Pinyin: Ren Shen  Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root

Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart

Actions & Indications:

1. Powerfully tonifies Yuan Qi
   Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
   Collapse of Yang
   Collapse of Yin
2. Tonifies Spleen and Stomach Qi
   Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
3. Tonifies Lung Qi
   Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
4. Generates Body Fluids and stops thirst
   Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
5. Tonifies Heart Qi and calms the Spirit
   Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
6. Treats impotence
   With Kidney Yang tonics for impotence
7. Tonifies Qi in Deficiency patients with Exterior conditions
   Exterior disorder with Interior Deficiency
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: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen.

Pinyin: Mai Men Dong  Chinese: 麥門冬
Pharmaceutical: Radix Ophiopogonis
English: Dwarf Lilyturf Root

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

Actions & Indications:

1. Moistens the Lungs, nourishes Yin and stops coughing
   Lung Yin Deficiency with a hacking, dry cough or a cough with thick, difficult to expectorate sputum, or hemoptysis
   Pathogenic Warm-Dryness Dryness that has transformed into Fire
2. Nourishes Stomach Yin and generates Fluids
   Stomach Yin Deficiency with dry mouth and tongue
3. Moistens the Intestines
   Constipation, dry mouth and irritability as a result of febrile disease or Yin Deficiency
4. Clears the Heart and eliminates irritability
   Ying Stage Heat with fever and irritability which is worse at night
   Yin Deficiency with fever and irritability which is worse at night
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, prevent senility 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: 10-15g in decoction.

Pinyin: Gan Song  Chinese: 甘松
Pharmaceutical: Radix et rhizome Nardostachys
Taxonomy: Nardostachys chinensis seu jatamansi
English: Spikenard

Tastes: Sweet, acrid, warm
Meridians Entered: Stomach, Spleen

Actions & Indications:

1. Regulates Qi and alleviates pain, harmonises the Stomach and fortifies the Spleen
   Stomachache, loss of appetite, vomiting
   Distention, fullness and oppression in chest and abdomen
   Headache
   Hysteria
   Cough
   Modern studies on the volatile oils and indications from Ayurveda and Unani medicine include palpitations, especially from arrythmia or tachycardia, hypertension, angina pectoris, anxiety, insomnia, memory loss, stress, seizures and menstrual problems which may be attributes to the Spleen's functions of managing the Blood and housing the Yi. See notes below.
2. Expels Cold and unblocks Stagnation (topical)
   Fungal infections, hair loss, sores and boils
   Toothache
   Foot Qi
   Haemorrhoids, varicose veins

Standard Dosage: 3-6g in decoction.
Cautions: Qi deficiency with Blood-Heat

Pinyin: Sang Ji Sheng  Chinese: 桑寄生
Pharmaceutical: Herba Taxilli
Taxonomy: Taxillus chinensis
English: Mulberry Mistletoe Stems

Tastes: Pungent, bitter, sweet, mild
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Tonifies Liver and Kidney Yin, strengthens the sinews and bones and expels Wind-Dampness
   Liver and Kidney Yin Deficiency with Bi pain (lower back and leg soreness and pain, joint problems, numbness and weakness and atrophy of the sinews and bones) (whether or not Wind-Dampness is present)
2. Nourishes the Blood and benefits the skin
   Blood Deficiency with dry, scaly skin
   Hypertension or high blood sugar due to Blood Deficiency (Qin et al., 2022)
3. Calms the womb and promotes lactation
   Restless fetus due to Blood Deficiency or metrorrhagia during pregnancy
   Insufficient lactation due to Blood Deficiency

Standard Dosage: 9-15g in decoction.

Pinyin: Suan Zao Ren  Chinese: 酸枣仁
Pharmaceutical: Semen Ziziphi spinosae
Taxonomy: Ziziphus jujuba var. spinosa
English: Spiny Date Seed / Sour Jujube Seed

Tastes: Sweet, sour, neutral
Meridians Entered: Heart, Liver and Gallbladder

Actions & Indications:

1. Nourishes Heart Yin, tonifies Liver Blood and calms the Spirit
   Irritability, insomnia, palpitations and anxiety due to Liver Blood Deficiency or Heart Yin Deficiency with Deficiency Fire Rising
2. Astringes sweat and generates fluids
   Abnormal sweating, either spontaneous sweating or night sweats
3. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, quiet the five viscera, 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: 9-15g in decoction.

