Pinyin: Fang Ji  Chinese: 防己
Pharmaceutical: Radix Stephaniae Tetrandrae
Taxonomy: Stephania Tetrandra
English: Stephania Root

Tastes: Bitter, pungent, cold
Meridians Entered: Liver, Kidney and Bladder

Actions & Indications:

1. Promotes urination and reduces oedema especially in the lower body
   Edema due to Dampness accumulating in the Lower Jiao with damp leg Qi, borborygmus, abdominal distention, ascites
2. Expels Wind-Dampness and alleviates pain (purges Damp-Heat)
   Wind-Damp-Heat collecting in the channels with fever, red, hot, swollen, painful joints (Wind-Damp-Heat Bi) Painful contractions of the hands and feet

Standard Dosage: 5-10g in decoction.
Cautions: Being bitter and cold, it can easily damage stomach qi, so it should be used cautiously to treat patients with anorexia and weak constitution due to yin deficiency.

This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA because it can also refer to certain Aristolochia species which contain toxic aristolochic acid. In some European countries with statutory testing of imports the species can be identified but the UK has chosen to ban all species to avoid regulation. It us generally substituted with Yi Yi Ren and Hai Tong Pi.

Pinyin: Xing Ren  Chinese: 杏仁
Pharmaceutical: Semen armeniacae
Taxonomy: Prunus armeniaca seu mandshurica seu sibirica
English: Bitter Apricot Kernel

Tastes: Bitter, slightly warm, slightly toxic
Meridians Entered: Lung and Large Intestine

Actions & Indications:

1. Stops coughing and calms wheezing
   Coughs due to either Heat or Cold (depending on combination) Wind-Dry coughs (especially useful)
2. Moistens the Intestines and unblocks the bowels
   Constipation

Standard Dosage: 3-10g in decoction.
Cautions: It should not be overused for its slight toxicity. It should be used with cautions for infants and patients with diarrhea.

Pinyin: Hua Shi  Chinese: 滑石
Pharmaceutical: Talcum / Magnesium Silicate
Taxonomy: Mg₃Si₄O₁₀(OH)₂
English: Talc / Talcum Powder

Tastes: Sweet, bland and cold
Meridians Entered: Bladder, Lung and Stomach

Actions & Indications:

1. Promotes urination and drains Heat from the Urinary Bladder (aids the movement of gravel and stones), (expels Damp-Heat)
   Hot Painful Urinary Dysfunction (Lin Syndrome) with hot, painful urination, dark, painful, burning, scanty urine
   Damp-Heat diarrhoea
   Qi Level Heat with Dampness with unremitting fever, heavy feeling in the body, thirst, yellow tongue coat
2. Releases Summeheat and resolves Dampness
   Summerheat (fever, urinary difficulty, thirst)
3. Absorbs Dampness and clears Heat (topically)
   Damp skin lesions (eczema, damp sores, prickly heat)
4. Stops bleeding due to Heat
   Heat type bleeding
   Nosebleed, vomiting blood (taken internally) Bleeding from wounds and sores (topical)
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of minerals which can, with protracted taking, make the body light, 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: 10-20g in decoction, or applied externally.
Cautions: Talc can cause granulomas in the rectum, vagina or wounds and prolonged external use has also been linked to ovarian (Wentzensen & O'Brien, 2021), stomach (Chang et al., 2020) and lung (Chang et al., 2017) cancer but other reviews contradict these findings (Goodman et al., 2020) suggesting this may only be an effect seen in rats (Prueitt et al., 2024). For safety it should therefore not be used for prolonged periods.

It should also not be in inhaled as it can cause lung irritation and remain in the body for up to 40 years (Johnson, 2021).

Mineral 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 Chi Fu Ling and Ze Xie.

Pinyin: Lian Qiao  Chinese: 连翘
Pharmaceutical: Fructus Forsythiae
Taxonomy: Forsythia suspensa
English: Weeping Forsythia Capsule / Forsythia Fruit

Tastes: Bitter, slightly pungent, slightly cold
Meridians Entered: Lung, Heart and Gall Bladder or Small Intestine

Actions & Indications:

1. Clears Heat (especially in the Upper Jiao) and resolves Toxicity
   Wind-Heat with high fever, slight chills and sore throat
   Bound Heat
2. Reduces abscesses and dissipates clumps
   Toxic Heat sores and swellings (Chuang Yung), swollen welling abscesses, malign sores, scrofula, goiter and tumours of the neck
   Throat Bi
3. Clears Blood Heat
   Blood Heat
4. Promotes urination
   Lin syndrome (urinary stones), dysuria, haematuria
5. Releases the Exterior and Drives Out Snakes
   Mentioned in the Shen Nong Ben Cao Jing as an inferior herb that treats Gu Toxins
   Chronic inflammatory disease (Fruehauf, 1998; 2015)

Standard Dosage: 10-15g in decoction.

