Pinyin: Chan Tui  Chinese: 蝉蜕
Pharmaceutical: Periostracum Cicadae
English: Cicada Moulting / Cicada Slough

Tastes: Sweet, cold
Meridians Entered: Lung, Liver

Actions & Indications:

1. Disperses Wind and clears Heat
   External Wind-Heat especially with loss of voice and a swollen, sore throat
2. Vents rashes and relieves itching
   Early stage measles with incomplete expression of the rash
3. Clears the eyes and removes superficial visual obstruction
   Eye problems due to Wind-Heat such as red, painful, swollen eyes or blurry vision Liver and Kidney Yin Deficiencies with Liver Yang Rising
4. Stops spasms and extinguishes Liver Wind
   Childhood fevers in which Liver Wind causes convulsions, delirium, spasms, terror, tetanus, insomnia or nightmares

Standard Dosage: 6-15g 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 Bo He. Since it is mainly chitin which is the raw source for glucosamine a supplement could be suggested too, especially if it is the wheat germ agglutinin binding properties of N-Acetylglucosamine that are desired.

Pinyin: Jiang Huang  Chinese: 姜黄
Pharmaceutical: Rhizoma Curcumae longae
Taxonomy: Curcuma longa
English: Turmeric Root

Tastes: Pungent, bitter, warm
Meridians Entered: Liver and Spleen

Actions & Indications:

1. Invigorates the Blood, eliminates Blood Stasis and unblocks menstruation
   Blood Stasis Menstrual problems and chest or abdominal pain due to Blood Stasis from Deficiency Cold
2. Promotes the movement of Qi and opens the channels and collaterals to alleviate pain
   Liver Qi Stagnation with epigastric and abdominal pain
3. Expels Wind and invigorates the Blood
   Wind-Damp-Bi with Blood Stasis, especially in the shoulders
4. Reduces swelling
   Swelling and pain from sores and lesions caused by toxic Heat Accumulation with Qi and Blood Stagnation

Standard Dosage: 3-10g in decoction.
Cautions: Generally safe but its ability to increase bile secretion means caution should be used in cases of gallstones and avoided in biliary tract obstruction.

Pinyin: Chai Hu  Chinese: 柴胡
Pharmaceutical: Radix Bupleuri
Taxonomy: Bupleurum chinense (Nan Chai Hu) seu scorzoneraefolium (Bei Chai Hu)
English: Hare's Ear Root / Thorowax Root

Tastes: Bitter, pungent, slightly cold
Meridians Entered: Liver and Spleen

Actions & Indications:

1. Resolves Shaoyang disorders and reduces fever (harmonizes the Exterior and Interior)
   Shaoyang Stage with alternating chills and fever, a bitter taste,dizziness, tinnitus, flank pain, irritability, vomiting and a stifling sensation in the chest
   Deficiency Heat (auxiliary)
   Gallbladder Fire
2. Spreads Liver Qi and relieves Stagnation
   Liver Qi Stagnation with dizziness, vertigo, chest and flank pain, emotional instability and menstrual problems
   Disharmony between the Liver and Spleen with epigastric and flank pain, a stifling sensation in the chest, abdominal bloating, nausea and indigestion
   Liver/Gallbladder Disharmony
3. Raises Yang Qi (specifically the Clear Qi of the Stomach and Gallbladder)
   Spleen and Stomach Yang Deficiency, Qi collapse (prolapse) with hemorrhoids, vaginal discharge, bleeding or exhaustion
4. Disperses Wind-Heat and resolves Phlegm and congestion
   Wind-Heat
5. Guides herbs to the Shaoyang aspects of the head
   Shaoyang headaches
6. Releases the Exterior and Drives Out Snakes
   Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
7. 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 brighten the eyes and boost the Essence. 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: Up to 3g to raise sinking Qi, 6-9g to relieve Liver Qi stagnation, 12-24g to release the exterior.
Cautions: Anyone who has syndromes of yin deficiency with yang hyperactivity, stirring of liver wind, yin deficiency with effulgent fire and qi going upward adversely, this herb should be used with cautions.

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: Chuan Lian Zi  Chinese: 川楝子
Pharmaceutical: Fructus Meliae Toosendan
English: Sichuan Pagoda Tree Fruit / Sichuan Chinaberry / Melia Fruit

Tastes: Bitter, cold, mildly toxic
Meridians Entered: Liver, Stomach, Small Intestine and Urinary Bladder

Actions & Indications:

1. Dredges Liver Qi, releases Stagnation, stops pain and conducts Heat out from below
   Liver Qi Stagnation with pain in the chest and ribs, distention and pain from Liver/Stomach disharmony and bulging disorders
   It is most useful for problems involving Heat, but because it is very effective, it can also be used for Cold conditions with the appropriate herbs
2. Kills parasites and stops pain
   Roundworms and tapeworms
   Primarily used for abdominal pain associated with parasitic infestation
   Topically as a powder for dermatosis of the scalp
3. Kills fungus
   Topically, as a paste for fungal infections of the scalp
4. 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: 3-10g in decoction.
Cautions: It is bitter, cold and mildly toxic in property, so it can easily induce nausea, vomiting, etc. when overtaken.

