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: Sheng Di Huang  Chinese: 生地黃
Pharmaceutical: Radix Rehmanniae
Taxonomy: Rehmannia glutinosa
English: Chinese Foxglove Root / Rehmannia Root

Tastes: Sweet, bitter, cold
Meridians Entered: Heart, Liver, Stomach and Kidney

Actions & Indications:

1. Clears Heat and cools the Blood
   Ying Stage Heat with high fever, thirst and a scarlet tongue
   Xue Stage Heat
   Hemorrhage due to Blood Heat
2. Nourishes Yin, generates fluids, increases saliva and treats wasting and thirsting
   Yin Deficiency with Heat signs
   Injury to fluids
   Throat pain due to Yin Deficiency
   Wasting and thirsting disorder (消渴 Xiao Ke - diabetes)
3. Cools Heart Fire
   Heart Fire
4. Calms the Spirit agitated by Parasites damaging the Yin
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
5. Breaks up Blood Stasis, expels Cold and Hot Bi, replenishes Bone Marrow and promotes the growth of Muscles and Flesh
   Broken bones or severed sinews from falls and a damaged center (Shen Nong Ben Cao Jing)
6. 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 prevent forgetfulness. 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.
Cautions: It is contraindicated in cases of diarrhea, abdomen distention due to spleen deficiency.

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: 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: Xuan Shen  Chinese: 玄參
Pharmaceutical: Radix Scrophulariae
Taxonomy: Scrophularia ningpoensis
English: Chinese Figwort Root / Ningpo Figwort Root

Tastes: Bitter, sweet, salty, light cold
Meridians Entered: Heart, Stomach, Kidney, Lung

Actions & Indications:

1. Clears Heat and cools the Blood
   Xue Stage Heat or Blood Heat with hemorrhage (hematemesis), fever, dry mouth and a purplish tongue
2. Nourishes Yin
   Yin Deficiency with Heat signs especially as sequelae from Warm Febrile Disease with Dry Lungs, insomnia, constipation, an unclear Shen and irritability
   Yin Deficiency dry Lungs
   Heart Yin Deficiency
3. Softens hardness and dissipates nodules (Transforms Phlegm-Heat)
   Neck lumps (goiter, scrofula) due to Phlegm Fire
   Severe throat pain and swelling
4. Drains Fire
   Extreme throat pain or red, swollen eyes
5. Relieves toxicity
   Ying Stage Heat
6. Calms the Spirit agitated by Parasites damaging the Yin
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea due to spleen deficiency. It is antagonistic to Li Lu.

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: 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. Invigorates the Blood and regulates menstruation, removes Blood stasis and relieves pain
   Irregular menstruation , amenorrhea , dysmenorrhea
   Abdominal masses, chest and abdominal pain
   Hot Bi Syndrome
2. Cools the Blood and soothes irritability
   Ying Stage Heat with restlessness, irritability, palpitations and insomnia
   Heart and Kidney Yin Deficiency
3. Reduces swellings
   Sores and swellings, early-stage breast abscesses
4. Nourishes the Blood and calms the Spirit
   Palpitations and insomnia due to Ying and Xue Stage Heat or Heart Blood Deficiency
5. Calms the Spirit agitated by Gu Parasites
   Agitation and restlessness caused by Heat from Gu Syndrome due to Blood Stasis or Blood deficiency
   Chronic inflammatory disease (Fruehauf, 2015)
   The Shen Nong Ben Cao Jing places it in the middle class of herbs and says it treats "Evil Qi in the Heart and abdomen with continual gurgling of the intestines like water running, cold and heat, and gatherings and accumulations. It breaks up concretions and eliminates conglomerations, relieves vexatious fullness, and boosts the qi."

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

Pinyin: E Zhu  Chinese: 莪朮
Pharmaceutical: Rhizoma Curcumae zedoariae
Taxonomy: Curcuma zedoaria
English: White Turmeric Root

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

Actions & Indications:

1. Invigorates Blood circulation, dispels Blood Stasis, regulates Qi and alleviates pain
   Blood Stasis with abdominal pain, dysmenorrhea, amenorrhea, abdominal masses and epigastric masses
2. Dissolves accumulations and alleviates pain
   Food Stagnation with pain, distention, fullness and constriction in the chest and abdomen
   Childhood nutritional impairment
3. Suppresses Gu parasites
   Gu Sydnrome with Blood Stasis (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-15g in decoction.
Cautions: This herb is drastic in property with the disadvantage of consuming qi and impairing blood. Do not overtake long. Prohibited for pregnant women and during menstrual periods.

Due to its ability to increase bile secretion, caution should be used in cases of gallstones and avoided in biliary tract obstruction.

Pinyin: San Leng  Chinese: 三棱
Pharmaceutical: Rhizoma Sparganii
Taxonomy: Sparganium stoloniferum
English: Burr-Reed Rhizome

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

Actions & Indications:

1. Forcefully breaks up Blood Stasis, regulates Qi and alleviates pain
   Blood Stasis with amenorrhea, dysmenorrhea, postpartum abdominal pain and abdominal masses
2. Dissolves accumulations
   Food Stagnation and Qi Stagnation with severe abdominal pain and distention
3. Regulates menstruation
   Menstrual irregularities
4. Promotes lactation
   Agalactia
5. Suppresses Gu parasites
   Gu Syndrome with Blood Stasis (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: Same as E Zhu. This herb is drastic in property with the disadvantage of consuming qi and impairing blood. Do not overtake long. Prohibited for pregnant women and during menstrual periods.