Pinyin: Niu Huang  Chinese: 牛黄
Pharmaceutical: Calculus Bovis
English: Ox Gallstone / Bezoar

Tastes: Bitter, cool
Meridians Entered: Liver and Heart

Actions & Indications:

1. Clears the Heart, opens the Orifices aromatically, awakens the Spirit and vaporizes Phlegm
   Delirium or coma due to Hot Phlegm Obstructing the Pericardium or Warm-Heat pathogen Wind-Stroke, convulsions or seizures
2. Clears the Liver, relieves Fire toxicity, extinguishes Wind and stops tremors
   Extreme Heat Generates Liver Wind with high fever, spasms, tremors or convulsions
3. Drains Heat and resolves Fire toxicity
   Carbuncles, boils and a wide variety of Hot swellings (Chuang Yung) (can be used as a stand-alone herb)
4. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of animal parts which can, with protracted taking, 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: 0.15-0.35g as powder or pills.
Cautions: It should be used with cautions for pregnant women.

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 Huang Lian, Gou Teng and Tian Zhu Huang.

Pinyin: Huang Lian  Chinese: 黄连
Pharmaceutical: Rhizoma Coptidis
Taxonomy: Coptidis chinensis
English: Coptis Rhizome / Goldthread Rhizome

Tastes: Bitter, cold
Meridians Entered: Heart, Stomach, Large Intestine and Liver

Actions & Indications:

1. Clears Heat and drains Dampness
   Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
   Stomach Heat with vomiting and/or acid regurgitation
2. Drains Fire and resolves Fire toxicity
   Heat with Blazing Fire (Toxic Heat) with high fever. irritability, disorientation, delirium, a red tongue and a rapid, full pulse
   Heat from Excess with toxicity: painful, red eyes and a sore throat
   Boils, carbuncles and abscesses (Chuang Yung)
3. Clears Heat and stops bleeding
   Blood Heat with epistaxis, hematuria, hemafecia and hemoptysis
4. Clears Heat topically
   Infected wounds, red and painful eyes, ulcerations of the tongue and mouth (topical)
5. Clears Heart Fire (sedative)
   Heart Fire
   Lack of communication between the Heart and Kidneys
6. Drains Stomach Fire
   Stomach Fire
7. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, improve memory. 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: 2-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Because its taste is extremly bitter and dryness, overdosage and long-time taking will impair spleen and stomach, yin and fluids.

Pinyin: Huang Qin  Chinese: 黄芩
Pharmaceutical: Radix Scutellariae baicalensis
Taxonomy: Scutellaria baicalensis
English: Baical Skullcap Root

Tastes: Bitter, cold
Meridians Entered: Lung, Stomach, Gallbladder, Large Intestine and Bladder

Actions & Indications:

1. Clears Heat and dries Dampness
   Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
   Damp-Warmth with fever, a stifling sensation in the chest and thirst with no desire to drink
   Damp-Heat in the Lower Jiao with painful urinary dysfunction
   Damp-Heat jaundice (auxiliary), infectious hepatitis
2. Drains Fire and detoxifies
   Heat and Fire especially in the Upper Jiao (Lung) with high fever, irritability, thirst, cough and expectoration of thick, yellow sputum
   Upper respiratory tract infection
   Hot sores and swellings (topical or internal)
3. Cools the Blood and stops bleeding
   Xue Stage Heat or Blood Heat causing bleeding with epistaxis, hemoptysis, hematemesis and hemafecia
4. Clears Heat and calms the fetus
   Fetal restlessness due to Heat
5. Calms ascending Liver Yang
   Liver Yang Rising with headache, irritability, red eyes, flushed face and bitter taste
   Hypertension (high blood pressure)
   Gallbladder Heat

Standard Dosage: 5-15g in decoction.

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 Zi  Chinese: 栀子
Pharmaceutical: Fructus Gardeniae
Taxonomy: Gardenia jasminoides
English: Gardenia Fruit

Tastes: Bitter and cold
Meridians Entered: Heart, Liver, Stomach and Lung

Actions & Indications:

1. 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
2. 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
3. Cools the Blood and relieves toxicity (stops bleeding by astringing)
   Heat in the Blood with epistaxis, hematemesis, hemafecia or hematuria (partially charred)
4. Reduces swelling and invigorates the Blood
   Blood Stagnation due to trauma (topical)

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.

