Red Flower

Chinese Herbs

A Digital Materia Medica Compilation by Dr. Peter Borten, DAOM, LAc
TABLE OF CONTENTS
Preface
Acrid Cool Herbs That Release The Exterior
Acrid Warm Herbs That Release The Exterior
Herbs That Clear Summer-Heat
Herbs That Clear Heat & Reduce Fire
Herbs that Clear Heat & Cool the Blood
Herbs that Clear Heat and Dry Dampness
Herbs that Clear Heat and Eliminate Toxicity
Herbs that Clear Deficiency Heat
Herbs that Dispel Wind-Dampness
Aromatic Herbs that Transform Dampness 
Herbs that Drain Dampness
Herbs that Resolve Phlegm-Cold
Herbs that Resolve Phlegm-Heat
Herbs that Stop Coughing and Relieve Wheezing
Herbs that Promote Bowel Movement by Moistening the Large Intestine
Herbs that Purge Accumulation & Stagnation Through the Bowels
Herbs that Aggressively Purge Accumulation
Herbs that Promote Digestion and Relieve Food Retention
Herbs that Warm the Interior
Herbs that Promote Qi Circulation
Herbs that Promote Blood Circulation and Dispel Blood Stasis
Herbs that Subdue Liver Yang and Extinguish Liver Wind
Herbs that Open the Orifices and Induce Resuscitation
Herbs that Quiet the Shen
Herbs that Nourish Blood
Herbs that Build Qi
Herbs that Build Yang
Herbs that Nourish Yin
Astringent Herbs
Herbs That Stop Bleeding
Herbs for Topical Use
Herbs That Kill Parasites
Extra Categories
   Herbs that Free the Circulation of Liver Qi
   Herbs that Calm Fetus & Prevent Miscarriage
   Herbs that Nourish and Support Jing
   Herbs that Generate Body Fluids and Moisten the Lungs
   Herbs for the Sinews that Relax Spasms and Open Obstruction
   Herbs for the Eyes
   Herbs that Enter the Eight Extraordinary Vessels
   Herbs that Promote Lactation
   Herbs in Gu Zheng (Gu Parasites) Formulas from Heiner Freuhauf
   Herbs that Soften Hardness, Resolve Masses, Lumps, and Nodules
   Herbs that Treat Tumors and Cancer (General)
   Herbs for Cancer from Zhenbo Li (OCOM doctoral professor)
   Yao Yao- "Essential Medicinals" from Eric Brand
Incompatibilities and Antagonisms
Channel and Region Guiding Herbs
Combining Natures and Flavors (Dui Yao)
Ayurvedic Terminology
Ayurvedic Tastes


Medicinal Terminology

HERBAL FORMULAS

Table of Contents for Herbal Formulas Section

Therapeutics for OBGYN Conditions

Commonly Used Formulas for OBGYN Conditions

Bibliography

Abbreviations of Sources

Search By Pinyin Herb Name
Jump to Formulas Category
Release Early Stage Exterior Disorders
Release Exterior Wind-Cold
Release Exterior Wind-Heat
Release Exterior Disorders With Head and Neck Symptoms

Preface

My first degree was in botany, and it taught me, among other things, to respect plant identification and taxonomy. Taxonomists frequently change names and confuse people, but the Latin binomials they've given our herbs are the most accurate way to identify them. Only by using the full botanical or zoological names of our medicines (plus part used) can we be sure we are all on the same page. (E.g., Paeonia suffruticosa root cortex - Mu dan pi) The "pharmaceutical names," (e.g., Cortex Radicis Moutan), which have unfortunately persisted throughout our field, are outdated and uselessly altered forms of the proper botanical and zoological names. In communicating about our medicines to other medical professionals, we will always need to utilize the proper botanical and zoological binomials and parts, so it's time we retired the pharmaceutical names. I wish I'd had the foresight to include all the proper Latin binomials when I first created the structure for this document in 1998. Because I didn't, these names are missing from most herbs as of this writing (January 2012) except in cases where the species is vital for distinguishing one common herb from another in the same genus (e.g., Bai Zhi vs Du Huo vs Dang Gui, all of the Angelica genus). I hope to add the scientific names for the rest of the substances in this materia medica in the near future.

Ideally, as practitioners who value the potency, validity, and effectiveness of our medicines, we should also know:

- Where it was grown

- When it was harvested

- How it was processed

- How it was stored

It is easy to be unaware of how many years the herbs in our pharmacy spent in a Chinese warehouse before we got them; of what other destructive elements they've been exposed to (heat, light, moisture, mold, biologically or chemically tainted water, etc.); of what agri-chemicals they were sprayed with; of what methods of processing (dui yao) were performed on them; of where they were grown; and of whether they're even the genus (much less the species) we believe them to be. If we expect our field to be taken seriously, we need to remedy these glaring issues.

You must forgive me for having left out much useful information that appears in printed materia medica, such as the historical background, the criteria for identifying good quality, contraindications, and the doses for individual herbs in formulas. The omission of most of this information is due to the fact that I initially created this document with my own needs in mind, and wasn't thinking about what other readers might want. Traditional contraindications for individual herbs are an interesting thing. Texts on Chinese herbal medicine tend to say that most drying herbs are contraindicated in cases of Yin deficiency; most warming herbs are contraindicated in cases of heat; most moistening herbs are contraindicated in cases of dampness, phlegm, and sometimes Spleen Qi deficiency; most strongly clearing herbs are contraindicated in cases of significant deficiency, etc. Anyone who understands Chinese medical theory should know these things (in a general way, at least). And anyone who has been trained in traditional Chinese medicine prescribes herbs in formulas whereby such contraindications become almost meaningless. These contraindications are stated as if the herb would be given alone. But a brief examination of classical herbal formulas and their indications reveals that most of them contain herbs that, if given individually, would be unsuitable for the condition the formula as a whole addresses. This is all an attempt to explain why I didn't feel the need to type out all the contraindications and cautions for the hundreds of herbs in this document. Perhaps I will someday do this; until then, you're on your own to use these herbs wisely. In my opinion, if you don't have formal training in Chinese herbal medicine, you have no business recommending or prescribing these herbs for anyone, yourself included. Besides, as the saying goes, the physician who treats himself has a fool for a patient.

If I could get on a soap box for a moment... there is much that could be said about the imperfect state of affairs in the field of Chinese Herbal Medicine in the United States. The FDA is impeding our ability to use certain herbs which can be utilized safely and to great benefit. Quality control is abysmal, mostly because Chinese growers and exporters are not yet at a place where proper soil analysis, herb analysis, and record keeping is a priority. Most Americans probably don't even know of this field's existence, much less that it's held in greater esteem in China than acupucture, which meanwhile gets all the press here.

Anyway, it makes sense to focus on what can most readily be improved. And, as I see it, one of the most significant impediments to the longevity and development of the field of Chinese Herbal Medicine in the United States is that we fail to take what we do as seriously as medical doctors do, or to hold ourselves to the same standards as those that the biomedical community (generally) abides by. We get combative about scientific standards because we claim science doesn't understand us, or that it's trying to take the spirit out of what we do, or that our medicine can't be measured or proven by their studies. We run schools in which it's nearly impossible to fail, even if a student truly doesn't have what it takes to responsibly guide others' health choices. Schools with a good percentage of students who couldn't last a semester in a biomedical program. Do we really want to be the medical field that's known for being much easier to get a degree in than the other major medical fields? Or a good career for someone who feels relieved by the thought that they won't be a "real" doctor? In Lawrence Kohlberg's terms, we need to stop thinking of ourselves as a culture that has transcended the conventions of the mainstream, when many of us have simply rejected the mainstream because of our own issues with authority or a blanket refusal to conform. Only by first learning how to play by the mainstream's rules, by truly adopting convention, can we actually, wisely transcend these conventions.

A most glaring example of the fact that we don't take ourselves seriously enough is that we have fought to get Chinese Herbal Medicine included in the scope of practice of acupuncturists in most states, even though most states require no demonstration of competency in the use of herbs. With few exceptions (thank you, California) acupuncturists get to practice Chinese Herbal Medicine - a medical system with a significantly higher risk of harming someone - whether or not they have received any formal training in it. If we want the FDA to stop taking away our herbs, we need to show that we recognize the risks associated with the practice of Chinese Herbal Medicine and we take them seriously. We need to prove that we know these things better than they do, and that we're determined to ensure the utmost safety for our patients. And we can demonstrate this by voluntarily withdrawing the right the prescribe herbs from anyone in our field who can't prove their proficiency in using them safely. Who among us would object to this, if you care about the future legitimacy of our field and the safety of your own patients? Who would be so arrogant as to insist on the right to prescribe medicines you cannot demonstrate your competence in? A simple course would be to go the way of Canada, where one can have a license to practice acupuncture only, a license for herbal medicine only, or a license to practice the full scope of TCM. 

In my opinion, Chinese Herbal Medicine is the most sophisticated, safe, holistic, and effective form of internal medicine on Earth. It deserves the reverence and respect of holding ourselves to higher standards.




~ OUR NATURAL ALLIES ~


Acrid, Cool Herbs That Release The Exterior

• For wind-heat, herbs from this category are often combined with herbs to clear heat-toxicity, since toxicity commonly results when heat is extreme.
• "Liang E Bing Fu": Too many acrid, cool herbs will simply suppress wind-heat. They freeze the surface and wind-heat cannot leave the body. Add one or two acrid, warm herbs to formulas for wind-heat (i.e. 80% cool herbs, 20% warm herbs).
• Use caution when there is profuse sweating or injury of body fluids, and with patients with carbuncles, boils, urinary tract infection, or a history of heavy bleeding.
• Since the dispersing effect of some of the more aromatic herbs in this category is dependent on their volatile oils, they are often decocted only for a short time, or they are just infused (not exposed to a heat source, simply allowed to steep in water that has been brought to a boil). 
For Various Wind-Heat Patterns, Also Consider, When Appropriate:
Bai ji li, Bai xian pi, Chuan xiong, Dan zhu ye, Gou teng, Gua lou pi, Guan zhong, Jiang can, Jie geng, Jin yin hua, Jue ming zi, Lian qiao, Lu gen, Ma bo, Mao dong qing, Pi pa ye, Qian hu, Qing xiang zi, Xuan shen, Zhe bei mu, etc.
Bo He
Mentha
Chinese Field Mint















acrid
cool

Lv
Lu
Disperses wind-heat; eases the head, eyes and throat; expresses skin eruptions; promotes Qi circulation on the surface and frees liver Qi.

• Wind-heat: headache, fever, slight aversion to cold, sore throat, red eyes, cough, nasal congestion.
• Liver Qi stagnation: distention, pain or pressure in the chest, costal region, or hypochondrium, emotional instability, gynecological problems.
• Wind-heat: slow skin eruption in early-stage measles, or other early-stage rashes.
• Add to a decoction in the last five minutes of cooking.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
Li Dong Yuan: Upbears Yang Qi.
Li: Can be warming in a large dose.
Yoga: Phudina: P, K-; V+ (in excess)
Sattvic herb, very ethereal: soothing, cooling, clarifying, expanding.
• Relieves tension, congestion; mild; harmonizer.
• Pungent/cooling (slightly)/pungent.
• Affects respiratory, nervous, digestive, and circulatory systems.
• Stimulant, diaphoretic, carminative, nervine, analgesic.
• Same indications as TCM plus earache, dysmenorrhea.
MLT: Similar to Lemon Balm and Spearmint (these herbs can be substituted).
• Do not boil. Infuse in the boiled water only after the rest of the decoction is prepared.
1.5-6g

JC: Spearmint:
• Diaphoretic (gentle), diuretic (lithotriptic), stimulant, carminative, antispasmodic, aromatic, nervine (sedative), condiment, nephritic, anti-emetic.
• Beneficial to the kidneys and bladder as a diuretic, especially for suppressed, painful, or scalding urination, and bladder/kidney inflammation.
• Soothing and quieting to the nerves and stomach.
• Colic, flatulence, dyspepsia, spasms, dropsy, nausea, vomiting, gravel in bladder, hemorrhoids (shallow enema).
• Vomiting and nausea of pregnancy: 14g spearmint, 2 teaspoons cloves, 2 teaspoons cinnamon, 2 teaspoons rhubarb. Infuse in 1 pint boiled water, cover 20 minutes, strain, take 3-4 tablespoons every 30 minutes.
• Ginger intensifies and accelerates its action.
PLB: Peppermint (the most pungent mint) is, overall, stronger/sharper than Spearmint, and is probably less similar to Bo he.
BII: For irritable bowel syndrome, GB disease (studies used enteric coated capsules of peppermint oil).
• Not for heartburn or esophageal reflux as it relaxes the esophageal (cardiac) sphincter (use licorice/DGL instead).
Chai Hu
Bupleurum root

"Kindling of the Barbarians"
bitter
acrid
sl cold
Lv
GB
PC
SJ
Frees the liver Qi; disperses pathological factors in the half-interior, half-exterior; lifts spleen Yang Qi; reduces fever; can both lift and descend (acrid and bitter).

Shaoyang syndrome: alternating fever and chills, distended chest and hypochondrium, bitter taste in the mouth, flank pain, irritability, vomiting, dry throat, dizziness.
• Liver Qi stagnation: distended hypochondrium, costal pain, headache, irregular menses, dysmenorrhea, dizziness, vertigo, stifling sensation in the chest, flank pain, emotional instability.
• Spleen Qi sinking: prolapsed rectum or uterus, diarrhea, hemorrhoids, shortness of breath.
• Spleen/liver disharmony: epigastric and flank pain, stifling sensation in the chest, abdominal bloating, nausea, indigestion, bloating.
• Some say Chai hu damages the Yin, since it is bitter and drying (often combined with Bai shao to counteract its drying nature).
• Contraindicated in liver Yang rising due to liver/kidney Yin deficiency.
• Antipyretic; some antibiotic/bacteriostatic effects; tranquilizer; anti-tussive.
• Used to treat malarial disorders.
• Occasionally can cause nausea or vomiting (should use a small dose in this case).
Chinensis species (hard, Northern) (Bei/Ying chai hu): better for harmonizing the Shaoyang and clearing heat and wind-heat.
Scorzoneraefolium species (soft, Southern) (Nan/Ruan chai hu): better for spreading liver Qi, resolving depression, and relieving constraint.
Jin: Safe in pregnancy in moderate dose (to 4.5g).
MLT: Some patients are sensitive to Chai hu. Some believe it "consumes the Yin." Despite its recommendation in the Shan Han Lun, many doctors avoid this herb.
• With blood deficiency, always combine it with Dang gui and/or Gou qi zi.
PFGC: Can purge heat in the uterus; can resolve blood heat; disperses exuberant gallbladder fire.
• Should be used to ascend Shaoyang pathogens to push them over and beyond the diaphragm, forcing them up and out.
• In large doses, it is diaphoretic, but this results in out-of-hand momentum and weakening of its uplifting force.
• Can facilitate smooth bowel movements and can foster proper urination - because uninhibited urination is linked to proper function of the san jiao - Qi dynamics of the san jiao are such that Qi descends only if it is allowed to rise first.
• Use in pre- and post-partum disorders, eruption of macules in children, consumptive fevers, carbuncles, furuncles, all malaria.
• Food accumulation: can move wood Qi to course earth.
• Alternating hot and cold are not a necessary symptom to prescribe Chai hu - it is enough to know the patient has an exterior affliction with nausea or vomiting or frequently spitting sticky saliva - this is sufficient evidence that the disease is in the Shaoyang.
HF: An important herb in anti-Gu therapy to move Qi (Xing Qi) and break accumulation (Po Ji).
DY: Drains the liver and resolves depression; harmonizes the Shaoyang; harmonizes the liver and spleen; abates heat; upbears clear Yang; frees the flow of Qi on the left side of the body.
• With Bai shao to drain the liver without damaging liver Yin, nourish the liver without causing liver depression Qi stagnation, regulate the spleen, stop pain effectively, harmonize the interior and exterior, and constrain Yin while upbearing Yang. For such indications as:
- 1. Liver depression Qi stagnation causing disharmony between Qi and blood.
- 2. Vertigo, unclear vision, chest and lateral costal oppression, pain, and distention due to liver depression Qi stagnation or to disharmony between the exterior and interior.
- 3. Menstrual irregularities, dysmenorrhea, breast distention, low-grade fever during the menses, premenstrual syndrome, and fibrocystic breasts, all caused by liver depression Qi stagnation or disharmony between the liver and spleen.
• The combination of Bai shao and Chai hu is effective for the treatment of liver and digestive problems caused by liver depression Qi stagnation or liver-spleen or liver-stomach disharmony, such as subacute or chronic hepatitis, hepatomegaly, cholecystitis, gallstones, enteritis, and colitis.
• With Huang qin to harmonize the interior with the exterior, the Shaoyang, and liver and gallbladder. Together, they also clear the liver and resolve depression as well as clear and eliminate dampness and heat, particularly in the liver and gallbladder. Chai hu dispels evils (heat) limited to the superficial part of the Shaoyang while Huang qin drains evil heat limited to the internal part of the Shaoyang. For indications such as:
- 1. Alternating fever and chills, a bitter taste in the mouth, dry throat, pain and fullness in the chest and lateral costal regions, nausea, and lack of appetite due to a Shaoyang pattern. (Xiao Chai Hu Tang)
- 2. Malaria due to a Shaoyang pattern.
- 3. Liver depression transforming into fire.
- This combination is remarkably effective for hepato-biliary disorders, such as acute or chronic hepatitis, biliary lithiasis, cholecystitis, and hepatomegaly due to liver-gallbladder heat.
• With Sheng ma for mutual reinforcement, to upbear liver, stomach, and spleen Yang Qi. These two herbs alone don't raise the Qi efficiently. They must be combined with Ren shen, Huang qi, and Bai zhu to be really effective for this purpose, because one cannot raise what is lacking. Huang qi does appear to upbear the Qi, but not for long. When Chai hu, Sheng ma, and Huang qi are combined, they raise the Qi effectively, and for long periods of time.
For indications such as:
- 1. Uterine prolapse, rectal prolapse, gastric ptosis due to central Qi fall. (Bu Zong Yi Qi Tang)
- 2. Metrorrhagia and abnormal vaginal discharge due to central Qi fall.
- 3. Chronic diarrhea or chronic dysentery due to central Qi fall. (Bu Zhong Yi Qi Tang)
- 4. Shortness of breath and dyspnea with feeling of oppression and downward falling of Lungs due to Qi fall. (Sheng Xian Tang)
- For all the above indications, Sheng ma should be honey mix-fried and Chai hu should be stir-fried until scorched.
- In all the above cases, a small dosage of the two herbs is sufficient (i.e. 3-5g). However, a larger dose of Sheng ma (9-15g) can be used if one wants to simultaneously clear Yin fire due to spleen deficiency from the head and face.
Chai hu is a messenger herb which guides the action of other medicinal substances toward the liver and gallbladder channels, toward the upper part of the body (head and face), along the liver channel pathway (internally) and the gallbladder channel pathway (externally), and toward the lateral costal region.
Chai hu in high dosage (10-18g) resolves the exterior, abates heat, and harmonizes the Shaoyang. In small dosage (2-4g), it upbears Yang Qi. In an average dosage (6-8g), it courses the liver, rectifies the Qi, and resolves depression.
• When pain is predominant, vinegar mix-fried Chai hu is best.
• In cases of liver-spleen disharmony, stir-fried Chai hu should be used.
3-12g
Chan Tui
Cicada molt
sweet
cold
Lu
Lv
Disperses wind-heat; expresses skin eruptions; promotes vision by removing nebulas; relieves convulsions by subduing liver wind (large dose); strongly clears heat from the nose, eyes, and throat.

• Wind-heat: loss of voice, sore throat, cough, hoarseness, or fever, headache.
• Wind-heat or early measles: incomplete expression of skin rash.
• Liver wind-heat: red eyes, tears, nebulas, conjunctivitis, painful eyes, blurry vision.
• Liver wind-heat: childhood febrile disease, morbid night crying in babies, spasms, convulsions, delirium, night terrors; tetanus.
• Doctrine of signatures: skin treats skin; big eyes indicate affinity for eyes/liver; cicadas are silent at night - for calming children at night.
Hsu: Anticonvulsant; decreases muscle tremors caused by nicotine.
DY: Disinhibits the throat; diffuses the portals of the Lungs and increases the voice.
• One of few herbs in the materia medica which calms the liver and settles convulsions and is also non-toxic, even at high doses of up to 30g/day (unlike scorpion and centipede). For this reason, it is good for children.
• Vexation, agitation, insomnia, night crying, night fears, nightmares, clonic convulsions, epilepsy.
• With Shi chang pu to effectively rouse the spirit and open the portals. For vertigo, tinnitus, and deafness due to obstruction of the portals.
3-12g
Dan Dou Chi
Prepared Soybean

















Dou Juan

Soybean sprout
acrid
sweet
sl bitter
cold
Lu
St
Relieves exterior syndromes; relieves restlessness; clears heat.

• Wind-heat or wind-cold: fever, aversion to cold, headache (can be used for either hot or cold invasion, usually for early stage).
• Febrile disease causing stagnant heat in the chest: restlessness, insomnia, irritability, stifling sensation in the chest (Dan dou chi also reaches the heart) - combine with Zhi zi.
• Because of its mild character, is also appropriate for Yin deficiency with a superimposed exterior disorder.
• Is treated either with Ma huang or Zi su ye (more warming effect) or Sang ye or Qing hao (more cooling effect).
MLT: Good for kids (ok taste, nutritive).
• This and all soybeans contain genistein - estrogen precursor and tumor inhibitor.
DY: Promotes perspiration; diffuses and out-thrusts external evils from the exterior.
• With Zhi zi, the two herbs unite to form the clearing and diffusing and out-thrusting method to eliminate evils from the exterior and interior. Together, they effectively promote perspiration, drain evils from the exterior, clear and out-thrust heat from the interior, and eliminate vexation due to full heat. For indications such as:
- 1. Vexation and agitation, insomnia, and irritability during or after a warm disease. (Zhi Zi Chi Tang) Use stir-fried Dan dou chi.
- 2. External contraction of wind-heat or a febrile disease.
Qing dou chi is cold, and clears heat and eliminates vexation
Wen dou chi is warm and is superior for resolving the exterior and promoting diaphoresis. Although it is warm in nature, it is used in and preferred for wind-heat affections.

(Da) Dou Juan: Soybean sprout
• Sweet, acrid.
• Clears heat; drains dampness; clears summer-heat.
• Early stages of summer-heat or warm-febrile diseases, especially those with joint pain, sensation of heaviness, minimal swelling, and a greasy tongue coating due to the presence of dampness.
• Bensky/Gamble classifies with herbs that clear summer-heat.
MLT: Sprouted form is used for rheumatic conditions, edema, swelling of the whole body and knees.
9-15g
Fu Ping
Duckweed
Spirodela
acrid
cold
BL
Lu
Releases the exterior; unblocks the muscle level; vents rashes; dispels water, reduces swelling.

• Exterior heat: head and body aches.
• Hastens full expression of measles and other exanthemas and wind rashes and thereby hastens resolution of the disease.
• Hot, superficial edema, especially when affecting the upper body and when accompanied by urinary difficulty.
• One of few cool herbs that is a strong diaphoretic.
• Doctrine of signatures: The herb is very light, grows on the surface of water. This indicates its affinity for the surface/skin and its ability to release superficial water (edema, sweat).
• Topical: also used as a wash for rashes.
• Often used alone.
MLT: Diuretic, diaphoretic.
3-6g (to 9g in severe cases)
Ge Gen
Pueraria root
Kudzu


sweet
acrid
cool
Sp
St
Relaxes muscles by promoting sweats and expelling EPIs; lifts spleen Qi and Yang; clears heat; generates body fluids; supports detoxification and withdrawal from alcohol.

• Wind-heat or wind-cold (lodges in the muscles): stiff neck, occiput, or upper back, fever, headache, no sweating.
• Early-stage measles: slow eruption of skin, fever, aversion to cold.
• Spleen Qi deficiency or damp-heat: diarrhea (when due to deficiency, combine with tonics).
• Injury of body fluids by heat in febrile disease: restlessness and thirst.
• Stomach heat: thirst.
• Lowers BP, treats headache, dizziness, tinnitus, paresthesias due to HTN.
• Also for sudden deafness, ear infections.
• Eases alcohol withdrawal and hangover.
• Lowers blood sugar/treats diabetes.
• Guohui Liu: special for tendinitis.
• General analgesic for a variety of pains.
• To lift spleen Qi, roast with wheat bran until the Ge gen turns yellow. This form is less cooling and is superior for diarrhea due to deficiency.
Yoga: Sweet/cooling/sweet; P, V-; K+
• Tonic, diaphoretic, diuretic.
MLT: Demulcent and soothing to the stomach and intestines.
• Has an upward, antispasmodic property.
Hsu: Anticonvulsant, follicular hormone effect, dilates coronary arteries, improves cerebral blood flow in hypertensive patients.
DY: Resolves the muscle aspect; eliminates heat; engenders fluids and stops thirst; tends to reach evils horizontally and, therefore, out-thrusts rashes on the back and the middle part of the body.
• Marked vasodilatory effect, used for hypertension, hypercholesterolemia, coronary disease, angina pectoris, headaches and painful tension in the cervical area due to hypertension.
• With Sheng ma to resolve the exterior and muscle aspect, clear heat, resolve toxins, and out-thrust rashes over the whole body. For indications such as:
- 1. Skin rashes which have difficulty surfacing, accompanied by headache and fever due to an exterior pattern. (Sheng Ma Ge Gen Tang)
- 2. Measles in the initial stage with eruptions which have difficulty surfacing, and fever sometimes accompanied by lack of perspiration or perspiration which has difficulty coming out due to an exterior pattern. (Xuan Fu Jie Bao Tang)
• While Sheng ma is used for all forms of Qi sinking, Ge gen is only used for diarrhea. It treats diarrhea of either the deficient type (i.e. spleen deficiency) or excess type (i.e. damp-heat). For this, roasted Ge gen should be used.
6-12g
Ju Hua
Chrysanthemum flower







acrid
sweet
bitter
sl cold
Lv
Lu
Moves liver Qi, subdues liver Yang rising, clears liver heat; disperses wind and clears heat from the liver and Lungs; eliminates toxicity; promotes vision; can protect the Lungs; nourishes water of the kidneys; said to promote longevity.

• Wind-heat: fever, dizziness, headache.
• Liver wind-heat or flaring of liver fire: red, swollen, painful eyes.
• Liver Yang rising leading to stirring of liver wind: headache, dizziness, deafness,
hypertension.
• Liver and kidney Yin deficiency: seeing spots in front of the eyes, blurry vision, dizziness.
• Cook a short time (retain the acridness) to disperse wind-heat, cook longer (boil off the acridness, retain the bitterness) to subdue liver Yang.
• This herb is said to have the energy of autumn - it can protect the Lungs.
• Stronger than Sang ye at clearing liver fire, but weaker at dispersing wind-heat.
• Compared to Mu zei, with regard to the vision: Ju hua nourishes the eyes, but does not remove superficial visual obstruction (as Mu zei does).
Bai ju hua: white variety: stronger than the yellow variety at subduing liver Yang, freeing/nourishing the liver and clearing the eyes; often used for poor vision due to liver/kidney Yin deficiency; better for hypertension.
Huang ju hua: yellow variety: stronger than the white variety at clearing heat and dispersing wind-heat.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
SD: May help antidote lead poisoning.
Yoga: Sevanti - "Service," gives the energy of devotion, surrender, and service to the Divine.
• Bitter, sweet/cooling/pungent; P, K-; V+ (in excess).
• Affects digestive, respiratory, nervous systems.
• Diaphoretic, antipyretic, alterative, antispasmodic.
• For headache, sore throat, nose bleeds, eye infections, boils, dysmenorrhea, liver diseases.
• Cools and regulates the Pitta that governs vision.
• Calms Pitta emotions: anger, irritability.
• Promotes lactation and menstruation.
• Caution with high Vata.
• Aids in the surrender of the egoistic will (a function of deranged Pitta) to the Divine.
MLT: Drink cool in the summer to protect Yin and blood.
• Good for digestive upset, hypertension, headache, summer-heat.
DY: Light and upbearing in nature.
• With Gou qi zi to effectively nourish and supplement the liver and kidneys, clear heat, calm the liver, and brighten the eyes. For indications such as blurred vision, diminished visual acuity, "moving black spots in front of the eyes," fire sparks in the eyes, photophobia, dry eyes with distention and headache, and pain in the lower back and knees due to liver-kidney deficiency. For these indications, the combination is present in Qi Ju Di Huang Wan. Bai ju hua should be used. Ju hua carries the action of Gou qi zi toward the eyes.
• For eye problems, hypertension, or headaches with a feeling of distention, use 20-30g of Ju hua daily.
• (Bai) Ju hua yields very good results in hypertensive disorders, especially when accompanied by vertigo and headaches mainly due to liver Yang rising. It is often combined with Shan zha (15-20g), is cases of hypercholesterolemia.
Hsu: Hypotensive: suppresses the motor center controlling blood vessels and is vasodilatory.
4.5-15g
Man Jing Zi
Vitex fruit



















Chaste berry
Vitex agnus-castus











acrid
bitter
neutral
BL
Lv
St
Disperses wind-heat; eases eyes and headaches; drains dampness; expels wind; traditionally said to promote beard growth in men.

• Wind-heat: dizziness, headaches, migraines.
• Upper attack of wind-heat: blurry vision, red, painful, swollen eyes, lots of tears, spots in front of the eyes.
• Wind-dampness in the limbs/joints: stiffness, numbness, cramping, heaviness.
Jin: Particularly good for the pain of wind-damp Bi.
Li: Good for Shaoyang headaches behind the eyes.
HL: From Li Shi Zhen's Ben Cao Gang Mu [provided by John Black]:
Main Uses: Treatment of heat and cold between tendons and bones, damp Bi type cramps, brightens the eyes, and strengthens the teeth. Regulates the nine orifices and expels "bai chong" (the Chinese character indicates some kind of worm, bug, parasite, etc.). Prolonged use of this herb can prevent aging. Can treat headache caused by wind, ringing in the head, lacrimation; benefits the Qi. It can enliven and brighten the spirit, and has been said to be able to expel pathogenic Qi and help the hair to grow. It has also been said to be able to free up the joints, treat epilepsy, red eyes, and Taiyang type headache. It can treat heaviness in the head (and implies some state bordering on unconsciousness), disperse pathogenic wind, cool menstrual blood, treat aching eyes, soothe liver wind, treat headache caused by wind, darken head hair and treats mastitis in the early stages. Through its effect on enhancing beard growth and the hormonal effects attributed to its Western cousin, I believe this herb is a tonic to the Chong Mai.
A final note though. It is contraindicated for those with deficient stomach Qi. The effect of Man Jing Zi in my experience is similar to He Shou Wu in that it can cause bloating, loose stools, sometimes explosive bowels with those people with a digestive insufficiency. Bai Zhu seems to counteract this well.
6-12g

On the Western species: Vitex agnus-castus - Chaste berry:
It has not been clearly established as to whether the Chinese species shares all properties of the Western species.
NAH: For menstrual and menopausal disorders; probably an anaphrodisiac - lowers sex drive.
• Increases production of luteinizing hormone and prolactin; stimulates the flow of milk.
• Regulates menses when they are too frequent or too heavy.
• Seems to stimulate progesterone synthesis and regulate estrogen: for PMS and menopause.
• For fibroids and inflammation of the womb lining.
• Re-establishes normal ovulation and menses after discontinuance of the pill.
K&R: Sympatholytic, antispasmodic, estrogen antagonist, FSH inhibitor, luteotropic, galactagogue.
• Sweet-cooling; fire yang, wood yang.
Fire: nervousness, genital excitation, dysmenorrhea, acne; anti-FSH; sympatholytic; stops excess bleeding, corrects a shortened menstrual cycle.
Wood: neurotonia, globus hystericus, liver depression, palpitations, tachycardia, dysmenorrhea, uterine fibroids, hemorrhage, acne, genital excitation, mastosis and breast tenderness, male impotence from excessive sexual excitation, epigastric tightness, PMS, amenorrhea, menorrhagia, irregular menstrual cycle, menstrual and pre-menstrual edema, normalizes milk production (either too much or too little), cystic breasts-normalizes ratio of estrogen to progesterone; anti-FSH, sympatholytic.
RW: Increases LH production and inhibits release of FSH, leading to a shift in the ratio of estrogens to gestagens, in favor of gestagens, and hence a corpus luteum hormone effect.
• Menstrual disorders due to corpus luteum insufficiency (hyper or polymenorrhea and PMS based on hyperfolliculinism).
• Also for acne; pre-menstrual oral herpes; pre-menstrual water retention.
• Lactagogue (slow effect).
Mu Zei
Equisetum hiemale
Horsetail
Scouring Rush

"Wood Thief"

















sweet
bitter
neutral
Lu
Lv
Mildly disperses wind-heat; promotes vision, dispels nebulas; stops bleeding; clears heat.

• Wind-heat affecting the eyes: red eyes, excessive tearing, pain, swelling, cloudiness, blurred vision, pterygium.
• Heat in the blood: bleeding hemorrhoids, hemafecia (usually used as an auxiliary herb).
• Pulmonary disease: silicosis (improves symptoms).
• Also used externally as a powder.
• Compared to Ju hua, with regard to the vision, Mu zei is best for removing membranes from the conjunctiva (which Ju hua cannot do).
• Doctrine of signatures: the herb is a hollow tube - useful for clearing the tubes of the body - urinary tract, bile duct, air passages, vessels (not widely in this sense in TCM).
SD: May help antidote lead poisoning.
Yoga: Bitter, sweet/cooling/pungent; P, K-; V+
• Affects urinary, respiratory systems.
• Diuretic, lithotriptic, diaphoretic, alterative, hemostatic.
• Strong stone-removing action for the kidneys, bladder, gallbladder.
• Somewhat irritant, should not be taken for a long duration.
• Promotes healing of bones.
• Similar to Niu bang zi: as a paste/wash for inflammation.
• Clears Pitta and fiery emotions from the nerves and mind.
• For edema, nephritis, burning urethra, kidney stones, gall stones, stomach ulcers, broken bones, menorrhagia, venereal disease.
• Caution with patients with high Vata, constipation, dry skin; good for high Pitta.
NAH: Major source of silica - for lungs damaged by tuberculosis.
• Contains many minerals - good for anemia, debility, broken nails, lifeless hair, white spots on nails.
• Silicon encourages calcium absorption and helps guard against fatty deposits in the arteries.
• Astringent action stops bleeding, good for stomach ulcers.
• Mild diuretic, but its astringency makes it useful for children's bed wetting.
• Also for inflamed/enlarged prostate, cystitis, urinary stones.
K&R: Remineralizing agent.
• Water yin, wood yang, water yang, metal yin, earth yin.
Water: edema, oliguria, ascites, glomerulonephritis, cystitis, nephrotic syndromes, osteoporosis, demineralization, pathological calcification, Paget's disease, amenorrhea, diabetes.
Wood: hemorrhage, metrorraghia, epistaxis, hematuria, spasmophilia, tetany
Metal: immune deficiency, scrofula.
Earth: diabetes, chronic rheumatism, conjunctivitis, eyelid swelling.
MW: 35+% silica: its uses include almost the entire portrait of homeopathic Silicea: loss of nerve, nervousness to the point of nail-biting, hair-pulling, picking at the body or objects, slightly chilly constitution, problems with the hard sheaths and tissues of the body (strengthens tissue), thin, split hair, weak nails, lack of "grit" to the personality, no confidence to plunge into life, allergic to all sorts of things, chronic cystitis
• For all bleeding, ulcers.
• Brings matters to the surface, releases corrupted material.
• Doctrine of signatures: [see above on tubes] plus stem's striking joints - for joints.
MLT: Cider vinegar extract of Mu zei: use topically for all fungus.
TS: Cleansing agent for the stomach.
• Reduces the suffering from gravel. For all bladder and kidney difficulties, especially stones in the bladder
• Painful urination.
• Hemorrhaging, hematemesis, epistaxis.
• As a compress for foul-smelling sores with pus.
Hsu: Appetite stimulant; diuretic; screening test shows it is effective against stomach, tongue, and liver cancers.
3-9g
Niu Bang Zi
Arctium seed
Great Burdock












acrid
bitter
cool
Lu
St
Disperses wind-heat; eliminates toxicity; expresses skin eruptions; eases the throat; relieves swelling; moistens the intestines for wind-heat constipation.

