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: 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: Ban Xia  Chinese: 半夏
Pharmaceutical: Rhizoma Pinelliae
Taxonomy: Pinellia ternata
English: Pinellia Rhizome

Tastes: Pungent, warm, toxic
Meridians Entered: Lung, Spleen and Stomach

Actions & Indications:

1. Dries Dampness and transforms Phlegm
   Cold-Phlegm in the Lungs (cough with copious sputum)
   Especially effective for Damp-Phlegm of the Spleen (Cold-Damp Stagnation)
2. Descends Rebellious Qi and stops vomiting (harmonizes the Stomach)
   Vomiting due to Phlegm-Damp in the Stomach (Tan Yin), Cold thin mucus, Stomach Deficiency, Stomach Heat or pregnancy
3. Dissipates nodules and reduces Stagnation (clumps)
   Phlegm in the chest (nodules, pressure, distention, pain)
   Phlegm nodules in the neck (goiter, scrofula)
   Focal distension in the chest and epigastrium
   Obstruction caused by Phlegm anywhere in the body
4. Treats sores, skin ulcerations and carbuncles and reduces swelling (external)
   Topically as a powder for sores, skin ulcerations and carbuncles

Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou. Use with cautions during gestation.

Must be processed before use as raw Ban Xia is toxic. Ingesting the raw form can cause severe irritation of the mouth, pharynx, and gastrointestinal tracts, and has toxic effects on the nervous system. Symptoms of toxicity include a dry mouth, numbness of the tongue, gastric discomfort, burning sensations and swelling of the mouth, tongue, throat and salivation. In serious cases ingesting Ban Xia can result in hoarseness, spasms, dyspnoea and asphyxia.

Processing can be done with ginger and alum (Jiang Ban Xia) to make a warming herb best suited for Cold-Damp and thin Phlegm conditions, or with liquorice (Fa Ban Xia) to make a more neutral herb that is less drying and can be used for Damp-Heat conditions too.

Pinyin: Bai Zhu  Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome

Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
   Spleen Yang failure to rise
2. Dries Dampness and promotes water metabolism
   Spleen Damp or accumulation of fluids affecting the digestion
   Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
   Tan Yin, masses, swelling
   Auxiliary for Damp painful obstruction
3. Stabilizes the Exterior and stops sweating
   Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
   With appropriate herbs, other types of sweating
4. Calms the fetus
   Restless fetus disorder due to Spleen Qi Deficiency
   With appropriate herbs, other types of Restless Fetus Disorder
5. 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, prolong life and make one free from hunger. 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: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen.

Pinyin: Zhi Shi  Chinese: 枳实
Pharmaceutical: Fructus Aurantii Immaturus
Taxonomy: Citrus aurantium
English: Immature Seville Orange / Immature Bitter Orange / Immature Sour Orange

Tastes: Pungent, bitter, slightly cold
Meridians Entered: Spleen, Stomach and Large Intestine

Actions & Indications:

1. 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
2. Transforms Phlegm, reduces distention and resolves hardenings
   Turbid Phlegm Obstructing the Qi with focal distention and fullness in the chest and epigastrium

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for pregnant women.