Pinyin: Bing Pian  Chinese: 冰片
Pharmaceutical: Borneolum
Taxonomy: Dryobalanops aromatica
English: Borneol Camphor

Tastes: Pungent, bitter, slightly cold
Meridians Entered: Heart, Liver and Lung

Actions & Indications:

1. Aromatically opens the Orifices, revives the Spirit and unblocks closed disorders
   Impaired consciousness fainting and convulsions
2. Clears Heat, drains Fire, resolves toxicity, clears the eyes and removes superficial visual obstructions
   Heat leading to headache, red and swollen eyes, superficial visual obstruction and sores in the mouth
3. Clears Heat, alleviates pain, dissipates nodules and alleviates itching
   Topically for pain and swelling of the throat, skin diseases such as sores and scabies, and eye diseases such as photophobia and excessive tearing

Standard Dosage: 0.1-0.3g in powder or pills for internal use. Should not be decocted.
Cautions: It should be used with cautions for pregnant women.

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. While natural Bing Pian is a crystalised tree resin, the Dryobalanops aromatica is critically endangered making genuine Bing Pian expensive and morally questionable. Most Bing Pian is therefore synthetically made and not suitable for consumption. It is generally substituted with Shi Chang Pu and Yuan Zhi where possible.

Pinyin: Da Huang  Chinese: 大黄
Pharmaceutical: Radix et Rhizoma Rhei
Taxonomy: Rheum palmatum
English: Chinese Rhubarb Root

Tastes: Bitter, cold
Meridians Entered: Large Intestine, Spleen, Stomach, Liver and Heart

Actions & Indications:

1. 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
2. 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
3. Clears Heat, transforms Dampness and promotes urination
   Damp-Heat with oedema, jaundice, painful urinary dysfunction and acute, hot dysenteric disorders
4. 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
5. 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
6. Clears Heat and reduces Fire toxicity
   Topically or internally for burns or skin lesions (Chuang Yung) due to Heat
7. Clears Heat and eliminates Phlegm
   Chronic Accumulation of Phlegm-Heat with cough, dyspnea, mania, disorientation and other symptoms of Phlegm Misting the Heart

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.

Pinyin: Lian Qiao  Chinese: 连翘
Pharmaceutical: Fructus Forsythiae
Taxonomy: Forsythia suspensa
English: Weeping Forsythia Capsule / Forsythia Fruit

Tastes: Bitter, slightly pungent, slightly cold
Meridians Entered: Lung, Heart and Gall Bladder or Small Intestine

Actions & Indications:

1. Clears Heat (especially in the Upper Jiao) and resolves Toxicity
   Wind-Heat with high fever, slight chills and sore throat
   Bound Heat
2. Reduces abscesses and dissipates clumps
   Toxic Heat sores and swellings (Chuang Yung), swollen welling abscesses, malign sores, scrofula, goiter and tumours of the neck
   Throat Bi
3. Clears Blood Heat
   Blood Heat
4. Promotes urination
   Lin syndrome (urinary stones), dysuria, haematuria
5. Releases the Exterior and Drives Out Snakes
   Mentioned in the Shen Nong Ben Cao Jing as an inferior herb that treats Gu Toxins
   Chronic inflammatory disease (Fruehauf, 1998; 2015)

Standard Dosage: 10-15g in decoction.

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: Ju Hua  Chinese: 菊花
Pharmaceutical: Flos Chrysanthemi
English: Chrysanthemum

Tastes: Pungent, sweet, bitter, slightly cold
Meridians Entered: Lung and Liver

Actions & Indications:

1. Disperses Wind and clears Heat
   Wind-Heat from a common Cold or Warm pathogen disease
2. Calms the Liver and clears the eyes
   Dry, swollen and/or painful eyes due to Wind-Heat in the Liver channel or Liver Yang
   Rising Spots in front of the eyes, blurred vision or dizziness due to Kidney and Liver Yin Deficiencies
   Liver and Kidney Yin Deficiencies with heatstroke
3. Calms Liver Yang and extinguishes Wind
   Liver Wind with dizziness, headache and deafness
   Liver Yang Rising (Liver and Kidney Yin Deficiency)
   Hypertension (high blood pressure)
4. Detoxifies (purifies Blood)
   Toxic sores and swellings
5. Promotes the movement of Heart Qi and Blood and stimulates Blood circulation
   Heart Qi and Blood Stagnation
6. Kills Gu Parasites and Scatters Toxins by Releasing the Exterior
   Chronic inflammatory disease (Fruehauf, 1998; 2015)
7. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, disinhibit the Blood and Qi, make the body light, slow ageing 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: 9-15g in decoction.