• Wind-heat: cough with difficult-to-expectorate sputum, swollen, red, and painful throat, fever.
• Wind-heat: slow skin eruption in early-stage measles or other incomplete skin rash.
• Heat and toxicity: red swellings, carbuncles, erythemas, mumps, acute febrile maculopapular rashes.
• Wind-heat: constipation.
• Good for constipation with sore, swollen throat.
• Prostatitis
• Weaker than Bo he at dispersing wind-heat and inducing sweating, but much stronger than Bo he at clearing heat and toxicity.
• Stronger at clearing heat than dispersing wind-heat, but much weaker at clearing heat and toxicity than the herbs in that category.
MLT: Should be crushed.
• Good for skin disease, cancer.
JC: Diuretic; alterative; tonic; nervine; diaphoretic.
• For edema, inflamed kidneys and bladder; scalding urine; mucus discharge from the bladder; difficult skin problems; eczema; boils; carbuncles; psoriasis.
• Topical: powder for abrasions, burns, wounds, ulcerations.
• Apply infusion topically to swollen glands and joints.
Yoga: (seeds and root) Bitter, pungent, astringent/cooling/pungent
• P, K-; V+ (in excess)
• Affects respiratory, urinary, circulatory, lymphatic systems.
• Alterative, diaphoretic, diuretic, antipyretic.
• Tonic and rejuvenative for Pitta.
• Same indications as above sources plus: lymphatic clogging, nephritis, edema, kidney inflammation, hypertension, cough.
K&R: Specific for all kidney afflictions; parotitis with constipation; eczema; cough; suppurative inflammation.
• Contracts the uterus.
IBIS: Alterative, demulcent, diaphoretic, diuretic, tonic.
• [Western] dosage: root tincture: 2 - 8 mL; seed tincture: 0.5 - 2 mL.
• Therapy: aphthous and catarrhal ulcerations of stomach membranes; irritable coughs; psoriasis; chronic cutaneous eruptions; chronic glandular enlargements; syphilitic, scrofulous, and gouty conditions (Ellingwood, p. 378); skin conditions, especially with dry and scaly skin; eczema; acne; boils; styes; carbuncles; arthritis; rheumatism (Anderson Geller)
• Handling fresh leaves may cause contact dermatitis (Duke; Muenscher)
3-9g
Sang Ye
White Mulberry leaf
Morus alba
acrid
sweet
bitter
cold
Lu
Lv
Disperses wind and clears heat from the Lungs; clears heat from the liver to promote vision; cools the blood, stops bleeding (charred).

• Wind-heat: cough, headache, fever, swollen and painful throat.
• Lung dryness: cough and dry mouth.
• Lung heat: thick and yellow sputum.
• Lung yin deficiency: night sweats, feeling hot at night.
• Liver channel heat (full or deficient) or liver wind-heat: red, dry, painful eyes, excessive tearing, spots in front of the eyes (for liver heat, empowers metal to control wood).
• Heat in the blood: mild cases of hematemesis.
• May lower blood sugar.
• Stronger than Ju hua to disperse wind-heat, but weaker to clear liver fire.
• Fry with honey (honey:herb::1:10) to moisten the Lungs for invasion of dryness and treat coughing.
• Doctrine of signatures: (supposedly) looks like a lung.
• Grows in the spring and contains the energy of spring.
• Can be used as an external wash for eye problems.
• This is the food of the silkworm.
4.5-15g
Sheng Ma
Cimicifuga (Actea) rhizome

"Ascending Hemp"

























Cimicifuga (now Actea) racemosa

Black Cohosh











acrid
sweet
sl cold
Lu
Sp
LI
St
Guides upward; releases exterior syndromes; expresses skin eruptions; clears heat and eliminates toxicity; lifts Yang Qi.

• Wind-heat: headache; slow skin eruption in early-stage measles.
• Heat and toxicity: headache, swollen and painful gums, canker sores, sore teeth, ulcerated lips or gums, painful and swollen throat, sores, blotches (febrile disease).
• Spleen Qi sinking: prolapse (rectum, uterus, etc.), shortness of breath, fatigue.
• Spleen Qi deficiency and failure to control the blood in the vessels: uterine bleeding.
• Stomach heat: toothache (raises Yang and relieves heat toxicity).
• Often used with Ge gen to promote expression of rashes.
• Often used with Chai hu to lift the Yang Qi.
• Stronger than Chai hu at lifting prolapsed organs.
• Note that the herb Serrulata is often substituted for Cimicifuga.
• Guides other herbs upward.
• Fry in honey to lift spleen Qi.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
DY: Upbears Yangming and clear spleen Qi; frees the flow of Qi on the right side of the body.
• In combination with Chai hu for mutual reinforcement, to upbear liver, stomach, and spleen Yang Qi. See Chai hu in this category for indications and notes on this combination.
• With Sheng ma to resolve the exterior and muscle aspect, clear heat, resolve toxins, and out-thrust rashes over the whole body. See Ge gen in this category for specific indications and notes.
Sheng ma is stronger than Ge gen at upbearing Yang. Moreover, Sheng ma is used for all types of Qi fall in the middle burner, such as ptosis of the organs, rectal prolapse, uterine prolapse, shortness of breath with a feeling of collapse in the chest, chronic diarrhea, and persistent metrorrhagia.
• Sheng ma is a messenger medicinal which guides the action of other medicinal substances toward the upper part of the body - the head, face, and upper orifices - and toward the Yangming. Therefore, it is used to treat toothache, oral ulcers, and stomatitis associated with the stomach, and constipation associated with the large intestine [I assume he means by clearing excess from the Yangming].
Hsu: Anti-ulcerative, anticonvulsant, analgesic, antipyretic.
1.5-9g

Of the Western species, Cimicifuga racemosa:
It has not been clearly established how much the Chinese and Western species have in common, although they have been shown to contain many of the same chemical constituents. It seems that Black Cohosh possesses Sheng Ma's exterior releasing and analgesic qualities (and may even be stronger), but Sheng Ma does not necessarily possess the hormone modifying qualities of Black Cohosh. Since Serrulata species are a very common adulterant for Sheng ma, unless you are sure you are getting some kind of Cimicifuga, Sheng ma certainly cannot be counted on for the following actions and indications.
K&R: Antispasmodic (musculotrope and neurotrope), sedative, sympatholytic, vagolytic, LH antagonist. Pungent-cooling; wood yang.
Wood: headaches - migraine, ophthalmic headaches, cluster headaches, hypertension, vertigo, Meniere's, neuralgia, spasmophilia, menstrual cramps, menopausal complaints incl. depression, anxiety, hot flashes, vaginal dryness and atrophy.
• Also for genital herpes, asthma, pertussis, anxiety, panic attack, facial neuralgia, rheumatic pain, relieves tension in shoulders and occiput along the gall bladdder channel.
• Careful with the use of this herb for a true migraine - can induce vomiting.
JC: Nervine; emmenagogue; antispasmodic; alterative; diuretic; astringent; expectorant; diaphoretic; arterial and nervine sedative; cardiac stimulant-slightly depresses heart rate while increasing force of pulse and equalizing circulation; stomachic-tonic; antiseptic; antivenomous; muscular: for rheumatism, arthritis, neuralgia; tonic to mucus and serous tissues; stimulates secretions of liver, kidneys, and lymphatics.
• Pelvic disturbances, uterine disorders - contracts the uterus, increases menstrual flow.
• Acute chronic pulmonary and bronchial affections.
• Parturition: initiates uterine contractions, checks hemorrhage, allays nervousness and afterpains of delivery.
• Hypertension, palpitations, hemorrhage, uterine contractions: use full dose.
• Smaller dose for insomnia, headache, indigestion, bronchitis...
• Use as a syrup for colic, convulsions, nerve disorders, cough, whooping cough, liver and kidney disorders.
• Overdose can produce nausea and vomiting.
MW: A black, tangled mass of roots: for those caught in state of brooding, dark hopelessness, entangled in a web of coercive forces, against which one fights, but feels cannot ultimately defeat; a sense of entrapment; maybe caught in an abusive relationship or manipulative business pattern.
• For those who need to grab hold of their fears and drives in order to get through the entanglement which surrounds them.
• Gives the confidence to go through the black states of mind.
• Known as the "Herbal Chiropractor" - for spine problems/pain and head pain, especially when worse with menstruation.
Yoga: Bitter, pungent/cooling/ pungent
• Reduces Pitta and Kapha; elevates Vata
• Alterative, emmenagogue, antiseptic.



Acrid, Warm Herbs That Release The Exterior

• Since the dispersing effect of some of the more aromatic herbs in this category depends on their volatile oils, they are often decocted only for a short time (or are infused only).
• Also consider for wind-cold patterns when appropriate: Xi xin, Du Huo, Cang Zhu, Chuan xiong, Huo xiang, Ju hong, Wu gong, Jiang huang, Bai shao, etc.
Bai Zhi
Chinese Angelica root
Angelica dahurica
acrid
warm
Lu
St
Eliminates wind-cold; dries dampness; relieves swelling and drains pus; alleviates pain by eliminating wind; conducts to the Yangming channels; opens the nasal passages.

• Wind-cold: frontal headache, nasal congestion, supraorbital pain, toothache, or any other problem due to wind invading the Yangming channels in the head (can be used for heat syndromes when appropriately combined - e.g. for frontal headache due to wind-heat when combined with Shi gao).
• Headache due to sinusitis - key herb (not for headaches due to blood deficiency).
• Carbuncles and surface sores: dissipates swelling before there is pus or drains the pus after it has developed.
• Cold and damp in the lower Jiao: leukorrhea (combined appropriately, can be used for damp-heat also).
• Prevention of colds: increases IgA, IgM in the nose (by smelling it - usually hung in a container around the neck).
• Used in prevention of corneal ulcers secondary to burns.
• Used topically for freckles, maybe acne, hyperpigmentation, other blemishes.
• Liu: the ultimate herb for pus.
• A powder of Bai zhi and Bing pian, when inhaled through the nose, has been effective in treating headache, toothache, trigeminal neuralgia.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
Li Dong Yuan: Upbears Yang Qi.
3-9g
Cang Er Zi
Xanthium fruit
Cocklebur

"Deep Green Ear Seeds"
















Cang Er Cao
Cocklebur herb
acrid
bitter
warm
sl. toxic
Lu Opens the nose; eliminates wind-damp, alleviates pain; dispels wind.

• Wind-damp/wind-cold-damp: Bi syndrome, sinusitis, congestion, whitish discharge, headache.
• Wind-damp: skin disorders with itching, painful obstruction.
• Eliminates wind (auxiliary herb) for exterior syndromes with splitting headache radiating to back of the neck.
• Topical: local application in sesame oil for chronic rhinitis.
• Im injection for low back pain.
• Bensky/Gamble: eliminate wind-damp category.
Hsu: Antibacterial, decoction cures chronic arthritis and syphilitic neuralgia.
DY: Diffuses the Lung Qi.
• With Xin yi hua to effectively dispel wind, diffuse the Lung Qi, and open the portals of the nose. These two herbs are probably the two most efficient Chinese medicinal substances for all types of rhinitis and sinusitis. For the following indications, use the base formula Cang Er Zi San with these amendments: for wind-cold, add Xi xin, Huo xiang, Ma huang, and subtract Bo he; for wind-heat, add Ju hua, Jin yin hua, Lian qiao; for gallbladder heat, add Yu xing cao, Long dan cao, Huang qin; for Lung-spleen Qi deficiency, add Huang qi, Bai zhu, Dang shen, and subtract Bo he.
- 1. Common cold with headache, nasal congestion, and runny nose due to wind-cold.
- 2. Deep source nasal congestion with headache, nasal congestion, loss of smell, and turbid nasal phlegm.
- 3. Chronic or acute rhinitis, allergic rhinitis, hypertrophic rhinitis, sinusitis, parasinusitis, and frontal sinusitis.
Cang er zi is incompatible with horse meat or pork.
3-9g

Cang Er Cao: herb
• Bitter, acrid, slightly cold, slightly toxic.
• Expels wind; clears heat; eliminates toxicity.
• For wind-damp: Bi syndrome with spasms and pain in the extremities.
• Deep-rooted skin lesions and pruritis.
• Generally used topically.
• Not for long-term internal use, particularly by those who are very weak.
6-15g
Cong Bai
Scallion
Spring Onion
(white part with root)
acrid
warm
Lu
St
Mildly releases the exterior by promoting sweats; disperses cold and activates Yang; eliminates toxicity, dissolves swellings; conducts Yang to the surface.

• Mild wind-cold EPI : especially in the very early stage (often with Dan dou chi).
• Excess cold keeping the Yang on the surface of the body: diarrhea, cold extremities, feeble pulse, abdominal pain and distention, nasal congestion.
• Sores, abscesses, mastitis (often applied externally as a poultice).
• Combining with honey can upset the stomach.
• When decocting, cook only for a short time.
• When there is floating Yang due to deficiency, the use of Cong bai alone could make it collapse - this must be treated with Yang tonics or herbs which warm the interior (e.g. Fu zi, Gan jiang).
DY: Guides the action of other herbs to the Lung channel.
2-5 pieces
Fang Feng
Siler root
Ledebouriella

"Guard Against Wind"



acrid
sweet
warm
BL
Lv
Sp
Releases the exterior by eliminating wind, cold, and dampness; relives pain; relieves convulsions and tremors; alleviates itching.

• Wind-cold-dampness: headache, body ache, aversion to cold or joint pain, muscle spasm in the limbs.
• External wind: tetanus, trembling of the hands and feet.
• Spleen and liver disharmony: intestinal wind - recurrent, painful diarrhea with bright blood in the stool.
• Migraines.
• Deeper effect than Jing jie - Fang feng reaches the muscles and tendons while Jing jie is more for the skin level. Qiang huo which penetrates to the bones and tendons, reaches deeper than Fang feng.
• Analgesic, mild antipyretic.
Fang feng's chief function is to disperse wind. Can be combined with Huang qi to prevent wind (e.g. in Jade Wind Screen).
• Not for convulsions due to blood deficiency or Yin deficiency fire.
Liu: May free stagnant liver Qi.
SD: May help antidote arsenic poisoning.
DY: With Huang qi to supplement the defensive Qi without retaining external evils in the body, to drain external evils without damaging correct Qi and without causing perspiration, to secure the exterior, prevent invasion by external evils, and stop perspiration. This combination appears in Yu Ping Feng San for indications such as:
- 1. Spontaneous perspiration due to exterior deficiency.
- 2. Tendency to contract EPIs frequently due to defensive Qi deficiency.
- Yu Ping Feng San should not be used to treat wind affections that are already established. This combination is too astringent once the evil Qi and the defensive Qi are already struggling. Its use might, in this case, retain the external evil inside the body.
- The pair Fang feng and Huang qi, when combined with Zhi ke, yields good results in the treatment of prolapse of the rectum, external hemorrhoids, flatulence, and abdominal distention. For rectal prolapse, the best approach is to add 3g Fang feng and 6g Zhi ke to Bu Zong Yi Qi Tang.
3-9g
Gao Ben
Ligusticum root
Chinese Lovage
acrid
warm
BL Releases the exterior and alleviates pain by dispersing cold; eliminates wind and damp; guides to the bladder channel and organ; reaches both ends of the Du Mai.

• Wind-cold: headache, especially severe parietal headache radiating to the cheek and teeth, occipital headache, or migraine.
• Any wind pattern that presents as pain at the vertex or pain that travels from the vertex down to the cheeks and teeth.
• Wind-cold-damp: Bi syndrome, joint pain.
• Wind-cold: acute lower back pain (the herb reaches both ends of the Du Mai).
• Warm, dry, ascending, dispersing nature.
• Not for headaches due to blood deficiency.
Hsu: Antispasmodic, emmenagogue, antiphlogistic, antifungal.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
Li Dong Yuan: Upbears Yang Qi.
3-9g
Gui Zhi
Cinnamon twig














































acrid
sweet
warm
Ht
Lu
BL
Lv
Releases the exterior by promoting sweats; warms the channels; activates Yang; disperses cold; promotes blood circulation; frees the bladder channel to promote urination; adjusts the Ying and Wei Qi; warms and facilitates the flow of Yang Qi in the chest.

• Wind-cold: fever, aversion to cold, headache, sweating or no sweating.
• Wind-cold-damp: Bi syndrome, sore joints, back, limbs, and especially shoulders.
• Heart and spleen Yang deficiency: retention of phlegm and harmful fluid.
• Heart Yang deficiency or obstructed flow of Yang Qi in the chest (shi or deficiency): chest pain, palpitations, irregular pulse, or angina pectoris.
• Cold obstructing the channels/blood: dysmenorrhea, amenorrhea, masses in the uterus/abdomen.
• Cold-phlegm accumulation or weak movement of Yang Qi: edema.
• To promote sweating, use with Ma huang (Ma huang opens the pores, Gui zhi pushes the sweat out), especially for Yangming stage.
Wei and Ying imbalance: deficiency patterns where sweating occurs without improvement.
• Diuretic; mild antipyretic (primarily by vasodilation); some antibiotic effects.
• Compared to Ma huang in the treatment of wind-cold: while Ma huang works more directly by opening and disseminating the Lung Qi, Gui zhi works more by aiding the Yang Qi - this gives it the ability to treat either wind-cold excess or deficiency.
• For EPIs, smaller doses are usually used (3-9g) while larger doses (9-15g) are used for dispelling painful obstruction.
Li: Harmonizes the heart and kidneys; warms cold extremities; useful for palpitations.
PFGC: Enters the upper extremities; enters the muscle layer - primary herb to relieve the muscles; opens the energy pathways, raises the ancestral Qi up, descends counterflow of Qi (asthma, coughing), disperses pernicious Qi; keeps the upflaring tendency of liver wood in check; helps collapsed spleen Qi rise and rebellious stomach Qi descend.
• Its pungency disperses while its sweetness tonifies: it is therefore somewhere between dispersing and tonifying.
• By harmonizing the Ying and Wei, it can astringe sweats due to wind injuring the Wei, which in turn cannot attend to the Ying, which becomes weak and cannot secure fluids. it can induce sweating by regulating the Ying, which lets the Wei be harmonious by itself, which then forces sweat out to release the wind.
Hsu: Analgesic (raises pain threshold in brain); alleviates headache due to spasm of blood vessels in the head and relieves abdominal pain due to spasms of smooth muscle of the viscera; stimulates gastric secretions and saliva; markedly inhibits influenza virus.
DY: Promotes perspiration and resolves the exterior without damaging Yin; tropism: the blood division; quickens the network vessels; supplements spleen Yang; relieves the muscles; frees the flow of Yang and promotes urination by stimulating the function of transformation of the bladder.
• Treats edema of the damp type due to deficiency of the transformative function of the bladder.
• With Bai shao to harmonize Yin and Yang, the Qi and the blood, and the constructive and the defensive. This combination drains without damaging Yin, while constraining without retaining evils. They harmonize the vessels, relieve tension and stop pain, as well as support stomach Yin and spleen Yang, while regulating the spleen and stomach. For indications such as:
- 1. Common cold with fever, shivers, slight perspiration, no thirst, headache, thin white tongue fur, and a floating, moderate pulse or, in other words, a wind-cold exterior pattern with disharmony between the constructive and the defensive. (Take Gui Zhi Tang. 10 minutes later, eat very hot rice porridge, and stay well covered in bed to promote perspiration.)
- 2. Spontaneous perspiration and/or night sweats accompanied by fear of wind and cold, a cold feeling in the low back, and frequent catching of colds due to disharmony between the constructive and the defensive. (Use stir-fried Gui zhi.)
- 3. Chest and cardiac area pain due to heart Yang deficiency and disharmony between the Qi and blood. (Use 15-30g Gui zhi. In case of very cold limbs, Fu zi can be added.)
- 4. Abdominal pain with spasms and cramps due to deficiency cold and disharmony between the Qi and blood. (Dose Bai shao:Gui zhi::2:1. Use honey mix-fried Gui zhi and wine mix-fried Bai shao.)
- 5. Pain and/or numbness of the limbs due to disharmony between the Qi and blood. (Use stir-fried Gui zhi and wine mix-fried Bai shao.)
- 6. Vomiting and weakness during pregnancy accompanied by fear of cold, lack of appetite, nausea and a weak pulse in the cubit position due to disharmony of the spleen and stomach and the constructive and defensive. (Use stir-fried Gui zhi and wine mix-fried Bai shao.)
- 7. Weakness in the elderly, during convalescence, postpartum, and post-operatively with fatigue and lack of strength, fear of wind, and slight perspiration due to disharmony between the constructive and the defensive. (Use stir-fried Gui zhi.)
• With Shi gao to clear heat, free the flow of the network vessels, stop pain, and treat heat Bi or impediment. For such indications as rheumatic pain of the heat type with redness, heat, swelling, and severe pain in the joints. (Bai Hu Gui Zhi Tang)
• With Ma huang to mutually reinforce each other's floating and dispelling characteristics, to effectively open the pores, strongly promote perspiration, resolve the muscle layer, and scatter wind-cold of the excess type. For indications such as:
- 1. Colds, influenza with fever, fear of cold, severe shivering, absence of perspiration, headache, and general body aches caused by wind-cold of the excess type.
- 2. Rheumatic pains due to wind, cold, and dampness. (Ma huang Tang)
- 3. Cough and asthma due to wind-cold obstructing the Lung Qi. (Ma Huang Tang) It is advisable to use honey mix-fried Ma huang for cough and asthma.
- Gui zhi communicates with the constructive division [Ying] where it moves fluids. It brings these fluids to the exterior where Ma huang pushes them outward forcefully.
• The fine twigs (Gui zhi jian or Gui zhi shao) are known for their powerful Qi and are very fragrant. They are more powerful (than Gui zhi) for scattering wind-cold, warming and opening the channels and vessels, and quickening the blood.
Gui zhi mu, small twigs of cinnamon from which the external bark has been removed, is less powerful than Gui zhi for resolving the exterior and inducing perspiration, but is more powerful for warming the channels and quickening the network vessels. Gui zhi mu is preferred for the treatment of joint pain and stiffness of the sinews.
3-15g
Jing Jie
Schizonepeta flowers and herb















Jie Du Tan
Charred Schizonepeta
acrid
sl. warm
Lu
Lv
Releases the exterior by eliminating wind; stops bleeding (charred); promotes expression of rashes, alleviates itching.

• Wind-cold or wind-heat: headache, fever, aversion to cold, lack of sweats (combine appropriately for heat or cold).
• Wind: itching, urticaria, slow skin eruption in measles.
• Has a superficial effect (to skin level).
• Carbuncles and boils when they first erupt, especially when accompanied by chills and fever.
• Liu: special for skin problems, the upper body, sore throat, headache, aversion to cold.
• Diaphoretic, increases subcutaneous circulation.
• Bensky/Gamble: can be used whether the disorder is hot or cold.
• Short cook.
Li: [contrary to Liu] this is a warm herb - caution with sore throat, can worsen it (Li removes Jing jie from Yin Qiao San when there is a sore throat). [My limited clinical experience seems to corroborate this idea. -PLB]
• With Fang feng - vital for opening the chest for persistent lung obstruction.
MLT: Antispasmodic, useful for rheumatism, facial paralysis, stroke symptoms, stiff neck and spine.
3-9g

Jie Dui Tan: charred
• Stops bleeding, promotes blood circulation, dispels blood stasis.
• For bleeding, helps the liver store blood and the spleen hold blood.
• Epistaxis, hemafecia, uterine bleeding.
Ma Huang
Ephedra
(E. sinica, E. equisetina, E. intermedia)

"Hemp Yellow"
























































































acrid
warm
Lu
BL
Promotes sweating (opens the pores); relieves asthma; promotes urination; disperses/moves Lung Qi and encourages it to descend.

• Wind-cold invasion: aversion to cold, no sweats, etc. - specifically Taiyang.
• Wind-cold in the Lung obstructs Qi: cough, asthma.
• Edema with exterior syndrome (heat or cold).
• For externally-contracted or internally-generated wheezing.
Ma huang opens the pores, but does not supply the sweat (combine with Gui zhi, which reaches the heart, the mother of sweat).
• Beneficial for urinary retention due to Lung Qi deficiency, where the Lungs lack the energy to descend fluids to the bladder.
• To mitigate its diaphoretic function, combine with astringent herbs, Qi tonics, or cool herbs.
• Anti-viral (influenzas); bronchodilator; vasoconstrictor, raises blood pressure (mild but prolonged).
• Not for breathing problems due to failure of the kidneys to grasp Lung Qi.
• Traditionally prepared by decocting it first and removing the foam on the surface of the water before adding other ingredients.
MLT: Of the world's ephedra species, Chinese has the most ephedrine and pseudoephedrine, especially between the joints of the stem. The best quality Ma huang has the joints removed.
PFGC: Shen Nung says it can break up masses and accumulations; it can reach the surface and also penetrate deeply into pockets of accumulated phlegm and coagulated blood, especially in combination with materials to eliminate masses and transform stasis
• By its entry into the Taiyang bladder, it can also enter the Shaoyin kidney and treat Shaoyin syndrome.
• Can treat pustules, skin ulcerations, stubborn skin disorders of the Yin (cold) type.
• The foam that collects on the water when Ma huang is cooked is too intense a diaphoretic and should be removed.
• People in cold areas with thick skin and muscles may need a larger dose to induce sweating.
DY: This is one of six medicinals which have been traditionally aged for the purpose of reducing secondary effects and reinforcing their therapeutic actions. Generally, the longer it is kept, the more efficient.
• The nodes of the stem (Ma huang jie) have an anti-diaphoretic action (like the root). For most effective diaphoresis, the knots should be removed.
• With Gui zhi to mutually reinforce each other's floating and dispelling characteristics, to effectively open the pores, strongly promote perspiration, resolve the muscle layer, and scatter wind-cold of the excess type. Gui zhi communicates with the constructive division [Ying] where it moves fluids. It brings these fluids to the exterior where Ma huang pushes them outward forcefully. See Gui zhi in this category for specific indications of this combination.
CHA: (Karen S. Vaughan) Honey fried Ma huang: The high heat in frying releases the essential oils in the joints of the Ma huang which would otherwise prevent sweating. (Smashing the joints and allowing the oils to escape would have a similar effect, but without honey's properties.) Honey frying makes Ma huang less warming (which may seem counterintuitive) because the oils are freed. (The Shang Han Lun suggests using node-free Ma huang to promote sweating.)
K&R: Sympathomimetic, diaphoretic, vasoconstrictor, bronchodilator, adrenal medulla stimulant, volumetric diuretic.
Wood, fire, metal, and water yin, water yang.
Also for cardiac disorders - hypotension, bradycardia.
- FDA: Contraindicated in heart disease, hypertension, thyroid disease, diabetes mellitus, difficult urination with enlarged prostate, or with antidepressants
Yoga: Somalata: K-; P+; V+ (in excess)
• Powerful Kapha reducer; lymph cleanser.
Rajasic - can overstimulate the adrenals and burn out the nerves.
IBIS: Affinities: respiratory tract, urinary tract.
• Actions: Sympathomimetic, Bronchodilator, Decongestant, Central stimulant, Hypertensive, Diuretic, Sudorific, Anti-rheumatic.
• [Western] dosage: Tincture : (1:4) 2.5 ml T.I.D.; Decoction of Dried herb : 600 mg - 1500 mg per cup, 3 cups per day; Maximum Recommended Doses: UK: (Schedule III restricted): 600 mg herb single dose. USA: (FDA recommended) 8 mg single dose, 24 mg total daily as ephedrine alkaloid. Commission E: 15-30 mg single dose as ephedra alkaloid up to max. 300 mg daily as ephedrine alkaloid. Children - Not recommended under 13 years. 2 mg alkaloid /Kg body weight maximum dose.
• Internal: Asthma, hay fever, urticaria, hives, emphysema, nocturnal eneuresis, narcolepsy, febrifuge, rheumatism, myasthenia gravis, edema, rheumatic conditions.
• External: Allergic skin irritations, insect bites and stings.
• Specific Indications: Allergic rhinitis, congestion due to sinusitis, coryza or asthma.
Pharmacology:
• Ephedra is indirectly sympathomimetic, causing epinephrine release and thus non specific adrenergic receptor agonism. Ephedrine is predominantly alpha adrenergic, pseudoephedrine is predominantly beta adrenergic (Mills, 1991). Ephedrine is well absorbed by the oral route, crosses the blood brain barrier easily, and has a half life much longer than epinephrine being resistant to MAO and COMT degradation; excretion is urinary. The whole herb is not identical to isolated ephedrine because of the pharmacodynamics of pseudoephedrine and other components; in addition there are pharmacokinetic differences between the whole herb and isolated ephedrine (Mills, 1991; White, 1997; Gurley, 1998).
• Alpha and beta adrenomimetic effects: peripheral vasoconstriction, skeletal muscle vasodilation, positive inotropism, potentially hypertensive, sudorific, tachycardic, bronchodilator, mydriatic, urogenital tract stimulant and relaxant, decreases visceral muscle motility, increases viceral sphincter tone lipolytic, thermogenetic, hyperglycemic, diuretic.
• Central stimulation: Increases arousal and wakefulness.
• Motor end plate actions: Ephedrine modulates skeletal muscle motor end plate activity in rat models of myasthenia gravis (Sieb, 1993., Molenaar, 1993)
• Complement inhibition: Aqueous extracts of Ephedra inhibit complement activation at C2 and C9 (Ling, 1995).
• Inhibition of 3'5'cAMP Phosphodiesterase: Whole Ephedra extracts inhibit PDE in vitro, but isolated ephedrine did not inhibit PDE. (Nikaido, 1990, 1992).
• Reports of Ephedra whole herb toxicity in therapeutic dose ranges are absent from the medical literature. Numerous references to ephedrine (isolated alkaloid) toxicity exist. Ma Huang OTC supplements are often cited in toxicity reports without analysis of dose or alkaloid content. Ephedra is not used as an isolated herb or supplement by clinical herbalists of Western or Traditional Chinese schools, but is always used in combination with other herbs.
• Excessive consumption of ephedrine causes typical side effects of sympathetic hyperstimulation including headaches, nausea, dizziness, vomiting, palpitations, tachycardia, insomnia, tremor, anxiety. These effects are less noticable in consumption of the whole herb, and it has been suggested that the other constituents may modify the effects of the ephedrine alkaloids (Mills, 1991) .
• Nephrolithiasis has recently been associated with both ephedrine and Ma Huang usage (Powell,1998) .
• Contraindicated in hypertension due to vasoconstrictive and inotropic actions. Hypertensive effects of ephedrine in whole herb modulated by pseudoephedrine beta adrenergic effects causing muscle bed vasodilation.
• Contraindicated in hyperthyroidism: due to sympathetic induced increase in metabolic rate.
• Contraindicated in anxiety states: due to central stimulatory effects.
• Contraindicated in pregnancy: due to uterine stimulatory action of ephedrine and potential mutagenicity of byproducts.
• Contraindicated in Benign Prostatic Hypertrophy: due to net adrenergic effects on bladder causing urinary retention.
Drug interactions:
• Sympathomimetic effects could interact with MAOI therapy to cause potentially harmful elevation of catecholamine levels.
• Increased norepinephrine levels may reduce effectiveness of beta-blocker therapy.
• Ephedrine containing preparations are banned by Olympic and other sporting authorities.
Notes:
• Related Species: E. sinica is the principal herb of commerce; the related species E. equisitina, E. intermedia, E. distachya, E. geradiana all contain ephedra alkaloids, in varying distribution profiles (Zhang,1989). Several species of Ephedra are native to the South Western USA, including E. nevadensis, E. viridis. These species, commonly known as Mormon Tea or Mexican Tea have either insignificant traces or no detectable alkaloids (Moore, 1993).
• Traditional Chinese Medicinal Uses: Ma Huang has been used for over 5000 years in China. Ma Huang is never given alone in Chinese medicine, but always used in formulae combined with other herbs that modulate its stimulant effects without altering its actions on the lungs and kidneys. The crude herb may also be treated before use (by boiling in water or cooking with honey) to change its characteristics. Its principal uses in TCM are to disperse external wind, and aid movement of Lung qi. It is also taken for chills, fevers and coughs, and in combination with Rehemannia glutinosa as a kidney yin deficiency tonic. In Chinese medicine, the root is also used - its therapeutic effects being almost opposite to the stem e.g. hypotensive as opposed to hypertensive (Hikono,1983).
• Ephedra and its alkaloids have gained widespread popularity among the sports and body-building communities for weight reduction. The combination of ephedrine with caffeine (E.C.), and of both with aspirin (E.C.A.) is used by body builders in combination with caloric restriction to "cut" fat. This practice and popular OTC "weight loss" and "natural speed" products, based either on Ephedra herb or more usually on isolated ephedrine alkaloids have attracted considerable bad press in recent years. The FDA responded by issuing ultra-conservative dosage guidelines for Ephedra herbal products, expressed in terms of total ephedrine alkaloid maximum recommended doses. (Since then, this herb and its derivatives have been essentially banned, due to their use in the manufacture of crystal methamphetamine. Even pseudoephedrine products are now controlled.) The retail and MLM market is still replete with products purporting to be legal or natural speed and "natural" weight loss agents that contain variable amounts of Ephedra alkaloids or synthetic ephedrine and which will likely continue to be subject to consumer abuse and potential adverse reactions.
3-9g

Qiang Huo
Notopterygium root

acrid
bitter
warm
BL
K
Releases the exterior and dispersing cold; eliminates wind; powerfully eliminates (external) dampness; unblocks obstruction to alleviate pain; guides to the Taiyang and Du Mai.

• Exterior obstruction (especially with dampness) causing pain, aversion to cold, fever, aches over the body and head, general feeling of heaviness, sleepiness, headache at the vertex or occiput.
• Wind-cold-damp: soreness and pain (Bi) over the limbs (especially upper limbs), shoulders, back.
• Reaches deeper than Jing jie and Fang feng: penetrates to bones and tendons.
• Compared to Du huo, Qiang huo is used more for the upper body while Du huo is used more for the lower body.
• Warm, dry, ascending, dispersing nature.
DY: Powerful in action; tropism: the upper part of the body, occiput, nape of the neck, shoulders, upper limbs, and Taiyang.
Qiang huo has a more powerful action than Du huo. Its nature is upbearing, draining, and vigorous. The ancients said that Qiang huo has a "masculine dispersing Qi."
• With Du huo to dispel wind, cold, dampness, and treat Bi over the whole body. For indications such as:
- 1. Moving rheumatic pains all over the body. (Juan Bi Tang)
- 2. Common cold with fever, back pain, and joint pain due to wind, cold, and dampness. (Qiang Huo Sheng Shi Tang)
- 3. Joint running wind due to wind, cold, and dampness penetrating the channels and network vessels. Li jie feng or joint running wind refers to acute arthralgia which is severe and movable with loss of joint mobility, swelling, and intense joint pain which is worse at night. This affection can transform itself into heat and then cause redness, pain, swelling, and heat.
6-15g
Sheng Jiang
Fresh Ginger rhizome














acrid
slightly warm
Lu
Sp
St
Releases exterior syndromes by promoting sweats; stops vomiting by warming the middle Jiao; stops coughing by warming the Lungs; eliminates or reduces toxicity from crabs, fish, shrimp, and some herbs; adjusts Ying and Wei Qi.

• Cold in the stomach: vomiting.
• Wind-cold: fever, aversion to cold, headache, nasal congestion.
• Wind-cold or chronic Lung phlegm disorder: cough.
• Cook with brown sugar for mild wind-cold in children.
• Good for motion sickness, helps the nausea of chemotherapy.
• Beneficial in acute bacillary dysentery.
• Weaker than Zi su ye at releasing the exterior/promoting sweating.
• This herb is mainly used to assist.
• Topical: slices over affected testicle in acute orchitis (when no lesions).
• Spasms, sprains, pain: apply ginger tea
• Raises blood pressure (an average of 11.2/14 in adults in one study).
• Ayurvedic uses: see dry ginger - Gan jiang.
• The skin of the ginger rhizome - Sheng jiang pi - additionally can promote urination and reduce edema.
K&R: (fresh and/or dry - not indicated) Eupeptic, carminative, febrifuge, stimulant, antiphlogistic, antiprostaglandin, sudorific, stimulates circulation and sympathetic nervous system, increases salivary and gastric secretions, strengthens peristalsis of stomach and intestines, accelerates transport through alimentary canal and has general calming effect, stimulates appetite, slight detoxifying effect, anti-ulcerative, especially for ulcers from excess HCl.
• Metal, water, and earth yin.
Metal: respiratory infection, bronchitis, flu, bronchorrhea, pulmonary congestion, fever.
Earth: anorexia, glairy diarrhea, immune deficiency, leukopenia.
Water: impotence, UTI, glomerulonephritis.
• Also for hiccups, abdominal pain, diarrhea, gas, amenorrhea from insufficient circulation.
• For motion sickness: can work as well as or better than Dramamine.
DY: "Sheng jiang" refers not simply to raw ginger - it must be fresh and young.
• With Ban xia to transform phlegm, downbear counterflow, harmonize the stomach, and stop vomiting. For such indications as:
- 1. Nausea, vomiting with not thirst and slimy tongue fur due to phlegm-dampness stagnating in the middle burner. (Xiao Ban Xia Tang) Ginger-processed Ban xia should be used.
- 2. Enduring cough with white, watery, and profuse phlegm. Use lime-processed Ban xia.
Sheng jiang is renowned for effectively treating vomiting. It can be used for all types of vomiting, even in the case of stomach heat, if it is combined with other medicinals related to the nature of the imbalance. It is traditionally said, "Sheng jiang is a sagelike medicinal for vomiting."
• Use it with bitter medicinals when these would otherwise cause nausea. In these cases, Sheng jiang is directly integrated into the decoction or chewed immediately after swallowing the liquid. This often is sufficient to calm the most stubborn patient.
• With Da zao to move the defensive Qi, nourish the constructive Qi, harmonize the constructive and defensive, fortify the spleen, and harmonize the middle burner. For indications such as:
- 1. Perspiration, fear of wind, and fever due to disharmony between the constructive and defensive Qi. (Gui Zhi Tang)
- 2. Fatigue, lack of strength, abdominal pain, and lack of appetite due to disharmony between the constructive and defensive Qi. (Xiao Jian Zhong Tang)
- This pair helps insure the proper assimilation of the active principles of other medicinal substances. These are the two main harmonizing herbs in Chinese medicine.
3-9g
Xiang Ru
Elscholtzia
Aromatic Madder

"Fragrant Soft Herb"


acrid
sl. warm
Lu
St
Releases exterior syndromes by promoting sweating (strong); expels summer-heat; adjusts function of the stomach to resolve dampness; promotes urination, relieves edema; reduces swelling.