Pinyin: Zhi Ke  Chinese: 枳壳
Pharmaceutical: Fructus Aurantii
Taxonomy: Citrus aurantium
English: Seville Orange / Bitter Orange / Sour Orange

Tastes: Bitter, pungent, sore and slightly cold
Meridians Entered: Spleen and Stomach

Actions & Indications:

1. Promotes the movement of Qi, reduces distention and pressure and resolves hardenings
   Qi Stagnation and accumulation (especially in weak or deficient patients)
2. Removes stagnated food
   Food Stagnation

Standard Dosage: 3-10g in decoction.
Cautions: Used with caution for pregnant women.

Pinyin: Zhu Ru  Chinese: 竹茹
Pharmaceutical: Caulis Bambusae in Taeniam
English: Bamboo Shavings

Tastes: Sweet, lightly cold
Meridians Entered: Lung, Heart and Stomach

Actions & Indications:

1. Clears Heat and transforms Hot Phlegm
   Lung Heat with viscous sputum a stifling sensation in the chest or hemoptysis (Phlegm-Heat in the Lungs)
   Gallbladder Fire harboring Phlegm and Phlegm-Heat
2. Clears Heat and stops vomiting
   Stomach Heat with bad breath, vomiting bitter or sour fluid, aversion to Heat, a greasy, yellow tongue coat (due to either Excess or Deficiency)
3. Cools the Blood and stops bleeding
   Blood Heat bleeding
4. Calms the fetus
   Restless fetus

Standard Dosage: 6-10g in decoction.

Pinyin: Bai Jiang Can  Chinese: 白僵蠶
Pharmaceutical: Bombyx Batryticatus
English: Silkworm

Tastes: Salty, pungent, neutral
Meridians Entered: Liver and Lung

Actions & Indications:

1. Extinguishes Wind and stops spasms and convulsions
   Childhood convulsions and facial paralysis Seizures due to Liver Wind or especially Wind-Phlegm-Heat
2. Dispels Wind, disperses Wind-Heat and stops itching and pain
   Headache, red eyes, a sore, swollen throat and itching skin lesions such as Wind-Rash from externally contracted Wind-Heat or Liver Wind Loss of voice
3. Transforms Phlegm, softens hardness, eliminates toxins and dissipates nodules
   Phlegm-Heat scrofula and other Phlegm nodules
4. 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: 3-10g 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 Tian Ma and Tian Zhu Huang.

Pinyin: Shan Zha  Chinese: 山楂
Pharmaceutical: Fructus Crataegi
Taxonomy: Crataegus pinnatifida
English: Hawthorn Fruit

Tastes: Sour, sweet, slightly warm
Meridians Entered: Spleen, Stomach and Liver

Actions & Indications:

1. Reduces and guides out Food Stagnation and transforms accumulations
   Accumulation of meats or greasy foods (proteins and fats) with abdominal distention, pain or diarrhea
2. Transforms Blood Stasis, invigorates Blood circulation, lowers blood pressure and dissipates clumps
   Postpartum abdominal pain and clumps due to Blood Stasis
   Angina and coronary artery disease, hypertension, hyperlipidemia
   Hernial disorders (hernia)
3. Stops diarrhea
   Diarrhea in chronic dysentery-like disorders (toasted)

Standard Dosage: 10-15g in decoction, or up to 30g.
Cautions: Use with caution in cases of Spleen and Stomach deficiency with no signs of Food Stagnation, or those with acid regurgitation.

Potential side effects include dizziness, nausea, and digestive symptoms.

Pinyin: Mai Ya  Chinese: 麦芽
Pharmaceutical: Fructus Hordei Germinatus
English: Malt Barley Sprouts

Tastes: Sweet, bland
Meridians Entered: Spleen, Stomach and Liver

Actions & Indications:

1. Reduces Food Stagnation, improves digestion and strengthens the Stomach
   Food Stagnation due to undigested starchy foods or grains and all types of fruit Poorly digested milk in infants Food Stagnation due to Spleen Qi Deficiency with weak digestion and anorexia (weak function)
2. Inhibits lactation
   Discontinuation of nursing Painful, distended breasts
3. Facilitates the smooth flow of Liver Qi
   As an adjunctive for Liver Qi Stagnation with a stifling sensation or distention in the epigastrium or ribs, belching and anorexia

Standard Dosage: 10-15g in decoction. Can be increased to 30-120g.
Cautions: It is not suitable for woman in breast-feeding period.

Pinyin: Shen Qu  Chinese: 神曲
Pharmaceutical: Massa Fermentata
English: Medicated Leaven

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

Actions & Indications:

1. Reduces Food Stagnation, promotes digestion and harmonizes the Stomach
   Food Stagnation or accumulation due Stomach Cold with epigastric fullness or distention, lack of appetite, borborygmus and diarrhoea
2. Moves Qi
   Qi Stagnation

Standard Dosage: 6-15g in decoction.
Cautions: Contains gluten so not advised in people with gluten sensitivity or coeliac disease. Also contraindicated in cases of acid reflux, deficient Spleen Yin and excessive Stomach Fire. Caution also advised in pregnancy.

Pinyin: Shui Hong Hua Zi  Chinese: 水红花子
Pharmaceutical: Polygoni Orientalis Fructus
English: Prince's-Feather Fruit

Tastes: Salty, cool
Meridians Entered: Liver and Spleen

Actions & Indications:

1. Clears Heat, softens hardness, eliminates Stasis and breaks up accumulation
   Scrofula and swollen lymph glands in the neck
   Accumulations in the ribside and abdominal region
   Swollen sores
2. Strengthens the Spleen and promotes the resolution of Dampness
   Abdominal swelling and ascites
   Stomach pain
   Reduced appetite with abdominal distention

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for deficiency-cold in spleen and stomach.

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.