Pinyin: Fang Feng  Chinese: 防风
Pharmaceutical: Radix Saposhnikoviae seu Ledebouriellae
English: Siler

Tastes: Pungent, sweet, slightly warm
Meridians Entered: Lung, Liver and Spleen

Actions & Indications:

1. Releases the Exterior and expels External Wind
   Wind-Cold with headache, chills, aversion to Cold, and body aches
2. Expels Wind-Dampness and alleviates pain
   Wind-Damp Bi, especially with Wind predominant
3. Expels Internal Wind and stops spasms
   As an auxiliary for Liver Wind with trembling of hands and feet and tetany
   Intestinal-Wind due to imbalance between Spleen and Liver with recurrent tenesmus and painful diarrhoea with bright blood in the stool
   Migraine headaches
4. Relieves diarrhoea and stops bleeding
   Liver and Spleen Disharmony with recurrent painful diarrhoea, borborygmus and abdominal pain
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which 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).

Standard Dosage: 5-10g in decoction.
Cautions: It should be used with caution for blood deficiency and internal wind induced by heat because of its warm property.

Pinyin: Jing Jie  Chinese: 荆芥
Pharmaceutical: Herba Schizonepetae
English: Japanese Catnip

Tastes: Pungent, slightly warm
Meridians Entered: Lung and Liver

Actions & Indications:

1. Releases the Exterior and expels Wind
   Wind-Cold or Wind-Heat Carbuncles or boils (Chuang Yung) when they first erupt - especially with chills and fever
2. Vents rashes and relieves itching
   Initial-stage measles and pruritic skin eruptions
3. Stops bleeding
   Hemorrhage (auxiliary)
4. Dispels Wind and relieves muscle spasms
   Postpartum spasms, trismus, muscle cramps and spasms due to Wind

Standard Dosage: 5-10g in decoction.

Pinyin: Bai Zhi  Chinese: 白芷
Pharmaceutical: Radix Angelicae dahuricae
Taxonomy: Angelica dahurica
English: Dahurian Angelica Root

Tastes: Pungent and warm
Meridians Entered: Lung, Stomach and Large Intestine

Actions & Indications:

1. Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain
   External Wind-Cold patterns, especially with headache
   Supra orbital pain, nasal congestion and toothache, arthritis
   Any External Wind invasion of the Yangming channels of the head with a frontal headache
2. Reduces swelling, eliminates toxins and expels pus
   Early-stage superficial sores, boils and carbuncles, pruritis
3. Expels Dampness, alleviates discharge and treats leukorrhea and diarrhoea
   Vaginal discharge due to Cold-Dampness in the Lower Jiao
4. Releases the Exterior and Drives Out Snakes
   Chronic inflammatory disease (Fruehauf, 2015)
   One of the chief herbs for treating Gu Syndrome, along with Bo He and Zi Su Ye, classed as "open the exterior with snake killing herbs" (Fruehauf, 1998).
   Also used topically for fungal infections which may explain some of its anti-Gu actions.

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for Blood Heat induced by Yin deficiency because of its pungent, fragrant, warm, dry property.

Pinyin: Chuan Xiong  Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root

Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
   Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
2. Expels Wind and alleviates pain
   Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
   Wind skin disorders
3. Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs.

Pinyin: Jie Geng  Chinese: 桔梗
Pharmaceutical: Radix Platycodi
English: Balloon Flower Root

Tastes: Bitter, pungent, neutral
Meridians Entered: Lung

Actions & Indications:

1. Opens the Lungs, spreads Lung Qi, expels Phlegm and benefits the throat
   Cough due to Wind-Cold or Wind-Heat (with profuse sputum, sore throat, loss of voice)
   Loss of voice or sore throat due to external Heat, Phlegm Heat or Yin Deficiency Heat
2. Expels pus
   Lung or throat abscess (Phlegm and Qi Stagnation) with fevers, chest pain, coughing of yellow sputum with a fishy smell and hemoptysis
3. Opens and raises Lung Qi, directing the effects of other herbs to the upper body
   Reinforces the actions of the other herbs and focuses the formula on the upper body
4. Expels Gu Toxins
   Vomiting blood due to Gu-Toxins (with Gan Cao; in the Soushen Ji, Record of Searching for Spirits; Wilcox, 2024).

