Pinyin: Huang Qi  Chinese: 黄芪
Pharmaceutical: Radix Astragali
Taxonomy: Astragalus membranaceus
English: Astragalus Root / Mongolian Milkvetch Root

Tastes: Sweet, warm
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Tonifies Qi and Blood
   Postpartum fever due to Qi and Blood Deficiency
   Recovery from severe Blood loss
2. Strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach
   Spleen Qi Deficiency with anorexia, fatigue and diarrhoea
   Central Qi Sinking (prolapse)
   Lung and Spleen Qi Deficiency
   Qi Failing to contain Blood
   Qi and Blood Deficiency
   Fever from Qi Deficiency
3. Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs (aids circulation of moisture downward from the face)
   Wei Qi Deficiency with spontaneous sweating
   Lung Qi Deficiency with frequent colds or shortness of breath
   Excessive sweating associated with Qi, Yang or Yin Deficiency
   Dampness in the head
4. Promotes urination and reduces oedema
   Spleen Deficiency oedema or superficial oedema with reduced urination (It can be used as a stand-alone herb for this)
5. Promotes the discharge of pus, generates flesh and expels toxins
   Chronic ulcerations and sores that either have trouble forming pus or have formed pus but are not draining well
6. Generates Body Fluids
   Wasting and thirsting disorder (消渴 Xiao Ke)
   Bi Syndrome with numbness of the limbs and paralysis
7. Relieves numbness and pain
   Numbness and pain due to Deficiency of Qi and Blood
8. Tonifies the Qi while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 10-15g in decoction. Large dosages of up to 30g can be used for severe debilitation, Blood deficiency or unhealing sores (e.g. Dang Gui Bu Xue Tang).
Cautions: It is contraindicated in cases of exterior excess with excessive pathogen, internal obstruction, yin deficiency with yang hyperactivity, early stage of sores and ulcers of excessive pathogen and no deficiency of heathy qi, because it can tonify qi, raise yang and strengthen superficial.Caution with patients on immunosuppressents due to its immune modulating effects.

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: Chuan Xiong  Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root

Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
   Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
2. Expels Wind and alleviates pain
   Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
   Wind skin disorders
3. Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs.

Pinyin: Chuan Shan Jia  Chinese: 穿山甲
Pharmaceutical: Squama Manitis
English: Pangolin Scales

Tastes: Salty, slightly cold
Meridians Entered: Liver and Stomach

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis, unblocks menstruation and promotes lactation
   Blood Stasis with amenorrhea or dysmenorrhea and insufficient lactation
2. Reduces swelling and promotes the discharge of pus
   Toxic swellings such as abscesses and boils
   Use topically for healing suppurative lesions
3. Expels Wind-Dampness from the channels
   Wind-Damp Bi pain, stiffness or spasms of the limbs or pain that prevents lifting or bending

Standard Dosage: 3-10g in decoction.
Cautions: Use with cautions for the pregnant women.

Pinyin: Zao Jiao Ci  Chinese: 皂角刺
Pharmaceutical: Spina Gleditsiae
Taxonomy: Gleditsia sinensis
English: Chinese Honey Locust Thorn

Tastes: Pungent, warm
Meridians Entered: Liver and Lung

Actions & Indications:

1. Draws out toxicity, discharges pus, activates the Blood and reduces swelling
   Early-stages of swollen sores to encourage suppuration or to induce those already formed to burst
2. Expels Wind and kills parasites
   Tinea and leprosy

Standard Dosage: 3-9g in decoction.