Pinyin: Chu Shi Zi  Chinese: 楮实子
Pharmaceutical: Fructus Broussonetiae
English: Paper Mulberry Fruit

Tastes: Sweet, cold
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Tonifies the Liver and Kidney Yin
   Liver and Kidney Yin Deficiencies with a weak lower back and legs, Deficiency consumption, steaming bone disorder, nightsweats, spermatorrhea and lightheadedness
2. Clears the Liver and clears the eyes
   Superficial visual obstruction from Heat in the Liver channel (can be used alone)
3. Tonifies the Kidney Yin and Augments Kidney Qi
   Edema and urinary difficulty due to stoppage of water associated with Kidney Qi dysfunction

Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for deficiency-cold in spleen and stomach.

Pinyin: Gou Qi Zi  Chinese: 枸杞子
Pharmaceutical: Fructus Lycii
Taxonomy: Lycium barbarum seu chinense
English: Goji Berries / Wolfberries / Boxthorn Berries

Tastes: Sweet, neutral
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Nourishes and tonifies Liver and Kidney Blood and Yin
   Blood and Yin Deficiency with sore back and legs, low-grade abdominal pain, impotence, nocturnal emissions, wasting and thirsting disorder and consumption
   Liver and Kidney Deficiency
   Added to baths during spring to promote skin health and delay aging
2. Benefits Jing and brightens the eyes
   Liver and Kidney Deficiency where Jing and Blood cannot nourish eyes with dizziness, blurred vision and diminished visual acuity
3. Nourishes Yin and moistens the Lungs
   Consumptive cough and wasting and thirsting disorder

Standard Dosage: 10-15g in decoction.
Cautions: In vitro testing suggests that unidentified wolfberry phytochemicals in goji tea may inhibit metabolism of other medications, such as those processed by the cytochrome P450 liver enzymes. Such drugs include warfarin, or drugs for diabetes or hypertension. However, no in vivo statistics support this.

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: 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: Shu Di Huang  Chinese: 熟地黄
Pharmaceutical: Radix Rehmanniae Preparata
Taxonomy: Rehmannia glutinosa
English: Prepared Chinese Foxglove Root

Tastes: Sweet, slightly warm
Meridians Entered: Kidney and Liver

Actions & Indications:

1. Nourishes the Blood
   Blood Deficiency with facial pallor, dizziness, palpitations, insomnia, irregular menstruation, uterine bleeding and postpartum bleeding
2. Nourishes Liver and Kidney Yin
   Kidney and Liver Yin Deficiency with a weak low back and limbs, dizziness, tinnitus, tidal fevers, night sweats and nocturnal emissions
3. Strongly enriches Yin and relieves wasting and thirsting disorder
   Lower Jiao wasting (it can be used as a stand-alone herb for this)
4. Nourishes Jing and Blood and fills the Marrow
   Exhausted Jing and Blood problems such as delayed development during childhood, blunted affect, premature aging, diminished mental acuity, graying of hair, impotence and memory loss
5. Arrests coughing and wheezing
   Kidney Deficient coughing, wheezing and asthma, such as inability of the Kidneys to grasp Qi

Standard Dosage: 10-30g in decoction.
Cautions: It should be used with cautions for spleen and stomach deficiency, loose stool due to fullness in abdomen and qi stagnation with excessive phlegm because it is greasy and will produce indigestion.

Pinyin: Ru Xiang  Chinese: 乳香
Pharmaceutical: Olibanum
Taxonomy: Boswellia serrata
English: Frankincense

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

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Pain due to Blood Stasis from traumatic injury
   Early stage toxic sores, carbuncles, swellings and pain
   Blood Stasis with chest, epigastric or abdominal pain
2. Relaxes the sinews, activates the channels and alleviates pain
   Wind-Damp Bi with rigidity and spasms
3. Reduces swelling and generates flesh
   Topically as an ointment or powder to reduce swelling, generate flesh, alleviate pain and promote healing of sores, carbuncles, and traumatic injury
   Pain, redness and swelling of the gums, mouth and throat

Standard Dosage: 3-10g in decoction.
Cautions: This herb is drasticly pungent with strong stimulation to stomach and easily causes nausea and vomiting. So it should not be taken by large dose or for a long time. Use with cautions for patients with weak stomach; prohibited for pregnant women.

Pinyin: Rou Cong Rong  Chinese: 肉蓯蓉
Pharmaceutical: Herba Cistanches
Taxonomy: Cistanche tubulosa seu deserticola
English: Broomrape Stem, "Ginseng of the deserts"

Tastes: Sweet, salty, warm
Meridians Entered: Kidney and Large Intestine

Actions & Indications:

1. Tonifies the Kidneys, strengthens Yang, benefits Jing and marrow and warms the Womb
   Kidney Yang Deficiency with impotence, spermatorrhea, urinary incontinence, post-urinary dripping and Cold pain in the lower back and knees
   Cold from Deficiency of the Womb with infertility, excessive uterine bleeding or vaginal discharge
2. Moistens the Intestines and facilitates the passage of stool
   Constipation due to dry Intestines from inadequate fluids in elderly or debilitated people or people with Deficient Qi or Blood (with a large dosage, it can be used as a stand-alone herb)
3. 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. 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: 6-21g in decoction.
Cautions: It is contraindicated in cases of yin deficiency with effulgent fire, stagnation of excess heat, and loose stool because it can tonify yang and smooth stool.

Pinyin: Tu Si Zi  Chinese: 菟丝子
Pharmaceutical: Semen Cuscutae
English: Chinese Dodder Seeds

Tastes: Sweet, astringing, slightly warm
Meridians Entered: Kidney, Spleen and Liver

Actions & Indications:

1. Strengthens Yang, nourishes Yin, astringes Jing and urine and benefits the marrow
   Kidney Yang Deficiency with impotence, nocturnal emissions, premature ejaculation, tinnitus, urinary frequency, sore painful back and vaginal discharge
2. Tonifies the Kidneys and Liver and improves vision
   Deficient Liver and Kidney Yin, Yang and Jing with dizziness, tinnitus, blurred vision or spots before the eyes
3. Benefits the Kidneys and Spleen and stops (astringes) diarrhoea
   Diarrhoea, loose stools and anorexia from Spleen and Kidney Deficiency
4. Calms the fetus
   Habitual or threatened miscarriage
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, brighten the eyes, 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: 10-15g in decoction.
Cautions: It is contraindicated in cases of yin deficiency with effulgent fire and difficult urination because of its warm property and tonifying and astringing actions.

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.