Pinyin: Sheng Di Huang  Chinese: 生地黃
Pharmaceutical: Radix Rehmanniae
Taxonomy: Rehmannia glutinosa
English: Chinese Foxglove Root / Rehmannia Root

Tastes: Sweet, bitter, cold
Meridians Entered: Heart, Liver, Stomach and Kidney

Actions & Indications:

1. Clears Heat and cools the Blood
   Ying Stage Heat with high fever, thirst and a scarlet tongue
   Xue Stage Heat
   Hemorrhage due to Blood Heat
2. Nourishes Yin, generates fluids, increases saliva and treats wasting and thirsting
   Yin Deficiency with Heat signs
   Injury to fluids
   Throat pain due to Yin Deficiency
   Wasting and thirsting disorder (消渴 Xiao Ke - diabetes)
3. Cools Heart Fire
   Heart Fire
4. Calms the Spirit agitated by Parasites damaging the Yin
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
5. Breaks up Blood Stasis, expels Cold and Hot Bi, replenishes Bone Marrow and promotes the growth of Muscles and Flesh
   Broken bones or severed sinews from falls and a damaged center (Shen Nong Ben Cao Jing)
6. 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 prevent forgetfulness. 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: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea, abdomen distention due to spleen deficiency.

Pinyin: Du Zhong  Chinese: 杜仲
Pharmaceutical: Cortex Eucommiae
Taxonomy: Eucommia ulmoides
English: Hardy Rubber Tree / Chinese Rubber Tree

Tastes: Sweet, warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Tonifies the Kidneys and Liver and strengthens the sinews and bones
   Kidney and Liver Deficiency with a weak, sore or painful lower back and knees, fatigue and urinary frequency
   Weakness of sinews and bones
2. Aids the smooth flow of Qi and Blood
   Promotes circulation for weak sinews and bones
3. Calms the fetus
   Deficiency Cold patterns with bleeding during pregnancy
   Prevents miscarriage when the fetus is agitated or restless and when a pregnant woman has significant back pain or presents with a deficient condition
   Threatened abortion
4. Lowers blood pressure
   Dizziness and light-headedness due to Liver Yang Rising
5. Tonifies Kidney Yang
   Reproductive and urinary disorders such as impotence and incontinence
6. 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 slow ageing. 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: 10-15g in decoction.

Pinyin: Xiang Fu  Chinese: 香附
Pharmaceutical: Rhizoma Cyperi
English: Nut-Grass Rhizome

Tastes: Pungent, slightly bitter and sweet, bland
Meridians Entered: Liver and Triple Energizer

Actions & Indications:

1. Spreads and regulates Liver Qi
   Liver Qi Stagnation with hypochondriac pain and epigastric distention
   Disharmony between the Liver and Spleen
2. Regulates menstruation and alleviates pain
   Gynecological disorders due to Liver Qi Stagnation with dysmenorrhea or irregular menstruation

Standard Dosage: 6-10g in decoction.

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: 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: Xu Duan  Chinese: 续断
Pharmaceutical: Radix Dipsaci
English: Himalayan Teasel Root

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

Actions & Indications:

1. Tonifies the Liver and Kidneys and strengthens the sinews and bones
   Liver and Kidney Deficiency with sore and painful lower back and knees, stiffness in the joints and weakness in the legs
   Urinary dribbling from Kidney Deficiency
2. Stops uterine bleeding, calms the fetus and prevents miscarriage
   Bleeding during pregnancy
   Restless fetus
   Threatened miscarriage
   Ren channel Deficiency related uterine bleeding and vaginal discharge
3. Promotes the movement of Blood, alleviates pain, generates flesh and reconnects the sinews and bones
   Trauma (topical and internal) especially pain and swelling in the lower back and limbs
   External sores (topical)
   Bi pain
4. Reduces swellings, abscesses and sores
   Toxic abscesses and sores
5. Expels Gu Parasites
   Chronic inflammatory disease (Fruehauf, 2015)
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, boost the Qi and physical strength. 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: 10-15g in decoction.

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
   High Blood pressure
   Gallbladder Heat

Standard Dosage: 5-15g in decoction.

Pinyin: He Shou Wu  Chinese: 何首乌
Pharmaceutical: Radix Polygoni Multiflori Praeparata
Taxonomy: Polygonum multiflorum
English: Fleeceflower Root / Flowery Knotweed Root / Climbing Knotwood / Chinese Corn-bind / Fo-Ti

Tastes: Bitter, sweet and astringent, slightly warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Tonifies the Liver and Kidneys, nourishes the Blood and nourishes Jing (Zhi He Shou Wu)
   Blood Deficiency with dizziness, blurred vision, insomnia and premature graying of the hair
   Yin Deficiency with lower back and knee weakness and pain, soreness of the extremities, nocturnal emissions and insomnia
   Jing Deficiency
2. Expels Wind from the skin by nourishing the Blood (Zhi He Shou Wu)
   Wind-Rash due to Blood Deficiency
3. Moistens the Intestines and unblocks the bowels (Sheng He Shou Wu)
   Constipation due to Blood Deficiency
4. Relieves Fire Toxin (Sheng He Shou Wu)
   Fire toxin carbuncles, sores, scrofula, goiter and neck lumps (Chuang Yung)
5. Checks malarial disorders (Sheng He Shou Wu)
   Malarial disorders with Qi and Blood Deficiency
6. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 9-30g in decoction.
Cautions: Stir-baked Shou Wu is contraindicated for accumulated damp-phlegm because of its astringent properties and its strongly tonifying action. Raw He Shou Wu is contraindicated for loose stool because it can smooth stool.

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. 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.