• Wind-cold or summer-heat with dampness: fever, aversion to cold, headache, abdominal pain, vomiting, lack of sweats, chills, body aches, diarrhea.
• Edema with scanty urination, urinary difficulty, especially when associated with an exterior pattern.
• Simultaneously expels summer-heat from the exterior and transforms turbid dampness in the interior.
• Mainly used in summer.
• For exterior disorders, cook only a short time.
• For edema, cook a long time into a concentrated decoction.
• So effective for summer-heat with dampness that it is sometimes called the "summertime Ma huang."
• May cause vomiting if taken hot. Take at a room temperature or add Huang qin or Huang lian to reduce this effect.
3-9g
Xin Yi Hua
Magnolia flower



acrid
warm
Lu
St
Disperses wind-cold; opens the nose.

• Any nasal or sinus conditions: nasal congestion or obstruction, nasal discharge, loss of sense of smell, related headache.
• Wind-cold or wind-heat: key herb (first choice) for sinusitis and rhinitis.
• Stronger than Cang er zi to open the nose.
• Antifungal.
• The hairs can irritate the throat (use a tea bag or grind to a powder).
• This herb has also been prepared as an ointment and an aerosol for local application: when applied to nasal mucosa, Xin yi hua causes a reduction in secretions.
DY: Often combined with Cang er zi. See Cang er zi in this category for the properties and indications of this combination.
3-9g
Zi Su Ye
Perilla leaf

"Purple Relaxing Leaf"



acrid
warm
Lu
Sp
Releases exterior syndromes by dispersing cold (mild); eases distention of the chest and epigastrium; promotes Qi circulation, expands the chest; alleviates seafood poisoning; calms a restless fetus, alleviates morning sickness.

• Wind-cold: fever, aversion to cold, headache, nasal congestion, cough, chest discomfort or stifling sensation in the chest.
• Spleen and stomach Qi stagnation: distended chest, vomiting, morning sickness, poor appetite, nausea, bloating.
• Seafood poisoning: abdominal pain, vomiting, diarrhea.
• Morning sickness: best to use the stem (Zi su geng) rather than the leaf.
• Its ability to release the exterior is mild compared to Ma huang and Gui zhi, but it is stronger than Jing jie and Fang feng at dispersing cold.
• Excellent for treating turbidity.
• Short cook.
Hsu: Extract prolongs duration of sleep.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas (key herb in Su He Tang).
Li Dong Yuan: Upbears Yang Qi.
DY: Zi su (the leaves [Zi su ye] and stems [Zi su geng] of Perilla) can be combined with Huang lian to clear stomach heat, dry dampness, rectify the Qi, and stop vomiting. For the following indications, ginger mix-fried Huang lian should be used:
- 1. Vomiting and nausea due to stomach heat or damp-heat in the middle burner along with Qi stagnation in the middle burner.
- 2. Vomiting during pregnancy due to heat or damp-heat along with Qi stagnation in the middle burner.
Zi su geng (the stem) moves the Qi, opens the center, rectifies the Qi, quiets the fetus, and particularly treats vomiting due to pregnancy, threatened miscarriage, and epigastric or abdominal distention.
Zi su ye and Zi su geng are often combined and added to formulas to treat plum pit sensation or wind-cold attacks with food stagnation or vomiting.
BF: The contemporary standard description of Perilla is that it is acrid and warm, it enters the Lungs and spleen, and its functions are to effuse the exterior, scatter cold, rectify the Qi, and harmonize the constructive. It treats wind-cold flu, aversion to cold, emission of heat, cough, qi panting, chest and abdominal distention and fullness, and restless stirring of the fetus.
While all the sources quoted in the Zhong Yao Da Ci Dian (Large Dictionary of Chinese Medicinals) say that this medicinal is acrid and warm, the Ben Cao Yan Yi (Amplified Meaning Materia Medica) says that Perilla is only slightly acrid and also sweet. The Ben Cao Jing Shu (Oversights in the Materia Medica Classic) says its enters the hand Shaoyin and Taiyin and the foot Yangming, while the Ben Cao Jing Jie (Explaining the Materia Medica Classic) says it enters the foot Jueyin and hand Taiyin. In terms of functions and indications, the Ri Hua Zi Ben Cao (Ri Hua-zi's Materia Medica) says it supplements the center and boosts the Qi as well as frees the flow of the large and small intestines. The Ben Cao Tu Jing (Illustrated Materia Medica Classic) says it frees the flow of the heart channel and boosts the spleen and stomach. These other historical opinions suggest there is more to Perilla than its just resolving the exterior and downbearing upwardly counterflowing Lung and stomach Qi.
Restless fetal stirring refers to lower abdominal pain with leakage of blood from the vaginal meatus and low back pain during pregnancy. These are symptoms of threatened miscarriage. Most threatened and/or unstoppable miscarriages in my practice are due to insufficient production of progesterone. This usually goes hand in hand with a luteal phase deficiency and is, in my opinion, commonly due to autoimmune ovaritis. Such luteal phase deficiencies and progesterone insufficiencies in 35-50 year old Western women are overwhelmingly accompanied by signs and symptoms of spleen Qi-kidney Yang vacuity complicated by liver depression and possible damp heat, depressive heat, and/or blood stasis, and it is very interesting to me that Perilla is accepted as an empirically effective Chinese medicinal for quieting the fetus - something one would not expect from an exterior-resolving herb.
The Ben Cao Tong Xuan (The Mystery-penetrating Materia Medica) says that Perilla may discharge (drain) a person's true Qi if administered for a long period of time. Resolving the exterior means to promote sweating and sweating always results in a loss of true Yin and Yang Qi.
However, when combined with Mume, this medicinal's negative effects of discharging and draining are counterbalanced. As an exterior-resolving medicinal, Perilla is contraindicated in Yin vacuity patterns for fear of further damaging Yin fluids, but Mume engenders fluids. Likewise, over-effusing and out-thrusting can damage the Yang qi, but Mume's astringing and securing of the Lung Qi prevents this.
3-9g



Herbs That Clear Summer Heat


The year I learned single herbs from Guohui Liu, he chose not to utilize this category. Most of the herbs that clear summer-heat have other significant functions and may be assigned to these categories instead. Summer-heat attack, depending on where one lives, may be quite rare. Following is a list of herbs that clear summer heat which can be found in other categories in this book and also full descriptions of a few herbs that clear summer-heat as (perhaps) their most significant action.


• Bai bian dou (Qi Tonics)

• Che qian zi - treats diarrhea due to summer-heat (Herbs that Drain Dampness)

• Dong gua pi - treats edema due to summer-heat (Herbs that Drain Dampness)

• Dou Juan - see Dan dou chi section (Acrid, Cool Herbs that Release the Exterior)

• Hua shi (Herbs that Drain Dampness)

• Huo xiang (Aromatic Herbs that Transform Dampness)

• Ju hua (Acrid, Cool Herbs that Release the Exterior)

• Lian fang (Herbs that Stop Bleeding)

• Pei lan (Aromatic Herbs that Transform Dampness)

• Qing hao (Herbs that Clear Deficiency Heat)

• Ren shen ye - see Ren shen section(Qi tonics)

• Tai zi shen - treats unrelenting summer-heat in children (Qi tonics)

• Xiang ru (Acrid, Warm Herbs that Release the Exterior)


He Ye

Lotus leaf

Nelumbo nucifera

Particularly suited for treating diarrhea due to summer-heat. Also frequently used to promote weight loss.

Lu Dou

Mung Bean

Phaseolus

Particularly suited for treating thirst due to summer-heat. Also used to detoxify toxic herbs and for overdose of toxic herbs.

Xi Gua

Watermelon fruit

Particularly suited for treating thirst and scanty urine due to summer-heat. The white part ("watermelon frost" is coldest).




Herbs That Clear Heat And Reduce Fire

These herbs are among the coldest in the Chinese herbal pharmacopeia. Many are used for Qi level or Yangming stage full heat. 
From a Western perspective, a number of these herbs are antipyretic and some are anti-inflammatory.
Also consider, when appropriate: Huang qin, Huang lian, Huang Bai, Da huang, Tian Men Dong, Di Yu, Jue ming zi, Han shui shi, Gu jing cao, etc.

Herbs in this category are commonly combined with:
A. Herbs that strengthen the spleen and stomach, when there is deficiency of these organs.
B. Herbs that nourish Yin, when there is injury of body fluids by heat or the patient has pre-existing Yin deficiency.
C. Herbs that tonify Zhen Qi when used for patients with a weak constitution.
Dan Zhu Ye
Lophatherum stem and leaves

"Bland Bamboo Leaf"
(Not actually a true bamboo)
sweet
bland
cold
Ht
St
SI
Promotes urination; drains Ying level heat; conducts heart heat to the small intestine (conducts Ying level heat back to the Qi level); clears damp-heat; disperses upper Jiao heat; eliminates irritability or restlessness (by clearing heat from the heart, small intestine and stomach).

• Heat patterns with irritability, restlessness, thirst.
• Concentrated, rough, burning urination. Especially for heat in the heart/small intestine with irritability and a dark red tip of the tongue.
• Stomach or heart channel heat: canker sores or tongue sores, swollen and painful gums.
• Lingering Qi level heat.
• Some use this herb for Lung wind-heat, since it is very light and can disperse heat in the upper Jiao.
Dan zhu ye's diuretic effect is weaker than Mu tong.
• Note: Despite the translation of its name and its similar appearance to bamboo, this herb is of the Lophatherum genus, not Bambusa (true bamboo).
Hsu: Anticarcinogenic effect; diuretic.
6-9g
Lian Xin
(Lian Zi Xin)
Lotus seed heart or plumule
bitter
cold
Ht
PC
Drains heart fire; stops bleeding, binds Jing

• Warm-febrile disease: heat collapse into the pericardium channel causing mental confusion, delirium, mania.
• Heart fire: insomnia or irritability.
• Used as a powder for hematemesis, spermatorrhea.
• Lowers blood pressure, primarily by vasodilation.
Hsu: Dilates the coronary arteries; relaxes uterine smooth muscle.
1.5-6g
Lu Gen
Reed rhizome
Phragmites





sweet
cold
Lu
St
Generates body fluids; mildly promotes urination; clears heat from the Lungs and stomach; conducts Lung heat to the bladder and discharges it; promotes expression of incomplete rashes; stops vomiting; eases restlessness; eliminates phlegm.

• Lung heat, wind-heat, or phlegm-heat: cough, dry mouth, with or without sticky yellow sputum. Especially useful in acute stage. For phlegm-heat, Lu gen dilutes the phlegm and makes it easier to expel.
• Heat in febrile disease, stomach fire: thirst, dry tongue, fever, Shen disturbance - restlessness.
• Stomach heat: vomiting, belching, nausea.
• Heat: dark scanty urine, hematuria. Especially useful when accompanied by thirst and irritability.
Lu gen can also drain pus and treat pulmonary abscesses.
• Febrile disease with rashes that are incompletely expressed.
• This herb is most potent when fresh (rather than dried).
15-30 (up to 60g alone for incomplete expression of rashes)
Mi Meng Hua
Buddleia flower
sweet
cold
Lv Benefits the eyes.

• Red, swollen, painful eyes, excessively tearing, superficial visual obstruction, photosensitivity.
• Can be used in both deficiency and excess patterns.
MLT: Also for cataracts and for heat and inflammation of the face, head, throat, teeth, and gums.
3-9g
Qing Xiang Zi
Celosia seed
bitter
sl. cold
Lv Reduces liver fire to improve the vision and remove nebulas; clears wind-heat.

• Liver fire or wind-heat affecting the eyes: red, swollen, painful eyes, poor vision, superficial visual obstruction, cataracts.
• Lowers blood pressure: recently used for hypertension associated with liver Yang rising. In one study with cases of 160-230 mm Hg systolic and 100-135 diastolic, blood pressure was reduced to 125-145 over 78-90 after one month of treatment with Qing xiang zi.
• Dilates the pupils.
• Not for liver and kidney Yin deficiency or glaucoma.
Hsu: Antiphlogistic; dilates the pupils.
3-15g
Shi Gao
Gypsum

"Stone Paste"














acrid
sweet
very
cold
Lu
St
Clears heat and reduces fire from the Lungs and stomach; eases restlessness and thirst; the calcined form promotes tissue regeneration.

• Lung/stomach, Yangming stage, or Qi level heat: big, forceful pulse, high fever, restlessness, thirst, profuse sweats, red tongue, yellow coat.
• Stomach channel fire: headache, swollen and painful gums, toothache.
• Lung heat: cough, wheezing, fever, thick, viscous sputum.
• Topical: use the calcined form for eczema, burns, ulcerated sores, non-healing carbuncles. This herb may also be taken internally for these conditions.
• This herb should be crushed and cooked 20-30 minutes longer than other herbs.
Shi gao is stronger at clearing Lung and stomach heat than Zhi mu or Lu gen.
Shi gao is commonly combined with Ma huang. Ma huang's acrid quality helps to disperse Lung Qi, and its warm nature mitigates Shi gao's coldness. Shi gao lessens Ma huang's diaphoretic action, and its heavy quality helps Ma huang more effectively descend Lung Qi. Together, they effectively diffuse the Lungs and calm asthma, disinhibit urination and disperse swelling, clear heat and drain fire.
Li- "Shi gao is like Tylenol." Can relieve pain and lower the body temperature.
MLT: Potent for lowering fever: high fever, including that associated with meningitis, encephalitis.
Shi gao has little or no antibiotic properties.
• If necessary for long term, repeated use (e.g. reddening of the face from food allergies), Shi hu may be a better choice.
Hsu: Reduces thirst; hypotensive; antiphlogistic; tranquilizing effect.
DY: Heavy, downbearing, draining; engenders fluids, alleviates thirst; resolves heat from the muscles and from the exterior.
• For inflammatory rheumatism or hot Bi, use 150g per day, and in severe cases, up to 250g/day.
• With Zhi mu to strongly clear and drain replete heat (from the Lungs and stomach) while protecting fluids and Yin. For such indications as:
- 1. Persistent high fever, great thirst and desire for cold drinks, dry tongue, vexation, profuse perspiration, and a surging, big pulse due to heat in the Qi division. (Use Bai Hu Tang.)
- 2. Upper thirsting and wasting with polydipsia, a dry mouth and tongue, and great thirst due to replete Lung heat damaging fluids. (Use stir-fried Zhi mu.)
• With Chuan xiong to dispel wind, clear and drain heat, quicken the blood and move the Qi, and stop pain. For headaches due to wind-heat or full heat (particularly that which is located in the Shaoyang or Jueyin channels). Use unprepared Chuan xiong. For wind-heat headaches, add herbs that dispel wind. Usual dosage of Shi gao for these indications is 30-60g.
• With Gui zhi to clear heat, free the flow of the network vessels, stop pain, and treat heat Bi or impediment. For such indications as rheumatic pain of the heat type with redness, heat, swelling, and severe pain in the joints. (Bai Hu Gui Zhi Tang)
9-30g (to 90g for very high fevers)
Tian Hua Fen
Trichosanthes root

"Heavenly Flower Powder"
















bitter
sl. sweet
cold
Lu
St
Strongly clears heat from the Lungs and stomach; strongly drains pus and relieves swelling; transforms phlegm; generates body fluids, moistens Lung dryness; relieves toxicity.

• Heat injures the body fluids: restlessness, irritability, thirst, cough, dry tongue coat, wasting and thirsting disorder.
• Heat in the Lungs: cough, including dry cough, or coughing blood-streaked sputum
• Heat and toxicity: red, swollen, painful carbuncles, boils, other swellings, sores. Especially useful for breast abscess (both internally and topically).
• Diabetes: heat in the Lungs and stomach with strong hunger and extreme thirst. Use 60-90g or more.
• Abortifacient (used 2nd trimester) - applied via a tea-soaked tampon or IM injection (also with She xiang) - takes 3-6 days to have an effect.
• compared to Mai men dong and Tian men dong, Tian hua fen is best for Lung For heat and dryness, Tian hua fen is most useful for when the origin is stomach heat. Mai men dong is superior when the origin is heart fire, and Tian men dong is superior when the origin is kidney Yin deficiency.
Tian hua fen is much stronger than Lu gen at relieving swelling and draining pus.
• Bensky/Gamble and MLT classify this with herbs that resolve phlegm-heat.
• Some people are allergic to this herb.
9-30g

Contains Compound Q/Trichosanthin/GLQ223 - a protein which has been utilized in the treatment of various kinds of ulcers, as an abortifacient, and to treat diseases of trophoblastic origin, such as hydatiform mole, invasive mole, choriocarcinoma. It appears to inhibit HIV-1 replication in acutely infected T-lymphoblastoid cells and chronically infected macrophages, and appears to selectively kill HIV-infected cells.
It produces an anaphylactic reaction in 10-20% of users. Pharmaceutical companies have produced chemically modified variations for greatly reduced allergenicity.
CHA: (Harriet Beinfield, Efrem Korngold, March 7, 2001):
Weidong Lu, MD, L.Ac., Chairman of the Chinese Herbal Medicine Department at the New England School of Acupuncture, explains that trichosanthin is a type of protein that is inactivated by digestive enzymes or by decocting the herb in boiling water. Trichosanthin cannot be absorbed as an active protein by the intestine from either the crude herbal material or the water extract. He further states that trichosanthin can only exert toxicity via intravenous or intramuscular injection, and that overdoses of injected Trichosanthes root may cause allergic reactions that include malaise, sore throat, headache, swelling, itching, and rashes. He maintains that Trichosanthes root is non-toxic when consumed orally in appropriate doses.
Xia Ku Cao
Prunella spike
Selfheal

"Summer Withered Herb"

bitter
acrid
cold
Lv
GB
Clears liver fire; brightens the eyes; disperses stagnant phlegm and fire, dissipates nodules.

• Liver fire: red, swollen, painful eyes, lots of tears, dizziness, photophobia, headache.
• Liver deficiency: eye pain that increases in the evening, especially when the eyes are neither red nor swollen.
• Stagnant phlegm-fire: neck nodules, lipomas, swollen glands, scrofula, goiter. Also for similar nodules in the inguinal groove or other parts of the body.
• Mildly reduces hypertension (probably through vasodilation), especially when accompanied by liver fire or Yang rising.
• Broad antimicrobial (tuberculosis, shigella, salmonella, E. coli, pseudomonas, strep, many other fungi and bacteria).
Li: Softens hardness: thick blood, lumps (including hyperthyroidism), hardened skin in eczema.
MLT: Also for conjunctivitis; some cancers.
PCBDP: Astringent, vulnerary.
9-15g (up to 30g taken alone)
Ye Ming Sha
Bat feces
acrid
cold
Lv Clears the liver and improves vision.

Night blindness, superficial visual obstruction, cataracts.
Also used for childhood nutritional impairment.
Doctrine of signatures: bats are blind, fly at night - for vision, especially at night.
3-9g
Zhi Mu
Anemarrhena
rhizome

"Know About Mother"


































bitter
sweet
cold
Lu
St
K
Mildly nourishes Yin, moistens dryness; clears heat and reduces fire from the Lungs, stomach, and kidneys.

• Extreme heat in the Lungs and stomach, Yangming stage or Qi level: high fever, restlessness, irritability, thirst, big, rapid, forceful pulse.
• Lung heat (including Yin deficiency): cough, including with thick, yellow sputum.
• Kidney (and Lung) Yin deficiency: tidal fever, night sweats, restlessness, steaming bone disorder, irritability, warmth in the five centers, bleeding gums.
• Also for kidney heat signs such as spermatorrhea, nocturnal emissions, and an abnormally elevated sex drive.
• Lung, stomach, and kidney Yin deficiency: excessive thirst, hunger, and urination - diabetes (often used with Tian hua fen).
• Treats both excess and deficiency heat.
• For excess Lung heat, it is often combined with Huang qin. For Lung Yin deficiency heat, it is often uses with Mai men dong. For excess stomach heat, it is commonly combined with Shi gao. For stomach Yin deficiency heat, it is used with Tian hua fen. For kidney Yin deficiency heat, it is often used with Huang bai and Shu di.
• Fry it in salt water to strengthen its ability to nourish the kidneys and to direct the actions of a formula downward.
Li: Can lower the body temperature.
DY: Treats all three Jiaos; clears the Qi division; drains deficiency fire from the lower burner, drains [aberrant] ministerial fire.
• If thirst is predominant, bran stir-fried or honey mix-fried Zhi mu should be used.
• If dry cough is predominant, Zhi mu should be stir-fried until scorched.
• With Bai he to moisten the Lungs and clear heat, nourish the heart and quiet the spirit. For such indications as:
- 1. Vexation and agitation, insomnia, vertigo, thirst related to a warm disease which has damaged Yin or due to Yin deficiency with deficiency heat.
- 2. Dry cough, vexation and agitation after a warm disease.
- 3. Lily disease.
• With Chuan bei mu to clear and moisten the Lungs, enrich Yin, drain fire, transform phlegm, and stop cough. For such indications as:
- 1. Enduring dry cough with little phlegm and difficult expectoration, sometimes fever, dry mouth, and a dry, red tongue due to water deficiency causing rising fire or due to Lung Yin deficiency. (Use stir-fried Zhi mu)
- 2. Cough due to Lung heat which causes Lung dryness.
• With Huang bai to clear heat, enrich Yin, drain deficiency fire, resolve toxins, and eliminate dampness in the lower burner. For such indications as:
- 1. Evening fever, steaming bones, and night sweats caused by Yin deficiency. - 2. Seminal emission, premature ejaculation, easy erection, excessive thinking about sex, sexual hyperexcitability, erotic dreams, nymphomania due to deficiency fire and hyperactive ministerial fire.
- 3. Dysuria due to Yin deficiency and to Yang losing its ability to transform (at the level of the bladder). For all these indications, both herbs should be salt mix-fried to guide their action toward the lower burner and kidneys.
• With Shi gao to strongly clear and drain replete heat (from the Lungs and stomach) while protecting fluids and Yin. For such indications as:
- 1. Persistent high fever, great thirst and desire for cold drinks, dry tongue, vexation, profuse perspiration, and a surging, big pulse due to heat in the Qi division. (Use Bai Hu Tang.)
- 2. Upper thirsting and wasting with polydipsia, a dry mouth and tongue, and great thirst due to replete Lung heat damaging fluids. (Use stir-fried Zhi mu.)
MLT: Broad spectrum antibiotic; has a downward energy, helps lubricate the kidneys.
• For heat with thirst unrelieved by drinking.
Hsu: Reduces blood sugar; antibacterial.
6-12g
Zhi Zi
(Shan Zhi Zi)
Gardenia
Cape Jasmine fruit









bitter
very
cold
Ht
Lu
St
SJ
Lv
Clears heat in all three Jiaos; mildly drains dampness; cools the blood; stops bleeding; eliminates toxicity; reduces fire from the heart, Lungs, and stomach to ease restlessness; topically reduces swelling and blood stasis due to trauma.

• Heat in the Lungs, stomach, or heart: restlessness, irritability, fever, stifling sensation in the chest, insomnia, delirious speech.
• Liver/gallbladder damp-heat (and constraint): jaundice, fever, scanty urination.
• Lower Jiao damp-heat: painful urinary dysfunction.
• 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.
• Heat in the blood: hematemesis, hematuria, hemafecia, epistaxis. Usually partially charred for this use.
• Topical: powder the herb and mix it with egg white or vinegar for swelling and blood stasis due to trauma.
• Increases contraction of the gallbladder 20 to 40 minutes after ingestion.
• A paste made of ground Zhi zi, water, and alcohol was used in an uncontrolled study of 407 acute sprains. The paste was changed every 2-5 days. 80% of patients had no pain within 24 and 97% were pain free within 48 hours. Swelling and restoration of function were also improved.
• Though Wei Li freely uses 9g/day, Guohui Liu is often more conservative with the dosage, cautioning that it is very bitter and cold and can nauseate some patients.
• This herb should be pounded before cooking.
• Partially char the herb when using it to cool the blood and stop bleeding.
Chao zhi zi is Zhi zi which is dry-fried until it turns yellow. It is less likely than plain Zhi zi to cause nausea or vomiting.
Li: Can lower the body temperature.
MLT: Also promotes blood circulation; relieves pain.
• Liver damp-heat: jaundice, hepatitis, boils, sores.
• Sometimes called the "happiness herb" because it relieves irritability associated with heat and liver stagnation.
Hsu: Cholagogue, lowers blood bilirubin; hypotensive; antibacterial.
DY: This is one of the bitterest substances in the Chinese pharmacopeia.
• The outer layer (epicarpium) of Zhi zi (Shan zhi ke) moves blood and clears external heat. The seeds inside (Shan zhi ren) clear internal heat. The seeds with the epicarpium are superior for draining Lung fire. The seeds without the epicarpium are superior for draining heart fire.
• With Dan dou chi, the two herbs unite to form the clearing and diffusing and out-thrusting method to eliminate evils from the exterior and interior. Together, they effectively promote perspiration, drain evils from the exterior, clear and out-thrust heat from the interior, and eliminate vexation due to full heat. For indications such as:
- 1. Vexation and agitation, insomnia, and irritability during or after a warm disease. (Zhi Zi Chi Tang) Use stir-fried Dan dou chi.
- 2. External contraction of wind-heat or a febrile disease.
3-12g



Herbs That Clear Heat And Cool The Blood

• This category consists of two moistening herbs - Sheng di and Xuan shen - and three moving herbs - Chi shao, Mu dan pi, and Zi cao. Xi jiao should no longer be used.
• Herbs in this category are commonly combined with:
A. Herbs that strengthen the spleen and stomach, when there is deficiency of these organs.
B. Herbs that nourish Yin, when there is injury of body fluids by heat or the patient has pre-existing Yin deficiency.
C. Herbs that clear heat and reduce fire, when there is a combination of Qi and Xue level invasion.
Herbs in other categories that also cool the blood. Consider as appropriate: Bai Mao Gen [Stop Bleeding], Bai Tou Weng [Clear Heat & Toxins], Bai Wei [Clear Deficiency Heat], Ban Lan Gen [Clear Heat & Toxins], Ce Bai Ye [Stop Bleeding], Da Qing Ye [Clear Heat & Toxins], Dai Zhe Shi [Subdue Liver], Dan Shen [Move Blood], Di Yu [Stop Bleeding], Di Gu Pi [Clear Deficiency Heat]Gui Ban [Nourish Yin], Mo Han Lian (Han Lian Cao) [Nourish Yin], Huai Hua [Stop Bleeding], Luo Shi Teng [Expel Wind-Damp], Qian Cao Gen [Stop Bleeding], Qing Dai [Clear Heat & Toxins], Qing Hao [Clear Deficiency Heat], Sang Ye (charred) [Acrid, Cool], Xiao Ji [Stop Bleeding], Yin Chai Hu [Clear Deficiency Heat], Yu Jin [Move Blood], Zhi Zi [Clear Heat Reduce Fire], Zhu Ru [Resolve Phlegm].
Chi Shao Yao
Red Peony root

























bitter
sl. cold
Lv
Ht
Sp
Promotes blood circulation, dispels blood stasis, relieves pain; clears heat; cools the blood; clears liver fire.

• Blood stasis: pain and swelling (including after trauma), dysmenorrhea, amenorrhea, immobile abdominal masses. Not for amenorrhea due to cold/Yang deficiency.
• Xue level heat or heat in blood: skin eruptions, fever, purple tongue, bleeding including hematemesis, epistaxis.
• Liver fire: red, swollen, painful eyes.
• Heat-toxicity in the blood: carbuncles, boils, red, swollen eyes.
• Many sources classify this herb as a blood mover.
• Compared to Mu dan pi, Chi shao is only to be used for excess heat, while Mu dan pi can be used either for excess or deficiency. Chi shao is stronger than Mu dan pi at relieving pain.
Chi shao and Bai shao may be derived from the same plant (Paeonia lactiflora). Usually, but not always, Bai shao is gathered in the wild, while Chi shao is cultivated. The two are used together for pain and irritability associated with constrained liver Qi stagnation or pain and swelling due to trauma.
• For hepatitis, Chi shao is often used in very high doses (to 60g).
Hsu: Tranquilizes the CNS; suppresses abdominal pain caused by spasm of the smooth muscle of the small intestine; inhibits common cold viruses; dilates coronary arteries.
DY: When using many cold herbs, add Chi shao to prevent the cold from causing blood stagnation.
• For Hepatitis A and B (Chi shao regulates gamma GT and transaminases) due to liver fire or liver blood stasis. Most hepatitis (especially enduring cases) presents with blood stasis. Give 10-30g/day (depending on the severity of stasis) on a routine basis in this disease.
• With Bai shao to nourish the blood, constrain Yin, stop pain, cool the blood without causing blood stasis, and drain and nourish the liver. For such indications as:
- 1. Persistent low-grade fever due to heat in the blood. (Add Sheng di, Di gu pi, and Mu dan pi.)
- 2. Dry mouth and tongue, red and painful eyes due to insufficiency of fluids or Yin caused by residual heat. (Wine mix-fry both herbs and add Xiang fu and Dang gui.)
- 3. Lateral costal and chest pain, abdominal pain and conglomerations due to blood stasis or liver depression Qi stagnation.
- 4. Menstrual irregularities or amenorrhea caused by blood stasis, blood deficiency, and/or liver depression Qi stagnation.
4.5-15g
Mu Dan Pi
Cortex of Tree Peony root
Moutan
Paeonia suffruticosa



























bitter acrid
sl. cold
Ht Lv K Promotes blood circulation; dispels blood stasis; clears heat, including deficiency heat; cools the blood; drains pus, reduces swelling; clears liver fire.

• Heat in the blood or Xue level heat: skin eruptions, hematemesis, epistaxis, hemoptysis, subcutaneous bleeding, frequent and profuse menstruation.
• Blood stasis: dysmenorrhea, amenorrhea, uterine masses, lumps, bruises, swelling, pain due to traumatic injury. Often combined with Gui zhi.
• Yin deficiency heat: fever (especially low grade, evening), steaming bone disorder. Particularly used in the aftermath of febrile disease. Most suitable in the absence of sweating.
• Heat-toxicity in the blood: yang-type carbuncles, boils, abscesses - including intestinal abscess. Also used topically for firm, non-draining sores.
• Liver fire: headache, eye pain, flank pain, flushing, dysmenorrhea.
• Appendicitis: with Yi yi ren, Da huang.
• Lowers blood pressure. In one study using Mu dan pi to treat 20 cases of hypertension, all diastolic readings dropped 10-20 mm Hg within 33 days, and symptoms improved.
• Use it in its raw form to cool the blood.
• Dry-fry it to promote blood circulation.
• Char it to stop bleeding.
MLT: Mu dan pi's blood circulating properties are similar to Gui zhi.
• For trauma, bruises with ecchymotic blood
• Strong downward action: not for wind-heat or Qi level heat - can drive exterior pathogens deeper into the body.
DY: Stops bleeding.
With Dan shen to quicken the blood and dispel stasis, cool the blood, and eliminate deficiency heat. For indications such as:
- 1. Hematemesis, epistaxis, metrorrhagia, purpura, and also rubella and pruritis due to heat in the blood division.
- 2. Menstrual irregularities, dysmenorrhea, amenorrhea, dark purple menstrual blood with clots, and postpartum abdominal pain due to heat in the blood which causes blood stasis.
- 3. Continuous, low-grade fever due to Yin deficiency heat. In this case, if there are night sweats, use Di gu pi instead of Mu dan pi.
- 4. Hot, red, swollen, painful joints due to hot Bi or impediment.
Mu dan pi is incompatible with garlic and coriander.
Hsu: Hypotensive, antibacterial, tranquilizing effects.
6-12g
Sheng Di Huang
Rehmannia root
(Unprepared)

"Fresh Earth Yellow"




sweet bitter
cold
Ht Lv K Sp Nourishes Yin, generates body fluids; clears heat; cools the blood; cools upward-blazing heart fire; slightly promotes bowel movement (by generating fluids).

Ying or Xue level heat: feverish body, dry mouth, deep red tongue, hemorrhage.
• Heat in the blood: epistaxis, hematemesis, hematuria, uterine bleeding.
• Heart fire blazing upward: mouth and tongue sores, irritability, insomnia, afternoon or low grade fever, malar flush.
• Injury of Yin or body fluids by heat: constipation, dry mouth, red tongue, thirst, continuous low-grade fever.
• Yin deficiency: wasting and thirsting disorder, throat pain.
• Sheng di huang's ability to nourish Yin is relatively weak compared to most herbs classified as Yin tonics.
• Hepatitis: Sheng di is a liver protectant.
• Rheumatoid arthritis: May reduce joint pain and swelling, improve function, nodules, and rash, and decrease temperature. May reduce ESR to normal.
• Eczema.
• Ulcerative colitis.
MLT: Antifungal, antibacterial.
• Normalizes blood sugar for diabetes mellitus.
• Stimulates new growth of flesh and bone for injuries.
PFGC: Moistens the skin, promotes a glossy appearance.
• In patients with weak stomach Qi, it may cause poor appetite.
• Can be used to gently clear away exuberant Qi - after taking it, it will bring about temporary peace.
• Contains iron - partly responsible for its ability to generate and cool the blood.
• Boosts the vessels, generates jing and marrow, brightens the eyes, clears the ears, treats taxation heat.
Hsu: Hemostatic, diuretic, lowers blood sugar.
DY: In the beginning of treatment, it can cause loose stools for 1-3 days. This side effect usually goes away on its own.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
9-30g
Xi Jiao
Rhinoceros horn













Shi Niu Jiao
Water Buffalo horn

bitter salty
cold
Ht Lv St This herb has been included only because of the important position it has held historically in classical Chinese herbal medicine. The market for this and other rare animal products has led to the endangerment and abuse of many wonderful creatures.

Cools the blood; stops bleeding; reduces fire; eliminates toxicity; calms the Shen; relieves convulsions and tremors.

• Heat in the blood or Ying or Xue level invasion of heat: epistaxis, hematemesis, erythema, purpura, convulsions, delirium, very high fever.
• Blockage of the heart by fire (in disease caused by damp-heat): delirium, high fever, coma.
Ying or Xue level heat: unremitting high fever, loss of consciousness, delirium, convulsions, manic behavior.
• Heat and toxicity: skin eruptions
• Used mainly for cases of extreme heat.
• Never cooked. Powdered and taken directly.
• Do not combine with aconite.
1-2g taken directly


Shi Niu Jiao: Water buffalo horn (Bubalus bubalis)
• Salty, cold.
• Clears heat; cools the blood; relieves toxicity.
Shui niu jiao and Xi jiao have basically the same functions and composition, but Shui niu jiao is significantly weaker than Xi jiao.
• Ox horn is also used.
30-120g in decoction, 6-15g as a powder
Xuan Shen
Scrophularia root
Ningpo Figwort

"Dark Root"
bitter sweet salty cold K
Lu St
Nourishes Yin; strongly clears heat and eliminates toxicity; cools the blood; softens hardness, dissipates nodules and swellings; drains fire.

• Stagnation of heat/fire and toxicity in the blood: swollen, severely painful throat, swollen or red eyes, carbuncles, boils, nodes in the skin. For throat problems, Xuan shen can be used for wind-heat, Lung heat, and kidney Yin deficiency patterns when combined appropriately.
Ying level heat with injury of the Yin: feverish body, dry mouth, deep red tongue.
• Heat in the blood or Xue level heat: skin eruption, restlessness, delirium, bleeding, dry mouth, purplish tongue.
• Phlegm-fire: neck lumps, enlarged lymph nodes, etc. (Often with Zhe bei mu)
• Weaker than Sheng di at nourishing Yin.
• Lowers blood pressure - especially effective for renal hypertension - probably by vasodilation.
• Dry-fry it in salt to enhance its Yin nourishing properties.
• Not to be combined with Li lu.
Li: For enlarged lymph nodes, use Xuan shen:Huang lian::1:2.
• Caution with the dosage for sore throat - its ability to generate Yin can create phlegm (2g or less per day is safe).
• Can treat hyperthyroidism
PFGC: Treats rootless kidney fire attacking the throat.
Hsu: Vasodilator; stimulates blood circulation; antiphlogistic; hypotensive; antipyretic; hypoglycemiant; antifungal.
• Use 30-90g for tuberculosis and vasculitis.
DY: Drains floating fire; disinhibits the throat.
• With Ban lan gen to clear heat, resolve toxins, cool the blood, nourish Yin, downbear fire, disinhibit the throat, disperse swelling, and stop pain. For painful, red, swollen throat with dry, red tongue, and a fine, rapid pulse due to Yin deficiency generating a deficiency fire or replete fire which damages Yin. For heat-toxins, add Shan dou gen and Gan cao. For deficiency fire, add Mai men dong and Sheng di huang.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
NAH: (Figwort - S. nodosa) Alterative. Thought to stimulate the lymphatic system. Formerly used [in Western herbalism] to treat scrofula (tuberculosis of the cervical lymph nodes). Because of its eliminative power, it is useful for eruptive skin diseases.
PCBDP: (herb) Diuretic, depurative, anodyne.
6-30g
Zi Cao (Gen)
Lithospermum root
or Arnebia

"Purple Herb"











































sweet
cold
Ht Lv Clears heat; cools the blood; promotes blood circulation; promotes the expression of skin eruptions; eliminates toxicity; slight function to moisten the intestines and unblock the bowels; topically clears damp-heat from the skin.

