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: Zhi Shi  Chinese: 枳实
Pharmaceutical: Fructus Aurantii Immaturus
Taxonomy: Citrus aurantium
English: Immature Seville Orange / Immature Bitter Orange / Immature Sour Orange

Tastes: Pungent, bitter, slightly cold
Meridians Entered: Spleen, Stomach and Large Intestine

Actions & Indications:

1. Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels and removes Stagnant Food
   Qi Stagnation and accumulation with epigastric or abdominal pain and distention or indigestion with focal distention or gas
   Food Stagnation
2. Transforms Phlegm, reduces distention and resolves hardenings
   Turbid Phlegm Obstructing the Qi with focal distention and fullness in the chest and epigastrium

Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for pregnant women.

Pinyin: Wu Zhu Yu  Chinese: 吴茱萸
Pharmaceutical: Fructus Evodiae
Taxonomy: Evodia rutaecarpa
English: Evodia Fruit

Tastes: Pungent, bitter, hot, mildly toxic
Meridians Entered: Liver, Spleen, Stomach and Kidney

Actions & Indications:

1. Warms the Middle Jiao, disperses Cold, promotes the movement of Qi (relieves Stagnation in the Liver channel) and alleviates pain
   Stomach or Liver Channel Cold or Phlegm, with headache, epigastric pain with nausea, drooling, reduced taste, a pale tongue with a wiry or weak pulse
   Cold bulging disorders in the area traversed by the Liver channel and dysmenorrhea
   Disharmony between the Liver and Stomach
2. Spreads the Liver, descends rebellious Qi and stops vomiting
   Acid regurgitation and vomiting - can be used for either Hot or Cold disorders depending on the other herbs with which it is combined
3. Warms the Spleen, stops diarrhoea and expels Damp-Cold
   Diarrhoea from Spleen and Kidney Yang Deficiency
   Damp-Cold Leg Qi
4. Leads Fire downward
   Mouth and tongue sores (grind into a powder, mix with vinegar and place on the soles of the feet)
5. Kills the Three Worms
   Said in the Shen Nong Ben Cao Jing that it kills 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: 1.5-4.5g in decoction.
Cautions: It is not suitable to be taken in large dosage for a long time, and contraindicated for yin deficiency with internal heat.

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: Gan Jiang  Chinese: 干姜
Pharmaceutical: Rhizoma Zingiberis
Taxonomy: Zingiber officinale
English: Dried Ginger

Tastes: Pungent, hot
Meridians Entered: Spleen, Stomach, Kidney, Heart and Lung

Actions & Indications:

1. Warms the Middle and expels Cold
   External Cold affecting the Spleen and Stomach Spleen and Stomach Yang Deficiencies
2. Dispels Wind-Dampness seeping into the Lower Jiao
   Lower Jiao Wind-Cold-Damp Bi
3. Rescues Devastated Yang and expels Interior Cold
   Devastated Yang with a very weak pulse and cold limbs
4. Warms the Lungs and transforms thin mucus
   Lung Cold with expectoration of thin, watery or white sputum
5. Warms the channels (unblocks the pulse) and stops bleeding
   Haemorrhage due to Deficiency Cold, especially uterine bleeding (only if the bleeding is chronic and pale in colour with cold limbs, ashen white face and a soggy thin pulse)
6. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the middle class of herbs which can, with protracted taking, remove foul smell and enable one to communicate withe Spirit Light (Shen Ming 神明). 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: 3-10g in decoction.
Cautions: It is contraindicated for yin deficiency with internal heat and haemorrhage due to blood heat.

Pinyin: Bie Jia  Chinese: 鳖甲
Pharmaceutical: Carapax Trionycis
English: Soft Turtle Shell

Tastes: Salty, cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Nourishes Yin and anchors Yang
   Yin Deficiency with fever, steaming bone disorder, night sweats or consumption
   Internal stirring of Liver Wind
2. Invigorates the Blood, promotes menstruation, softens hardness and dissipates nodules
   Chest and flank accumulations with pain and amenorrhea
   Excessive menstruation due to Hot Blood
   Malarial disorders with palpable masses
3. Heavily anchors, descends, unblocks and facilitates the functions of the Blood vessels
   Problems in children due to internal clumping

Standard Dosage: 10-15g 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 Qing Hao and Sheng Di Huang, or Huang Jing.

Turtles may also act as viral reservoirs and have been proposed as the potential intermediate host for coronavirus between bats and humans (Liu et al., 2020.

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.

Pinyin: Bing Lang  Chinese: 槟榔
Pharmaceutical: Semen Arecae
Taxonomy: Areca catechu
English: Betel Nut

Tastes: Bitter, pungent, warm
Meridians Entered: Stomach and Large Intestine

Actions & Indications:

1. Kills Parasites and expels Demons
   Kills a wide variety of Intestinal parasites including fasciolopsis, pinworms, roundworms and Blood flukes Best for tapeworms
   Drains downward to expel the bodies of dead parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)
2. Regulates Qi, reduces accumulations, drains downward and unblocks the bowels
   Food Stagnation and Qi Stagnation with abdominal distention, constipation or tenesmus
3. Promotes urination
   Damp leg Qi and oedema due to Excess
4. Treats malarial disorders
   Malarial disorders
5. Relieves nausea
   Nausea

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for loose stool due to spleen insufficiency or qi sinking. Use with caution for pregnant women.

This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA and so is generally substituted with Zhi Shi and Yi Li Ren, or Fei Zi and Yu Li Ren for expelling parasites.

Pinyin: Qian Hu  Chinese: 前胡
Pharmaceutical: Radix Peucedani
English: Hogfennel Root

Tastes: Bitter, pungent, slightly cold
Meridians Entered: Lung

Actions & Indications:

1. Expels Phlegm and descends Qi
   Lung Heat (cough, wheezing, thick Phlegm)
2. Expels Wind-Heat
   Wind-Heat with a headache and coughing (most suitable when Wind-Heat constrains the Lungs)

Standard Dosage: 6-10g in decoction.