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: 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: Tian Men Dong  Chinese: 天門冬
Pharmaceutical: Radix Asparagi
Taxonomy: Asparagus cochinchinensis
English: Asparagus Root

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

Actions & Indications:

1. Clears Lung Heat, sedates Fire and Moistens the Lungs
   Lung Yin Deficiency with Heat signs in the upper Jiao such as Dryness of the mouth, Dryness of the Lung with dry mouth and a dry, non-productive cough or a productive cough with scanty, viscous, Blood-streaked sputum
   Consumption with low-grade afternoon fever
2. Nourishes the Lung and Kidney Yin, resolves Phlegm and generates Fluids
   Lung and Kidney Yin Deficiency, especially Wasting and Thirsting disorder (消渴 Xiao Ke) of upper, middle and lower Jiao
   Jing Deficiency due to Kidney Yin Deficiency with leg atrophy
   Constipation due to dry Intestines
3. Aids fasting and expels Evil Spirits
   Mentioned in the Shen Nong Ben Cao Jing as one of the superior herbs that will with protracted taking, make the body light, boost Qi 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).
4. Removes the Three Worms and Hidden Corpses
   Said in the Shen Nong Ben Cao Jing that it removes the Three Worms and Hidden Corpses. This was likely a precursor to the concept of the Three Corpse Worms, maybe deriving from 蠱 Gu Syndrome, whose character contains the character for Worm (蟲 Chong) three times, and may have referred to difficult to treat metabolic disorders. The worms were spiritual parasites which caused overindulgence leading to complex diseases that did not respond to normal medicine and needed to be treated by fasting (Bigu), meditation (Neidan) and medicines (Waidan).

Standard Dosage: 6-15g in decoction.
Cautions: It should be used with cautions for cough due to wind-cold invasion and diarrhea due to deficiency cold because of its cold and smooth properties.

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: 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: 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: Fu Ling  Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread

Tastes: Sweet, bland, neutral
Meridians Entered: Heart, Spleen, and Kidney

Actions & Indications:

1. Strengthens the Spleen and harmonizes the Middle Jiao
   Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
2. Strengthens the Spleen
   Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
3. Promotes urination and leaches out Dampness
   Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
4. Quiets the Heart, calms the Spirit and soothes the nerves
   Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
5. 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 Hun, nourish the Shen, 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).

Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold.

Pinyin: Yuan Zhi  Chinese: 遠志
Pharmaceutical: Radix Polygalae
Taxonomy: Polygala tenuifolia
English: Chinese Senega / Thin-Leaf Milkwort

Tastes: Bitter, pungent, slightly warm
Meridians Entered: Liver, Kidney and Lung

Actions & Indications:

1. Calms the Spirit, sedates the Heart and clears the channel joining the Heart and Kidney
   Insomnia, palpitations with anxiety, restlessness, and disorientation.
   Most effective for excessive brooding or pent-up emotions
   Lack of communication between the Heart and Kidneys
2. Expels Phlegm, opens the Orifices, clears the Lungs and stops coughing
   Phlegm Blocking the Heart Orifices with emotions and mental disorientation, spasms or seizures
   Phlegm Obstructing the Lungs with copious sputum, especially when it is difficult to expectorate
   Angina pectoris
3. Reduces abscesses and dissipates swellings
   Boils, abscesses, sores, and swollen, painful breasts (powdered and applied topically or taken with wine)
4. 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: 3-9g in decoction.
Cautions: It should be used with cautions for excess fire or phlegm-heat because of its warm nature. It should be used with cautions for gastritis and duodenal ulcer because it will stimulate the stomach and intestine. Unprepared will irritate the stomach mucosa causing nausea and vomiting so is usually prepared with Gan Cao (Zhi Yuan Zhi) or honey (Mi Zhi Yuan Zhi)

Pinyin: Dang Gui  Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root

Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Tonifies the Blood and regulates the menses
   Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
   Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
2. Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
   Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
   Postpartum menstruation
   Pregnancy (use with caution)
   Blood Deficiency with chronic Wind-Damp-Bi
3. Moistens the Intestines and unblocks the bowels
   Dry Intestines due to Blood Deficiency
4. Reduces swelling, expels pus, generates flesh and alleviates pain
   Sores and abscess (Chuang Yung), internally and topically
5. Stops coughing and treats dyspnea
   Used adjunctively for coughing
6. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.

Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).

Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age.

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: Bai Zi Ren  Chinese: 柏子仁
Pharmaceutical: Semen Platycladi
English: Arborvitae Seed / Biota Seed

Tastes: Sweet, neutral
Meridians Entered: Liver and Large Intestine

Actions & Indications:

1. Nourishes the Heart and calms the Spirit
   Heart Blood and Yin Deficiency with palpitations and anxiety
   Night terrors in children (can be used alone)
2. Moistens the Intestines and unblocks the bowels
   Constipation in the elderly, debilitated or postpartum women due to Blood and Yin Deficiency
3. Astringes Yin Deficiency sweat
   Night sweats due to Yin Deficiency

Standard Dosage: 10-20g in decoction.
Cautions: It should be used with cautions for patients with loose stool or profuse phlegm.

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: Jie Geng  Chinese: 桔梗
Pharmaceutical: Radix Platycodi
English: Balloon Flower Root

Tastes: Bitter, pungent, neutral
Meridians Entered: Lung

Actions & Indications:

1. Opens the Lungs, spreads Lung Qi, expels Phlegm and benefits the throat
   Cough due to Wind-Cold or Wind-Heat (with profuse sputum, sore throat, loss of voice)
   Loss of voice or sore throat due to external Heat, Phlegm Heat or Yin Deficiency Heat
2. Expels pus
   Lung or throat abscess (Phlegm and Qi Stagnation) with fevers, chest pain, coughing of yellow sputum with a fishy smell and hemoptysis
3. Opens and raises Lung Qi, directing the effects of other herbs to the upper body
   Reinforces the actions of the other herbs and focuses the formula on the upper body
4. Expels Gu Toxins
   Vomiting blood due to Gu-Toxins (with Gan Cao; in the Soushen Ji, Record of Searching for Spirits; Wilcox, 2024).

Standard Dosage: 3-10g in decoction.
Cautions: Overdose can cause nausea and vomiting.