• Skin eruptions due to a warm-heat pathogen, heat in the blood, or extreme heat and toxicity in the blood: early measles, chickenpox, eczema, carbuncles, boils, burns. Especially good for dark red or purple skin disorders.
• Heat in the blood: constipation.
• Topical: for damp-heat skin lesions, vaginal itching. Often used in ointment for burns, sores, etc.
• May inhibit ovulation.
• Antineoplastic effects.
• Doctrine of signatures: Its purple color conveys it ability to enter the blood and to treat purple skin eruptions.
JTCM: Its nature is mild. It cools the blood but is not harsh, it moves blood, but not recklessly. It promotes muscle regeneration, clears dampness, heals ulcers, kills parasites and fungus. It can prevent the growth of bacteria and also has anti-inflammatory properties. It promotes blood circulation, growth of the epithelium, and excretion of toxins. It treats allergic purpura due to heat in the blood.
• Treatment of chronic hepatitis B and liver stagnant-heat:
Zi cao treats liver stagnant-heat: dull complexion, liver or spleen enlargement, jaundice, stabbing pain in the liver area, low grade fever, restlessness, burning urination, constipation, bitter taste, dry mouth, dark red tongue with a sticky yellow coat, wiry pulse. This pattern includes chronic hepatitis B (its main pathology is stagnant damp-heat-toxicity). Experiments show the herb has activity against the hepatitis B virus. It also treats cirrhosis and ascites.
To treat chronic liver stagnant-heat, combine Zi cao with Mu dan pi, Chi shao, Shan zha, Hu zhang, Bai jiang cao, Ku shen, Chai hu, Yu jin, Yin chen hao. Add Huang qi and Tai zi shen if there is Qi deficiency. Add Nu zhen zi and Sheng di if there is Yin deficiency.
Zi cao oil for neurodermatitis:
Zi cao oil: Soak Zi cao in sesame oil (1 part herb : 2 parts oil) for 15 days. Strain the oil. Apply it to rashes 3-6 times/day.
Treats neurodermatitis (skin rash due to nervous system disorder, including with severe paroxysmal itchiness).
Zi cao for retinal phlebitis and other eye problems:
Zi Yun eye drops: Decoct 500g each of Zi cao and Dang gui for 15 minutes. Strain. For each liter of the fluid: Add 1kg Feng mi. Cook for another 10 minutes. Strain. Add 100g Bing pian and 3g She xiang.
Drop into the eyes three times daily.
Treats retinal phlebitis (including blindness caused by it), cataracts, bleeding of the eyes.
While applying the above eyedrops, give this formula internally:
Zi Lan Tui Yi Tang: Zi cao, Ban lan gen, Mu zei, Chan tui, Huang qi, Pao jia pian. In 30 days, the symptoms of 85% of patients are controlled. 95% of patients recover in 90 days.
Zi cao for festering otitis media:
Zi cao oil #2: soak 100g Zi cao in 1kg sesame oil. Cook over low heat until the Zi cao becomes charcoal colored.
Treats festering otitis media. To use, clear any pus from the ear with 3% hydrogen peroxide. Apply 3-4 drops of oil into the ear 4-5 times/day. Complete recovery usually takes 3-7 days.
Can be used for both acute and chronic ear conditions.
Zi cao for burns:
Zi Yun Gao: melt 150g beeswax. Add 30g each of Zi cao and Dang gui, and 500 mL sesame oil. Cook until the oil changes to a reddish-purple color. Strain, cool.
Apply to burns - especially first and second degree.
Zi cao for chronic ulcers:
Zi Cao Gao: soak Zi cao (30g), Dang gui (15g), and Chuan jiao (3g) in 300 mL sesame oil for 24 hours. Bring to a boil. Add Chuan shan jia (9g). Strain. Add 60g beeswax. Allow to cool.
Apply topically to chronic ulcers: Sterilize the surface of the ulcer. Apply Zi Cao Gao. Cover with gauze. Use a hot water bottle to warm it for 20 minutes, twice a day. Change the gauze once daily. Ulcers usually heal in 14 or fewer applications.
K&R: (L. officinale - fruit, leaves, flowers) Diuretic, emmenagogue, inhibits pituitary gonadotropins [FSH and LH], TSH antagonist.
• Wood yang, fire yang, earth yang:
Wood: biliary dyskinesia, urinary and biliary calculi, hyper-folliculine dysmenorrhea, mastosis, mastitis, hot flashes, spastic colon.
Fire: excess pituitary hormone secretion, especially inhibits FSH and LH.
Earth: hyperfolliculine dysmenorrhea, PMS.
RW: (various Lithospermum species) Contraceptive: antigonadotropic, anovulatory actions. Like oral contraceptives, it blocks the gonadotropic hormones of the anterior pituitary. Only reliable after prolonged use. Still does not reach the almost total efficacy of the contraceptive pill. Taken as a daily infusion by American Indian women for a period of six months to ensure infertility.
3-9g



Herbs That Clear Heat And Dry Dampness

• Because the herbs in this category are quite cold and bitter, use them with caution in cases of body fluid injury or deficiency of the spleen and/or stomach.
• Herbs in this category are commonly combined with:
A. Herbs that strengthen the spleen and stomach, when there is deficiency of these organs.
B. Herbs that nourish Yin, when there is injury of body fluids by heat or the patient has pre-existing Yin deficiency.
C. Herbs that clear heat and reduce fire, when there is fire.
D. Herbs that clear heat and eliminate toxicity, when there is toxicity.

In general, these herbs are related to or bear close resemblance to the class of herbs that in Western herbalism are called "bitter tonics." This use of the word "tonic" is somewhat different from the Chinese concept of a tonic. These herbs are considered tonics because they are useful for atonic conditions of membranes, muscles, and other tissues - particularly of the gastrointestinal tract. Also, based on the doctrine of signatures, yellow herbs are said to be useful for yellow conditions (e.g. thick yellow tongue coat indicating damp-heat, the yellowness of jaundice indicating [yang-type] damp-heat, yellow phlegm), and to affect organs that process yellow fluids - urine and bile (i.e. the biliary tract and urinary tract). For these purposes (mainly digestive weakness) they are prescribed in much smaller doses than those given in Chinese herbalism for clearing damp-heat. Typical doses of the bitters are a few drops of tincture in water (up to about 60 drops), three times daily, which might be equivalent to something from 0.02g to a maximum of 1.5 g of the herb daily. When using these herbs in the Chinese doses given below, they may be wisely combined with protective/restorative supplements (e.g., warming herbs such as sheng jiang; moderating herbs such as gan cao, da zao; middle jiao rectifying herbs such as chen pi, mu xiang; spleen Qi tonics; probiotics; l-glutamine; zinc-carnosine; etc.) when appropriate.

Also consider to clear Damp-Heat, when appropriate: Bai hua she she cao, bai tou weng, bai xian pi, ban lan gen, chuan xin lian, jin yin hua, ma chi xian, pu gong ying, shan dou gen, tu fu ling, yu xing cao, hu huang lian, qin jiao, xi xian cao, pei lan, bi xie, bian xu, che qian zi, chi xiao dou, deng xin cao, di fu zi, dong gua ren, dong kui zi, hai jin sha, hua shi, jin qian cao, mu tong, qu mai, shi wei, tong cao, yi yi ren, yin chen hao, ze xie, da huang, gan sui, qian niu zi, chuan lian zi, mu xiang, hu zhang, niu xi, si gua lou, yi mu cao, chun gen pi, bai mao gen, di yu, huai hua, etc. 
See also herbs that also clear heat in the Drain Damp category, Cool Herbs that Resolve Phlegm category, etc.
The first three herbs in this category, plus Zhi zi comprise the formula Huang Lian Jie Du Tang.
Huang Bai
Phellodendron bark
Amur Cork tree

"Yellow Fir"









bitter
cold
K
BL
LI
Clears heat and dries dampness (particularly from the lower Jiao); reduces fire; eliminates toxicity; clears deficiency heat; lowers blood pressure

• Damp-heat (especially in the lower Jiao): painful urination, low back pain, thick yellow leukorrhea, foul-smelling diarrhea, dysenteric disorders, prostatitis, red, swollen and painful legs, feet, knees, or jaundice.
• Yin deficiency heat: tidal fever, night sweats, spermatorrhea, steaming bone disorder, afternoon fever.
• Damp-heat-toxicity: carbuncles, boils, sores, lesions, eczema. Can also be used as a wash, powder, or ointment.
• Useful in meningitis.
• Bacillary dysentery.
• Topical: vaginitis and cervicitis from Trichomonas infection.
• Conjunctivitis.
• Weak antibiotic: contains berberine ∼1% or more (less than Huang lian).
Li Dong Yuan: Leads rising Yang Qi back down to its lower source.
MLT: Useful for kidney fire with nocturnal emissions, insatiable sexual urges.
Hsu: Antiphlogistic, anti-inflammatory.
DY: With Zhi mu to clear heat, enrich Yin, drain deficiency fire, resolve toxins, and eliminate dampness in the lower burner. For such indications as:
- 1. Evening fever, steaming bones, and night sweats caused by Yin deficiency.
- 2. Seminal emission, premature ejaculation, easy erection, excessive thinking about sex, sexual hyperexcitability, erotic dreams, nymphomania due to deficiency fire and hyperactive ministerial fire.
- 3. Dysuria due to Yin deficiency and to Yang losing its ability to transform (at the level of the bladder). For all these indications, both herbs should be salt mix-fried to guide their action toward the lower burner and kidneys.
• With Cang zhu for mutual reinforcement, to clear heat, dry dampness, disperse swelling, and stop pain. For indications such as:
- 1. Wilting of the lower extremities with pain in the sinews and bones due to damp-heat pouring downward. (Er Miao San) Use salt mix-fried Huang bai.
- 2. Abnormal vaginal discharge, external vaginal itching, and cloudy, scanty urination due to damp-heat. (Use Cang zhu which has been stir-fried until scorched.)
- 3. Red, swollen, hot, painful joints due to wind, damp, heat impediment. (Cang Zhu San)
• With Ze xie to clear and drain fire due to Yin deficiency, and clear and eliminate dampness and heat. For indications such as:
- 1. Steaming bones, night sweats, and seminal emission due to deficiency fire. (Zhi Bai Di Huang Wan) Both herbs should be salt mix-fried.
- 2. Inhibited urination and pricking, painful urination due to damp-heat in the lower burner. (Salt mix-fried Huang bai and either unprepared or salt mix-fried Ze xie should be used.)
3-12g
Huang Lian
Coptis rhizome
Gold thread

"Yellow Links"






















































































bitter
cold
Ht
Lv
LI
St
Sp
Clears heat; dries dampness; reduces fire; eliminates toxicity; clears heart fire, drains stomach and liver fire; adjusts the appetite; stops bleeding due to heat.

• Heart fire: irritability, insomnia, high fever, restlessness, coma, delirium. Also combined with Rou gui for heart/kidney disharmony.
• Stomach or large intestine damp-heat: diarrhea, dysentery, vomiting, acid regurgitation.
• Stomach fire: digestive dysfunction, belching with a putrid odor, excessive hunger and thirst, diabetes. Also with Wu zhu yu in Zuo Jin Wan.
• Heat in the blood: epistaxis, hematuria, hemafecia, hematemesis.
• Heat and toxicity: carbuncles, boils
• Topical: for red and painful eyes; ulcerations of the mouth and throat; first and second degree burns; exudative erythema multiforme. Often used as a powder or ointment.
• Cholagogue; lowers serum cholesterol in rats; anti-inflammatory.
• Sometimes thought of, among the three "Huang" herbs in this category, as the main herb for addressing the middle Jiao, though it actually treats all three.
• For heart heat, Huang lian treats the heart, its mother (wood-liver), and also its son (earth-stomach/spleen).
• Contains berberine (4.7%): a broad spectrum antibiotic and fungicide. More effective than sulfa drugs. As effective as synthetic antibiotics for bacillary dysentery, tuberculosis, scarlet fever, diphtheria.
• Canker sores.
• Ulcerative colitis.
• Vaginal trichomonas infection.
• Tuberculosis.
• Typhoid fever.
• Scarlet fever.
• Diphtheria.
• Suppurative otitis media (administer in ear drops).
• Conjunctivitis, superficial keratitis.
• Anal fissures. (Applied repeatedly with cotton balls and increasing pressure.)
• Dry-fry it (Chao huang lian) to make it less cold and to help it enter the blood.
• Ginger-fry it (Jiang huang lian) to make it less cold, easier on the spleen and stomach, to treat stomach heat, help stomach Qi descend, and stop vomiting.
• Fry it with Wu zhu yu (Yu huang lian) to treat damp-heat in the Qi level, with such symptoms as diarrhea, vomiting, belching.
MLT: Combine Huang lian with any guiding herb to clear heat anywhere in the body.
• For diarrhea with stomach heat and an inability to ingest food, combine with Ren shen in a tea and sip throughout the day (it is alright if the patient vomits).
• With Huang bai, Huang qin, Da huang (4 yellows) for cancer.
PFGC: For heat in the upper Jiao: meningitis, cerebral hemorrhage, occasional dizziness, eye diseases with swelling and pain, canthus outcrop creeping over the eye (not for nebulous eye screen), bright red and rapidly spreading erisypelas.
• Damp-heat stagnating below the heart causing epigastric discomfort and fullness.
• Damp-heat: inflammations and ulcerations in the vagina.
• Contains the nutritive essence of fire and the functional nature of water - can resolve disorders that involve a chaotic interaction between fire and water: damp-heat in all three Jiaos.
• For eye disorders, coptis tea can be applied to the eyes with a cotton ball until the patient feels a bitter sensation in the throat.
• For red, swollen, painful eyes, coptis can be ground and mixed with sesame oil. The patient should then sniff its scent.
Hsu: Same antibiotic efficacy as sulfa drugs; stimulates gastric secretions (including from the pancreas); inhibits gastric ulcer formation; anti-inflammatory.
DY: Thickens the intestines, stops diarrhea; cools the blood; clears heat generated by dampness; treats vomiting and acid regurgitation caused by liver-stomach disharmony.
• The patient can take Huang lian with a slice of ginger on the tongue or eat ginger after taking it, if he or she is very sensitive to the bitterness. The herb can also be ginger-processed, wine-processed, or stir-fried until yellow to alleviate its bitterness.
• With Ban xia to harmonize upbearing and downbearing, Yin and Yang, to clear heat, dry dampness, transform phlegm, and stop vomiting. For indications such as nausea, vomiting, chest and epigastric fullness and distention, thick, yellow phlegm, yellow, slimy tongue fur, and a wiry, slippery pulse due to damp-heat, turbid phlegm, and/or mixed cold and heat causing stomach disharmony. Huang Lian Tang is typically used. For these indications, ginger-processed Ban xia and ginger mix-fried Huang lian should be used.
• With Gan jiang to eliminate cold accumulation and depressive heat, drain mixed cold and heat, in order to stop vomiting and diarrhea. The pair allows one to regulate upbearing and downbearing, to harmonize Yin and Yang, and to treat mixed cold and heat. The ratio of the two herbs can be adjusted (3-10g each) depending on whether heat or cold is predominant (use equal doses if heat and cold exist in equal proportion). For indications such as:
- 1. Vomiting, acid regurgitation, belching, epigastric pain or distention, and clamoring stomach (a feeling of hunger, burning, emptiness, unease, and sometimes pain in the stomach with nausea and acid regurgitation) due to a mixture of cold and heat in the stomach. (Ban Xia Xie Xin Tang) Use stir-fried Huang lian unless heat is severe.
- 2. Diarrhea, dysentery, and stomach rumbling due to mixed heat and cold and/or disharmony between the stomach and intestines. (Use stir-fried Huang lian unless heat is severe.)
- 3. Glossitis, stomatitis, and chronic, recalcitrant mouth ulcers due to spleen Yang deficiency and stomach fire.
• With E jiao to drain fire and enrich Yin according to the method of draining the south (i.e. fire) and supplementing the north (i.e. water), reestablish the interaction between the heart and kidneys, quiet the spirit, and treat dysentery damaging Yin. For indications such as:
- 1. Vexation, agitation, and insomnia due to febrile disease which has damaged Yin, deficiency fire, or heart and kidneys not communicating. (Huang Lian E Jiao Tang) Unprepared, or, even better, wine-processed Huang lian should be used.
- 2. Dysentery which damages Yin with pus and blood in the stools due to damp-heat in the large intestine.
- This is a key pair for heart-kidney disharmony, with symptoms mentioned above, plus many psychological disorders, loss of memory, profuse dreams, and tendency to wake up easily and frequently
• With Huang qin to effectively clear heat and dry dampness, drain fire, and resolve toxins from the upper, middle, and lower burners. For indications such as:
- 1. Red, swollen, painful eyes, toothache with red, swollen gums, oral ulcers, and glossitis due to full heat in the upper and middle burners. (Xie Xin Tang) Both herbs should be wine mix-fried. (The alcohol directs the action of these two herbs toward the upper burner.)
- 2. Vexation and agitation in warm disease with full heat or due to a breakdown in communication between the heart and kidneys. (Huang Lian Jie Du Tang or Huang Lian E Jiao Tang)
- 3. Diarrhea and dysentery due to damp-heat. (Shao Yao Tang)
- 4. Hematemesis and epistaxis due to heat in the blood. (Xie Xin Tang) Both herbs should be wine mix-fried.
• With Mu xiang to rectify the Qi, drain heat, dry dampness, and treat dysentery. This combination is used in Xiang Lian Wan for indications such as diarrhea, bloody and purulent dysentery, abdominal pain, and tenesmus due to damp-heat and Qi stagnation in the large intestine. Roasted Mu xiang should be used.
• With Rou gui (3-6g each) to harmonize Yin and Yang, drain the south (heart fire) and supplement the north (kidney Yang), and re-establish the interaction between the heart and kidneys. For indications such as:
- 1. Insomnia, vexation, and agitation due to heart and kidneys not communicating. (Such as for kidney Yang deficiency which cannot move and upbear kidney water, which then becomes dead and stagnant, and fails to nourish heart Yin and control heart fire which rises upward. Use Jiao Tai Wan.)
- 2. Glossitis, oral ulcers, heart palpitations, together with fear of cold, copious clear urination, impotence, and seminal emission due to simultaneous heart fire and kidney Yang deficiency.
• With Wu zhu yu to effectively drain liver fire, harmonize the stomach, downbear counterflow, and stop pain, acid regurgitation, and vomiting. For indications such as:
- 1. Lateral costal pain and distention, nausea, vomiting, acid regurgitation, belching, clamoring stomach, and a bitter taste in the mouth due to liver depression transforming into fire which disturbs the stomach. (Zuo Jin Wan - Huang lian:Wu zhu yu :: 6:1)
- 2. Diarrhea and dysentery due to damp-heat.
- The usual dosage for this pair is 3-10g Huang lian and 2-5g Wu zhu yu. Traditionally, the combination is for liver fire causing liver-stomach disharmony which, in turn, leads to nausea, vomiting, and acid regurgitation. In this case Huang lian should be prescribed in a larger quantity and Wu zhu yu in a lesser amount. However, this pair can also be used in patterns where cold and heat are mixed. In this case, if heat is predominant, the dosage of Huang lian should be proportionately more. If there is concomitant stomach Yin deficiency, add Shi hu. If cold is predominant, the dosage of Wu zhu yu should be proportionately more. If there is concomitant Qi deficiency, add Dang shen. If cold and heat are present in identical proportions, the quantities of both herbs should be equal.
• With Zi su (the leaves [Zi su ye] and stems [Zi su geng] of Perilla) to clear stomach heat, dry dampness, rectify the Qi, and stop vomiting. For the following indications, ginger mix-fried Huang lian should be used:
- 1. Vomiting and nausea due to stomach heat or damp-heat in the middle burner along with Qi stagnation in the middle burner.
- 2. Vomiting during pregnancy due to heat or damp-heat along with Qi stagnation in the middle burner.
Huang lian is incompatible with pork or cold water.
• From Michael Moore (via internet): Goldthread (coptis), in my opinion, is possibly the queen of remedies for stomatitis and slowly healing mouth sores (Myrrh and Anemopsis being preferable for acute problems). If you ever get a chance to gather some, be sure to use the leaves and stems as well... all parts of the plant are active. The constant reference to Goldthread Roots is a clumsy remnant of the crude drug trade of a century ago... the dried roots could be stored in burlap bags for a DECADE, the foliage lasted but a year or two. With drastic loss of wild places in the last century, we need to revamp our often wasteful use of herbs, gathered according to standards set in greener (and profligate) times.
1.5-9g (0.5g promotes digestion and improves the appetite)
Huang Qin
Scutellaria
   baicalensis root
Baical Skullcap root
Scute

(S. amoena or S. viscidula also used)




































bitter
cold
Lu
GB
St
LI
Lv
Clears heat; dries dampness; reduces fire; eliminates toxicity; stops bleeding; calms the fetus; sedates liver Yang rising.

• Heat patterns (especially of the upper Jiao, but also of the middle and lower): high fever, irritability, thirst, cough, expectoration of thick, yellow sputum, hot sores and swellings (internal or topical). This herb is particularly useful for clearing Lung (and liver) heat. Also (as with Chai hu) can be used for Shaoyang syndrome.
• Damp-heat: jaundice, diarrhea, dysentery, carbuncles, boils, high fever, restlessness, thirst, rapid pulse.
• Damp warm-febrile disease: fever, stifling sensation in the chest, thirst but inability to drink. Also for Qi level heat.
• Damp heat in the lower Jiao: painful urinary dysfunction.
• Disturbance of fetus by heat (especially excess liver heat): restlessness or excessive kicking of the fetus, threat of miscarriage.
• Heat in the blood: bleeding problems such as hemoptysis, hemafecia, epistaxis, hematemesis, uterine bleeding.
• Liver Yang rising: headache, irritability, red eyes, flushed face, bitter taste in the mouth.
• Among the three "huang" herbs in this category, Huang qin is often thought of as being generally useful for upper Jiao (damp-) heat.
• This is a major herb for damp-heat in the stomach and intestines.
• Doctrine of signatures: the herb's resemblance to lung tissue conveys its affinity for the Lungs.
• Dry-fry it to make it less cool and to help it enter the blood. This form is used for heat in the lower Jiao and restlessness of the fetus.
• Wine-fry it (Jiu huang qin) to enhance its ascending properties. This form is more effective for treating damp-heat in the upper Jiao, including lung heat, makes it easier on the spleen, and also conducts it to the blood.
• Char it to enhance its hemostatic properties.
• Beneficial in bacillary dysentery; inhibits intestinal movement.
• Broad spectrum antibiotic, antifungal.
• Antihypertensive, probably due to vasodilation; diuretic; cholagogue.
• Anti-allergic action: the component baicalein inhibits the release of enzymes from mast cells, probably by inhibiting receptors. Baicalein and baicalin have been shown to have a bronchodilatory effect in animal studies.
• The constituent baicalin is anti-inflammatory and analgesic. It is a COX-2 inhibitor, it inhibits TNF-α, and reduces PGE2. Baicalin, baicalein, and wogonin act synergistically as anti-inflammatories and are strong antioxidants.
• The constituent wogonin has been shown in one study to have anti-anxiety (though non-sedating) effects on mice.
MLT: Also has antiviral properties.
Hsu: Prevents (antigen/antibody) allergic response - for dermatitis, asthma, tracheal constriction.
DY: During pregnancy, Yang becomes stronger and easily produces heat because the creation of the fetus is a warm transformation and because the child's Qi is added to the mother's. As a result, it is frequent to see a restlessly stirring fetus due to Qi stagnation, Qi and/or blood deficiency, or kidney deficiency associated with heat - Huang qin can almost always be prescribed for this type of problem.
• Downbears turbid Yin.
• With Bai zhu to clear heat stirring the fetus, dry dampness, and fortify the spleen to contain the blood and the fetus. For uterine bleeding during pregnancy, threatened miscarriage, nausea and vomiting during pregnancy caused by heat or damp-heat associated with spleen deficiency which is incapable of containing the blood within the vessels. For these indications, the Bai zhu should be bran stir-fried, and the Huang qin should be stir-fried until scorched.
• With Ban xia to harmonize and re-establish the interaction between Yin and Yang, to effectively clear heat, drain fire, harmonize the stomach, stop vomiting, and scatter nodulation. For such indications as:
- 1. Vomiting and nausea due to a Shaoyang pattern. (Xiao Chai Hu Tang) Use ginger-processed Ban xia. When Huang qin is removed from Xiao Chai Hu Tang, the pain and distention of the chest and lateral costal regions disappear, but the alternating fever and chills persist. When Chai hu is used alone, the fever does not abate, but if Huang qin is added, the fever recedes efficiently.
- 2. Phlegm-heat. (Qing Qi Hua Tan Wan) Use lime-processed Ban xia and wine mix-fried Huang qin.
- 3. Lack of appetite, nausea, vomiting, and distention and sensation of fullness in the stomach, diaphragm, and chest caused by a pattern of mixed cold and heat. (Ban Xia Xie Xin Tang) Use ginger-processed Ban xia and bran stir-fried, ginger mix-fried or stir-fried-until-scorched Huang qin.• With Chai hu to harmonize the interior with the exterior, the Shaoyang, and liver and gallbladder. Together, they also clear the liver and resolve depression as well as clear and eliminate dampness and heat, particularly in the liver and gallbladder. Chai hu dispels evils (heat) limited to the superficial part of the Shaoyang. Huang qin drains evil heat limited to the internal part of the Shaoyang. For indications such as:
- 1. Alternating fever and chills, a bitter taste in the mouth, dry throat, pain and fullness in the chest and lateral costal regions, nausea, and lack of appetite due to a Shaoyang pattern. (Xiao Chai Hu Tang)
- 2. Malaria due to a Shaoyang pattern.
- 3. Liver depression transforming into fire.
- This combination is remarkably effective for hepato-biliary disorders, such as acute or chronic hepatitis, biliary lithiasis, cholecystitis, and hepatomegaly due to liver-gallbladder heat.
• With Huang lian to effectively clear heat and dry dampness, drain fire, and resolve toxins from the upper, middle, and lower burners. For specific indications of this combination, see Huang lian in this category.
• There are two kinds of Huang qin:
- Ku Qin ("Withered Scutellaria"): light weight, hollow body, dark color, floating, tropism to the Lung channel, drains Lung fire, clears the upper Jiao, drains heat from the muscles and the exterior.
- Zi Qin ("Young Scutellaria") / Tiao Qin ("Scutellaria Sticks"): dense, full, hard body, yellow and slightly green, sinking, tropism to the large intestine channel, drains large intestine fire, clears the lower Jiao, treats hot dysentery.
3-15g
Ku Shen
Sophora flavescens root

"Bitter Root"




bitter
cold
Ht
Lv
SI
LI
BL
Clears heat; dries dampness; eliminates wind, stops itching; kills parasites; mildly promotes urination.

• Damp-heat: jaundice, itchiness of the genitalia, leukorrhea, dysentery, sores.
• Wind, fungus, worms or other parasites, damp-heat-toxicity: skin problems, especially itchiness, and also seepage, bleeding. Used both internally and topically. A key herb for skin problems.
• Damp-heat in the lower Jiao (including small intestine damp-heat): painful urinary dysfunction, hot edema.
• Palpitations, arrhythmia: combine appropriately based on the diagnosis (e.g. when due to heart blood and Qi deficiency, add tonics).
• Often used in pills, powders, tinctures, ointments, and washes.
• Contraindicated in combination with Li lu
• Asthma: with Gan cao and Ling zhi in the simplified ASHMI formula.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas
Li: For chronic sinusitis: kills persistent microorganisms in the sinuses which promote an ongoing inflammatory process (if no results within a month, discontinue).
3-15g (Or more for a strong topical wash)
Long Dan Cao
Chinese Gentian root

"Dragon Gallbladder Herb"

(Gentiana scabra, G. triflom, G. manshurica, G. regescens)

























bitter
cold
Lv
GB
St
Clears heat and dries dampness from the liver and gallbladder; reduces liver fire.

• Liver/gallbladder heat or damp-heat: costal or hypochondriac pain, headache, bitter taste in the mouth, red eyes, diminished hearing, jaundice, leukorrhea, eczema, herpes, itchiness and swelling of the external genitalia. For all damp-heat disorders of the external genitalia.
• Damp-heat in the upper gallbladder channel: red, swollen sore throat and eyes, swollen and painful ears, sudden deafness.
• Liver fire: headache, red eyes, flank pain.
• Liver wind-heat: fever, spasms, convulsions, flank pain.
• Taken (a half hour) before a meal, it increases gastric secretions, taken after a meal, it reduces them.
MLT: Cholecystitis, inflammatory pain, testicle swelling.
• Also for liver wind: spasms, dizziness, fever, convulsions, moving pains and sores on the liver channel.
Hsu: Antiphlogistic, antipyretic.
Yoga: Kirata, Katuki, Trayamana: bitter/cooling/pungent; P, K-; V+
• Bitter tonic, antipyretic, alterative, antibacterial, anthelmintic, laxative.
• For fever, debility after fever, jaundice, hepatitis, enlarged liver or spleen, genital herpes, acne, rashes, obesity, ulcers, venereal sores, diabetes, cancer.
• One of the best anti-Pitta herbs.
• Not to be used when there is no fever or inflammation or high Pitta or excess fat.
• Not for Vata-type debility, nervousness, muscle spasm, hypoglycemia.
RW: (various Euro-Asian species) A pure bitter (the bitter taste is detectable even at a dilution of 1:20,000). Contains no tannin - no astringent or irritant effect. Stimulates gastric secretions and motility and improves tone. It is active as soon as it is absorbed through the mouth's mucus membranes.
• Caution with a sensitive stomach with excess acid - it can aggravate hyperacidity. Mainly indicated for achylic and atonic conditions.
JC: (G. lutea) Tonic, stomachic, febrifuge, emmenagogue, anthelmintic (vermifuge), antiseptic, antispasmodic, cholagogue, emetic (large dose), sialogogue, antibilious, antiperiodic, antivenemous.
• One of most valuable bitter tonics and best strengtheners of the human system. Gentian stores vast quantities of condensed oxygen in its roots - the source of its bitterness and exhilarating tonic action. It is a revitalizing tonic and stomachic for physical exhaustion from chronic ailments, general debility, female weakness, digestive weakness, lack of appetite. Intensely bitter, but generally easily received by stomach, wherein it tones the liver without influencing the secretion of bile.
• For atonic gout, amenorrhea, anemia, bites, bruises, cancer (early), chills, chronic indigestion, colds, diarrhea, dizziness, dyspepsia, exhaustion, fainting, fevers, general debility (especially digestive), hysteria, infections, intermittent fevers, jaundice, lameness, liver troubles, malaria, scanty urine, scrofula, side aches, sprains, suppressed menstruation, worms, wounds.
• Common dose for the above indications: 1-2 teaspoons of a strong decoction in a small amount of water, an hour before meals.
• When possible, combine it with an aromatic herb, such as mint.
MW: Can be used for either a lack or excess of hydrochloric acid in the stomach.
• Mental state of the gentian patient: self doubt, depression, lack of good instincts or lack of trust in one's instincts, panic (as in anaphylactic shock) - pale, sweaty, scared.
3-12g


Herbs That Clear Heat And Eliminate Toxicity

Herbs in this category are commonly combined with:
A. Herbs that strengthen the spleen and stomach, when there is deficiency of these organs.
B. Herbs that nourish Yin, when there is injury of body fluids by heat or the patient has pre-existing Yin deficiency.
C. Herbs that clear heat and cool the blood, when there is heat and toxicity in the blood.
D. Herbs that dry or drain dampness when there is associated dampness.
Bai Hua She She Cao
Hedyotis
= Oldenlandia

"White-Patterned Snake's Tongue Herb"
sweet
sl bitter cold
St
LI
SI
Lv
Drains dampness, promotes urination; clears heat; eliminates toxicity; relieves stagnation of heat and toxicity; reduces abscesses.

• Lower Jiao damp-heat: hot, painful urination. Also for damp-heat jaundice.
• Heat and toxicity: acne, carbuncles, boils, swollen, painful throat, intestinal abscess, appendicitis, sores, ulcerations, snake bite, ulcerative colitis. Used internally and topically.
• Cancer: stomach, esophagus, rectum (take 60g daily, long term, while monitoring digestion for cold damage). Usually combined with other herbs, such as Ban zhi lian.
• Strongly relieves fire-toxicity.
15-60g
Bai Jiang Cao
Patrinia
or Sonchus
or Thlaspi

acrid
bitter
sl cold
St
LI Lv
Clears heat; eliminates toxicity; relieves stagnation of heat and toxicity; drains pus; dispels blood stasis, relieves pain.

• Heat and toxicity: carbuncles, abscesses in organs, surface sores and swellings. Used internally and/or topically.
• Blood stasis (especially heat-induced): pain, especially in the chest and abdomen. Also for postpartum and postoperative pain.
• Prostatitis - drains pus out of the prostate.
• Mumps: one study of over 200 cases showed Bai jiang cao to effectively treat mumps (used with Shi gao, internally plus applied topically as a paste), providing relief to 90% of cases within 24 hours.
MLT: Specific for colitis/intestinal heat. Anti-inflammatory.
Hsu: Antibacterial; protects the liver: stimulates regeneration of liver cells, prevents denaturalization.
9-15g (to 30g)
Bai Lian
Ampelopsis
bitter
acrid
sl cold
Ht
St Lv
Promotes tissue regeneration, heals wounds; clears heat; eliminates toxicity.

Heat and toxicity: carbuncles, boils, burns
Topical: for wounds. Also works cosmetically on wrinkles - temporarily tightens the skin.
5-10g
Bai Tou Weng
Pulsatilla root
Chinese Anemone

"White-Headed Old Man"


bitter
cold
LI
Lv
St
Cools the blood; clears heat; eliminates toxicity.

• Key herb for dysentery (bacterial or amebic) due to damp-heat or heat-toxicity: fever, abdominal pain, loose stools with pus and blood, tenesmus. Can be used alone for this.
• Effective in treating scrofula after it has ulcerated and when healing is slow.
Hsu: Anti-trichomonas; antiamebic; cardiotonic effects, dilates peripheral vessels.
K&R: (P. vulgaris - Pasque flower) Antispasmodic, emmenagogue, sedative, estrogen antagonist, sympatholytic. Wood yang.
• One of the best plants to drain repletion of Liver Yang, the whole plant is used to treat symptoms of Liver fire, hyperthyroid symptoms, tachycardia, neuralgia, migraines, bronchial spasms of pertussis, allergic rhinitis and asthma, spasms of colonopathy on the right side, colitis, dysmenorrhea, liver congestion, symptoms of depression with the sudden mood swings of menopause, pain in the pelvic and genital area, pelvic congestion, hysteria, phobias, anguish.
• Also has diaphoretic and diuretic properties.
• All parts of the fresh plant are dangerous, causing nausea, vomiting, diarrhea, intestinal spasms, skin inflammation, and asphyxiation.
RW: (P. vulgaris) Take internally for inner eye conditions: iritis, scleritis, disease of the retina, and above all, grey or senile cataract and glaucoma. (More effectiveness in glaucoma than cataract.)
IBIS: Affinities: female reproductive tract.
• Sedative, analgesic, antispasmodic, antibacterial.
[Western] dosage: tincture: 0.1 - 10 gtt. t.i.d.; up to 60 gtt. t.i.d. (Hoffman).
• Therapy: toothache, insomnia, headache, depression/irritability, nervous conditions; dysmenorrhea, amenorrhea, leukorrhea, spasm in reproductive system; skin infections, respiratory tract infections, asthma.
• Contraindicated for use in pregnancy; uterine stimulant and gastrointestinal irritant (De Smet, Farnsworth).
• Contraindicated for nursing mothers because of its gastrointestinal irritant effect (Brinker, Brooks).
6-15g
Bai Xian Pi
Dictamnus root bark
Chinese dittany

"White Fresh Bark"
bitter
cold
Sp St Dries dampness; eases itching; clears heat; eliminates toxicity; expels wind.

• Damp-heat: carbuncles, eczema with copious yellow discharge or pus and itching. Also for wind-heat skin conditions.
• Damp-heat: jaundice or Bi syndrome (used in combination with other herbs).
MLT: For fungal diseases associated with itching, especially effective when combined with Ku shen.
Hsu: Antipyretic, antifungal.
6-9g
Ban Bian Lian
Chinese Lobelia

"Half-Edged Lily"





acrid
cold
Ht SI Lu Helps the Lungs descend fluids to the bladder, promotes urination, relieves edema; disperses the Lungs; clears heat; eliminates toxicity; cools the blood.

• Heat and toxicity, poisons and venoms: snake bite, bee or wasp sting; also for swelling and pain from furuncles; fire toxin patterns including tonsilitis. Herb of choice for bites and stings - may be used internally or topically.
• Retention of harmful fluid: edema (often floating edema), ascites, mid- or end-stage schistosomiasis.
• Bensky/Gamble classifies with herbs that drain dampness.
• Not to be confused with the North American herb Lobelia inflata.
MLT: Cancer: anti-neoplastic properties.
Hsu: Diuretic, hypotensive, hemostatic.
15-30g
Ban Lan Gen
Isatis root
or Baphicacanthus















bitter
cold
Ht
Lu
St
Clears heat; eliminates toxicity; cools the blood; benefits the throat; strongly relieves swelling and disperses stagnation.

