Pinyin: Bie Jia  Chinese: 鳖甲
Pharmaceutical: Carapax Trionycis
English: Soft Turtle Shell

Tastes: Salty, cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Nourishes Yin and anchors Yang
   Yin Deficiency with fever, steaming bone disorder, night sweats or consumption
   Internal stirring of Liver Wind
2. Invigorates the Blood, promotes menstruation, softens hardness and dissipates nodules
   Chest and flank accumulations with pain and amenorrhea
   Excessive menstruation due to Hot Blood
   Malarial disorders with palpable masses
3. Heavily anchors, descends, unblocks and facilitates the functions of the Blood vessels
   Problems in children due to internal clumping

Standard Dosage: 10-15g in decoction.
Cautions: 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 Qing Hao and Sheng Di Huang, or Huang Jing.

Turtles may also act as viral reservoirs and have been proposed as the potential intermediate host for coronavirus between bats and humans (Liu et al., 2020.

Pinyin: Qing Hao  Chinese: 青蒿
Pharmaceutical: Herba Artemisiae Annuae
Taxonomy: Artemisia Annua
English: Sweet Wormwood

Tastes: Bitter, pungent, cold
Meridians Entered: Liver, Gallbladder and Kidney

Actions & Indications:

1. Clears Summerheat or Damp-Heat
   Summerheat with low fever, headache, dizziness and a stifling sensation in the chest
2. Clears Deficiency fevers
   Blood Deficiency or Yin Deficiency fevers
   Sequelae of a febrile disease
   Especially good when steaming bone patterns are marked by anhidrosis
3. Cools the Blood and stops bleeding
   Purpuric rashes or epistaxis due to Blood Heat
4. Stops malarial disorders and relieves Heat
   Malarial disorders with alternating chills and fever
5. Clears Liver Heat and brightens the eyes
   Liver Yang Rising with red eyes, dizziness and photophobia
6. Kills Parasites and expels Ghosts and Demons
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
   Around 1^st century BCE, it's fragrance was used ritually to mask the smell of the dead (Liu et al., 2013), where it may have earned its ability to treat ghost possession and then other lingering pathogens with perceived supernatural origins.

Standard Dosage: 6-12g in decoction.

Pinyin: Tian Hua Fen  Chinese: 天花粉
Pharmaceutical: Radix Trichosanthis
English: Snakegourd Root

Tastes: Sweet, slightly bitter and slightly cold
Meridians Entered: Lung and Stomach

Actions & Indications:

1. Drains Heat and generates Fluids
   Lung Heat and Dryness with thirst and irritability
   Yin Deficiency thirst
   Wasting and thirsting disorder (Xiao Ke)
   Thick sputum, blood streaked sputum
2. Clears and drains Lung Heat, transforms Phlegm and moistens Lung Dryness
   Phlegm Heat above the diaphragm, especially when the Heat has led to Dryness
3. Relieves toxicity, expels pus and reduces swelling
   Chuang Yung (especially breast abscesses - internal and topical)

Standard Dosage: 10-15g in decoction.

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: Sang Ye  Chinese: 桑叶
Pharmaceutical: Folium Mori
Taxonomy: Morus alba
English: Mulberry Leaf

Tastes: Sweet, bitter, cold
Meridians Entered: Lung and Liver

Actions & Indications:

1. Disperses and scatters Wind-Heat
   Wind-Heat with fever, headache, sore throat and cough
   The Shen Nong Ben Cao Jing also says it eliminates Cold and Heat by promoting sweating
2. Calms the Liver and clears the eyes
   Liver channel eye problems due to Wind-Heat or Yin Deficiency
   Vertigo due to Liver Yang Rising with red, sore, dry or painful eyes or spots in front of the eyes
   Hypertension (high blood pressure), high blood sugar and cholesterol
3. Clears Heat from the Lungs, stops coughing and moistens Dryness
   Lung Heat with thick, yellow Phlegm
   Lung Dryness with cough and a dry mouth
4. Cools the Blood and stops bleeding
   Mild cases of hematemesis due to Blood Heat
5. Treats Xiao Ke
   High blood glucose, type 2 diabetes, Upper Jiao Xiao Ke where thirst is the primary symptom
   Management of obesity

Standard Dosage: 9-15g in decoction.

Pinyin: Mu Dan Pi  Chinese: 牡丹皮
Pharmaceutical: Cortex radicis Moutan
Taxonomy: Paeonia suffruticosa
English: Tree Peony Root Bark / Moutan Peony Root Bark

Tastes: Bitter, pungent, light cold
Meridians Entered: Heart, Liver and Kidney

Actions & Indications:

1. Clears Heat and cools (and harmonizes) the Blood
   Xue Stage Heat with epistaxis, hemoptysis, hematemesis or subcutaneous bleeding
   Menorrhagia due to Blood Heat
2. Clears Deficiency Fire
   Yin Deficiency Heat signs especially in the aftermath of Warm Febrile Disease with fever at night and coolness in the morning (most appropriate when the is no sweating)
3. Invigorates the Blood and dispels Blood Stasis
   Blood Stasis with amenorrhea, abdominal masses, lumps or bruises due to trauma
   Liver Blood Stagnation
4. Clears Liver Fire
   Liver Fire with headache, eye pain, flank pain, flushing and dysmenorrhea
5. Drains pus and reduces swelling
   Non-draining sores (topical)
   Intestinal abscesses (internal)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of profuse menstruation and pregnant women.