Standard Dosage: 3-10g in decoction.
Cautions: Overdose can cause nausea and vomiting.

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: Bo He  Chinese: 薄荷
Pharmaceutical: Herba Menthae haplocalycis
Taxonomy: Mentha haplocalyx
English: Field Mint / Wild Mint

Tastes: Pungent, cool
Meridians Entered: Lung and Liver

Actions & Indications:

1. Disperses Wind-Heat, cools and clears the head and eyes and benefits the throat
   Wind-Heat with fever, cough, headache, red eyes and a sore throat
2. Vents rashes
   Early-stage rashes e.g. measles
3. Relieves Stagnation of Liver Qi
   Liver Qi Stagnation with pressure in the chest or flanks, emotional instability and gynecological problems
4. Expels turbid filth
   Exposure to unclean Qi in the Summertime leading to gastric distress with abdominal pain, vomiting. diarrhoea and a thick, yellow, greasy tongue coat
5. Releases the Exterior and Drives Out Snakes
   Chronic inflammatory disease (Fruehauf, 2015)
   One of the chief herbs for treating Gu Syndrome, along with Bai Zhi and Zi Su Ye, classed as "open the exterior with snake killing herbs" (Fruehauf, 1998).

Standard Dosage: 3-10g in decoction.

Pinyin: Chi Shao  Chinese: 赤芍
Pharmaceutical: Radix Paeoniae Rubra
Taxonomy: Paeonia lactiflora seu veitchii
English: Red Peony Root

Tastes: Bitter, pungent, light cold
Meridians Entered: Liver

Actions & Indications:

1. Clears Heat and cools the Blood
   Xue Stage Heat Stage Heat or Blood Heat with fever, a purple tongue, maculae, hemorrhage and Blood Heat gynecological problems
2. Clears Liver Fire and relieves eye pain
   Liver Fire with redness, swelling and pain of the eyes
3. Reduces swelling from sores and abscesses
   Early stage abscesses and boils

Standard Dosage: 6-12g in decoction.
Cautions: It is antagonistic to Li Lu. It should be used with caution in hot skin conditions where it may aggravate by "fanning the flames". Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin.

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.

Pinyin: Lian Zi Xin  Chinese: 莲子心
Pharmaceutical: Plumula Nelumbinis
English: Lotus Plumule

Tastes: Bitter, cold
Meridians Entered: Lung, Heart and Kidney

Actions & Indications:

1. Drains Heart Fire and relieves irritability
   Ying Stage Heat Attacking the Pericardium with a high fever, mental confusion or delirium Heart Fire with insomnia or irritability
2. Stops bleeding and astringes Jing
   As a powder for hematemesis or spermatorrhea

Standard Dosage: 1.5-3g in decoction.

Pinyin: Xiong Huang  Chinese: 雄黃
Pharmaceutical: Realgar
Taxonomy: As₂S₂
English: Realgar

Tastes: Pungent, warm, toxic
Meridians Entered: Liver, Stomach and Large Intestine

Actions & Indications:

1. Kills Demonic Things (精物 Jing Wu), Evil Ghosts (惡鬼 E Gui), perverse Qi (邪氣 Xie Qi) and resolves the Toxicity of the Hundred Parasites (百蟲毒 Bai Chong Du)
   Scabies, ringworm and Damp rashes (topical)
   Any kind of skin itch (topical)
   Abscesses, suppurative inflammation, ulcerations, and snakebite (topical)
   Intestinal parasites especially when there are signs of accumulation, particularly roundworms
   Gu Sydnrome (Fruehauf, 1998)
2. Dries Dampness, expels Phlegm, stops malarial disorders and settles Wind
   Wheezing
   Seizures
   Malarial disorders
3. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of minerals which can, after sublimation, make the body light and become an immortal. 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). However, it is not recommended for prolonged taking like most other superior minerals.

Standard Dosage: Due to toxicity no dose is permissible today. Traditionally 0.05-0.1g internally or a small amount applied as powder in external applications.
Cautions: This substance is toxic due to its arsenic content and so should not be used.

Traditional usage requires it to be refined with water, and just for temporary use. For external application, it is not suitable for a large scale use or for a long time. It is contraindicated for the pregnant women. Avoid being calcined by fire.