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Shi Gao
| 6-15g | |
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Pinyin: Shi Gao
Chinese: 石膏
Pharmaceutical: Gypsum Fibrosum / Calcium Sulphate
Taxonomy: CaSO4
English: Gypsum / Plaster of Paris |
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Tastes: Pungent, sweet, cold
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Clears Heat in the Qi Stage, drains Fire, relieves irritability and quenches thirst
Heat in the Qi Stage or Yangming Heat with high fever, no chills, irritability, intense thirst, profuse sweating, restlessness, encephalitis, a flooding, big pulse and a red tongue with a yellow coat
- Clears Excess Heat from the Lungs
Lung Heat with cough, wheezing, fever and a thick viscous sputum
- Clears Blazing Stomach Fire
Stomach Fire with headache, toothache or swollen gums
- Heals eczema, burns and ulcerated sores and wounds
Sores and wounds (topically or internally)
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Standard Dosage: 15-60g in decoction.
Cautions: 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.
Conventional replacements include Huang Lian and Zhi Mu but its actions are difficult to substitute in many cases and the patient may have to rely on OTC mineral based antacids from the pharmacy such as sodium bicarbonate and calcium carbonate which have a similar effect of binding and neutralising the stomach acid, then using herbal medicines as an adjunctive treatment. Another possibility would be to use sodium alginate that is often found in antacid medications and extracted from seaweed. |
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Shu Di Huang
| 9-30g | |
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Pinyin: Shu Di Huang
Chinese: 熟地黄
Pharmaceutical: Radix Rehmanniae Preparata
Taxonomy: Rehmannia glutinosa
English: Prepared Chinese Foxglove Root |
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Tastes: Sweet, slightly warm
Meridians Entered: Kidney and Liver |
Actions & Indications:
- Nourishes the Blood
Blood Deficiency with facial pallor, dizziness, palpitations, insomnia, irregular menstruation, uterine bleeding and postpartum bleeding
- 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
- Strongly enriches Yin and relieves wasting and thirsting disorder
Lower Jiao wasting (it can be used as a stand-alone herb for this)
- 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
- Arrests coughing and wheezing
Kidney Deficient coughing, wheezing and asthma, such as inability of the Kidneys to grasp Qi
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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. |
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Zhi Mu
| 4.5-6g | |
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Pinyin: Zhi Mu
Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome |
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Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney |
Actions & Indications:
- Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
Yang Ming Heat
Stomach Heat
- Nourishes Yin and moistens Dryness
Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
(Stomach Yin Deficiency)
Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
- Generates Fluids, clears Deficiency Fire and quenches thirst
Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
- Ameliorates the Dryness of tonifying or warming herbs
For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying
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Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea. |
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Mai Men Dong
| 6g | |
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Pinyin: Mai Men Dong
Chinese: 麥門冬
Pharmaceutical: Radix Ophiopogonis
English: Dwarf Lilyturf Root |
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Tastes: Sweet, slightly bitter, slightly cold
Meridians Entered: Stomach, Lung and Heart |
Actions & Indications:
- 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
- Nourishes Stomach Yin and generates Fluids
Stomach Yin Deficiency with dry mouth and tongue
- Moistens the Intestines
Constipation, dry mouth and irritability as a result of febrile disease or Yin Deficiency
- 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
- 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).
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Standard Dosage: 10-15g in decoction.
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| Niu Xi | 4.5g | |
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Dan Zhu Ye
| 6g | | |
Pinyin: Dan Zhu Ye
Chinese: 淡竹叶
Pharmaceutical: Herba Lophatheri
English: Bamboo Leaves and Stem |
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Tastes: Cold, bitter, sweet and bland
Meridians Entered: Small Intestine, Lung and Stomach |
Actions & Indications:
- Clears Heat and eliminates irritability
Internal Heat patterns with irritability, restlessness, dry mouth and thirst
Mouth and lip ulcers ulcers due to Heat in the Heart or Stomach channels
- Promotes urination and clears Damp-Heat
Rough, scanty, painful urination
Especially useful for Heat in the Small Intestine channel with rough, scanty, painful urination, irritability and a dark, red tip of the tongue
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Standard Dosage: 5-15g in decoction.
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Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.