• Warm febrile diseases, warm epidemic disorders.
• Swelling: painful, swollen, sore throat, mumps.
• Damp-heat: jaundice.
• Very broad spectrum and powerful antiviral and antimicrobial effects.
• Viral infections: quite effective for encephalitis B, hepatitis A, B and C, EPI's.
MLT: Ban lan gen and Da qing ye are the most powerful anti-viral herbs in all of herbal medicine.
• Good for skin blotches from heat in the blood.
• Agent Orange disease.
• Similar to Western Baptisia tinctoria (Wild Indigo).
SD: May help antidote lead poisoning.
DY: With Shan dou gen for mutual reinforcement, to clear heat, eliminate toxicity, and strongly disinhibit the throat. For such indications as:
- 1. Painful, red, and swollen throat due to replete heat. This combination is usually sufficient to treat severe throat inflammations (including strep throat, tonsillitis, pharyngitis, laryngitis, etc.) due to heat-toxins or replete heat. However, when this combination needs further reinforcement, add She gan, Jin yin hua, Lian qiao, Xuan shen, and Gan cao.
- 2. Toothache and painful, swollen gums due to replete heat.
- 3. Oral ulcers due to replete heat.
• With Xuan shen to clear heat, resolve toxins, cool the blood, nourish Yin, downbear fire, disinhibit the throat, disperse swelling, and stop pain. For painful, red, swollen throat with dry, red tongue, and a fine, rapid pulse due to Yin deficiency generating a deficiency fire or replete fire which damages Yin. For heat-toxins, add Shan dou gen and Gan cao. For deficiency fire, add Mai men dong and Sheng di huang.
15-30g
Ban Zhi Lian
Scutellaria barbata
Barbat Skullcap
Bearded Scute

"Half-Branch Lotus"
acrid
cold
Lu SI
St
Lv
LI
Promotes urination to relieve edema; clears heat; eliminates toxicity; invigorates the blood, promotes movement and disperses in the course of clearing.

• Cancer (heat and toxicity): Lung, stomach, intestines. (One study seemed to indicate that this herb alone is not a cure.)
• Heat and toxicity: carbuncles, snake bite, abscesses, furuncles, sores, trauma.
• Retention of harmful fluid: ascites.
• Chronic hepatitis.
15-60g
Chuan Xin Lian
Andrographis
Green Chiretta
Kariyat

"Thread-the-Heart Lotus"
bitter
cold
SI
LI Lu St
Dries dampness; clears heat; eliminates toxicity.

• Damp-heat: dysentery, painful urination, eczema.
• Early stage warm-heat pathogenic invasion: fever, swollen, painful throat, headache.
• Lung heat: cough
• Lung heat and toxicity: abscess.
• Fire-toxin manifestations on the skin: sores, carbuncles.
• Topical: for eczema, snake bite (used fresh for snake bite). Often used in ointment for eczema.
• May be useful for prostate enlargement.
• Upregulates TH1 immunity (i.e., Wei Qi) - useful in acute infection.
• Recent use for loptospirosis.
• For common cold, one study indicated that 3-6g a day shortened duration of infection and mitigated symptoms.
Chuan xin lian can be used as an inexpensive substitute for Huang lian (in some cases).
• Exceedingly, overwhelmingly bitter. Can injure stomach Qi. Over 15g can cause nausea and/or vomiting. When taking it directly as a powder, it is often encapsulated.
PPP: Stimulates the immune system, especially phagocytic activity; stimulates bile production and flow; protects the liver from toxins; counters the damaging effects of free radicals; antiinflammatory; antiplatelet; abortifacient [contraindicated in pregnancy, though Chinese sources do not corroborate this].
• Used in Ayurveda for bitter tonic, stomachic, antipyretic, and laxative properties. Said to increase appetite, strengthen digestion, and diminish flatulence, hyperacidity and biliousness [probably in very small doses].
• Traditional uses include: loss of appetite, atonic dyspepsia, flatulence, diarrhea, dysentery, gastroenteritis, bowel complaints of children, liver infections, diabetes, general debility and convalescence after fevers, respiratory and skin infections.
• Indications supported by clinical trials: bacterial and viral infections including the common cold and pharyngotonsilitis, enteric infections; for prevention of urinary tract infections following shock wave lithotripsy, prophylaxis of common cold.
6-15g
Da Qing Ye
Isatis leaf
or Baphicacanthus or Clerodendron or Polygonum tinctorium

"Big Bluegreen Leaf"


bitter
very cold
Ht Lu St Cools the blood, relieves skin eruptions; clears heat; eliminates toxicity.

• Any warm-febrile disease or epidemic febrile outbreak.. Especially for epidemic toxin or any severe febrile disease that affects people regardless of their constitution, such as severe contagious disease.
• Heat and toxicity in the blood: swollen and painful throat, erysipelas, mouth ulcers.
Xue level heat and toxicity: coma, skin eruptions, high fever, restlessness.
• Heat in the blood: skin blotches, rashes, and other skin eruptions. Often used in cases with intense fever, irritability, and changes in consciousness.
• May be used for fire-toxicity anywhere in the body, especially the throat and Lungs.
• Very effective in treatment of encephalitis B; commonly used for meningitis.
• Acute dysentery, gastroenteritis.
• Antiviral, antimicrobial.
• Caution with spleen/stomach cold from deficiency.
SD: May help antidote lead poisoning.
9-30g
Gui Zhen Cao
Bidens

"Demon/Ghost Spike/Needle Plant"














    SD: It is said that the nature of the herb is sweet and bland, with a neutral property, though other sources list it as bitter. Its actions are to expel pathogenic factors from the surface of the body, clear up heat, remove toxin, and eliminate stagnancy. The applications listed include influenza, swollen and sore throat, enteritis, dysentery, jaundice, intestinal carbuncle, epilepsy in children, malnutrition in infants, and hemorrhoids.
In Chinese Medicinal Herbs of Hong Kong, the indications for Bidens pilosa (the only species listed) are: influenza, colds, fever, sore throat; acute appendicitis; acute infectious hepatitis; gastroenteritis, dyspepsia; rheumatic arthralgia; malaria; and hemorrhoids, pruritis.
Oriental Materia Medica reports it to have the functions of removing wind-dampness, dispersing stagnant blood, and invigorating blood. Applications of the herb include rheumatoid arthritis, sprain, insect and scorpion sting, diarrhea, dysentery, hepatitis, acute nephritis, stomach ache, and sore throat.
The substitute Desmodium species are similar to the standard herb known either as hulucha or longshehuang (Desmodium triquetri), which is applied to treat common cold, sore throat, enteritis, dysentery, jaundice, rheumatic arthralgia, and other disorders; the overlap in applications between bidens and desmodium is evident. A review of uses of Bidens bipinnata (the only species mentioned) is presented in Anticancer Medicinal Herbs, including:
Internal Medicine: "It is recorded in Handbook of Chinese Medicinal Herbs that: The decoction of the drug cures dysentery, laryngalgia, dysphagia, vomiting, cardiac spasm and esophageal dilatation, and is effective in
removing toxic materials, stopping diarrhea, and clearing away heat. The drug has been used to treat cecitis in the recent years." For cancer therapy, 15"“30 grams per day is decocted and taken orally for esophageal cancer;
for gastric cancer, 15 grams of bidens is combined with a complex formula for daily administration.
External Medicine: "It is said in Prescriptions Worth a Thousand Gold that "˜External application of bidens with arctium and blended with pig fat can cure finger cut.' It is recorded in Dictionary of Chinese Materia Medica that "˜The drug, bitter in taste, mild in nature, and non-toxic mainly cures spider and fly bites through internal and external application.' It is reported in Materia Medica that "˜Scorpion sting can be cured by external application of the drug.'"
In Chinese-English Manual of Common-Used Herbs, under guizhencao, Bidens bipinnata, B. pilosa, and B. biternata are all listed as the source materials; the applications are: 1. clear away the superficial heat: for common cold of wind-heat type and prevention of influenza; 2. clear away heat and toxic materials: for sore throat, appendicitis, snake bite, and centipede bite; and 3. clear away dampness and heat from the gastrointestines [gastro-intestinal tract]: for diarrhea, dysentery and stomach ache of heat type.
The herb, along with others, is included in the Chinese Patent Gan Mao Qing, a remedy for common cold and influenza. For topical use, the fresh herb is crushed and applied locally or boiled in water to produce a wash for boils, eczema, and tinea.
Based on the traditional claims, bidens would be expected"”from the modern perspective"”to show infection-inhibiting and anti-inflammatory properties: these actions have been investigated and shown to exist. In fact, bidens extracts are shown to inhibit bacteria, fungi, and viruses and to have potent anti-inflammatory effects in laboratory animal experiments with induced gastric ulcer, liver inflammation, or arthritis-type swelling. In Anticancer Medicinal Herbs, the anticancer potential of the herb is said to be implied by its bacteria inhibiting actions (since many antibacterial substances also inhibit cancer).
Bidens tripartita (lang ba cao), which has been known for many centuries as a remedy for chronic dysentery, was used in a clinical trial to treat 500 cases of dysentery, 65 cases of acute enteritis, 248 cases of chronic enteritis.
In 500 cases of dysentery, 387 cases were reported cured; with 13 not responding in 3 days. In 313 cases of enteritis all were cured (12 chronic cases relapsed later). The authors of the study pointed out that there had been an epidemic of dysentery in Shandong Province for many years and that practitioners at village clinics and the county hospital in Jianan County had used bidens as a remedy for about 10,000 patients.
ITM Formulary: A dried hot water extract of bidens with other herbs has been prepared in tablet form under the name Bidens 6 (Seven Forests). The formula is: Bidens 25%, Hu zhang 20%, Zi hua di ding 15%, Ban lan gen 15%, Ju hua 15%, Gan cao 10%. All the herbs in this formula have anti-infection activities.
9-60g (60-120g for acute appendicitis)
Hong Teng
Sargentodoxa vine

"Red Vine"
bitter
neutral
LI
Lv
Promotes blood circulation, disperses stasis, alleviates pain; clears heat; eliminates toxicity; reduces abscesses.

• A key herb for appendicitis. For appendicitis, it is often used in high doses (60g) and is combined with herbs such as Pu gong ying, Da huang, and Hou po.
• Blood stasis: dysmenorrhea, trauma, joint pain.
• Wind-dampness: joint pain.
• Heat-toxicity: abscesses, skin lesions with heat, swelling, and pain.
• Prostatitis.
• Antibacterial.
15-30g
Jin Yin Hua
Honeysuckle flower
Lonicera

"Gold Silver Flower"

























Ren Dong Teng
Honeysuckle vine/stem
sweet
cold
Lu St
LI
Clears heat; eliminates toxicity; expels wind-heat; clears lower Jiao damp-heat.

• Wind-heat or early stage of warm-heat pathogenic invasion: fever, slight aversion to cold, slight sensitivity to wind, sore throat, headache. This herb can be applied to Wei, Qi, or Ying level heat invasion.
• Heat and toxicity: carbuncles, boils, dysentery, hot painful sores and swellings, arthritis, intestinal abscess. Especially useful for affections of the breast, throat, or eyes.
• Lower Jiao damp-heat: dysenteric disorder or painful urinary dysfunction.
• Externally contracted summer-heat.
• Tuberculosis.
• Chronic conjunctivitis, keratitis, corneal ulcers.
• By IM injection or injection into acupoints, Jin yin hua has proven useful in treating severe acute pneumonia and bacillary dysentery.
• Also for many purulent diseases including appendicitis with perforation, mastitis, erysipelas.
• Broad antimicrobial, antiviral. Anti-inflammatory.
• Not for yin-type ulcers or for sores due to Qi deficiency.
DY: For severe heat-toxicity, dysentery, or pyogenic skin infections, use 30-60g per day. High doses can be used without side effects.
• With Lian qiao to strongly and effectively clear heat and resolve toxins. For indications such as:
- 1. Colds and influenza due to wind-heat. (Yin Qiao San)
- 2. Warm diseases with internal heat. (Yin Qiao San)
- 3. Headache, eye pain, toothache, sinusitis, and painful, swollen throat due to wind-heat.
- 4. Skin eruptions with pruritis due to wind-heat.
- 5. Skin inflammation due to heat toxicity.
- Neither herb is acrid. They are often included in formulas for dispelling wind-heat to prevent the production of heat toxins or to prevent heat from entering deeper into the interior. They are able to limit the worsening of colds, influenza, and other illnesses due to wind-heat.HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
K&R: Water yin, fire yin. Diuretic, antiseptic, sudorific, febrifuge, oxytocic.
• Tonsilitis, strep, pyelonephritis, acute articular rheumatism.
• The leaf may accelerate childbirth.
9-60g

Ren Dong Teng: the stem - "Stem that Resists Winter"
• Similar functions Jin yin hua, but does not disperse wind-heat.
• Also clears wind, heat, and dampness from the channels.
• Wind-damp-heat in the channels: hot, swollen, painful joints that are difficult to move (arthritis).
• Doctrine of signatures: the stem resembles a meridian - clears the meridians, treats the extremities.
15-30g
Lian Qiao
Forsythia fruit

























Lian Qiao Xin
Forsythia seed

bitter
sl. cold
Ht
Lu GB
Lv
Disperses internal stagnant heat (from Qi stagnation); clears heat; eliminates toxicity; can separate a mixture of Yang pathogenic factors.

• Wind-heat or early stage attack of warm-heat pathogen: fever, headache, thirst, sore throat, slight chills.
• Heat and toxicity: various kinds of carbuncles, nodules, boils, lymph swellings, all hot sores.
• Some benefit in acute nephritis and macular hemorrhage.
• May possess antiemetic properties.
• Doctrine of signatures: resembles the heart and, like the heart, it is light when open.
• Broad spectrum antimicrobial like Jin yin hua. Lian qiao is better against Shigella and Staphylococcus aureus, while Jin yin hua is better against Salmonella and hemolytic Streptococcus.
HF: A San Du, scattering toxin medicinal, typically found in Gu Zheng (Gu parasites) formulas.
Hsu: Antiviral, cardiotonic, diuretic.
DY: Clears heat from the whole body; clears the heart and upper burner fire; treats skin inflammations; scatters nodulation and disperses swelling.
• Do not exceed 15g/day - can damage the stomach Yang (sometimes 30g per day can be tolerated for a short time).
• With Jin yin hua to strongly and effectively clear heat and resolve toxins. See Jin yin hua above for specific indications of this combination.
Lian qiao is superior to Jin yin hua for clearing heat-toxicity, but (unlike Jin yin hua) Lian qiao does not reinforce the expelling actions of herbs which disperse wind-heat.
6-15g

Two types of Lian qiao: (B&G, DY)
• Qing lian qiao or Qing qiao: the blue-green fruit which has just begun to ripen. It is superior for clearing heat, resolving toxins, and treating warm diseases, fever, and erysipelas.
Huang lian qiao or Lao qiao: the ripe, yellow fruit - called "Old" qiao. It is superior for dispersing abscesses and swelling, scattering nodulation, and treating goiter, subcutaneous nodules, skin inflammations, and carbuncles.

Lian Qiao Xin: the seed
• Clears heat-toxicity which have entered the pericardium causing vexation, agitation, irritability, insomnia, high fever with delirium, mental confusion, loss of consciousness.
Ma Bo
Lasiosphaera or Calvatia
Puffball mushroom
acrid
neutral
Lu Eases the throat; stops bleeding; clears Lung heat; disperses wind-heat.

• Lung heat: swollen, painful throat, cough, aphonia; hemoptysis, epistaxis.
• Topical: for bleeding (most often in the oral cavity and lips), sores, wounds, epistaxis. Also for bleeding gums associated with frostbite.
• For hemorrhage from surgery (prostate, liver, spleen, kidneys) and trauma. In one series of 467 cases, it was successful 98% of the time.
• Can easily induce sweating and vomiting in its unprepared form. The herb should be honey-fried except when used to stop bleeding.
• Large doses can induce nausea.
• Possesses antimicrobial properties.
• Wrap in cheesecloth or a tea bag while cooking.
Hsu: Antiphlogistic, antipyretic, astringent.
1.5-4.5g
Ma Chi Xian
Purslane
Portulaca

"Horse's Teeth Amaranth"



sour
cold
LI
Lv
Relieves fire toxicity; cools the blood; clears damp-heat; treats sores; antidotes wasp and snake poison.

• Damp-heat or fire toxicity: dysenteric disorders; hot or bloody painful urinary dysfunction. In clinical studies involving thousands of subjects, decoctions of Ma chi xian reduced the incidence of bacillary dysentery in those exposed during epidemics. The herb is about as effective as sulfa drugs in treating acute and recurrent bacillary dysentery - over 90% effective in acute cases and less than 60% effective in chronic cases.
• Carbuncles, sores, red-and-white vaginal discharge. Applied topically or taken internally.
• Wasp stings, snake bites: for pain and swelling.
• Recently used for post-partum bleeding.
• Hookworm: when juice or tablets of Ma chi xian were taken by 192 subjects, 80% had a negative stool sample in one month.
• Appendicitis: A decoction of Ma chi xian and Pu gong ying was used in treating 31 cases of clinically diagnosed appendicitis. Of these, only one needed surgery; all others recovered uneventfully.
• Contractile effect on the uterus.
• Often prepared as a wash for skin problems.
15-60g (The fresh used is often used at double the dry dosage)
Niu Huang
Cow, Ox, or Water Buffalo Gallstone
(Bezoar)

"Cattle Yellow"



bitter
cold
Lv Ht Clears the heart, strongly opens the orifices, awakens the Shen by resolving phlegm; extinguishes liver wind, relieves tremors; clears heat; eliminates toxicity.

• Heat-toxicity: painful, red, swollen or ulcerated throat, canker sores, boils, carbuncles, ulcers, sores, herpes lesions, and a wide variety of hot swellings.
• Liver wind (due to extreme pathogenic heat): spasms, tremors, (infant) convulsions.
• Heat or phlegm-heat blocks the heart in wind-stroke or epilepsy: coma, difficulty speaking, delirium, seizures.
• Note: this herb should not be used alone for phlegm, as its cold nature may congeal the phlegm.
• Not as strong as She xiang at opening the orifices.
• The genuine article is expensive and difficult to find. The lab produced variety (Ren gong niu huang) is available, which is comparable to the true herb for treating heat-toxicity, but is weaker than the true herb at opening the orifices.
• Bensky/Gamble classifies with herbs that open the orifices.
MLT: Due to its rarity and expense, it is mostly used in the patent Niu Huang Jie Du Pian.
• With rhinoceros or water buffalo horn: for legionnaire's disease, meningitis, encephalitis.
Hsu: Sedative to the CNS, respiratory, and circulatory systems; cardiotonic; raises blood pressure; stimulates RBC and hemoglobin production.
0.15-1g (used only in pills and powders)
Pu Gong Ying
Taraxacum
Dandelion
































sweet bitter
cold
Lv St Drains dampness; clears heat; eliminates toxicity; promotes lactation; reduces abscesses; dissipates nodules.

• Heat-toxicity: inflammation - mastitis, appendicitis, prostatitis; carbuncles, boils, abscesses, nodules (especially when firm and hard). Used internally and topically.
• Damp-heat: jaundice, painful urination.
• Insufficient lactation: especially when due to heat.
Pu gong ying clears heat without the risk of damaging the stomach.
• The leaves are better at draining dampness than the root. The root is generally regarded as better at eliminating toxicity than the aerial parts.
• Antibacterial; anti-inflammatory.
K&R: Cholagogue, laxative, diuretic. Wood yang, metal yin, water yang.
• Wood: biliary dyskinesia, vesicular calculi, constipation, obesity, cellulitis, urea, gout, hypercholesterolemia, varices, acne, herpes, eczema.
Metal: acne, chronic rheumatism.
Water: excess uric acid, urinary calculi, urea, renal insufficiency.
• Also for various states of congestion of the liver and pancreas.
• Use as an eyewash for acute conjunctivitis.
Yoga: Bitter, sweet/cooling/pungent. P, K-; V+
• Alterative, diuretic, lithotriptic, laxative, bitter tonic.
• Detoxifies Pitta and Ama conditions.
• For swollen lymph nodes, tumors, suppressed lactation, breast problems.
• Similar to the Indian herb Bhringaraj - may substitute.
• Detoxifying for over-consumption of fat, fried foods, and meat.
MLT: For cirrhosis, hepatitis; all breast disorders.
• The whole herb is strongly diuretic, especially the leaves.
Joe: Rich in potassium. Therefore, when used as diuretic, it should not deplete potassium in the body.
RW: Rich in vitamins, especially C.
• Contains substances which act like enzymes, stimulating the function of the large glands - especially the liver and kidneys - and stimulating cell metabolism as a whole.
• Diuretic and cholagogue: encourages kidney function and promotes secretory function in the liver. Good for gall and kidney stones.
• For a tendency to form gallstones: must take dandelion for 4-6 weeks (best done in the spring, and repeated in the fall if necessary).
• One of the best herbs to use in chronic rheumatic complaints, chronic degenerative joint disease, and arthritis (requires repeated, consistent courses of treatment).
MW: The root focuses more on the (Western) liver - for stagnant metabolism, waste products/fluids building up. The leaf focuses more on the (Western) kidneys.
• Will stop infections in bones (e.g., infected tooth and jaw).
• Good when the tongue has a geographic coat.
• For mental illness: manic depression, obsessive-compulsive disorders (generally takes time to work - 6-12 weeks - not usually for acute disease).
9-30g (up to 100g fresh)
Qin Pi
Fraxinus branch bark
Korean Ash











bitter
cold
Lv GB LI Clears heat, drains liver fire; drains dampness; disperses wind-dampness; eliminates toxicity; benefits the eyes.

• Stagnant liver heat: red, swollen, painful eyes or superficial visual obstruction.
• Damp-heat or large intestine heat and toxicity: dysentery (not amebic) with pus and blood.
• Wind-dampness: Bi syndrome, mainly hot.
• Bensky/Gamble classifies Qin pi with herbs that clear heat and dry dampness.
Hsu: Antiphlogistic; analgesic; suppresses arthritis; diuretic.
4.5-15g

Excelsior species: Similarity to Qin pi (Fraxinus rhynchophylla, F. bungeana, F. chinensis) unknown. However, studies done in Russia would seem to indicate that Eastern species possess the same (or similar) properties as Western species.
K&R: (Ash - F. excelsior) Laxative, purgative, febrifuge, astringent.
• Moves the bowels, relieves the pain of constipation.
• Stimulates sluggish metabolism, stimulates secretions of the Islets of Langerhans.
• In Russia it is used as a circulatory stimulant to warm the hands and feet (warms the entire body).
• For intermittent fevers. Once used in place of quinine for malaria.
• Uremia (Cheynes-Stokes), arteriosclerosis, hypercholesterolemia.
• Metal, water, fire, and earth yang:
Metal: arterial hypertension, arteriosclerosis, hypercholesterolemia, uremia.
Fire: urinary calculi, gout, rheumatism.
Water: oliguria, urinary calculi, hypertension, arteriosclerosis, promotes longevity.
Earth: arthritis, arteriosclerosis, rheumatism, stimulates sluggish lymph.
Qing Dai
Indigo
(A preparation of Shi Gao and Da Qing Ye)

salty
cold
Lv St
Lu
Cools the blood; relieves swelling; clears heat; eliminates toxicity.

Heat or heat and toxicity in the blood: epistaxis, hemoptysis, hematemesis.
Heat and toxicity in the liver: infant convulsions, fever.
Heat in the Lungs: cough, sticky sputum, difficulty breathing.
Heat and toxicity: mumps, carbuncles, acne. Used both internally and topically.
Topical: inflammation of oral cavity and throat (often combined with Bing pian).
One component (Dian yu hong) is effective for treating leukemia, raises RBC count, decreases abnormal cells.
1.5-3g directly in pills or powders (to 9g or more when cooked)
Shan Dou Gen
Sophora root
(S. tonkineenis or S. subprostata)

"Mountain Bean Root"







bitter
cold
Lu
LI
Benefits the throat; relieves swelling, alleviates pain; clears heat; eliminates toxicity.

• Heat and toxicity: swollen, sore, painful throat; carbuncles. A key herb for sore throat due to heat and toxicity.
• Lung heat: cough.
• Damp-heat: jaundice.
• Topical: use the powder for pain, redness, and swelling of the oral cavity or cervix.
• Anti-neoplastic effects.
• Doses over 10g may cause nausea and/or vomiting.
Hsu: Anti-cancerous effects against malignant carcinomas; antimicrobial.
DY: Shan dou gen is the most efficient Chinese medicinal for treating throat inflammations due to heat-toxins or replete heat.
• With Ban lan gen for mutual reinforcement, to clear heat, eliminate toxicity, and strongly disinhibit the throat. For such indications as:
- 1. Painful, red, and swollen throat due to replete heat. This combination is usually sufficient to treat severe throat inflammations (including strep throat, tonsillitis, pharyngitis, laryngitis, etc.) due to heat-toxins or replete heat. However, when this combination needs further reinforcement, add She gan, Jin yin hua, Lian qiao, Xuan shen, and Gan cao.
- 2. Toothache and painful, swollen gums due to replete heat.
- 3. Oral ulcers due to replete heat.
3-9g
She Gan
Belamcanda rhizome

"Arrow Shaft"










bitter
cold
Lu Powerfully eliminates phlegm; eases the throat; clears heat; eliminates toxicity.

• Phlegm-heat or fire excess or fire-toxicity: swollen, painful throat. Sometimes used alone for sore throat.
• Phlegm accumulation: cough, asthma, wheezing.
She gan's powerful ability to eliminate phlegm makes it valuable for cold- phlegm patterns also, for which it should be combined with warm herbs.
• May be useful for uterine fibroids.
• Increases secretion of saliva.
• Liu: Not recommended for treating wind-heat. Since it is bitter, not acrid, it may drive the pathogen to the interior.
• The exquisite cultivated flower of this plant is sometimes called Blackberry Lily or Leopard flower.
MLT: Anti-hyaluronidase activity, especially useful to control inflammation; topical: for sores, dermatitis.
Gargle: with a little salt and lemon juice in water for severe sore throat.
Hsu: Antifungal, hypotensive.
1.5-9g
Tu Fu Ling
Smilax
Sarsaparilla








sweet bland
neutral
Lv St Clears heat; eliminates toxicity; resolves dampness; relieves joint pain and muscle spasm.

• Damp-heat (including with toxicity): joint pain, turbid and painful urination, jaundice, genital problems (liver channel).
• Dampness and toxicity: skin problems including acne, carbuncles, boils, herpes.
• Syphilis: pain and spasms of the muscles around joints (use with Jin yin hua and Wei ling xian)
• Lupus.
• Lyme disease.
• Treats and prevents leptospirosis.
SD: May help antidote arsenic and mercury poisoning.
K&R: Depurative, diuretic, stimulates LH secretion.
• Water yang, metal yin.
Water: nephritis, edema, gout, arthritis, rheumatism.
Metal: skin problems, flatulence; mild diaphoretic.
• Also for leukorrhea with inguinal lymphatic swelling.
• Eliminates urea for uremia; psoriasis.
• Contains hormone precursors.
• Traditionally used as a tonic.
BII: Binds to gut endotoxins for conditions associated with high levels of toxins: psoriasis, eczema, arthritis, ulcerative colitis.
• Possibly beneficial in cancer treatment.
Hall: For reproductive hypofunction, difficulty conceiving/sterility.
• May eliminate the inherited traces of unresolved disease (particularly syphilis).
• Teenage acne.
Yoga: Dwipautra: P, V- (does not increase Kapha)
• Alterative, diuretic, diaphoretic, antispasmodic, antisyphilitic, anti-rheumatic.
• Purifies the genitourinary tract - dispels infection and inflammation.
• Purifies the blood, improves Agni.
• Helps dispel accumulated Vata from the intestines.
• Cleanses the mind of negative emotions, useful in many nervous disorders.
• Tonic action on the sexual organs.
• Topical: As a wash for genital sores or herpes.
• Use as a hot fomentation for painful, arthritic joints.
MLT: Lymph cleanser.
• Able to penetrate the blood-brain-barrier: useful for spirochete-type microbes - syphilis, Lyme disease.
• Also useful for herpes.
JC: Alterative, diuretic, tonic, stimulant, relaxant, demulcent, diaphoretic, cathartic, anti-arthritic, anti-syphilitic, depurant, deobstruent, anti-scorbutic, carminative, poison antidote.
Hsu: Anti-tumor effect - use 500-750g.
15-60g
Ya Dan Zi
Brucea fruit

"Crow Gallbladder Seed"







bitter
cold
toxic
LI
Lv
Treats dysenteric disorders; treats intermittent fever and chills; topically treats corns and warts.

• Topical: for warts and corns. For warts, the wart can be seen as a parasite and Ya dan zi as an antiparasitic herb which feeds the parasite and then kills it. Ya dan zi is broken open and the white seed inside is applied to the wart. Usually requires continuous application for at least 10 days. For the first 10 days, nothing may appear to be happening. By 14 days, the wart should suddenly be gone.
• Chronic or recurring dysenteric disorders. An important herb for chronic cold stagnation dysenteric disorders that wax and wane, or alternating hard and soft stool. Particularly useful for dysentery due to protozoa.
• Malarial disorders: alternating fever and chills. Yan dan zi's antimalarial effect is stronger than that of Chang shan and equal to quinine. In experiments the dosage required for an antimalarial effect was quite high and side effects of nausea and vomiting sometimes occurred.
• Generalized inhibitory effect on the CNS.
• Kills Entamoeba histolytica and the malarial parasite, but has no effect against Shigella or Salmonella. The herb has a success rate from 72-94% against amebic dysentery with a recurrence rate of approximately 6%.
• Antiparasitic against a number of intestinal parasites.
• Extremely bitter taste, stimulates the stomach to the point that it may cause nausea, pain, and diarrhea. It is therefore not used in decoctions. It is either placed in capsules or inside Long yan rou.
10-15g for malarial disorders; 10-30g for dysenteric disorders
Ye Ju Hua
Wild Chrysanthemum flower





acrid
bitter
sl cold
Lu Lv Drains fire; relieves toxicity.

• Heat and toxicity: furuncles, carbuncles, sores, sore swollen throat.
• Wind-fire: red eyes.
• Topical: for chronic cervicitis.
• Hypertension: used either alone as an infusion or with Pu gong ying and Jin yin hua in a decoction.
• Antibiotic effects.
• Lowers blood pressure: the flower alone is less toxic and more effective than the entire plant.
• Helps prevent common cold.
• In patients with acute bronchitis, Ye ju hua reduces the number of acute attacks.
MLT: More detoxifying than Ju hua.
• Use internally or externally for all inflammations.
• May be very similar to (Western) Feverfew.
6-15g
Yu Xing Cao
Houttuynia

"Fishy-Smelling Herb"

acrid
sl cold
Lu
LI
Drains pus; clears heat; eliminates toxicity; reduces swelling and abscesses; drains damp-heat, promotes urination.

• Heat and toxicity in the Lungs: cough with sticky sputum, including extreme Lung phlegm-heat with green phlegm or Lung abscess with pus and blood. A key herb for Lung abscess. Also for bacterial pneumonia, COPD, bronchitis.
• Damp-heat: painful, burning urination, colitis, diarrhea.
• Heat and toxicity: carbuncles, sores, pus. Used internally or topically.
• Topical: for skin problems, especially herpes.
• Cook with sesame oil and soy sauce and eat to promote digestion, improve the appetite.
• Antimicrobial.
• Should not be cooked long.
MLT: Good for treating the adverse effects of tobacco addiction. Use in a formula with Ren shen, Sang bai pi, Gua lou, Jie geng: take two 00 capsules of this powdered mixture every 1-2 hours to lessen cravings, and support detoxification. Lower the dose after 3-4 days.
Hsu: Strengthens capillary walls; antifungal, antibacterial, antiviral, diuretic.
15-60g
Zao Xiu
(Qi Ye Yi Shi Hua)
Paris Rhizome
bitter
sl cold
Lv Clears heat; eliminates toxicity; relieves swelling and pain; subdues liver wind to relieve convulsions; mildly moves blood.

• Heat and toxicity: snake bite, carbuncles, boils.
• General herb for any kind of pain.
• Liver wind stirring: epilepsy, convulsions.
• Warm-heat pathogen: coma, convulsions.
• Blood stasis: pain after trauma (inferior to San qi for this).
• Particularly good for early stages of heat and toxicity.
5-10g
Zi Hua Di Ding
Viola yedoensis
Violet

"Purple Flower Earth Spike"
bitter
acrid
cold
Lv Ht Clears heat; eliminates toxicity; clears hot sores.

• Heat-toxicity: inflammation, swelling - erysipelas, boils, mastitis, appendicitis, mumps, other hot swellings; red, swollen eyes; swollen, painful throat and ears. Especially useful for boils. Weaker than Pu gong ying for mastitis.
• Hot sores and abscesses - especially of the head and back. Used internally and topically (usually fresh).
• Snake bite: chew and apply topically.
MLT: Softens lumps, including cancer.
• As a syrup: use as an expectorant and to ease sore throats.
9-15g

It has not been clearly established as to which of the Western species - Viola odorata (Sweet Violet) or V. tricolor (Wild Pansy) - is most similar to the Chinese species, and to what degree.
Hall: (V. odorata) Its root system resembles chains of lymph nodes: clears lymph blockage, lymph cancer (throat), lymph stasis, blood-component changes.
• This herb is a symbol of death of one kind and rebirth in a different dimension.
RW: (V. odorata) Expectorant: chronic bronchitis.
(V. tricolor) Skin conditions: Excellent results with eczema in infants, milk crust and other chronic skin complaints. In adults, chronic eczema will at times respond very well. However, it is necessary to take it for a long time.
• Topical: gauze soaked in the tea can be used for skin complaints, including for tuberculous skin conditions.
K&R: (V. tricolor) Wood yang, metal yin.
Diuretic (volumetric), laxative, depurative, diaphoretic, anticoagulant, antipruritic; tonic to the venous system; anti-allergic and anti-inflammatory properties.
• Skin problems (juvenile acne, herpes, hives, eczematous varicose ulcers, chronic psoriasis, eczema).
• Hemorrhoids, phlebitis, constipation.
• Arthritis, rheumatism with oliguria.


Herbs That Clear Deficiency Heat

• Also consider, as appropriate: Ze xie, Zhi mu, Huang bai, Mu dan pi, Han lian cao, Tian men dong, etc.
• Bensky & Gamble, second edition, has a similar category - Herbs for Steaming Bone Disorder - which includes Di gu pi, Hu Huang lian, Mu dan pi, Qing hao, and Yin chai hu.
• Herbs in this category are commonly combined with:
A. Herbs that nourish Yin.
B. Herbs that strengthen the spleen and stomach, when there is deficiency of these organs.
Bai Wei
Cynanchum root
Swallowwort
bitter salty
cold
St Lv
Lu
K
Clears heat; cools the blood; promotes urination; eliminates toxicity.

Ying or Xue level heat, or Yin deficiency, or blood deficiency (especially postpartum or after a febrile disease): fever.
• Heat in the blood: painful, hot or bloody urination. Especially before or after giving birth.
• Heat and toxicity: carbuncles, swollen, painful throat, snake bite, toxic sores. Can be used internally or applied topically for these indications.
• Some say this herb can conduct heat in the blood out of the vessels.
• Bensky/Gamble classifies Bei wei with herbs that clear heat and cool the blood.
MLT: Important in gynecological problems: postpartum inflammation, septicemia and/or accompanying restlessness.
• Urinary tract infection caused by Yin deficiency (use with Ren shen and Dan zhu ye).
6-15g
Di Gu Pi
Lycium/Wolfberry root bark






















sweet bland
sl cold
Lu
K
Lv
Clears heat; cools the blood; drains Yin deficiency fire, including floating fire in the kidney channel; stops coughing.

• Yin deficiency heat: tidal fever, night sweats, irritability, thirst, steaming bone disorder with sweating (if no sweating, use Mu dan pi).
• Lung heat (deficiency or excess): cough, asthma, wheezing.
• Kidney Yin deficiency fire: toothache.
• A strong decoction can be used as a dental analgesic. In one study of 11 patients with pulpitis, concentrated decoctions of Di gu pi effectively reduced the pain and inflammation in a mean time of one minute.
• Food retention and Yin deficiency: fever in children.
• Heat in the blood: hemoptysis, epistaxis, hematuria, hematemesis.
• Antipyretic. Less effect than aspirin.
• Lowers blood pressure. Especially for hypertension in classes I and II.
• Eczema and juvenile verruca plana: Di gu pi was shown to be beneficial when injected (no mention of the effect of oral administration).
• Malaria: in one study, Di gu pi and tea leaves given to malaria patients 2-3 hours before the onset of fever had a significant effect in 145 of 150 cases.
• Bensky/Gamble classifies this with herbs that clear heat and cool the blood.
Li: Can astringe sweats.
MLT: Topical: for fungal infection - use as a wash with Ye jiao teng, Ming fan, She chuang zi, Zi cao, Ku shen for genital itching, poison oak and ivy, and other rashes.
DY: Eliminates evils from the Yin division.
• With Sang bai pi to clear the Yin and Qi divisions, to effectively clear heat and drain fire from the Lungs, eliminate deficiency fire damaging the Lungs, stop cough, and calm asthma. For the following indications, the combination is found in Xie Bai San:
- 1. Cough and asthma with expectoration of yellow, sticky, and thick phlegm, fever and thirst due to Lung heat.
- 2. Cough accompanied by evening fever or low but persistent fever with skin which is warm to the touch due to deficiency heat damaging the Lungs.
- For the above indications, honey mix-fried Sang bai pi should be used. This combination can treat both full and deficiency heat. The Lungs are a delicate viscus and are easily damaged by heat. Full heat easily damages Lung Yin, causing both full and deficient heat simultaneously. This pair addresses this situation very well. In case of full heat, add Huang qin, Pi pa ye, and Zhe bei mu. In case of deficiency heat, add Zhi mu and Mai men dong.
Hsu: Hypotensive (vasodilator); hypoglycemiant; antibacterial; antipyretic.
6-15g
Hu Huang Lian
Picrorhiza rhizome

"Barbarian Yellow Link"
bitter
cold
Ht Lv St
LI
Clears damp-heat; clears Yin deficiency heat; reduces fever due to parasites; treats childhood nutritional impairment.