Pinyin: Zhi Zi  Chinese: 栀子
Pharmaceutical: Fructus Gardeniae
Taxonomy: Gardenia jasminoides
English: Gardenia Fruit

Tastes: Bitter and cold
Meridians Entered: Heart, Liver, Stomach and Lung

Actions & Indications:

1. Clears Heat, reduces Fire and eliminates irritability in the San Jiao
   Excess Heat in the Heart, Stomach and Liver with high fever, irritability, restlessness, a stifling sensation in the chest, insomnia or delirious speech, eye problems, anger, jaundice
2. Clears Heat and resolves Dampness (Drains Damp-Heat)
   Damp-Heat in the Lower Jiao with painful urinary dysfunction (Lin Syndrome)
   Damp-Heat in the Liver/Gallbladder with jaundice
   Damp-Heat in the San Jiao
   Damp-Heat in the Gallbladder and San Jiao channels of the face affecting the nose and eyes or causing sores in the mouth or facial region
3. Cools the Blood and relieves toxicity (stops bleeding by astringing)
   Heat in the Blood with epistaxis, hematemesis, hemafecia or hematuria (partially charred)
4. Reduces swelling and invigorates the Blood
   Blood Stagnation due to trauma (topical)

Standard Dosage: 5-15g in decoction.
Cautions: Being strongly bitter in flavor and cold in nature, it is not good for deficiency-cold syndrome because it can easily impair spleen and stomach. It is contraindicated in case of loose stool due to spleen deficiency.

Pinyin: Yi Yi Ren  Chinese: 薏苡仁
Pharmaceutical: Semen Coicis
Taxonomy: Coix lacryma-jobi
English: Job's Tears / Chinese Pearl Barley

Tastes: Sweet, Bland, Slightly Cold
Meridians Entered: Spleen, Stomach and Lung

Actions & Indications:

1. Strengthens the Spleen and resolves Dampness
   Dampness Stagnation or Spleen Deficiency Dampness with diarrhoea, leg Qi, painful urinary dribbling
   Damp-Warmth (treats root and manifestations)
2. Expels Wind-Dampness and relieves pain
   Wind-Damp Bi (increases joint mobility and decreases spasms in chronic cases) for stiffness of the muscles, severe arthralgia and joint immobility
3. Clears Heat and expels pus
   Soft, pustulated carbuncles, Lung and Intestinal abscess
4. Clears Damp-Heat
   Any Damp-Heat condition at any level with a greasy, white tongue coat and digestive problems
5. 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 boost the Qi. 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). At ~70% carbohydrates (Zhu, 2017), this would represent one important source of of this nutrient class which could be had in the amounts that could be foraged, as opposed to farmed, to maintain this kind of diet long term. Its root is also suggested to expel the Three Worms.

Standard Dosage: 9-30g in decoction.

Pinyin: Ban Xia  Chinese: 半夏
Pharmaceutical: Rhizoma Pinelliae
Taxonomy: Pinellia ternata
English: Pinellia Rhizome

Tastes: Pungent, warm, toxic
Meridians Entered: Lung, Spleen and Stomach

Actions & Indications:

1. Dries Dampness and transforms Phlegm
   Cold-Phlegm in the Lungs (cough with copious sputum)
   Especially effective for Damp-Phlegm of the Spleen (Cold-Damp Stagnation)
2. Descends Rebellious Qi and stops vomiting (harmonizes the Stomach)
   Vomiting due to Phlegm-Damp in the Stomach (Tan Yin), Cold thin mucus, Stomach Deficiency, Stomach Heat or pregnancy
3. Dissipates nodules and reduces Stagnation (clumps)
   Phlegm in the chest (nodules, pressure, distention, pain)
   Phlegm nodules in the neck (goiter, scrofula)
   Focal distension in the chest and epigastrium
   Obstruction caused by Phlegm anywhere in the body
4. Treats sores, skin ulcerations and carbuncles and reduces swelling (external)
   Topically as a powder for sores, skin ulcerations and carbuncles

Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou. Use with cautions during gestation.

Must be processed before use as raw Ban Xia is toxic. Ingesting the raw form can cause severe irritation of the mouth, pharynx, and gastrointestinal tracts, and has toxic effects on the nervous system. Symptoms of toxicity include a dry mouth, numbness of the tongue, gastric discomfort, burning sensations and swelling of the mouth, tongue, throat and salivation. In serious cases ingesting Ban Xia can result in hoarseness, spasms, dyspnoea and asphyxia.

Processing can be done with ginger and alum (Jiang Ban Xia) to make a warming herb best suited for Cold-Damp and thin Phlegm conditions, or with liquorice (Fa Ban Xia) to make a more neutral herb that is less drying and can be used for Damp-Heat conditions too.

Pinyin: Can Sha  Chinese: 蚕沙
Pharmaceutical: Faeces Bombycis
English: Silkworm Faeces

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

Actions & Indications:

1. Dispels Wind and eliminates Dampness
   Wind-Damp Bi Wind-Damp skin rashes
2. Harmonizes the Stomach and transforms turbid Dampness
   Turbid Dampness Obstructing the Middle with diarrhoea, cramps, abdominal pain, borborygmus and calf spasms

Standard Dosage: 5-15g in decoction, wrapped in cloth.
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 Cang Er Zi and Fang Feng.

Pinyin: Chi Xiao Dou  Chinese: 赤小豆
Pharmaceutical: Vigna angularis
English: Adzuki Bean / Rice Bean

Tastes: Sweet, sour and neutral
Meridians Entered: Heart and Small Intestine

Actions & Indications:

1. Promotes urination and reduces oedema
   Abdominal swelling and fullness due to oedema, urinary difficulty and leg Qi
2. Clears Damp Heat
   Mild jaundice due to Damp-Heat
3. Disperses Blood Stasis, reduces swelling and reduces Fire toxicity (dispels pus)
   Chuang Yung (sores, carbuncles, furuncles)

Standard Dosage: 10-30g in decoction.
Cautions: Although acting to drain Dampness, Adzuki beans have a high FODMAP score (George Eats, April 2024) suggesting that they are contraindicated in abdominal distention and swelling due to Spleen Dampness.