 10-15g in decoction.
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Xing Ren
| 15g | |
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Pinyin: Xing Ren
Chinese: 杏仁
Pharmaceutical: Semen armeniacae
Taxonomy: Prunus armeniaca seu mandshurica seu sibirica
English: Bitter Apricot Kernel |
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Tastes: Bitter, slightly warm, slightly toxic
Meridians Entered: Lung and Large Intestine |
Actions & Indications:
- Stops coughing and calms wheezing
Coughs due to either Heat or Cold (depending on combination) Wind-Dry coughs (especially useful)
- Moistens the Intestines and unblocks the bowels
Constipation
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Standard Dosage: 3-10g in decoction.
Cautions: It should not be overused for its slight toxicity. It should be used with cautions for infants and patients with diarrhea. |
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Bai Shao
| 15g | |
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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
- 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.
- 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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Zhi Shi
| 10g | |
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Pinyin: Zhi Shi
Chinese: 枳实
Pharmaceutical: Fructus Aurantii Immaturus
Taxonomy: Citrus aurantium
English: Immature Seville Orange / Immature Bitter Orange / Immature Sour Orange |
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Tastes: Pungent, bitter, slightly cold
Meridians Entered: Spleen, Stomach and Large Intestine |
Actions & Indications:
- Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels and removes Stagnant Food
Qi Stagnation and accumulation with epigastric or abdominal pain and distention or indigestion with focal distention or gas
Food Stagnation
- Transforms Phlegm, reduces distention and resolves hardenings
Turbid Phlegm Obstructing the Qi with focal distention and fullness in the chest and epigastrium
- Expels Wind, alleviates itching, breaks up bindings, regenerates flesh and invigorates the Qi
Listed in the Shen Nong Ben Cao Jing as a medium class wood which "treats great Wind within the skin giving rise to tormenting itching as if [caused by] flax seeds, eliminates cold and heat and heat binding, stops dysentery, promotes the growth of the muscles and flesh, disinhibits the five viscera, boosts the qi, and makes the body light."
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Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for pregnant women. |
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Hou Po
| 15g | |
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Pinyin: Hou Po
Chinese: 厚朴
Pharmaceutical: Cortex Magnoliae
Taxonomy: Magnolia officinalis
English: Magnolia Bark |
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Tastes: Bitter, pungent, warm
Meridians Entered: Spleen, Stomach, Lung and Large Intestine |
Actions & Indications:
- Promotes the movement of Qi in the Middle Jiao and resolves Stagnation
Abdominal, epigastric, and/or chest fullness, bloating, loss of appetite, poor digestion, constipation
Plum Pit Qi, a feeling of a lump in throat, usually considered psychosomatic today (globus hystericus). Hou Po has modern indications as neuroprotective and also features in formulas like Da/Xiao Cheng Qi Tang which deal with neuropsychiatric symptoms like delirium.
- Promotes the movement of Qi downward, dries Dampness and transforms Phlegm
Dampness or Phlegm Obstructing the Middle Jiao with distention, fullness, nausea and diarrhoea
- Descends Rebellious Qi, reduces Phlegm and calms wheezing
Cough and wheezing due to Phlegm congesting the Lungs
- Expels Wind, scatters Cold and regulates the Blood
The Shen Nong Ben Cao Jing places in the middle class of woods and says "It mainly treats Wind-stroke, Cold damage, headache, Cold and Heat, fright qi, blood Bi and dead muscles."
- 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.
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Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for the syndrome of qi deficiency and fluid consumption, and in pregnant women. Due to some of the anticoagulant effects of its constituents it should be used with caution in conjunction with blood thinners. |
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Da Huang
| 20g | | |
Pinyin: Da Huang
Chinese: 大黄
Pharmaceutical: Radix et Rhizoma Rhei
Taxonomy: Rheum palmatum
English: Chinese Rhubarb Root |
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Tastes: Bitter, cold
Meridians Entered: Large Intestine, Spleen, Stomach, Liver and Heart |
Actions & Indications:
- Drains Heat and purges accumulations
Intestinal Heat Excess, with high fever, profuse sweating, thirst, constipation, abdominal distention and pain, delirium, a yellow tongue coat and a full pulse
Yang-Ming Fu Stage
Qi Level Heat in the Intestines
- Drains Fire
Fire from Excess with intense fever, sore throat, and painful eyes and constipation
Fire toxin sores due to Xue Level Heat, especially with constipation
- Clears Heat, transforms Dampness and promotes urination
Damp-Heat with oedema, jaundice, painful urinary dysfunction and acute, hot dysenteric disorders
- Drains Heat from the Blood
Bloody stool either from hemorrhoids or Heat in the Intestines
Chaotic movement of hot Blood with hemoptysis or epistaxis with constipation
It can be powdered and administered orally for bleeding in the upper digestive tract
- Invigorates the Blood and dispels Blood Stasis
Blood Stasis with amenorrhea, fixed abdominal masses or fixed pain
Blood Stasis due to traumatic injury
Intestinal abscess
- Clears Heat and reduces Fire toxicity
Topically or internally for burns or skin lesions (Chuang Yung) due to Heat
- Clears Heat and eliminates Phlegm
Chronic Accumulation of Phlegm-Heat with cough, dyspnea, mania, disorientation and other symptoms of Phlegm Misting the Heart
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Standard Dosage: 10-15g in decoction. Excessive decoction will reduce the purgative action. Therefore it should be added at end to achieve this purpose and over-decocted to eliminate this action.
Cautions: It should be used with caution in case of spleen and stomach deficiency for its bitter and cold property which is easily to damage stomach qi. It is contraindicated to women during pregnancy, menstruation or lactation for it has actions of activating blood and resolving stasis, and can make the purged substances follow lactating out. |
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Coltsfoot is no longer used due to its pyrrolizidine alkaloid content. Clonal breeds with no detectable levels have been developed in Austria and Germany but it may have to removed or substituted in countries like the UK where supply chains are not regulated.
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.