• Large intestine damp-heat: diarrhea, dysentery, hemorrhoids. For these disorder, Hu huang lian is much weaker than Huang lian and should be used when Huang lian would be too strong for the patient.
• Digestive disorder with nutritional impairment in children: fever, abdominal distention, dysenteric diarrhea.
• Yin deficiency heat: tidal fever, night sweats, etc.
• Damp-heat: sores.
• Often used as a substitute for the more expensive Huang lian.
• Bensky/Gamble classifies this with herbs that clear heat and dry dampness.
3-9g

BII: (P. kurroa) Extensive Ayurvedic use in the treatment of hepatic and respiratory disorders.
• Bronchial asthma: May prevent allergen-, histamine-, and PAF- induced bronchial obstruction.
Qing Hao
Artemisia annua or A. apiacea

Sweet Annie









bitter acrid
cold
Lv GB K Clears summer-heat; cools the blood, stops bleeding; treats malaria; clears Yin deficiency heat; guides interior heat out to the exterior.

• Summer-heat: fever, headache, dizziness, stifling sensation in the chest, with or without sweating.
• Yin deficiency, blood deficiency, or febrile disease: fever. Especially for unremitting fever or night fever and morning coolness with an absence of sweating.
• Yin deficiency: fever, hot sensation in the soles and palms.
• Heat in the blood: purpuric rashes, epistaxis.
• Malaria: alternating fever and chills (do not mistake for Shaoyang syndrome, do not use Xiao Chai Hu Tang). Liu: The extract of this herb - Qing Hao Su - is very strong at killing the malaria parasite (much stronger than Western medicines), and has no side effects.
• Induces sweating.
• The leaves are the most potent part of the plant.
• Short cook.
• Bensky/Gamble classifies with herbs to clear summer-heat.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
BF: Anti-amoebic and anti-giardia effects.
• Very effective herb when there is deficiency heat above and damp-heat below.
MLT: This is the only heat clearing herb which is aromatic, bitter, and cold. It clears heat and dampness, while its aromatic quality protects the spleen from its bitter, cold nature. Though it is bitter, it will not injure the Yin. Though it is cold, it will not aggravate dampness. Its fragrant Qi is able to decongest turbidity. Being light and clear, it is able to rise upward and release evil through the surface.
• Useful for all four levels of Wenbing as either the primary or secondary herb in the formula.
• More neutral than Huang qin and Huang lian.
3-10g (up to 24g for strong heat-clearing)
Yin Chai Hu
Stellaria root*

"Silver Barbarian Kindling"






Stellaria media
Chickweed








sweet
sl cold
Lv St Clears Yin deficiency heat; clears fever due to parasites; cools the blood, stops bleeding; reduces childhood nutritional impairment.

• Yin deficiency: tidal fever, night sweats, steaming bone disorder.
• Accumulation with heat or parasites: digestive disorders in children with malnutrition, fever, abdominal bloating, thin muscles.
• Heat in the blood: epistaxis, uterine bleeding, bloody cough, hematuria.
• Bensky/Gamble classifies with herbs that clear heat and cool blood.
* Arenaria juncea, Silena jenissensis, and Gypsophila oldhamiama are also used as this herb.
3-9g

The ubiquitous Western species - Stellaria media, Chickweed - is used in Western herbalism (aerial parts or whole plant):
Grieve: Refrigerant, demulcent.
K&R: General tonic, cardiotonic. Fire, water, and metal yin.
• Fire: asthenia, hypotension, palpitations, anemia, excellent tonic for convalescents.
Water: edema, glomerulonephritis, nephrotic syndromes, asystole, cardiac weakness, acute articular rheumatism, scarlatina, anemia.
Metal: bronchitis, pleurisy, cough, colds, atonic bowel, strengthens Lung and bronchial tubes, topical for skin conditions, especially burns, hemorrhoids, ulcers.
• A cholesterol cleanser, can be used long term to clear out cellulite for obesity, lipomas and other tumors.
• Also for arrhythmias, depression.
PCBDP: (herb) Antipruritic, vulnerary, emollient, antirheumatic.
• Poultice for eczema, psoriasis, ulcers, boils.
JC: (herb) Demulcent, emollient, nutritive, resolvent, pectoral, alterative, refrigerant, mucilage, discutient.
• Excellent for pulmonary complaints, any form of internal or external inflammation of the membranes or skin, and weakness of the stomach and bowels, especially bleeding of the Lungs or bowels.
• Topical: for wounds, skin diseases, inflamed surfaces, etc.
• Also used as a weight loss aid.


Herbs That Dispel Wind-Dampness

• Use caution with cases of Yin or blood deficiency, since these herbs tend to be acrid, warm, and drying.
• Since the dispersing effect of some of the more aromatic herbs in this category is dependent on their volatile oils, they are often decocted only for a short time (or are infused only).
• Herbs in this category are frequently combined with:
A. Herbs that eliminate wind and relieve exterior syndromes when the disease is located on the body surface or in the upper part of the body.
B. Herbs that promote blood circulation and remove obstruction from the channels and collaterals when there is associated blood stasis.
C. Herbs that warm the channels when there is cold associated.
D. Herbs that tonify Qi and nourish blood when there is Qi and/or blood deficiency.
E. Herbs that tonify the kidneys and liver when there is deficiency of these organs.
Bai Hua She
Agkistrodon snake or
Bungarus snake

"White-Patterned Snake"
sweet
salty
warm
Lv
Sp
Eliminates internal and external wind; activates the collaterals; relieves convulsions; powerfully unblocks the channels.

• Wind-related disorders:
• Wind-damp: Bi syndrome, numbness and weakness of the limbs, cramping of the sinews.
• Wind-stroke: facial paralysis, hemiplegia.
• Wind in the skin: itching, tinea, numbness of the skin, any kind of rash.
• Liver wind stirring: infant convulsions and tetanus.
• Wind in the sinews: spasms, tremors, seizures.
• Doctrine of signatures: the movement and pervasiveness of a snake: can go anywhere, deep or superficial, even to the bones, to eliminate wind.
Hsu: Tranquilizer, hypotensive.
3-10g (1-1.5g directly as powder)
Du Huo
Angelica pubescens root**

"Self-Reliant Existence"


















acrid
bitter
warm
Lv
K
BL
Eliminates wind-dampness, alleviates pain; releases the exterior, disperses wind-cold-dampness.

• Wind-damp: Bi syndrome, body pain - especially lower back and legs - can be used for both acute and chronic conditions. Gout.
• Exterior wind-cold together with dampness.
Shaoyin headache radiating to the teeth.
• A small dose (3-6g) can lift spleen Yang and treat internal dampness.
• Tranquilizing effect.
• **As with numerous Chinese herbs, several different species are used as this herb. In some parts of China A. dahurica (Bai zhi) is used, and species of the Heraclelum and Aralia genera are also used.
• May cause skin photosensitivity with topical application.
• It is said that when the wind blows, this plant is still.
• Compared to Qiang huo, Du huo is more for the lower body (while Qiang huo is stronger & more for the upper body), Du huo is milder at eliminating exterior syndromes but is more effective at eliminating dampness than Qiang huo.
MLT: Promotes Qi and blood circulation, similar to Western (A. archangelica) species.
Hsu: Sedative, analgesic, antiarthritic, hypotensive.
DY: Moderate in action; treats hidden wind or wind which is more internal and fixed; tropism: the lower part of the body, lumbar area, knees, legs, feet, and Shaoyin.
• With Qiang huo to dispel wind, cold, dampness, and treat Bi over the whole body. For indications such as:
- 1. Moving rheumatic pains all over the body. (Juan Bi Tang)
- 2. Common cold with fever, back pain, and joint pain due to wind, cold, and dampness. (Qiang Huo Sheng Shi Tang)
- 3. Joint running wind due to wind, cold, and dampness penetrating the channels and network vessels. Li jie feng or joint running wind refers to acute arthralgia which is severe and movable with loss of joint mobility, swelling, and intense joint pain which is worse at night. This affection can transform itself into heat and then cause redness, pain, swelling, and heat.
3-15g
Fang Ji
(Han Fang Ji)
Stephania root



Guang Fang Ji (Mu Fang Ji) - Aristolochia fangchi is also referred to simply as Fang Ji. It contains aristolochic acid, which has been associated with kidney damage when misused (though no historical sources of Chinese medicine recorded any detrimental effects when properly used). Its use is prohibited by the FDA in the United States.
bitter
acrid
cold
BL
K
Sp
Eliminates wind-dampness; drains dampness by promoting urination; relieves pain; reduces edema.

• Wind-damp-heat: Bi syndrome, fever, red, swollen, hot, painful joints.
• Damp accumulation in the lower Jiao: edema (facial, legs, or systemic, but especially good for the lower body), ascites, gurgling sounds in the intestines, abdominal distention, damp leg qi.
• Anti-inflammatory.
• Analgesic: 1/4 the strength of Yan hu suo, 1/1000 the potency of morphine, less effect in very high doses.
• Treats dampness in two ways (eliminates from the surface, promotes urination).
• Lowers BP by vasodilation.
• Antiparasitic: against Entamoeba histolytica (stronger than berberine).
DY: Quickens the channels; opens the pores of the skin; opens the nice orifices; disperses swelling; drains evil Qi.
• With Huang qi to simultaneously drain and supplement, to support the correct Qi and drain evil Qi at the same time, to regulate the upbearing and downbearing of the Qi mechanism and strongly promote diuresis. For the following indications, the combination is found in Fang Ji Huang Qi Tang:
- 1. Edema due to wind-water with fever, fear of wind, edema predominantly in the upper body and face, joint pain, scanty urination, and a floating pulse. If wind attacks the exterior and blocks the Lung Qi, this causes a disturbance in the Lungs' diffusing and downbearing function. Therefore, because the water passageways are not regulated, dampness is not moved downward. Thus, there is accumulation of dampness in the upper body and edema appears.
- 2. Rheumatic pain due to damp Bi with heavy limbs, joint numbness, and sometimes swollen joints.
- 3. Chronic nephritis and cardiac disease with edema due to Qi deficiency and accumulation of dampness.
Han fang ji is usually used for edema and accumulation of damp-heat in the lower half of the body. When combined with Huang qi, Han fang ji can then treat edema in the upper half of the body and of the wind type.
3-9g
Hai Feng Teng
Kadsura stem
Piper futokadsura

"Sea Wind Vine"

acrid
bitter
slightly
warm
Lv Eliminates wind-dampness; dispels obstructions from the channels and collaterals; disperses cold, relieves pain.

• Wind-damp: Bi syndrome with limited movement of joints, spasm of tendons, stiff joints, lower back pain, cramping of the muscles and sinews, sore knees.
• Pain due to trauma.
• Cold invading the spleen and stomach: epigastric and abdominal pain and diarrhea.
• Can be used for pain in either the upper or lower body.
• Some anti-neoplastic effects.
Hsu: Analgesic.
6-15g
Hai Tong Pi
Erythrina bark
Coral-bean bark
bitter
acrid
neutral
Lv
Sp
K
Eliminates wind-dampness; dispels obstruction from channels and collaterals; promotes urination, reduces edema; treats itching skin lesions and toothaches.

• Wind-damp (heat or cold): Bi syndrome with spasm of tendons (especially in the extremities), soreness of the lumbar region and knees.
• Dampness: superficial edema.
• Gout pain.
• Topical: itching skin lesions - scabies, etc.
• Gargle for toothache due to cavities.
6-15g
Luo Shi Teng
Trachelospermum
Star Jasmine stem

"Collateral Stone Vine"
bitter
sl cold
Ht
Lv
Cools the blood; relieves swelling; eliminates wind-dampness; unblocks the channels.

• Wind-damp: Bi, spasm of tendons (especially suitable for wind-damp-heat).
• Heat in the blood: sore and swollen throat, carbuncles, red, hot, painful abscesses, toxic sores.
• Can be used for pain in either the upper or lower body.
• One component, Arctiin, is vasodilatory and lowers blood pressure.
6-15g
Mu Gua
Chinese Quince Chaenomelis fruit

"Wood Melon"



sour
warm
Lv
Sp
St
Relaxes the muscles and tendons; unblocks the channels; resolves dampness; harmonizes the stomach, adjusts the stomach and spleen; reduces food stagnation.

• Spasm of calves due to diarrhea and vomiting (earth is weakened, [metal becomes weakened and cannot control wood] wood wind attacks earth's muscles of the limbs), also abdominal pain, and edema due to leg qi.
• Wind-damp: Bi with spasm of tendons, painful obstruction of the extremities, especially with severe, cramping pain, and weakness in the lower back and lower extremities.
• Cannot treat exterior syndromes (does not expel wind or cold) - only resolves dampness, has a more interior effect.
• Very effective at relaxing the sinews.
• Especially suitable for treating pain in the lower body.
• Anti-inflammatory.
• Bensky/Gamble: excessive use can harm the teeth and bones.
Hsu: Antispasmodic, antibacterial, diuretic.
4.5-12g
Qian Nian Jian
Homalomena rhizome

"Thousand Years of Health"
acrid
bitter
warm
K
Lv
Dispels wind-dampness; strengthens the sinews and bones.

• Wind-cold-damp: Bi syndrome with pain, spasms, or numbness wither perceived superficially (in the sinews) or deeply (in the bones).
• Weakness or softness in the sinews and bones: strong fortifying action.
• Traumatic injury: swelling, pain.
• Widely used in treating the elderly, both internally and as an external wash.
4.5-9g
Qin Jiao
Gentiana macrophylla root
bitter
acrid
sl. cold
St
Lv
GB
Relaxes the tendons and muscles; clears deficiency heat; eliminates wind-dampness; resolves dampness and relieves jaundice (damp-heat); moistens the intestines, unblocks the bowels.

• Wind-damp: Bi with muscle and tendon spasms.
• Yin deficiency: tidal fever, steaming bone disorder.
• Dryness of the intestines: constipation.
• Damp-heat: jaundice, especially in acute cases and in infants.
• Only herb in this category that is not very drying. Use in formulas with other wind-damp herbs to counteract their drying qualities. Safe with Yin or blood deficiency.
• Antibacterial/fungal.
• May treat meningitis (used successfully by IM injection in study).
MLT: Anti-inflammatory.
Li: Can astringe sweats.
Hsu: Hypotensive, antiarthritic, analgesic, increases secretions from adrenal cortex.
DY: Guides to the spine and lumbar area.
4.5-12g
Qing Feng Teng
Sinemenium

acrid
warm
Lv
Sp
Promotes urination; eliminates toxicity; eliminates wind-dampness; dispels obstructions from the channels and collaterals.

• Wind-damp: Bi syndrome with numbness of the skin.
• Accumulation of damp and harmful body fluids: edema.
• Heat-toxicity: carbuncles.
Hsu: Analgesic (increases pain threshold), tranquilizer, antitussive (one constituent is similar to codeine), hypotensive - fast acting and long lasting, antiphlogistic.
10-15g
Sang Zhi
Mulberry twig
Morus
bitter
neutral
Lv Eliminates wind and dispels obstructions from the channels and collaterals; benefits the joints.

• Wind-damp: Bi syndrome with spasm of the tendons - especially good for the upper extremities.
• Edema.
• May increase blastogenesis of lymphocytes.
• For lower body pain, can be combined with Du huo, Fang ji.
10-30g
Wei Ling Xian
Chinese Clematis root

"Awesome Spiritual Immortal" or "Temple's Sacred Root" or
"Strong and Very Effective"


acrid
salty
warm
BL Eliminates wind-dampness, alleviates pain; dispels obstructions from the channels and collaterals; dissolves fish bones lodged in the throat; powerfully promotes Qi circulation at the body surface and in the channels; reduces phlegm and pathogenic water.

• Wind-damp: Bi syndrome.
• Phlegm and pathogenic water: focal distention and accumulation in the middle Jiao.
• Useful in icteric infectious hepatitis.
• Fish bone lodged in the throat: use 15-30g, make a thick decoction with vinegar and brown sugar, swallow slowly (not for deeply lodged or very big bones).
• Can be used for pain in either the upper or lower body.
• While Liu translates Wei ling xian as "Strong, Very Effective," Bensky/Gamble interprets it as "Awesome Spiritual Immortal," and MLT says it translates as "Temple's Sacred Root" and refers to the ancient story of an old nun who lived in the "Temple of Powerful Spirits" atop a mountain and used this herb often and with great success.
Hsu: Antibacterial, antifungal, hypotensive, analgesic, antidiuretic; "anti-sprain action."
6-12g
Wu Jia Pi
Eleutherococcus gracilistylus root bark 
(formerly known as Acanthopanax)

"Bark of Five Additions"

(akin to Ci Wu Jia, Eleutherococcus senticosus root)





acrid
bitter
warm
Lv
K
Strengthens the tendons and bones; eliminates wind-dampness; transforms dampness and reduces swelling.

• Wind-damp: Bi syndrome with weakness in the lumbar region and knees (particularly when chronic deficiency of the liver and kidneys has led to weak or soft sinews and bones).
• Developmental delays in motor functions in children, especially retardation in walking.
• Urinary difficulty, edema, damp-cold leg qi.
• Good when the smooth flow of Qi and blood is obstructed.
• Especially effective for children and the elderly.
PLB: The genera Acanthopanax and Eleutherococcus are one and the same (with the latter now being the preferred name), as authoritatively confirmed at the taxonomic symposium Biological Nomenclature in the 21st Century (University of MD, 1996). While Wu jia pi and Ci wu jia come from different species - E. gracilistylus and E. senticosus, respectively - E. gracilistylus seems to possess some (if not all) of the tonic properties attributed to E. senticosus ("Siberian Ginseng"). However, since it is the bark of the root that is used from the former (Wu jia pi) as opposed to the whole root, which is used in the case of Ci wu jia, Wu jia pi's action is focused more on the surface (on dispersion of wind-dampness), than the interior (on tonification).
MLT: Often sold as a medicinal wine for neurasthenia, insomnia, excessive dreaming, forgetfulness, dizziness, poor appetite, palpitations, coronary heart disease, angina pectoris.
• Prolonged consumption can treat leukopenia from chemotherapy/ physiotherapy.
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
BF: Good when wind-damp is accompanied by concomitant Qi and blood deficiency.
Hsu: Antiarthritic, antiphlogistic, analgesic, antipyretic, adaptogenic (increases the body's non-specific resistance to disease and stress), hypotensive.
4.5-15g
Wu Shao She
Zaocys snake
sweet
salty
neutral
Lv
Sp
Same actions and indications as Bai hua she, but not as strong, though neither does it possess any of Bai hua she's toxicity. Also easier to find in the United States. 
3-9g (3g directly as powder)
Xi Xian Cao
Siegesbeckia
bitter
cold
Lv
K
Clears heat; eliminates toxicity; eliminates wind-dampness; dispels obstruction from the channels and collaterals; strengthens the sinews; calms the Shen; pacifies the liver; transforms damp-heat; alleviates itching.

• Wind-damp: Bi syndrome with numbness and weakness in the limbs; facial paralysis, hemiplegia, numbness and weakness in the back and legs.
• Damp-heat-toxicity: carbuncles, boils, eczema, sores, itching.
• Wind-damp: rash, itching.
• Shen disturbance: irritability, insomnia, forgetfulness.
Liver Yang rising: headache, dizziness.
• Hypertension: lowers blood pressure.
• Acute malaria: use large doses (up to 60g per day).
• Topical: soak in this tea for numbness due to dampness.
• Use raw to clear heat and resolve dampness.
• Treat with wine for wind-damp Bi.
Hsu: Antibacterial, hypotensive, antiphlogistic.
6-15g



Aromatic Herbs That Transform Dampness

• Since the dispersing effect of some of the herbs in this category is dependent on their volatile oils, they are often decocted only for a short time (or are infused only) since heat causes volatization of these oils. Toasting them thus tends to moderate their effect. 
• These herbs should be used with caution in cases of Yin deficiency.
• Herbs in this category are frequently combined with:
A. Herbs that clear heat when there is heat associated.
B. Herbs that warm the interior when there is cold associated.
C. Herbs that tonify the spleen when there is spleen Qi deficiency.
D. Herbs that promote Qi circulation, since moving Qi can help in the elimination of dampness.
Bai Dou Kou
Cardamom fruit
Cluster
Amomum cardamomum or
A. kravanh
(syn: Elettaria cardamomum)

"White Cardamom"
acrid
warm
Lu
Sp
St
Warms the middle Jiao; promotes Qi circulation, transforms stagnation; stops vomiting; transforms dampness; descends rebellious Qi.

• Dampness and Qi stagnation in the spleen and stomach: distending pain in the epigastrium and abdomen, poor appetite, nausea, vomiting, fullness in the chest.
• Stomach cold, or cold from deficiency of the spleen and stomach: vomiting.
• Damp warm-febrile disease: stifling sensation in the chest, lack of appetite, very greasy tongue coat.
• Not too warm (cooler than Sha ren) alright for use with damp-heat.
• Smash before using.
• When decocting, add near the end.
MLT: Sha ren is better for the middle and lower Jiao, while Bai dou kou is better for the middle and upper Jiao.
Hsu: Stomachic, antiemetic, stimulates GI secretions and intestinal peristalsis, inhibits abnormal fermentation in intestines, dispels accumulated air in GI tract, prevents vomiting.
Yoga: Ela: pungent, sweet/heating/pungent; V, K-; P+ (in excess)
• Affects digestive, respiratory, circulatory, and nervous systems.
• Stimulant, expectorant, carminative, stomachic, diaphoretic.
• Awakens the spleen, kindles Agni, removes Kapha from the stomach and Lungs.
• Stops vomiting, belching, and acid regurgitation. Good, safe digestive stimulant.
• Stimulates the mind and heart, and gives clarity and joy.
Sattvic. Opens and soothes the flow of the Pranas.
• For colds, cough, bronchitis, asthma, hoarseness, loss of taste, poor absorption, indigestion.
• Nervous digestive upset in children or for high Vata (good with fennel for this).
• Add this herb to milk to neutralize milk's mucus-forming properties.
• Detoxifies the caffeine in coffee.
• Stimulates absorption from the small intestine.
3-6g in decoction, or, preferably, 1.5-4.5g directly as powder.
Cang Zhu
Red Atractylodes rhizome
(also known as Black Atractylodes)

acrid
bitter
warm
Sp
St
Strongly dries dampness and strengthens/activates the spleen; eliminates wind- dampness (and cold); eliminates dampness in the lower Jiao; induces sweating, releases exterior syndromes; improves vision.

• Accumulation of dampness in the middle Jiao: distention in the epigastrium and abdomen, poor appetite, diarrhea, epigastric distention and pressure, fatigue, nausea, vomiting, thick and greasy tongue coat.
• Wind-cold-dampness: Bi syndrome with swollen knees and feet, pain in the extremities.
• Wind-damp-cold EPI: headache, body aches, absence of sweating, and/or oozing yin sores.
• Damp skin disease: acute eczema, vitiligo.
• Night blindness or poor vision with a rough sensation in the eyes.
• Damp-heat pouring downward: leg qi, vaginal discharge, swollen, sore joints (use with heat-clearing herbs).
• Increases IgA, IgG, IgM in nose to enhance local immunity.
• Mix with Bai zhi, grind into powder, and hang over the chest to prevent EPIs. Also burn these two herbs as the weather gets warm - on the new moon about early May - to enhance immunity.
Li: 1/3 the strength of Bai zhu to tonify, 3 times the strength to resolve damp. Quite warm and very drying.
DY: One of the most drying substances in the whole Chinese pharmacopeia.
• Upbears the clear and downbears the turbid.
• Stops diarrhea.
• Can be used for damp-heat when combined with bitter, cold herbs.
Cang zhu is incompatible with black carp, peaches, plums, and Chinese cabbage.
• With Huang bai for mutual reinforcement, to clear heat, dry dampness, disperse swelling, and stop pain. For indications such as:
- 1. Wilting of the lower extremities with pain in the sinews and bones due to damp-heat pouring downward. (Er Miao San) Use salt mix-fried Huang bai.
- 2. Abnormal vaginal discharge, external vaginal itching, and cloudy, scanty urination due to damp-heat. (Use Cang zhu which has been stir-fried until scorched.)
- 3. Red, swollen, hot, painful joints due to wind, damp, heat impediment. (Cang Zhu San)
MLT: Possesses no significant diuretic properties despite its strong drying action (does increase secretion of urinary salts).
• Can dramatically lower blood sugar for some kinds of diabetes.
Hsu: Stomachic, diuretic, diaphoretic, tranquilizer, hypoglycemiant, tonic.
4.5-9g
Cao Dou Kou
Alpinia
katsumadai seed
Katsumada's Galangal seed

"Grass Cardamom"
acrid
very
warm
Sp
St
Warms the middle Jiao; promotes Qi circulation; dries dampness.

• Cold and dampness in the spleen and stomach: fullness, distention, and pain in the epigastrium and abdomen, accompanied by vomiting, diarrhea.
• This is the warmest herb in the category.
Cao dou kou is much warmer and much drier than Sha ren. For this reason, it is not usually a first choice. It is appropriate only for cold-dampness.
• When decocting, do not cook long.
1.5-6g
Cao Guo
Tsaoko fruit
Amomum tsaoko

"Grass Fruit"

acrid
warm
Sp
St
Warms the middle Jiao; strongly dries dampness; disperses cold; treats malaria; dissolves stagnation and distention.

• Cold and dampness in the spleen and stomach: distending pain and fullness in the epigastrium and abdomen, vomiting, diarrhea, very greasy tongue coat.
• Malaria: especially due to excess damp-cold or turbid dampness.
• Food stagnation: indigestion, especially due to meat.
• Cold from spleen and stomach deficiency: focal distention, nausea.
• Roasting the herb reduces the possible side effect of vomiting.
1.5-6g
Hou Po
Magnolia Bark














Hou Po Hua
Magnolia flower

bitter
acrid
warm
Sp
St
Lu
LI
Promotes Qi circulation; transforms dampness, resolves stagnation; relieves asthma; descends the Qi of the Lungs, stomach, and large intestine (directs upward-rebelling Qi downward); warms and transforms phlegm.

• Accumulation of damp or food causing stagnation of Qi in the middle Jiao: distention and fullness of epigastrium, abdomen, and chest, loss of appetite, vomiting, diarrhea. This is a key herb for eliminating distention and fullness.
• Lung phlegm: wheezing, cough with difficult breathing, stifling sensation in the chest, copious sputum.
• Most effective herb to promote Qi circulation in this category.
• Binds to GABA receptors, produces calming effect.
• Reduces allergic and asthmatic reactions.
• Counters effects of excessive cortisol, beneficial for insomnia and anxiety with high cortisol.
MLT: Gently stimulates intestinal peristalsis - for damp stagnation with either diarrhea or constipation.
Antimicrobial (though significantly weaker than the yellow herbs/berberine).
PCBDP: Stimulant, tonic, aromatic, diaphoretic, anti-inflammatory.
Hsu: Antispasmodic, antibacterial, stomachic.
3-9g

Hou Po Hua: flower (different species than Xin yi hua, also magnolia flower)
• Acrid, warm, aromatic.
• Similar to, but weaker than the bark.
• Focuses more on the upper and middle Jiao, and regulates liver Qi.
• For a stifling sensation in the chest.
• Stomach ache due to liver/stomach disharmony.
3-6g
Huo Xiang
Patchouli
Agastache
or Pogostemon




acrid
sl. warm
Sp
St
Lu
Transforms dampness; releases the exterior, clears summer heat (and wind-cold); harmonizes the middle Jiao, stops vomiting; awakens the spleen.

• Damp accumulation in the middle Jiao: vomiting, distention in the epigastrium and abdomen, poor appetite, nausea, lethargy, weakness, white, moist tongue coat.
• Summer heat with dampness: fever, aversion to cold, headache, distended epigastrium, diarrhea, nausea, vomiting.
• Wind-cold EPI.
• Similar to Zi su ye, though Huo xiang is stronger at circulating Qi and Zi su ye is stronger at eliminating wind-cold. Zi su ye has a stronger focus on the Lungs than Huo xiang.
Li: Often adds to formulas for patients with digestive weakness, or when using difficult-to-digest herbs, (also in combination with Pei lan) to keep herbs from causing stagnation or upsetting or damaging the digestion.
Hsu: Antiemetic, antidiarrheal, tranquilizes GI nerves, antifungal, antipyretic, stomachic.
DY: Moves the Qi; strongly clears summer-heat (mainly summer-heat-dampness).
• The leaf (Huo xiang ye) is more powerful than the stem at draining the exterior. The stem (Huo xiang geng) is better for harmonizing the stomach and stopping vomiting.
• More powerful than Pei lan at resolving the exterior and eliminating summer-heat as well as for stopping vomiting.
• With Pei lan to effectively transform dampness and turbidity, harmonize the middle burner, stop vomiting, eliminate summer-heat (and dampness), and stop diarrhea. For indications such as:
- 1. Vertigo, head distention, fever with or without perspiration, chest oppression, epigastric distention, nausea, vomiting, abdominal pain, and diarrhea due to external attack of summer-heat-dampness.
- 2. Spleen pure heat. This refers to a rising upward of turbid Qi towards the mouth due to spleen heat generated by an excess of fatty and sweet foods. It is accompanied by a sticky, thick feeling in the mouth, a sugary taste in the mouth, abundant salivation, thick, slimy tongue coat, and a slippery pulse.
- This combination is very effective for its treatment of bad breath or a thick, sticky feeling in the mouth with a sugary taste due to turbid dampness accumulation or turbid dampness transforming into heat.
4.5-9g
Pei Lan
Eupatorium
(Eupatorium
fortunei, E. japonicum)

"Ornamental Orchid"
acrid
neutral
Sp
St
Transforms dampness; clears summer-heat; releases the exterior and transforms turbidity.

• Damp accumulation in the middle Jiao: distention in the epigastrium and abdomen, poor appetite, nausea, weakness, lethargy, vomiting, stifling sensation in the chest, white, moist tongue coat.
• Summer-heat with dampness: fever, aversion to cold, headache, distended epigastrium, diarrhea, nausea, vomiting.
• Spleen damp-heat: sweet, sticky taste in the mouth, copious saliva, foul breath.
• Early-stage of damp warm-febrile diseases.
• Topical: as powder on a sweaty, sour, smelly scalp (the synonym Xing tou cao relates to this use).
• Does not lead to dryness.
• Much weaker than Huo xiang at releasing exterior syndromes.
Hsu: Antiviral, antipyretic, stomachic, diuretic.
DY: With Huo xiang to effectively transform dampness and turbidity, harmonize the middle burner, stop vomiting, eliminate summer-heat (and dampness), and stop diarrhea. For specific indications and notes, see Huo xiang in this category.
Pei lan is more powerful than Huo xiang for transforming turbid dampness. In addition, it clears dampness which has transformed into heat and treats spleen pure heat. ("Spleen pure heat" refers to a rising upward of turbid Qi towards the mouth due to spleen heat generated by an excess of fatty and sweet foods. It is accompanied by a sticky, thick feeling in the mouth, a sugary taste in the mouth, abundant salivation, thick, slimy tongue coat, and a slippery pulse.)
4.5-9g
Sha Ren
Amomum villosum or A. xanthioides

"Sand Seeds"
acrid
warm
Sp
St
Warms the middle Jiao; promotes Qi circulation; transforms dampness; calms the fetus; stops vomiting; strengthens the stomach.

• Dampness and Qi stagnation in the middle Jiao: distending pain in the epigastrium and abdomen, nausea, vomiting, and especially poor appetite.
• Spleen Yang deficiency cold: diarrhea.
• Morning sickness or violent fetal movement.
• Often added to tonic herbs to keep them from causing stagnation.
• Crush before use.
• Short cook - add near the end of cooking a decoction.
• Liu: Sha ren is much warmer than Pei lan, Huo xiang, Cang zhu, and Hou po. Caution with heat conditions.
This herb consists only of the seeds inside the shell - the shell should be discarded unless its properties are intentionally desired. 
The shell - Sha ren ke - is better at promoting Qi circulation, is less warming, and is weaker overall.
Jin: Great herb for women, including in pregnancy.
• Good for liver invading the spleen.
Chen: Used successfully in one study for treating peptic ulcer.
1.5-6g (Sha ren ke is dosed at 3-4.5g)


Herbs That Drain Dampness

• Some herbs in this category only drain dampness, while others both drain dampness and clear heat.
• Some herbs in this category have the potential to damage Yin or Qi. Be cautious with Yin or Qi deficiency.
• Herbs in this category are frequently combined with:
A. Herbs that relieve exterior syndromes and promote sweating when there is edema and an exterior syndrome simultaneously.
B. Herbs that warm the kidneys and spleen when there is Yang deficiency of these organs.
C. Herbs that clear heat and reduce fire when there is both dampness and heat.
D. Herbs that stop bleeding when there is bleeding due to heat forcing blood out of the vessels.
Bi Xie
Tokoro rhizome
Fish-Poison Yam
Dioscorea hypoglauca or D. tokoro
(and other species)























bitter
neutral
Lv St BL Strongly drains damp; eliminates wind-dampness; clears damp-heat from the skin; separates the pure from the turbid; relaxes the sinews, unblocks the connecting channels.

• Dampness: painful urination with turbid urine (like rice porridge) or vaginal discharge (can be used for problems due to either deficiency or damp-heat).
• Wind-damp or damp-heat: Bi syndrome, lower back pain, numbness or stiffness of the lower extremities, muscle aches. (mild effect)
• Damp-heat accumulation at the skin: skin lesions such as eczema, pustular sores.
• In cases of damp-heat induced painful urinary dysfunction, this herb is most appropriate when dampness is predominant.
MLT: Antibacterial, antifungal, antirheumatic, anti-inflammatory, antitussive, antiparasitic.
• Similar to Western wild yam (D. villosa) - for damp-heat: jaundice, hepatitis, and gallbladder and rheumatic diseases.
SD: May help antidote lead poisoning.
9-15g

May bear some similarities to Western Wild Yam - Dioscorea villosa:
JC: Antispasmodic, relaxant, stimulant, antibilious, diaphoretic, expectorant, diuretic, hepatic, cholagogue, stomachic, tonic, anti-emetic, antirheumatic, anti-asthmatic, emetic (large dose).
Good for pain.
RW: Contains diosgenin - a precursor used in the synthesis of progesterone and other steroids.
PLB: Studies indicate that orally consumed diosgenin is not converted to progesterone in the human body. Does not have hormonal effects.
IBIS: Anodyne, anti-inflammatory, antirheumatic, antispasmodic, cholagogue, diaphoretic.
• [Western] dosage: tincture: 1 - 2 mL. powder: 400 - 800 mg.
• Specific indications: bilious colic; skin and conjunctiva yellow, with nausea and colicky pain; tongue coated, stomach deranged, and paroxysmal pain in the abdomen; twisting or boring pain, radiating from the umbilical region, with spasmodic contraction of the belly muscles; colic with tenderness on pressure, which gives relief to the spasmodic action (Felter and Scudder, p. 344)
• Therapy: indigestion; dysenteric tenesmus; cholera morbus; ovarian neuralgia; spasmodic dysmenorrhea; nausea of pregnancy; after-pains; obstinate and painful vomiting; gastralgia (Felter and Lloyd, p. 660); intestinal colic; diverticulitis; rheumatoid arthritis; muscular rheumatism; cramps and intermittent claudication; cholecystitis; dysmenorrhea; ovarian and uterine pain (British Herbal Pharmacopoeia, p. 79)
• Contraindicated during pregnancy due to teratogenic potential (Brinker, p. 43)
• Contraindicated in peptic ulcers; long term use may potentiate ulcers and/or prevent their detection.
• Caution is advised in patients with history of recent surgery, diabetes, hypoglycemia, nephrotic syndrome, urinary tract infections, acute infectious hepatitis, leukemias, Graves' disease, or related genetic disorders (Langer and Greer, pp. 66 - 67); caution is also advised for those with thyroid problems, as studies indicate a possible goitrogenic response (Langer and Greer, p. 79).
• Large doses cause nausea, vomiting, diarrhea (Spoerke, p. 149; Felter and Lloyd, p. 661)
Bian Xu
Polygonum aviculare
Polygonum
Knotweed
bitter
sl cold
BL Stops itching; clears damp-heat; promotes urination; unblocks painful urinary dysfunction; kills parasites.

• Damp-heat in the lower Jiao: painful urination.
• Damp-heat: skin disorders with itching, including tinea.
• Intestinal parasites: tapeworm, hookworm, pinworm.
• Douche for trichomonas.
• Topical: wash for surface parasites.
• Also for bacillary dysentery.
• Increases the tension of the uterus - used to stop postpartum uterine hemorrhage.
• In cases of damp-heat induced painful urinary dysfunction, this herb is most appropriate when dampness and heat are equally severe.
MLT: Common weed around the world, used widely for urinary tract inflammation.
TS: The gravel remedy. Its chief influence is on the bladder and it has been known to remove stones from the bladder when all other treatment had failed. It will prevent the formation of gravel when there is a tendency, and it frequently dissolves stones already formed. It is desirable to combine it with Equisetum.
Hsu: Antibacterial, hypotensive, anthelmintic.
9-15g
Che Qian Zi
Plantago seed

"Before the Cart Seeds"



















Che Qian Cao
Plantago herb
sweet
cold
K Lv Lu
BL
Drains dampness and harmful body fluid by promoting urination (without damaging Yin); clears heat from the liver; brightens the eyes (mildly nourishes Yin); clears heat and resolves phlegm from the Lungs (mild); stops coughing; normalizes malpositioned fetus (at 8 months); mildly nourishes Jing; solidifies the stool (by promoting urination).