Pinyin: Shan Zhu Yu / Shan Yu Rou  Chinese: 山茱萸 / 山萸肉
Pharmaceutical: Fructus Corni
Taxonomy: Cornus officinalis
English: Dogwood Fruit

Tastes: Sour, slightly warm
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Stabilizes the Kidneys and astringes Jing and Body Fluids
   Leakage of fluids due to weak Jing with urinary frequency, incontinence, spermatorrhea and excessive sweating
2. Stops excessive sweating and supports that which has collapsed
   Collapse of Qi with excessive sweating and shock
   Devastated Yang with excessive sweating and shock
   Sweating mistakenly induced as a treatment
3. Tonifies Liver and Kidney Yin and strengthens Kidney Yang
   Lightheadedness, dizziness, soreness and weakness of the lower back and knees or impotence due to Kidney and Liver Yin Deficiency and Kidney Yang Deficiency
4. Stabilizes the menses and stops bleeding
   Excessive uterine bleeding and prolonged menstruation due to Deficiency (weak effect)
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).
6. Removes the Three Worms
   Said in the Shen Nong Ben Cao Jing that it removes the Three Worms. These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.

Standard Dosage: 5-10g in decoction.

Pinyin: Dan Shen  Chinese: 丹參
Pharmaceutical: Radix Salviae miltiorrhizae
Taxonomy: Salvia miltiorrhiza
English: Red Sage Root / Salvia Root / Zi Dan Shen 紫丹參 (Purple Cinnabar Ginseng) / Xue Shen 血參 (Blood Ginseng)

Tastes: Bitter, slightly cold
Meridians Entered: Heart and Liver

Actions & Indications:

1. Clears Heat and soothes irritability
   Ying Stage Heat with restlessness, irritability, palpitations and insomnia
   Heart and Kidney Yin Deficiency
2. Cools the Blood and reduces abscesses
   Adjunctive to treat sores or early-stage breast abscesses
3. Nourishes the Blood and calms the Spirit
   Palpitations and insomnia due to Ying and Xue Stage Heat or Heart Blood Deficiency
   Agitation due to Gu Parasites / chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 5-15g in decoction.
Cautions: Use with caution for pregnant women. Contraindicated to Li Lu.

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: Wu Wei Zi  Chinese: 五味子
Pharmaceutical: Fructus Schisandrae
Taxonomy: Schisandra chinensis
English: Schisandra Fruit / Chinese Magnolia-vine Fruit

Tastes: Sour, sweet, warm
Meridians Entered: Lung, Heart and Kidney

Actions & Indications:

1. Astringes the leakage of Lung Qi and stops coughing
   Chronic cough and wheezing due to Lung Qi Deficiency
   Lung and Kidney Deficiency patterns
2. Tonifies the Kidneys, binds up Essence (astringes Jing) and stops diarrhoea and spermatorrhea
   Kidney Deficiency with nocturnal emissions, spermatorrhea, vaginal discharge and urinary frequency
   Spleen and Kidney Deficiency with daybreak diarrhoea
3. Astringes sweat and generates fluids
   Excessive sweating. especially when accompanied by thirst or a dry throat
   In combination, it is used for spontaneous sweating, night sweats and wasting and thirsting disorder
4. Quiets the Spirit and calms and contains Heart Qi
   Heart and Kidney Blood and Yin Deficiency, with irritability, palpitations, dream-disturbed sleep and insomnia
5. Tonifies Qi
   Heart and Spleen Qi Deficiency

Standard Dosage: 3-6g in decoction. 1-3g as powder.
Cautions: It is contraindicated in cases of external pathogen existence, internal excess heat, acute cough, early stage of measles.

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: Tu Bie Chong  Chinese: 土鳖虫
Pharmaceutical: Eupolyphagae seu Steleophagae
Taxonomy: Eupolyphaga sinensis seu Steleophaga plancyi
English: Woodlouse

Tastes: Salty, cold, lightly toxic
Meridians Entered: Liver

Actions & Indications:

1. Breaks up and drives out Blood Stasis, invigorates Blood circulation and disperses lumps and masses
   Blood Stasis with abdominal masses and amenorrhea
   Swollen tongue due to Blood Stasis
2. Knits together sinews and joins bones
   Traumatic injury with lacerations, contusions and fractures
   Lumbar strain (toasted and ground into a powder)

Standard Dosage: 3-10g in decoction, or 1-1.5g in yellow wine.
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 E Zhu and Ru Xiang.

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.