Pinyin: Shan Yao  Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu

Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney

Actions & Indications:

1. Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
   Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
2. Tonifies Lung Qi and nourishes Lung Yin
   Lung Qi and/or Yin Deficiency with chronic cough
3. Tonifies Kidney Yin and astringes Jing
   Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
   消渴 Xiao Ke due to Qi and Yin Deficiency
4. 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 the body light, make one free from hunger 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). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.

Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.

Pinyin: Long Gu  Chinese: 龙骨
Pharmaceutical: Ossa Draconis
English: Fossilised Bones

Tastes: Sweet, astringent, neutral
Meridians Entered: Liver, Heart and Kidney

Actions & Indications:

1. Settles anxiety and calms the Spirit
   Agitated Heart and Spirit with emotional distress, restlessness, insomnia, palpitations with anxiety, seizures, or withdrawal mania
2. Calms the Liver and anchors and preserves Floating Yang
   Irritability, restlessness, dizziness, vertigo, blurred vision and a bad temper due to Liver Yin Deficiency with Liver Yang Rising
3. Prevents leakage of fluids
   Loss of fluids due to Deficiency with spermatorrhea, night sweats, spontaneous sweating, nocturnal emissions, vaginal discharge and uterine bleeding
4. Topically generates muscles and astringes ulcers
   Chronic non-healing sores and ulcerations
5. Treats Ghost Possession
   Said in the Shen Nong Ben Cao Jing to treat Heart and Abdomen Ghost Possession, Spiritual Matters (精物 Jing Wu) and Old Ghosts (老鬼). This refers to difficult to treat disorders thought to be of supernatural origin.
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of animal parts which can, with protracted taking, make the body light, enable one to communicate with the Spirit Light (Shen Ming 神明), and 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: 15-30g in decoction.
Cautions: The high mineral content of this medication may prevent the oral absorption of the fluoroquinolone class of antibiotics.

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 Bai Shao and Wu Wei Zi.

If viewed from a western perspective as a source of calcium which may cause sleep disturbances, then supplementation or inclusion of high calcium/magnesium content herbs (e.g. Kun Bu) could be considered, especially if other signs such as oesteoporosis or muscle cramps are present and risk of side effects from calcium/magnesium supplements are low (stones, calcified arteries, GI issues). However, this assumes a mechanism which does not match many of the traditional patterns for which it is prescribed.

Pinyin: Mu Li  Chinese: 牡蛎
Pharmaceutical: Concha Ostreae
English: Oyster Shell

Tastes: Salty, astringent, slightly cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Heavily settles and calms the Spirit
   Agitated Heart and Spirit with palpitations with anxiety, restlessness and insomnia
2. Calms the Liver, benefits Yin and anchors Floating Yang
   Liver Yin Deficiency with Liver Yang Rising or Yin Deficiency with internal Heat with restlessness, irritability, palpitations and spontaneous sweating
3. Prevents leakage of fluids
   Continuous sweat after febrile disease or in patients with steaming bone disorder
   Loss of fluids due to Deficiency with night sweats, spontaneous sweating, nocturnal emissions, spermatorrhea or vaginal discharge and uterine bleeding
4. Softens hardness and dissipates nodules
   Various kinds of lumps particularly neck lumps such as goiter or scrofula
5. Absorbs acidity and alleviates pain (calcined)
   Excessive Stomach pain with a sour taste in the mouth
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of animal parts which can, with protracted taking, fortify the bones and joints (骨节 Gu Jie), kill evil ghosts (邪鬼 Xie Gui), 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: 15-30g in decoction.
Cautions: The high mineral content of this medication may prevent the oral absorption of the fluoroquinolone class of antibiotics.

Caution should also be taken due to the possibility of heavy metal absorption from the oysters' environment. If decocting it is advisable to leave the dregs at the bottom as heavy metal particles will naturally sink. It is still probably advisable to avoid for long term use unless the source is known to be clean.

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 Xuan Shen, Bai Shao and Wu Wei Zi or Tian Ma.

If viewed from a western perspective as a source of calcium which may cause sleep disturbances, then supplementation or inclusion of high calcium/magnesium content herbs (e.g. Kun Bu which is also salty and softens nodulation) could be considered, especially if other signs such as oesteoporosis or muscle cramps are present and the risk of side effects from calcium/magnesium supplements are low (stones, calcified arteries, GI issues). However, this assumes a mechanism which does not match many of the traditional patterns for which it is prescribed.

Pinyin: Hai Piao Xiao  Chinese: 烏賊骨
Pharmaceutical: Os Sepiae
English: Cuttlefish Bone

Tastes: Salty, astringent, slightly warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Restrains, holds in and stops bleeding
   A wide variety of bleeding patterns, especially due to Deficiency
   Topically as a powder to stop bleeding from traumatic injury
2. Secures Jing and stops discharge
   Nocturnal emissions, premature ejaculation, or vaginal discharge due to Kidney Deficiency.
   It treats vaginal discharge due to a wide variety of causes
3. Controls acidity and alleviates pain
   Stomach acidity with Stomach or epigastric pain, distasteful belching or acid regurgitation
4. Resolves Dampness and promotes healing (moves Blood)
   Powdered and used topically for chronic, non-healing skin ulcers or Damp rashes of long duration

Standard Dosage: 6-20g in decoction.

Pinyin: Qian Cao Gen  Chinese: 茜草根
Pharmaceutical: Radix Rubiae cordifoliae
Taxonomy: Rubia cordifolia
English: Indian Madder Root / Manjistha

Tastes: Bitter, cold
Meridians Entered: Liver

Actions & Indications:

1. Cools the Blood and stops bleeding
   Bleeding due to Blood Heat with epistaxis, hematemesis, hemoptysis, hemafecia, hematuria and uterine bleeding
2. Invigorates the Blood and dispels Blood Stasis
   Pain due to Blood Stasis, especially chest and flank pain
   Retained lochia Pain from traumatic injury and joint pain
   Early-stage carbuncles
3. Disperses Wind-Dampness
   Bi pain
4. Unblocks the channels and vessels
   Wind pain in the bones and joints
5. Cools the Liver and transforms Phlegm
   Chronic, stubborn cough with pain in the chest due to Liver Fire Attacking the Lungs

Standard Dosage: 10-15g in decoction, but can be up to 30g.