• Bladder damp-heat: scanty urination, painful urination, edema.
• Liver heat: red, painful, swollen eyes, photosensitivity.
• Liver and kidney Yin deficiency: blurry vision, cataracts, dry eyes.
• Summer-heat with dampness: diarrhea.
• Can be used alone for any diarrhea (usually does not address the root).
• Scanty milk after childbirth.
• Female infertility: strengthens the Jing of kidneys and liver.
• Lung heat: cough with copious sputum.
• Injection into joint spaces has the effect of tightening overly lax joint capsules. This effect has been used clinically in treating recurring dislocation of the temporomandibular joint.
• In one study, in which Che qian zi was used in treating 68 cases of malpositioned fetus diagnosed at eight months, 90% of the subjects had a normal presentation at birth.
• Often put into a bag for cooking, to keep it from floating or passing through the strainer.
• Often dry-fried when used to promote urination.
• Often fried in wine when used for kidney deficiency.
Hsu: Antitussive, expectorant.
4.5-9g

Che Qian Cao: entire plant
• Sweet, cold.
• Not as effective as the seed in promoting urination, but more effective at clearing heat and it also eliminates toxicity.
• Used internally and topically in the treatment of abscesses and swellings.
9-30g
   
K&R: (various parts of the plant): Astringent, diuretic, sympathomimetic, pituitary stimulant.
Wood yang, wood yin, earth yin, metal yin.
Inflammation of the kidneys, gonorrhea, associated low back pain, eye diseases, Lung Yang deficiency, bronchitis, laryngitis.
Wood: conjunctivitis, allergic rhinitis, allergic asthma, allergic eye conditions.
Metal: emaciation, retarded development, bronchitis, laryngitis, tuberculosis, constipation, chronic diarrhea, leukorrhea, eczema, acne.
Earth: strengthens stomach and upper digestive functions; for malnutrition, retarded development, nephrotic syndromes.
JC: (root, leaves, flower spikes, seeds of Plantago major or P. lanceolata)
• Alterative, depurant, diuretic, emollient, mildly astringent, refrigerant, deobstruent, antiseptic, vulnerary, antivenomous, styptic, antisyphilitic, anthelmintic (vermicide).
• The roots and leaves have moderately diffuse and stimulating alterative effects on the circulatory system. They also assist the glandular system, healing lymph and epidermal areas in scrofulous and skin diseases.
• Excellent for kidney and bladder disorders.
• An effective remedy for poisonous bites and stings.
• The best herb for blood poisoning: reduces swelling and heals limbs where amputation seems imminent.
• Eases pain and heals the lower intestinal tract.
• Diarrhea, glandular swellings, hemorrhoids, piles, kidney and bladder disorders, lumbar pain, scanty urine, enuresis, edema, scrofula, syphilis, thrush.
• Douche for leukorrhea, menorrhagia.
• Topical: for bleeding, use as a poultice and drink. Use as a wash for malignant or bleeding ulcers, toothache, burns, scalds, erysipelas, inflamed eyes. Wash with a strong infusion for itching, ringworm, old wounds.
Chi Xiao Dou
Aduki bean
Phaseolus
"Little Red Bean"
sweet
sour
neutral
Ht SI Promotes urination to relieve edema; clears heat; eliminates toxicity; drains pus; dispels blood stasis; reduces swelling; clears damp-heat, treats jaundice.

• Retention of harmful fluid: edema with distended abdomen, urinary difficulty, leg qi edema.
• Blood stasis, fire toxicity: carbuncles, sores, furuncles.
• Damp-heat: jaundice.
• Topical: combine with egg white, vinegar, and honey, and apply to carbuncles and boils due to damp-heat.
9-30g
Deng Xin Cao
Rush pith
Juncus

"Lamp Wick Herb"
sweet
bland
sl. cold
Ht
Lu
SI
Drains dampness by promoting urination; clears heat from the heart channel - descends heart heat to the small intestine.

• Hot, painful or dark, scanty urine.
• Pediatric sleep disorders with dark, scanty urine and irritability, especially at night.
• Heart and kidney not communicating (due to heart fire with kidney Yin deficiency): insomnia or restless sleep.
MLT: Specific for urinary tract infections, sore throat, damp-heat, incessant crying of babies.
1.5-4.5g
Di Fu Zi
Kochia fruit

"Earth Skin Seeds"
bitter
cold
BL Stops itching; clears heat; drains dampness, promotes urination.

• Damp-heat: skin disorders such as eczema, scabies and other dermatological problems where itching is a major symptom. Also for damp-heat in the external genitalia. Good with Huang bai. Can be used both internally and topically for skin problems.
• Damp-heat in the lower Jiao: painful urination, dark, burning, scanty urine.
• Not to be used in combination with Hai piao xiao.
6-15g
Dong Gua Ren
Benincasa seed 
Winter Melon
Wax Gourd

"Winter Melon Seed"
Dong Gua Pi
Winter Melon peel
sweet
sl cold
Lu SI
St
LI
Clears heat; expels phlegm; promotes discharge of pus; promotes urination; drains dampness.

• Heat in the Lungs or intestines: expectoration of thick, yellow sputum, etc.
• Damp-heat with phlegm obstruction in the upper or lower Jiao: intestinal abscess, Lung abscess - when the patient is exhausted easily, scar tissue surrounds the abscess and antibiotics cannot get through.
• Especially useful in the treatment of damp-heat vaginal discharge.
• Topical: grind and use the powder as sunscreen.
3-12g

Dong Gua Pi:
• Sweet, slightly cold; Lung, small intestine.
• Promotes urination to relieve edema; clears heat.
• Retention of harmful body fluid, heat, or summer-heat: edema.
• For edema, it is often used with Zhu ling, Ze xie, Fu ling.
15-30g
Dong Kui Zi
(Dong Kui Guo)
Muskmallow seed
Malva verticalla
or
Abutilon seed
Velvetleaf
sweet
cold
LI
SI BL
Promotes lactation, benefits the breasts; moistens the intestines; drains dampness and heat; promotes urination, unblocks painful urinary dysfunction.

• Damp-heat in the lower Jiao: painful, hot, bloody, or stony urination.
• Retention of harmful body fluid: edema.
• Insufficient fluids in the intestines: constipation with dry and hard stool.
• Insufficient lactation, painful swollen breasts, early stages of breast abscess.
• Especially useful for urinary/edema disorders accompanied by constipation.
MLT: Similar to Western Althea/Marshmallow [mainly used for its soothing mucilaginous properties -PLB] - for irritated urination from dryness.
• Milder than Hua shi.
• Demulcent; increases richness of mother's milk.
6-15g
Fu Ling
Poria sclerotium
Hoelen
Tuckahoe

(includes Fu Shen, Fu Ling Pi, Chi Fu Ling, Fu Shen Xin)





































Fu Ling Pi




Chi Fu Ling





Fu Shen





Fu Shen Xin
Poria heart
sweet bland
neutral
Ht Sp
K
Lu
Drains dampness and harmful body fluid by promoting urination; tonifies spleen Qi; calms the Shen; transforms phlegm; harmonizes the middle Jiao.

• Spleen Qi deficiency with dampness: loose stool, fatigue, poor appetite.
• Stagnation of fluids or dampness: edema, scanty urination, difficult urination, diarrhea.
• Retention of harmful body fluid in the spleen: dizziness, palpitations, cough, headache (The spleen Qi is prevented from lifting to the head: dizziness, headache; from lifting to the heart: palpitations; and from lifting to the Lungs: cough.)
• Shen disturbance: insomnia, palpitations, forgetfulness (Fu shen may be preferable).
• Said to promote longevity.
• Reduces blood sugar.
• Drains without harming the Qi or Yin.
• Weight loss: can be powdered and mixed 50/50 with powdered rice, then dry fried into a "cookie" with small amount of sweetener, eaten as main food.
• Compared to Yi yi ren, Fu ling's tonic effect is much stronger. But unlike Yi yi ren, Fu ling does not treat wind-dampness.
PFGC: Balances earth; transforms stomach phlegm-rheum into useful body fluids; can bank earth and engender metal - beneficial to both the stomach/spleen and Lungs; stops excessive sweat loss.
• "The Qi of the pine tree enters the earth, where, after a long time, it forms hoelen. the material quality of hoelen is formed by Yin Qi, while it has been conceived by Yang."
• Purely benevolent, always tonifying.
• Key herb for excessive sweats causing palpitations causing insomnia.
• Hoelen settles kidney water rushing up to fill the void of depleted heart fluid (use a large dose in critical situations).
Li: Commonly uses up to 30g/day for severe dampness. Combines large doses of Fu ling with non-greasy Yin tonics (such as Huang jing) when there is both dampness and Yin deficiency.
MLT: High in potassium salts, which may be responsible for its fluid regulating properties.
Frees interstitial fluid for excretion and regulates intercellular fluid - unlike most diuretics, it does not cause thirst.
PCBDP: Contains several acids shown to be cytotoxic to hepatoma in vitro.
DY: With Bai zhu, the two herbs reinforce each other to effectively supplement the spleen and dry dampness, percolate dampness, and disinhibit urination. For such indications as:
- 1. Edema due to accumulation of dampness, due in turn to spleen deficiency. (Bai Zhu San)
- 2. Fatigue, weakness in the limbs, lack of appetite, loose stools or diarrhea caused by spleen deficiency with accumulation of dampness. (Shen Ling Bai Zhu San)
- 3. Vertigo, blurred vision, and/or heart palpitations due to phlegm-dampness. (Ling Gui Zhu Gan Tang)
- 4. Chronic cough due to phlegm-dampness and spleen deficiency. (Liu Jun Zi Tang)
• With Yi zhi ren to fortify the spleen, secure the kidneys, reduce urination, and stop diarrhea. For indications such as:
- 1. Strangury with chyluria, milky, turbid urine, and dysuria due to deficiency cold in the kidneys or kidney Qi not securing with imbalance in the function of transformation of the bladder. (Use salt mix-fried Yi zhi ren)
- 2. Diarrhea due to deficiency cold of the spleen and kidneys. Particularly watery diarrhea. Use Yi zhi ren which has been stir-fried until scorched.
9-15g (up to 60g for acute facial edema)
• Fu Ling is the generic term for the entire mushroom, which consists of:
• Fu Ling Pi: the blackish "bark."
- More diuretic, slightly tonic.
- Frees urination without affecting the Qi.
- Disperses swelling, treats edema and oliguria caused by severe accumulation of dampness due to spleen deficiency.
- Usual dosage: 15-30g.
• Chi Fu Ling: the pinkish flesh just beneath the blackish bark.
- Drains heat, frees urination.
- For strangury, oliguria, and red or dark urine due to damp-heat.
- Usual dosage: 5-15g
(Bai) Fu Ling: the white flesh which comprises most of the mushroom.
- Tonic and moderately draining.
- Frees urination, tonifies the spleen, quiets the Shen.
- For edema, oliguria, and phlegm due to spleen deficiency.
- For nausea and vomiting due to damp stagnation in the middle Jiao.
- For loss of appetite due to spleen deficiency.
- Usual dosage: 5-15g
Fu Shen: the flesh which surrounds the parasitized root.
- Stronger at quieting the Shen than Fu ling. Calms the heart, quiets the spirit.
- For insomnia, disturbed sleep, palpitations, loss of memory.
- Usual dosage: 5-15g
- HF: (Fu Shen) An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas because emotional disturbance is common in patients with Gu.
Fu Shen Xin: the parasitized pine root at the heart of the mushroom.
- Strongest at quieting the Shen.
- Tranquilizes the heart, calms the liver, drains wind and dampness.
- For insomnia, cardiac pain, spasms of the sinews.
- Usual dosage: 5-10g
Hai Jin Sha
Japanese Fern spores
Lygodium

"Sea Gold Sand"











Jin Sha Teng
Lygodium herb/vine
sweet
cold
BL SI Drains dampness and heat by promoting urination.

• Damp-heat and/or stones in the lower Jiao: painful urination with blood or turbidity.
• This herb is superior for pain relief (urinary).
• Often cooked in a bag to keep from floating to the surface.
DY: Frees strangury; clears heat from the small intestine, bladder, and blood division.
• With Ji nei jin to free strangury, transform stones, and, therefore, treat stone strangury. For stone strangury and urinary lithiasis due to damp-heat. This combination can be reinforced by combining it with Jin qian cao, Hua shi, Qu mai, and Che qian zi.
• With Jin qian cao for mutual enhancement, to strongly clear heat and eliminate dampness, disinhibit urination, free strangury, and expel stones. For indications such as:
- 1. Stone and/or sand strangury, renal lithiasis, bladder lithiasis. For these indications, the combination can be enhanced by adding Ji nei jin, Che qian zi, Dong gua ren, and Qu mai.
- 2. Gallstones due to damp-heat in the gallbladder. For this indication, the combination can be reinforced by adding Yin chen hao, Yu jin, Jiang huang, Qing pi, and Hu zhang.
6-15g

Jin Sha Teng: the herb - "Gold Sand Vine"
• Sweet, cold.
• Clears heat; promotes urination; relieves fire toxicity.
• Damp-heat: painful urinary dysfunction, especially with stones or blood.
• Painful, swollen throat or mumps.
• Bensky/Gamble: clear heat and relieve toxicity category.
Hua Shi
Talcum

"Slippery Stone"

sweet
bland cold
St BL Drains dampness and heat by promoting urination; clears heat and releases summer-heat; absorbs dampness.

• Damp-heat in the lower Jiao: scanty, dark, burning and painful urination; diarrhea.
• Summer-heat: restlessness, thirst, fever, urinary difficulty.
• Damp-heat: diarrhea, distention of the chest.
• Qi level heat with dampness: unremitting fever, a heavy feeling in the body, thirst, yellow tongue coat.
• Topical: for damp skin lesions, eczema, boils, itching.
• Doctrine of signatures: Use stone for stones. Hua shi's slippery quality frees the orifices and also helps kidney stones "slip" out of the body.
• Contraindicated for spermatorrhea due to kidney deficiency - this herb is too slippery and may exacerbate the problem.
• Place in a tea bag when decocting.
DY: Above, it clears the origin of water (i.e. the Lungs) and downbears Lung Qi; below, it frees the flow of the water passages and opens the bladder; eliminates evil heat in the six bowels.
• Since it is heavy and slippery and therefore favors descent, is not advisable in pregnancy (it might cause the fetus to slip), except to hasten delivery.
• With Gan cao: Gan cao can moderate the cold nature of Hua shi and protect the middle jiao, while Hua shi can prevent stasis due to the sweet flavor of Gan cao. As a pair, they clear heat, eliminate summer-heat, disinhibit urination without damaging the middle burner, and free strangury. For such indications as:
- 1. Fever, vexation, agitation, thirst, vomiting, diarrhea, and dysuria due to attack of summer-heat with internal and external heat. (Liu Yi San)
- 2. Turbid strangury.
- 3. Stone and/or sand strangury.
9-18g
Jin Qian Cao
Lysimachia*

"Gold Money Herb"
sweet
bland
neutral
Lv GB K BL Dissolves stones and discharges them; eliminates dampness; clears damp-heat from the liver and gallbladder, relieves jaundice; eliminates toxicity; relieves swelling; drains dampness and heat by promoting urination; unblocks painful urinary dysfunction.

• Damp-heat and/or bladder stones, kidney stones, or gall stones: painful urination.
• Liver/gallbladder damp-heat: jaundice and/or red, swollen eyes.
• Topical and/or internal: for carbuncles, boils, snake bite, abscess, traumatic injury.
• Very effective for acute mastitis.
• Often used alone as an infusion for stones.
*A diverse array of herbs that have similar functions are used as Jin qian cao. Besides Lysimachia christinae, these include:
Desdemodium styracifolium - known as Guang Jin Qian Cao, since it comes from Guangdong.
Glechoma longituba - (Ground Ivy) known as Lian Qian Cao, "Linking Gold Money Herb."
Dichondra repens - known as Xi Jin Qian Cao, as it comes from Jiangxi.
Hydrocotyle sibthorpiodes - known as Xiao Jin Qian Cao, "Little Gold Money Herb."
Hsu: Helps dissolve and excrete urinary calculi, stimulates bile production.
DY: Very effective in cases of biliary or renal lithiasis and may be used alone at a dose of 200-250g. Even when combined with other herbs, it should still be prescribed in relatively high doses of 50-150g daily.
• With Hai jin sha for mutual enhancement, to strongly clear heat and eliminate dampness, disinhibit urination, free strangury, and expel stones. See Hai jin sha in this category for specific indications and notes.
SD: May help antidote mercury and lead poisoning.
15-60g (or much more for stones)
Mu Tong
Akebia*

"Open-ended Wood"















Ba Yue Zha
Akebia fruit
bitter
cold
Ht SI BL Drains dampness and heat by promoting urination; clears heart heat - conducts heart heat out through the small intestine and the bladder to the urine; promotes lactation (by opening the channels); unblocks the blood vessels, promotes blood circulation.

• Heart fire pouring downward to the small intestine: irritability, mouth and tongue sores, restlessness, scanty, concentrated urine.
• Bladder damp-heat: scanty, yellow, painful urination, edema, leg qi.
• Damp-heat obstruction: Bi syndrome, joint pain, stiffness, amenorrhea.
• Insufficient lactation after childbirth.
• Regarding its ability to promote lactation, this refers to an ability to enhance the flow of milk, but not to produce it. In cases of insufficient lactation due to blood deficiency (milk is a product of the blood), you must nourish blood.
• This herb can easily injure the body fluids/Yin.
• Doctrine of signatures: this herb's highly porous form - a dense vascular network like pipes - is suggestive of its ability to conduct fluids (milk, urine).
* Though Akebia species were most commonly listed in classical pharmacopeias as this herb, this plant is rarely used in China today. Instead, Aristolochia manshuriensis and Clematis armandi or C. montana are used. Given the recent warnings about aristolochic acid as a possible cause of kidney damage, it is advisable to choose a reputable supplier to ensure you do not get Aristolochia.
MLT: For urinary dysfunction associated with or caused by irritability and emotional stress.
DY: One of bitterest substances in the Chinese materia medica (it may be worthwhile to mitigate its taste - with ginger, for instance).
3-9g

Ba Yue Zha: Akebia fruit - "Eighth-Month Sticker"
• Bitter, neutral; liver, stomach.
• Frees the liver Qi; dissipates clumps; promotes urination.
• Used mostly for hypochondriac or hernial pain, most commonly associated with liver/spleen disharmony.
• Scrofula and other nodular disorders.
• Urinary difficulty and stony, painful urination.
• Recent use: for tumors of the breasts and digestive tract.
6-12g
Qu Mai
Dianthus
Pink
bitter
cold
BL
Ht
SI
Clears damp-heat, promotes urination, unblocks painful urinary dysfunction; breaks up blood stasis; unblocks the bowels.

• Any type of painful urinary dysfunction, especially when bloody.
• Blood stasis: amenorrhea (an auxiliary herb).
• Constipation.
• In cases of damp-heat induced painful urinary dysfunction, this herb is most appropriate when heat is predominant.
• The flowers are the most diuretic part of the plant. (Not potassium sparing: in animal experiments, the herb had a more significant effect on potassium excretion than on that of sodium.)
MLT: Strong diuretic, also stimulates intestinal peristalsis.
Hsu: Increases intestinal peristalsis, hypotensive, anthelmintic.
6-12g (up to 24g)
Shi Wei
Pyrossia leaf

"Stone Reed"
bitter
sweet
sl cold
Lu BL Clears the Lungs, expels phlegm, stops coughing; drains dampness and heat by promoting urination; clears heat, stops bleeding.

• Damp-heat or stones in the lower Jiao: hot, stony, or painful urination with blood.
• Retention of harmful body fluid: edema.
• Heat in the blood: hematemesis, uterine bleeding, hematuria.
• Heat in the Lungs: cough, difficulty breathing, wheezing.
Hsu: Antibacterial; strong antitussive, expectorant, and antispasmodic.
3-9g (up to 30g)
Tong Cao
Tetrapanax
Rice Paper Pith

"Unblocking Herb"
sweet
bland
sl cold
Lu St Clears heat and mildly drains dampness by promoting urination; promotes lactation; conducts Lung heat out through the bladder.
 
• Damp-heat or damp warm-febrile disease affecting the lower Jiao: scanty, painful urination. Usually prescribed as an assistant or envoy.
• Insufficient or absent lactation.
3-6g
Yi Yi Ren
Coix seed
Job's tears




















sweet
bland sl cold
Sp St Lu
K
Drains dampness and harmful body fluid by promoting urination; expels wind-dampness, eliminates dampness from the channels; mildly tonifies spleen Qi, stops diarrhea; clears heat; drains pus; clears the eyes; expels phlegm, stops coughing.

• Retention of dampness and harmful body fluid, especially when due to spleen Qi deficiency: scanty urination, edema, diarrhea, damp leg qi.
• Damp-heat: any damp-heat disorder at any level characterized by a greasy tongue coating and digestive problems.
• Wind-damp: Bi syndrome with tendon spasms. Especially effective for increasing joint mobility and reducing spasms in chronic cases.
• Lung or large intestine heat: Lung abscess or appendicitis
• Soft, pustulated carbuncles.
• Lung phlegm-heat, cough.
• Can also be used for problems due to liver or kidney deficiency or liver channel heat.
• Despite its slightly cold nature, it does not hurt the stomach, and despite its sweet flavor, it does not block the Qi
• Weaker than Fu ling at tonifying the spleen. Milder at draining than Ze xie.
• Liu: Best herb for damp-heat with spleen Qi deficiency.
• For chronic spleen Qi deficiency with dampness, can be cooked into a porridge with rice, Da zao, Bai bian dou, etc.
• It is reported that Yi yi ren has an inhibitory effect on the growth of cancer cells.
• Should be cooked at least 30 minutes.
• Dry-fry to tonify the spleen.
Li: Good for generalized body aches due to damp accumulation.
MLT: Regulates fluid metabolism - drains dampness while it moistens the skin.
• Also for warts and fatty tumors, rheumatoid arthritis.
• Research shows anti-cancer properties.
Hsu: Hypoglycemiant.
9-30g
Yin Chen Hao
Capillaris
Artemisia capillaris
(or A. scoparia)












bitter
sl cold
Sp St Lv GB Drains dampness and mildly clears heat to relieve jaundice; descends stomach and gallbladder Qi; frees the liver Qi; helps the liver Qi and spleen Qi lift; clears heat and releases the exterior.

• Damp-heat or damp-cold in the liver and gallbladder: jaundice. Can be used alone for this. For damp-cold jaundice (greyer/duller color), add herbs such as Fu zi, Gan jiang.
• Heat patterns: intermittent fever and chills, bitter taste in the mouth, stifling sensation in the chest, flank pain, dizziness, nausea, loss of appetite.
• Also and important herb for hepatitis, especially icteric, including acute hepatitis B. In one study, subjects were effectively treated with administration of 30-45g of Yin chen hao 3 times a day.
Liu: Vents heat from Ying/Xue to Qi level, good for lurking heat.
• Promotes bile secretion.
• Lowers blood pressure.
• This herb is picked in early spring and contains the energy of the wood element.
• Bensky/Gamble: Compared to Chai hu, Yin chen hao is less drying and is "softer." It is especially useful when a patient with a Yin deficient or excessive fire constitution needs the heat-clearing action of Chai hu but is unable to tolerate its dry nature.
• In disorders of the anatomical liver, this herb may be more effective when combined with Da huang and Zhi zi.
Hsu: Antipyretic; lowers serum cholesterol and β-lipoprotein; antibacterial, antiviral, antifungal.
9-15g (up to 30g in very severe cases)
Yu Mi Xu
Cornsilk

"Jade Rice Whiskers"



sweet
neutral
BL
GB
Lv
Promotes urination; benefits the gallbladder, alleviates jaundice.

• Hot or stony, painful urinary dysfunction or edema.
• Can be used for either yin- or yang-type jaundice (depending on the other herbs with which it is combined).
• Wasting and thirsting disorder.
• For many disorders of the biliary system. Cholagogue.
• Relatively weak and safe diuretic.
• Reduces clotting time and increases prothrombin concentration in the blood.
• Intravenous administration of the infusion has been used for its marked hypotensive effect (which is not seen with oral administration, even over long periods of time).
K&R: Diuretic (volumetric, azoturic, uricosuric, natriuric), choleretic, cholagogue, TSH inhibitor, hypocholesterolemiant, hypoglycemiant.
• Earth yang and yin, water yang and yin.
• Extracts are diuretic and are used to relieve the pain of rheumatism and gout; as a diuretic, it treats: nephritis, cardiac insufficiency, edema
• Also for obesity, high cholesterol, arterial hypertension.
• Germ oil: inhibits development of arterial plaque, strong influence on pancreatic-duodenal junction, and is used to treat hepatitis and cholecystitis.
Hall: Mucilaginous, soothing demulcent. Acts especially on the urinary tract and kidneys.
• For cystitis, burning on intercourse.
MLT: Helps dispel and expel stones.
PCBDP: Also useful for prostatitis.
Hsu: Hypotensive, hypoglycemiant, cholagogue, decreases bile viscosity - good for chronic cholecystitis and difficulty in bile secretion due to cholangitis.
• Hemostatic - increases platelet count and prothrombin.
15-30g
Ze Xie
Alisma rhizome
Water Plantain

"Marsh Drain"






sweet
bland
cool
K BL Drains dampness and harmful body fluid by promoting urination; clears (excess and deficient) heat, including kidney fire.

• Retention of dampness and harmful body fluid, especially damp-heat in the lower Jiao: scanty urination, urinary difficulty, edema, diarrhea, leukorrhea, dizziness.
• Kidney Yin deficiency heat: dizziness, tinnitus.
• Classically: for wasting and thirsting disorder.
• In terms of strength at draining dampness, Ze xie is second to Zhu ling in this category.
• Doctrine of signatures: some say this herb resembles a kidney.
Ze xie's diuretic strength varies according to when it is harvested. Winter yields the most potent herb, and spring the least. The salt-prepared form is not an effective diuretic. Ze xie's diuretic effect causes an increase in the excretion of sodium and urea. The herb has a high concentration of potassium, which may be a factor in its diuretic effect.
Ze xie seems to lower serum glucose.
• Compared to other herbs which promote urination, Ze xie has less of a tendency to damage the Yin.
Li: Does not damage the Yin.
Liu: Must be combined with Shu di huang to avoid damage to the Yin.
Li Dong Yuan: Leads Yang Qi back down to its lower source.
Jin: Good for draining fluid from the ear.
MLT: Make into congee (stir fry the herb, powder it, add it to rice) and take for inhibited urination, edema, leukorrhea, obesity, high cholesterol, hypertension, chronic liver disease.
DY: Drains fire from the liver, kidney, and bladder channels; clears damp-heat from the lower burner; clears heat from the Qi division.
With Huang bai to clear and drain fire due to Yin deficiency, and clear and eliminate dampness and heat. For indications such as:
- 1. Steaming bones, night sweats, and seminal emission due to deficiency fire. (Zhi Bai Di Huang Wan) Both herbs should be salt mix-fried.
- 2. Inhibited urination and pricking, painful urination due to damp-heat in the lower burner. (Salt mix-fried Huang bai and either unprepared or salt mix-fried Ze xie should be used.)
Hsu: Hypotensive, hypoglycemiant, antibiotic (TB).
6-15g
Zhu Ling
Polyporus
sclerotium
Grifola mushroom
sweet
bland
neutral
K BL
Sp
Strongly drains dampness and harmful body fluid by promoting urination.

• Retention of dampness and harmful body fluid: edema, scanty urination, diarrhea, vaginal discharge, cloudy, painful urination, jaundice.
• May be useful in hepatitis B. However, be cautious of damaging the Yin.
• Possible benefit in cancer.
• Much stronger at draining dampness than Fu ling. No tonic effect.
• Caution with Yin deficiency: may cause damage to the Yin (and, as a result, the vision).
• In normal dosage, Zhu ling has shown no significant diuretic effect. In slightly higher dosage, and increase in urine production of up to 62% has been shown. Its effect is thought to take place at the level of the glomeruli.
Hsu: 5g will cause a 62% increase in urine volume in 6 hours.
• Antibacterial.
6-15g



Herbs That Resolve Phlegm-Cold

The herbs in this category are neutral or warm. They are used mostly for cold phlegm, phlegm-dampness, or phlegm in a neutral environment, without the presence of heat. 
However, they are sometimes used even for the treatment of phlegm-heat (when combined with cooling herbs), because their acrid, warmer natures make many of them very powerful drying herbs for eliminating phlegm. Also consider, as appropriate: herbs the resolve phlegm-heat, herbs that drain dampness, herbs that warm the interior, herbs that promote Qi and blood circulation, herbs that release the exterior, herbs that stop coughing and wheezing, etc. 
Bai Fu Zi
Typhonium rhizome

"White Appendage"
acrid sweet
warm
toxic
Sp StLv

Eliminates both internal and external wind; relieves convulsions; dries dampness; resolves phlegm; eliminates toxicity; disperses stagnation of phlegm, dissipates nodules; stops spasms; expels wind-cold-dampness; alleviates pain.

• Wind-phlegm: Bell's palsy, migraine, tetanus, dizziness, deviation of the mouth and eyes in wind-stroke. Specific for phlegm problems of the face and head - enters the Yangming stomach channel.
• Phlegm and toxicity: snake bite, masses, scrofula or other nodules. Often used topically.
• Wind-cold-dampness: dizziness, severe lateral headaches, numbness, facial pain, facial weakness, or any head pain with signs of damp-cold or wind-dampness.
• Some effectiveness against tuberculosis.
• In Northern China, the root of Aconitum coreanum is used as this herb. It is known as Guan bai fu, and it should not be confused with Typhonium since it is very toxic.
Hsu: Analgesic, tranquilizer.
1.5-6g
Bai Jie Zi
White Mustard seed

















acrid
warm
Lu Warms the Lungs, eliminates phlegm; promotes Qi circulation, dispels Qi stasis; removes phlegm from the channels and collaterals; dissipates nodules, reduces swelling, alleviates pain.

• Phlegm-cold accumulation: Coughing copious and thin sputum, difficulty breathing, distention and pain in the chest and hypochondriac region, hydrothorax.
• Phlegm(-cold) obstruction in the channels and collaterals: multiple abscesses, carbuncles, lymphoma, joint pain, body aches, yin-type boils, bedsores, watery, oozing sores. A valuable herb for the treatment of any kind of pain when phlegm or dampness obstructs the channels and collaterals.
• Often applied as a plaster for asthma (on BL-13, 15, 17) - promotes local blood circulation.
• Topical: for lumps and pain. Long Western history of use in baths and plasters for pain. Caution: may cause blistering of the skin. Do not use on patients with skin sensitivities.
• Must be crushed before using.
• Compared to Su zi and Lai fu zi: All are capable of transforming phlegm, regulating the Qi, and alleviating wheezing. However, Bai jie zi warms the Lung Qi, Lai fu zi disperses the Lung Qi, and Su zi descends the Lung Qi.
Li: Very warming.
PCBDP: Rubefacient, counter-irritant, stimulant, diuretic, emetic.
• Externally used for rheumatic pains and bronchitis.
Hsu: Expectorant: the oil slightly irritates the gastric mucosa, causing slight nausea which reflexively increases the bronchial secretions needed to expel phlegm.
• Topical: decreases pain and inflammation.
3-9g
Bai Qian
Cynanchum root and rhizome

"White Before"
acrid sweet
neutral
Lu Strongly eliminates phlegm; descends Lung Qi, relieves coughing.

• Lung Qi stagnation and failure to descend: cough with thick, sticky sputum, gurgling in the throat, wheezing, difficulty breathing.
• Not drying.
• Combine with acrid herbs for wind-cold or wind-heat
Bai qian's ability to descend rebellious Lung Qi is similar to, but weaker than, Ma huang's. Bai qian can be used to treat wheezing and coughing in patients who are not strong enough to tolerate Ma huang.
DY: This herb "disperses" phlegm - xiao tan - close to the Western idea of expectorating phlegm.
• Can be used in the treatment of almost every type of cough. Due to its neutral nature, it can be used for coughs due to either cold or heat.
• With Qian hu, for mutual reinforcement in dispersion of phlegm. They complement each other to downbear (mainly via Bai qian) and diffuse (mainly via Qian hu) the Lung Qi in order to effectively treat cough. For such indications as: cough with abundant phlegm or phlegm which is difficult to expectorate, itchy throat, chest oppression due to blockage of the Lung Qi and Lung Qi counterflow. The combination can be used in the treatment of numerous respiratory diseases: chronic bronchitis, dyspnea, asthma, whopping cough, cough associated with a cold, etc.
• In case of cough due to wind-cold or wind-heat, the uncooked form of the herb should be prescribed.
• In case of cough caused by an accumulation of phlegm in the Lungs, the herb should be stir-fried until scorched.
• In case of chronic cough, dryness in the Lungs, or if the patient is old, use the honey mix-fried form of the herb.
3-9g
Ban Xia
Pinellia rhizome

"Half Summer"



















































































acrid
warm
slightly
toxic
Sp St Lu
GB
Ht
Resolves phlegm; dries dampness; descends rebellious stomach Qi, harmonizes the stomach, stops vomiting; dissipates lumps and distention, disperses swelling and relieves pain.

• Phlegm-damp (especially when originated in the spleen): cough with copious sputum.
• Rebellion of stomach Qi (including from stomach phlegm-damp): nausea, vomiting.
• Phlegm obstruction: pressure, distention in the chest or epigastrium, plum pit sensation, masses, carbuncles, phlegm nodules in the neck (including goiter, scrofula), or other obstruction caused by phlegm anywhere in the body.
• Compared to Bei mu, Ban xia is more effective for phlegm-damp, while Bei mu is more for phlegm-heat. Ban xia is better at transforming phlegm lodged in the stomach, while Bei mu is better at transforming phlegm in the Lungs. The two are often used together to mutually enhance each other's therapeutic properties.
• Tincture of Ban xia was effective in treating 95% of cases of acute toothache.
• Effective in acute suppurative otitis media.
Ban xia is always prepared for internal use with ginger, alum, or vinegar. Prepared Ban xia is called Fa ban xia. The ginger-prepared form is specifically referred to as Jiang ban xia. That prepared with alum is called Qin ban xia.
• Raw Ban xia is toxic and is only used externally to reduce ulcerations, deep-rooted sores, and carbuncles.
• Overdose can generally be cured with oral administration of raw ginger.
• Contraindicated in combination with aconite products.
• Must be crushed before use.
• Ban xia qu is powdered and fermented Ban xia with Gan cao. It promotes digestion and resolves phlegm. It is particularly good when food stagnation has led to phlegm accumulation.
Li: Ban xia is a nice addition when treating the Ren Mai (e.g. chronic UTI), as it opens all the channels. It is vital for lower Jiao problems.
• The Chong and Ren Mai connect with the Yangming. Therefore, moving stomach Qi with Ban xia helps unblock the Chong and Ren.
MLT: One of the strongest antitussives; stops post-nasal drip and excessive saliva.
• Avoid the form prepared with Ming fan (Alum) since it may have a cumulative toxic effect.
PFGC: Ban xia can open up coagulations; can revive accidental death victims when the powder is blown up the nose.
Ban Xia Tang can resolve insomnia by restoring proper communication between the body's Yin and Yang aspects.
Ban xia can be considered to open the orifices.
Ban xia contains the storing and descending momentum of autumn metal: can pull things down, can calm the Chong Mai
Ban xia can relieve paralysis caused by wind-cold-damp.
• Alum-processing destroys its pungency and can induce nausea rather than treating it.
• It is best to buy unprocessed Ban xia, soak it in hot water for 10 days changing the water daily, then cut it into halves, put it in fresh cold water, bring it to a boil, remove it from heat, let it cool, and then dry it.
CHA: (Karen S. Vaughan) While our materia medicas list about 10 functions of Ban xia, only about two of them apply to any given preparation. Fa ban xia, for instance (usual preparation) rectifies spleen deficiency, harmonizes the stomach, and deals with insubstantial phlegm leading to vertigo, insomnia or delirious speech. Jiang ban xia is needed to deal with nausea, vomiting, rebellious Qi and coughs due to colds with phlegm. Qing ban xia is necessary for coughs with damp, phlegmy Bi syndrome, especially with nodulations or long-standing conditions without nodulations. Zhu li ban xia is used for serious mental disturbances such as schizophrenia.
Hsu: Strong antiemetic - decreases excitation of the vomiting center in the brain. Ban xia also has an emetic component which is destroyed by heating it. Furthermore, this toxic compound is quite insoluble in water.
• Sedative.
• Slightly decreases pressure inside the eye.
Heiner Fruehauf and Chip Chace: Articles by Zhang Xi-chun indicate that Ban xia has a slippery nature that helps supplement both the spleen and kidney. By removing phlegm-damp, it helps restore the normal spleen qi, and by disinhibiting dampness, helps supplement the kidney. Zhang Xi-chun says that when the pungent nature of ban xia is used to counteract phlegm or damp, the normal moistening actions of spleen and kidney are benefitted. "Just as Cheng Wuyi has put it: "˜Pinellia is pungent and dispersing; it moves water and thus moistens kidney dryness. In other words, if dryness counteracts dampness, water becomes uninhibited, and if pungent flavors transform fluids, the dryness becomes moist.' He also says that it is used for vacuity constipation in the elderly, therefore, it is a mistake to say that it is excessively drying." [from Z'ev Rosenberg]
DY: Fortifies the spleen; disperses food accumulation.
• With Chen pi for mutual reinforcement, to fortify the spleen, rectify the Qi, dry dampness, transform phlegm, and stop vomiting. For such indications as:
- 1. Cough due to an accumulation of phlegm-dampness. (Use lime-processed Ban xia.)
- 2. Chest oppression, nausea, and vomiting due to stomach disharmony and phlegm-damp stagnation. (Use ginger-processed Ban xia and stir-fried Chen pi.)
- Both herbs are traditionally cured to reduce secondary effects and reinforce their therapeutic actions. The longer they are kept, the more effective they become.
• With Huang lian to harmonize upbearing and downbearing, Yin and Yang, to clear heat, dry dampness, transform phlegm, and stop vomiting. For indications such as nausea, vomiting, chest and epigastric fullness and distention, thick, yellow phlegm, yellow, slimy tongue fur, and a wiry, slippery pulse due to damp-heat, turbid phlegm, and/or mixed cold and heat causing stomach disharmony. Huang Lian Tang is typically used. For these indications, ginger-processed Ban xia and ginger mix-fried Huang lian should be used.
• With Huang qin to harmonize and re-establish the interaction between Yin and Yang, to effectively clear heat, drain fire, harmonize the stomach, stop vomiting, and scatter nodulation. For such indications as:
- 1. Vomiting and nausea due to a Shaoyang pattern. (Xiao Chai Hu Tang) Use ginger-processed Ban xia. When Ban xia is removed from Xiao Chai Hu Tang, the alternating fever and chills disappear, but the pain and distention of the chest and lateral costal regions persist.
- 2. Phlegm-heat. (Qing Qi Hua Tan Wan) Use lime-processed Ban xia and win mix-fried Huang qin.
- 3. Lack of appetite, nausea, vomiting, and distention and sensation of fullness in the stomach, diaphragm, and chest caused by a pattern of mixed cold and heat. (Ban Xia Xie Xin Tang) Use ginger-processed Ban xia and bran stir-fried, ginger mix-fried or stir-fried-until-scorched Huang qin.
• With Sheng jiang to transform phlegm, downbear counterflow, harmonize the stomach, and stop vomiting. For such indications as:
- 1. Nausea, vomiting with not thirst and slimy tongue fur due to phlegm-dampness stagnating in the middle burner. (Xiao Ban Xia Tang) Ginger-processed Ban xia should be used.
- 2. Enduring cough with white, watery, and profuse phlegm. Use lime-processed Ban xia.
• With Shu mi (Millet) to transform phlegm, harmonize the stomach, and quiet the spirit. For such indications as insomnia with heart palpitations, nausea, and cough with thin phlegm due to phlegm-dampness accumulation in the middle burner causing stomach disharmony. Ban xia and Shu mi are probably the best combination to treat insomnia due to stomach disharmony, i.e. stagnant food preventing the defensive Qi from entering the interior.
• With Zhu ru for mutual reinforcement, to effectively dry dampness, clear heat, transform phlegm, harmonize the stomach, and stop vomiting. For such indications as:
- 1. Hiccup, nausea, and vomiting due to counterflow of stomach Qi. (Use ginger-processed Ban xia and ginger mix-fried Zhu ru.)
- 2. Vertigo, agitation, and insomnia due to phlegm turbidity. (Use lime-processed Ban xia and ginger-processed Zhu ru.)
- 3. Nausea and vomiting during pregnancy due to disharmony of the stomach, phlegm-heat, or heat in the stomach. In cases of stomach disharmony, add Zi su geng and Sha ren. In cases of stomach cold, add Sheng jiang and Sha ren. In cases of phlegm-heat, add Pi pa ye. In cases of stomach heat, add Bai mao gen and Pi pa ye.
Ban xia is incompatible with mutton, sheep blood, and maltose.
4.5-12g
Jie Geng
Platycodon root
Balloon Flower




































Gan Jie Geng
Adenophora tracheloides

bitter acrid
neutral
Lu Disperses Lung Qi; eliminates phlegm; drains pus; benefits the throat; guides herbs upward.

• Cough with copious sputum or less, difficult-to-expectorate sputum, chest congestion, hoarse voice, sore throat. Combined appropriately, it can be used for both wind-cold and wind-heat coughs.
• Sore throat, loss of voice - especially when due to external heat, but also when due to other factors, such as phlegm-heat or Yin deficiency heat.
• Lung abscess or throat abscess: cough with a mixture of pus, blood, and yellowish, foul sputum.
• This is the premier herb for dispersing stagnant Lung Qi.
Hsu: Expectorant - promotes saliva and bronchial secretions; antitussive; antifungal; tranquilizer; analgesic; antipyretic; anti-inflammatory; vasodilator; hypotensive.
DY: Guides other herbs to the Lungs, chest, and the Lung channel. Jie geng can raise herbs which otherwise have a tropism for the lower burner towards the middle or upper burner. Loosens the diaphragm. Mainly upbears but also downbears.
• Can be used to treat the upper body (Lungs - the superior origin of fluids) for certain lower body problems (oliguria, dysuria, anuria).
• With Gan cao to clear heat, transform phlegm, disinhibit the throat and stop pain, evacuate pus, and resolve toxins.
- 1. Pulmonary abscess with cough, expectoration of profuse, purulent phlegm, and chest oppression and pain due to heat stasis in the chest. (Jie Geng Tang)
- 2. Pain, redness, and swelling of the throat due to heat (deficient or excess, external or internal).
- 3. Loss of voice and/or hoarse or husky voice.
- For indications 2 and 3, the combination can be reinforced by adding He zi, as in He Zi Tang. For these indications, in cases of Lung dryness, honey mix-fried Jie geng should be used.
• With Xing ren to effectively regulate the Lungs' function of dispersing and descending, to transform and disperse phlegm, stop cough, and calm asthma. For such indications as cough and/or asthma with chest oppression, profuse phlegm, sore throat, and aphonia due to an attack of external wind (wind-cold or wind-heat) that disturbs the diffusion and downbearing function of the Lungs.
- Both herbs have the function of dispersing and descending the Lung Qi, however, Jie geng mainly disperses while Xing ren mainly descends. Both herbs transform and disperse phlegm, however, Xing ren mainly transforms while Jie geng mainly disperses (promotes expectoration of) phlegm.
• With Zhi ke to effectively regulate upbearing and downbearing, regulate the upper and middle burners, diffuse the Lung Qi, and loosen the chest and diaphragm. For indications such as:
- 1. Chest and diaphragm oppression or distention or chest Bi due to accumulation of phlegm and Qi stagnation. (Jie Geng Zhi Ke Tang)
- 2. Epigastric distention, stomach rumbling, and difficult defecation due to disturbance of ascending and descending. Note: Zhi ke and Jie geng do not moisten the intestines, do not soften the stools, and do not precipitate the bowels. However, Zhi ke moves and descends the Qi in the large intestine in order to improve evacuation of the stools, while Jie geng disperses and descends Lung Qi. When the Lung Qi correctly descends, the large intestine Qi does the same. Therefore, although Zhi ke and Jie geng do not have a direct action on peristalsis, they can treat constipation due to Lung-large intestine Qi stagnation. Hence, this pair may be used to advantageously reinforce any formula that specifically treats constipation.
Jie geng is incompatible with pork, seaweed, and Chinese cabbage.
3-9g

Gan Jie Geng: Adenophora tracheloides - "Sweet" Jie geng
• Cold.
• Moistens the Lungs; clears heat; relieves fire toxicity.
• See its relative, Nan sha shen.
• When Jie geng is specified, Platycodon - Ku jie geng ("bitter" Jie geng) is implied. It is much more commonly used than Adenophora.
Xuan Fu Hua
Inula flower
Elecampane

"Revolved, Upturned Flower"





























(Western) Elecampane root







bitter
acrid
salty
slightly warm
Lu Sp St
LI
Lv
Descends the Qi of the Lungs and stomach, stops vomiting and burping; resolves phlegm and harmful fluids; promotes blood circulation, frees the connecting vessels; free the liver Qi and subdues the liver.

• Vomiting or burping, especially when due to spleen damp, spleen/stomach deficiency cold, or stomach phlegm.
• Lung phlegm accumulation: cough with copious sputum, wheezing.
• Retention of harmful fluid in the Lungs: distention in the chest and diaphragm.
• Qi and blood stagnation: distending pain in the costal or hypochondriac area.
• Liver Qi stagnation or liver invading the middle Jiao.
• Anti-emetic, anti-nauseant. Good for nausea after chemotherapy.
• Honey fry the herb for patients with Lung deficiency to ameliorate its warmth and prevent it from harming the Qi or Yin.
• Liu: this is the only flower in the Chinese pharmacopeia which does not disperse (it descends).
MLT: The root and flower are similar, but the root is probably more Qi tonic than the flower.
• Contains quercetin and isoquercetin - both useful for upper respiratory allergies.
DY: Usually flowers have an upbearing, floating nature. However, Xuan fu hua, on the contrary, downbears the Qi and disinhibits urination.
• The flower (Xuan fu hua) and stem (Xuan fu geng) of this plant have similar actions. However, Xuan fu geng is superior for downbearing the Qi and disinhibiting urination, while Xuan fu hua is superior for dispersing phlegm, downbearing the Qi, and calming asthma.
• With Dan nan xing to clear heat, transform phlegm, stop cough, calm asthma, extinguish wind, and wash away phlegm in the channels and network vessels. For indications such as:
- 1. Cough, asthma, and chest oppression due to phlegm-damp obstruction, phlegm-heat, or stubborn phlegm in the Lungs.
- 2. Numbness in the limbs due to (wind) phlegm in the channels and network vessels.
- In the absence of heat, and in the presence of cold or damp patterns, processed Tian nan xing may be favorably prescribed instead of Dan nan xing.
Yoga: Pushkaramula: (root and flower) K, V-; P+
• Expectorant, antispasmodic, carminative, analgesic, rejuvenative.
• For colds, asthma, cardiac asthma, pleurisy, dyspepsia, cough, nervous debility
• A rejuvenative tonic to the lungs. Promotes longevity of lung tissue, helps absorb water from the lungs, reduces swelling.
• Calms the mind, the digestive system, and the female reproductive system.
• Topical: apply as a paste for muscular pain.
MW: The plant told him, in a dream, that its flowers could be used for grief.
• It is said that where Helen of Troy's tears fell, this plant grew.
3-12g (flower)


K&R: (Elecampane root): Expectorant, alterative, choleretic, diuretic, pituitary stimulant, sympathomimetic, vagolytic.
• Water, wood, fire, earth, metal yin.
• Strengthens and cleanses the mucosa of the gastrointestinal and respiratory tracts.
• Good for glandular insufficiency, immune deficiency, renal insufficiency.
Metal: bronchorrhea, pertussis, copious expectoration, asthma, emphysema, tuberculosis, immunoallergic pneumopathies, sarcoidoses, anemia, leukorrhea, insufficient menses, amenorrhea, dermatoses, chronic diarrhea.
Water: oliguria, edema, glomerulonephritis, acute and chronic arterial hypertension.
Wood: choleretic, immune stimulant, hepatomegaly, herpes, insufficient bile secretion.
Fire: hypotension, lipothymia, syncope from vagotonia, stimulates pituitary and testicular activity, FSH and LH-like activity.
Earth: splenomegaly, gastroptosis, gastric atony, chronic diarrhea, hypothyroidism, insufficient hypophysial function, amenorrhea, impotence, frigidity.
Zao Jiao
Gleditsia fruit
Chinese Honeylocust

"Soap Thorn"






Zao Jiao Ci
Gleditsia spine/thorn
acrid
warm
slightly
toxic
LI Lu Powerfully dispels phlegm; opens the orifices, promotes resuscitation; dissipates clumps, reduces swellings; suppository: unblocks the bowels and expels roundworms

• Phlegm: obstruction, phlegm nodules, coughing or wheezing with copious, difficult-to-expectorate sputum.
• Excessive phlegm: sudden unconsciousness with facial paralysis or seizures.
• Initial stage of abscesses and boils, or abscesses with pus that is difficult to discharge.
• Suppository: for constipation and intestinal obstruction due to roundworms.
• Increases secretions in the stomach and respiratory tract. Significant expectorant effect, though not as strong as that of Jie geng.
Hsu: Strong hemolytic actions; antibacterial; antifungal; expectorant.
0.6-1.5g in pill and powder form only

Zao Jiao Ci: the spine of the plant
• Acrid, warm; enters liver, stomach.
• Reduces swellings; discharges pus; promotes blood circulation; reduces abscesses; expels wind; kills parasites.
• Used during early stages of swollen sores to encourage suppuration or to induce those that have already closed to burst. Not for use with ulcers that have already burst.
• Leprosy.
• Ringworm.
3-9g



Herbs That Resolve Phlegm-Heat

Several herbs in this category can be used for either hot or cold patterns when combined appropriately. Even when there is phlegm-heat, the warm and neutral herbs in the previous category (Herbs that Resolve Phlegm-Cold) are often used in combination with heat-clearing herbs. Also consider, as appropriate: herbs that promote Qi and/or blood circulation, herbs that drain dampness, herbs that clear heat (including damp-heat and heat-toxins), herbs that release the exterior, herbs that stop coughing and wheezing, etc. 
Bei Mu:

Chuan Bei Mu
Tendrilled Fritillaria bulb
"Shell Mother from Sichuan"

Zhe Bei Mu
Non-tendrilled Fritillaria bulb
"Shell Mother from Zhejiang"































Chuan:
bitter
sweet
slightly
cold

Zhe:
bitter
cold



















Lu
Ht
Both forms: clear heat; resolve phlegm; stop coughing; resolve masses and lumps.

• Phelgm-fire nodules, sores, swellings, scrofula, Lung or breast abscess.
• These herbs are always used in their processed form, since they are toxic in their raw state.
• Not to be used with Aconite products.
• Both forms can be very useful in the treatment of heartburn and GERD.
Hsu: Antitussive, expectorant.
• Alkaloids have atropine-like action - decrease secretions, stop contraction of bronchial smooth muscle, dilate pupils.
• Inhibits the CNS, stimulates heart muscle.

Chuan Bei Mu:
• Moistens the Lungs.
• Possibly the most effective herb for cough in the Chinese pharmacopeia. Useful for many types of cough, mainly chronic cough with Yin deficiency fire, cough with slight sputum that is difficult to expectorate, or cough with blood-streaked sputum.
• Lung yin deficiency: prolonged cough with little sputum and dry throat.
• Milder than Zhe bei mu and therefore more appropriate for children.
• More effective than Zhe bei mu at transforming phlegm and moistening the Lungs.
• Most effective in treating cough accompanied by constrained Qi, manifesting in a reduced appetite and a stifling sensation in the chest and upper abdomen.
• Quite expensive: therefore, it is generally powdered and taken uncooked along with a decoction.
• For dry Lungs: core an Asian pear and fill the center with powdered Chuan bei mu. Replace the top of the plug of pear flesh so the pear is sealed, steam lightly, then eat the whole thing.
DY: Moistens, treats enduring, chronic coughs - such as due to Yin deficiency or dry heat.
• With Zhi mu to clear and moisten the Lungs, enrich Yin, drain fire, transform phlegm, and stop cough. For such indications as:
- 1. Enduring dry cough with little phlegm and difficult expectoration, sometimes fever, dry mouth, and a dry, red tongue due to water deficiency causing rising fire or due to Lung Yin deficiency. (Use stir-fried Zhi mu)
- 2. Cough due to Lung heat which causes Lung dryness.
• With Xing ren to moisten while transforming phlegm, downbear the Qi, and stop cough. For indications such as:
- 1. Chronic cough and/or dry cough with little or no phlegm, difficultly expectorating, and dry throat due to Lung vacuity.
- 2. Relentless cough with expectoration of yellow phlegm due to external evils or an accumulation of phlegm-heat in the Lungs.
3-12g or 1-3g directly as powder

Zhe Bei Mu:
• Dispels stagnant heat and phlegm.
• Used more for acute Lung wind-heat/phlegm-heat: cough with yellow, sticky sputum.
• Stronger than Chuan bei mu at clearing heat and dissipating nodules, swellings, and difficult-to-expectorate phlegm.
• Clears hot phlegm from the ear, as in pediatric otitis media.
DY: More often used for acute, full, or external type coughs.
3-9g
Dan Nan Xing
Prepared Arisaema rhizome
Jack-in-the-Pulpit

(Dan Nan Xing is usually listed as subordinate to Tian Nan Xing, but it is  more commonly used)















Tian Nan Xing
raw Arisaema

"Star of the Southern Heavens"
Dan: bitter cold




















Tian: bitter acrid warm
toxic


Lu
Lv
Sp
Strongly resolves phlegm and dries dampness; disperses swelling, relieves pain; disperses wind-phlegm in the channels; eliminates both internal and external wind, relieves convulsions.

• Wind-phlegm obstructing channels: numbness, paralysis, convulsions, tremors, seizures, stroke, opisthotonos, lockjaw.
• Stubborn phlegm: cough, distended sensation in the chest.
• Good for stubborn phlegm. Treats phlegm over the whole body.
• Topical: for swelling and pain, deep-rooted sores, injuries, ulcers, carbuncles.
• Often used in pediatrics.
• Extremely drying in nature.
Dan nan xing is prepared by soaking Tian nan xing in Ming fan (alum), Sheng jiang (ginger), and ox/pig bile.
Li: Dan nan xing is one of the best herbs for phlegm-heat throughout the whole body.
MLT: Stimulant, expectorant, diaphoretic, irritant (Tian/raw).
Hsu: Sedative, antispasmodic, expectorant, antitumor activity (inhibits growth).
DY: With Xuan fu hua to clear heat, transform phlegm, stop cough, calm asthma, extinguish wind, and wash away phlegm in the channels and network vessels. For indications such as:
- 1. Cough, asthma, and chest oppression due to phlegm-damp obstruction, phlegm-heat, or stubborn phlegm in the Lungs.
- 2. Numbness in the limbs due to (wind) phlegm in the channels and network vessels.
- In the absence of heat, and in the presence of cold or damp patterns, processed Tian nan xing may be favorably prescribed instead of Dan nan xing.
3-9g

Tian Nan Xing:
• In its raw, unprepared form, is very toxic and is mainly used as a topical application for yin-type abscesses, trauma-induced swelling and pain, and swelling of the joints. When used internally, it is always treated (usually with fresh ginger) which greatly reduces its toxicity. If numbness of the tongue is experienced after ingestion, granulated sugar can be taken as an antidote.
Zhi nan xing, the treated form (not Dan nan xing), is somewhat less toxic than raw. It is used mainly for wind-stroke. If one simply asks for Tian nan xing, Zhi nan xing is the form that will be given at a pharmacy. It is not to be used internally if it still has its outer skin.
4.5-9g (treated); 0.3-1g (untreated, in pills and powders only)
Fu Hai Shi
(Fu Shi, Hai Fu Shi)
Pumice
or
Costazia skeleton
(an aquatic invertebrate similar to coral)

"Float on the Sea Stone"
salty
cold
Lu Softens and resolves hardness and masses; promotes urination; clears Lung heat; resolves phlegm.

• Lung heat: cough with thick, sticky sputum or coughing up blood.
• Phlegm: masses, nodules, scrofula.
• Hot or stony painful urinary dysfunction - urinary tract infection, kidney or bladder stones.
• Pumice is very light - some say it can slightly disperse Lung Qi.
• To promote urination, grind into a powder and take directly.
• When decocting, place it in a tea bag.
• History of use as an abrasive for softening skin, and more recently in spas as a powder as an exfolliant.
6-15g
Gua Lou Pi
Trichosanthes peel
sweet
cold
Lu
St
LI
Promotes Qi circulation in the chest; clears Lung heat; eliminates phlegm, moistens.

• Lung heat: cough with thick and sticky sputum, including dry coughs with difficult-to-expectorate sputum.
• Lung phlegm-heat: distention or pain in the chest.
• Qi accumulation in the chest: stifling or distended sensation, constriction, pain, diaphragmatic pressure.
• Painful obstruction of the chest, Lung abscess, breast abscess.
• May help break down granulomas.
Gua lou pi is less moistening than Gua lou ren.
• Not to be used with Aconite products.
Li: Stronger than Gua lou ren to open the chest.
MLT: Same energetics as the whole fruit (Gua lou), but better for dry throat, cough, and wind-heat-phlegm that is difficult to expectorate.
9-30g
Gua Lou Ren
Trichosanthes seed













Gua Lou
Whole Trichosanthes fruit
sweet
cold
Lu
St
LI
Moistens the Lungs and large intestine; promotes bowel movement; promotes healing of sores; clears phlegm-heat; expands the chest.

• Large intestine dryness: constipation - especially when accompanied by Lung heat with dry mouth, thirst, and irritability.
• Lung heat/phlegm-heat: cough with thick, sticky, difficult-to-expectorate sputum, chest pain.
• Accumulation of phlegm in the chest: stifling sensation, pain, diaphragmatic pressure.
• Adjunct herb for breast abscesses, swellings, and for sores that have not yet suppurated.
Gua lou - the whole fruit - is similar in effect to the seed, but is less effective at lubricating the intestines, transforming phlegm, and dissipating nodules.
• Not to be used with Aconite products.
MLT: Dry constipation associated with thirst.
Hsu: Antibacterial, anti-cancerous - mild inhibitory action on tumors.
10-15g


DY: Gua lou (Whole fruit):
• Sweet, cold, moistening, clearing, downbearing; clears the Lungs; transforms phlegm; loosens the chest, scatters nodulations; moistens dryness, moistens the intestines; promotes Qi circulation; loosens the chest and diaphragm and frees the flow of impediment.
• Though Gua lou is sweet and cold, it is used for chest Bi due to Qi stagnation and blood stasis and/or chest Yang deficiency. Though Gua lou is sweet, it does not supplement, nor produce Qi stagnation. Though it is cold, it does not cause obstruction. In cases of chest Yang deficiency or stagnation, Gua lou is combined with herbs that balance its cold nature, such as Xie bai, Bai jiu, Gui zhi, and Tan xiang.
• With Xie bai to effectively free the flow of Yang and move the Qi, loosen the chest and clear the Lungs, transform phlegm and scatter nodulation, stop pain, moisten the intestines, and free the flow of the stools. For indications such as:
- 1. Constipation due to fluid dryness of the large intestine and/or Qi stagnation.
- 2. Yin binding constipation. (Constipation due to spleen-kidney Yang deficiency or sometimes due to dryness in the large intestine caused by an essence-blood deficiency with pale lips, white tongue fur, and clear, copious urination.)
- 3. Chest Bi with oppression of the chest and epigastrium, cough, profuse phlegm, piercing pain in the chest radiating toward the back, and shortness of breath due to accumulation of turbid phlegm blocking the Qi and Yang of the chest. (Gua Lou Xie Bai Ban Xia Tang - which can be favorably combined with Er Chen Tang) Use Gua lou which has been stir-fried until scorched.
- 4. Chest Bi and cardiac disease with intense heart pain due to heart Qi and blood stasis and deficiency of heart Yang. (Gua Lou Xie Bai Bai Jiu Tang) For these indications, the combination can be favorably reinforced by adding Dan shen, San qi, Tan xiang, and Gui zhi. The Gua lou should be stir-fried until scorched.
10-20g
Hai Zao
Sargassum
Seaweed












salty
cold
Lv
St
K
Lu
Softens masses; resolves phlegm; promotes urination, reduces edema.

• Phlegm accumulation: masses, lumps, neck nodules - goiter, scrofula.
• Adjunct herb for edema due to leg qi or floating edema.
• Pain associated with hernial disorder.
• Stronger than Kun bu to promote urination.
• May soften atherosclerosis.
• Contains iodine - caution with hyperthyroidism (when due to iodine excess).
• May lower cholesterol.
Li: With Kun bu, also with Gui ban: for polycystic kidneys, all cysts and swellings, inner ear phlegm. Also for some thyroid problems.
MLT: Often used with Kun bu for swollen glands (especially the thyroid) and tumors.
SD: Heavy metal poisoning: has been shown to bind heavy metals.
Hsu: Anticoagulant [when decocted] (this component possesses same action as heparin [about half the strength]), antifungal, hypotensive, lowers serum cholesterol.
4.5-15g
Huang Yao Zi
Dioscorea bulbifera tuber


"Yellow Medicine"
bitter
neutral
toxic
Ht
Lv
Lu
Dissipates nodules, reduces masses; cools the blood, stops bleeding; reduces toxicity of toxic swellings.

• Masses: many kinds of cancer, especially those involving the esophagus, stomach, uterus, and colon; also for goiter.
• Bleeding: hematemesis, hemoptysis, uterine bleeding.
• Topical: sores, snake bite, dog bite.
• Thyroid tumors: tinctures and decoctions have been used in many clinical series for thyroid tumors, including endemic goiter and thyroid cancer. It has been most effective in treating nonmalignant tumors of short duration in relatively young patients. Side effects included nausea and vomiting that required cessation of treatment. There are also recorded cases in which tinctures led to significant liver dysfunction and jaundice.
• Esophageal and gastric tumors: in one series of 28 cases, tinctures of Huang yao zi improved symptoms in 18 cases. In a few cases there were adverse effects on the liver.
• Often taken in wine, or directly in pill or powder form.
• To avoid hepatotoxicity, the herb is given only for a few weeks at a time (while monitoring liver function). It may be resumed after a break.
6-15g
Kun Bu
Kelp thallus
Ecklonia
Kombu
or
Laminaria
(Hai Dai, which possesses nearly the same properties)













  
salty
cold
Lv
St
K
Softens masses and nodules; resolves phlegm; promotes urination, reduces swelling.

• Phlegm: swellings, masses, nodules in the neck, sensation of fullness and obstruction in the chest.
• Adjunct herb for edema and leg qi.
• Stronger than Hai zao at resolving phlegm and soften masses.
• Shown to have an anti-asthmatic and antitussive effect in many animals.
• Contains iodine - caution with hyperthyroidism (when due to iodine excess).
• Useful in treating both hyperthyroidism (temporarily improves the symptoms) and hypothyroidism (due to a lack of iodine).
• Extracts of this herb and Undaria have been used for their fucoxanthin content as a non-stimulating thermogenic supplement for weight loss.
SD: Heavy metal poisoning: has been shown to bind heavy metals.
K&R: Earth, metal, and water yin.
• Glandular stimulant, remineralizer.
• Treats obesity and cellulite by nourishing thyroid function.
• Rich in minerals and nutrients for various deficiencies.
• Retarded development, anorexia, emaciation, asthenia, anemia, frigidity, impotence.
• Strengthens a weak constitution for chronic problems like asthma, emphysema, sinusitis, arthritis, collagenoses, chronic dermatoses, amenorrhea, oligomenorrhea, hypothryroidism, polyneuritis, paralysis.
• Adjunct herb for autoimmune disorders, degenerative disease, cancer.
MLT: Long Western tradition for regulation of the thyroid and for weight reduction (due in part to high iodine).
• Binds toxins to help their excretion.
Hsu: Antitussive, expectorant, hypotensive (slight, temporary).
4.5-15g
Meng Shi
Mica or
Lapis
Chlorite-Schist
sweet salty
neutral
Lu
Lv
Calms the liver, relieves convulsions and palpitations; descends the Lung Qi; resolves phlegm.

• Stubborn phlegm: cough and difficulty breathing with old, viscous, clumped phlegm.
• Liver wind stirring, phlegm-heat: convulsions, palpitations, seizures, mania-withdrawal.
• Severe food stagnation.
• Bensky/Gamble classifies as an herb to stop cough and wheezing.
Duan meng shi, the calcined form, is more easily absorbed then the raw form.
9-15g
Pang Da Hai
Boat Sterculia seed

"Fat Big Sea"
sweet
cold
Lu
LI
Clears heat and disperses Lung Qi; clears large intestine heat; promotes bowel movement; encourages the expression of rashes (topical use).

• Lung heat: hoarse voice, sore throat, tonsilitis.
• Lung phlegm-heat: cough.
• Heat and dry feces in the colon: constipation with concurrent headache, red eyes, and feverish body.
• Good for the combination of hoarse voice with constipation.
• Use alone in hot water for hoarseness/sore throat and watch its metamorphosis.
• Topical: as an external wash for incomplete expression of rashes.
Hsu: Strongly inhibits influenza viruses; laxative (when eaten) by absorption of a large amount of water into colon; hypotensive; diuretic; analgesic.
4.5-9g
Qian Hu
Peucedanum root
Hogfennel

"Before Barbarians"

bitter
acrid
slightly cold
Lu Descends Lung Qi; eliminates phlegm; mildly disperses wind-heat.

• Lung heat or Lung Qi stagnation with failure of the Lung Qi to descend: cough with thick and sticky sputum, wheezing.
• Wind-heat or wind-cold: cough, copious sputum. Most often for wind-heat.
• Can be used with Chai hu for externally-contracted diseases presenting with cough, rebellious Qi, thick sputum, and/or malarial disorders.
DY: With Bai Qian, for mutual reinforcement in dispersion of phlegm. The two herbs complement each other to downbear (mainly via Bai qian) and diffuse (mainly via Qian hu) the Lung Qi in order to effectively treat cough. For such indications as: cough with abundant phlegm or phlegm which is difficult to expectorate, itchy throat, chest oppression due to blockage of the Lung Qi and Lung Qi counterflow. The combination can be used in the treatment of numerous respiratory diseases: chronic bronchitis, dyspnea, asthma, whopping cough, cough associated with a cold, etc.
• In case of cough due to wind-cold or wind-heat, the uncooked form of the herb should be prescribed.
• In case of cough caused by an accumulation of phlegm in the Lungs, the herb should be stir-fried until scorched.
• In case of chronic cough, dryness in the Lungs, or if the patient is old, use the honey mix-fried form of the herb.
Hsu: Dilates coronary artery; expectorant - stimulates secretions of the respiratory tract (effect similar to Jie geng, but weaker antitussive action); antihistamine action.
4.5-9g
Tian Zhu Huang
Siliceous Secretions of Bamboo
Tabasheer

"Heavenly Bamboo Yellow"
sweet
cold
Ht
Lv
GB
Clears heat and resolves phlegm to calm the Shen and ease convulsions; stabilizes fright.

• Lung phlegm-heat: difficult-to-expectorate sputum.
• Phlegm-heat: convulsions, spasms. Especially useful for childhood convulsions.
• Wind-stroke due to phlegm accumulation: gurgling sound in the throat.
• Mental disturbances due to fright.
• Compared to Zhu li, Tian zhu huang is gentler and less cold, and is therefore more appropriate for children.
• The fully natural product is rare. Heat is usually applied to the bamboo, the secretions are collected from a node and then crystallized.
Yoga: Vamsha-rochana (includes Zhu ru): P, V-; K+
• Demulcent, expectorant, tonic, rejuvenative, antispasmodic, hemostatic; nurtures the heart, soothes the nervous system.
• For colds, cough, fever, asthma, bleeding disorders, emaciation, debility, dehydration, palpitations, vomiting, consumption.
• Helps Lung weakness, helps recovery from chronic disease.
• Strong anti-Pitta herb.
3-9g (0.6-1.2g taken directly)
Ze Qi
Euphorbia helioscopia

"Marsh Lacquer"
acrid
bitter
cool
slightly
toxic
SI
LI
Lu
Transforms phlegm; stops cough, arrests wheezing; dissipates nodules; promotes urination, strongly reduces edema.

• Lung heat with phlegm and congested fluids: coughing, wheezing.
• Scrofula: used both internally and topically (as a wash, paste, or powder).
• Edema in the upper abdomen, face and eyes, and extremities.
• Bacillary dysentery: In one study of 79 cases, oral preparations markedly improved 44 cases and improved 13.
• Esophageal cancer: In one study of 64 cases (using IM injection of a 20% solution of neutral saponins), in terms of their ability to swallow, 10 cases were cured, 18 were markedly improved, 30 were improved. Results were generally noted within five days. The herb had no effect if the patient had previously undergone radiation therapy.
3-15g
Zhu Li
Dried Bamboo Sap





sweet
very cold
Ht
Lu
St
Clears heat, transforms phlegm, penetrates to and unblocks the channels; transforms phlegm-heat, stops coughing.

• Phlegm obstructing sensory (heart) orifices: fainting, paralysis of the hands or feet, hemiplegia, coma.
• Phlegm-heat: Cough. Used in small doses as powerful adjunct herb.
• Channel obstruction: spasms of the extremities.
• Take directly. May be mixed with ginger juice to offset its cold nature (as when used in a large dose for coma).
• Compared to Tian zhu huang, Zhu li is extremely cold and slippery in nature, and therefore is very effective in clearing heat and moistening excessive dryness. 
30-90g (9-15g for cough)

MLT: Important in the preparation of Sito Paladi Churna (Ayurvedic cold/cough remedy):
• Take 8 parts Zhu li, 16 parts raw brown sugar, 1 part cinnamon (Rou gui), 4 parts black pepper (Hu jiao), 2 parts cardamom (Sha ren).
• Grind into a powder.
• Take 1 teaspoon at a time with warm water or milk.
• Strongly warming, clears mucus, helps digestion.
Zhu Ru
Bamboo Shavings
sweet
sl. cold
Lu
St
GB
Descends gallbladder and stomach Qi and fire; clears heat; resolves phlegm; stops vomiting; cools the blood, stops bleeding; eases restlessness.

• Vomiting: especially due to stomach heat and rebellious stomach Qi; also for other patterns (including morning sickness), when appropriately combined.
• Lung phlegm-heat: cough with thick and yellowish sputum, stifling sensation in the chest, hemoptysis.
• Shen disturbance due to gallbladder and/or stomach heat: restlessness, insomnia.
• Stomach heat: bad breath, aversion to heat, yellow, greasy tongue coat.
• Epistaxis, hematemesis.
• Often fried in ginger juice to mitigate its slightly cold nature.
• Compared to Ban xia, Zhu ru has similar effects and the two are often used together, though Zhu ru is cooling and is better for calming the Shen and alleviating irritability.
Hsu: Strongly antibacterial.
DY: With Ban xia for mutual reinforcement, to effectively dry dampness, clear heat, transform phlegm, harmonize the stomach, and stop vomiting. For such indications as:
- 1. Hiccup, nausea, and vomiting due to counterflow of stomach Qi. (Use ginger-processed Ban xia and ginger mix-fried Zhu ru.)
- 2. Vertigo, agitation, and insomnia due to phlegm turbidity. (Use lime-processed Ban xia and ginger-processed Zhu ru.)
- 3. Nausea and vomiting during pregnancy due to disharmony of the stomach, phlegm-heat, or heat in the stomach. In cases of stomach disharmony, add Zi su geng and Sha ren. In cases of stomach cold, add Sheng jiang and Sha ren. In cases of phlegm-heat, add Pi pa ye. In cases of stomach heat, add Bai mao gen and Pi pa ye.
4.5-10g



Herbs That Stop Coughing And Relieve Wheezing

These herbs work predominantly by any of four major actions:
1. Descending Lung Qi. 2. Astringing Lung Qi. 3. Dispersing Lung Qi. 4. Moistening the Lungs.
As appropriate, consider combining with: herbs that resolve phlegm, astringents, herbs that warm the interior, yin tonics, Qi tonics, yang tonics, surface releasing herbs, herbs that clear heat, herbs that eliminate food retention, etc.
In my own practice, I have encountered some stubborn cases of cough that didn't respond satisfactorily to any/all the herbs in this category (administered, of course, in an appropriate formula based on the zangfu pattern). Perhaps my formulas were flawed. However, over the years I have grown to trust three herbs more than any others for difficult coughs: Chuan bei mu, the Western herb Mullein (leaf and fower), and the needles of evergreens (Pine, Spruce, and Fir). The Western herb Lobelia (inflata sp.) is also a powerful, if also enigmatic, herb in the treatment of respiratory complaints. While it is an emetic in moderate doses, small doses can be used as an "activator" of the respiratory tract in combination with an appropriate formula.
Bai Bu
Stemona root

"Hundred Parts"
sweet
bitter
neutral
Lu Moistens the Lungs, stops coughing; kills parasites.

• Acute or chronic cough: Especially useful for deficiency cough, including Yin deficiency. A key herb for tuberculosis. Pertussis: over 85% effectiveness rate in one clinical series of over 100 patients. In other studies a preventative function was also noted.
• Topical: as a tincture or decoction for lice, pinworms, fleas, bedbugs.
• For pinworms, Bai bu can also be used as an enema, 30-60g per day for 3 days.
MLT: For lice, apply a 20% alcoholic solution or strong decoction. Also can be used as a flea wash for animals.
Hsu: Pesticide, antitussive, antitubercular, antibacterial, antifungal, antiviral.
3-9g
Bai Guo
Ginkgo nut

"Silver Almond"
sweet bitter
astringnt
neutral
sl. toxic
Lu
K
Astringes the Lungs to relieve wheezing; expels phlegm, softens stubborn phlegm; eliminates dampness; stops discharge; stabilizes the lower Jiao.

• Difficult breathing, wheezing, coughing, with copious sputum.
• Kidney or spleen Qi deficiency or damp-heat: vaginal discharge, turbid urine.
• Lower Jiao instability: frequent urination, incontinence, spermatorrhea.
• Use raw for treating phlegm and clearing heat.
• Use prepared to stop wheezing and restrain urine.
• May aid in alcohol withdrawal by causing a distaste for alcohol.
• Because of its greater toxicity, when the raw herb is used, its dosage is usually reduced.
• Usually the husk is removed and the seed is crushed before use.
• Cautiously used for coughs with thick and sticky sputum, and in cases of excess.
• Symptoms of overdose include vomiting, headache, fever, tremors, irritability, dyspnea. The antidote is 60g of boiled Gan cao or 30g of boiled ginkgo shells. This reaction may be avoided by including the hard shells and thin linings of the seeds when using this herb.
• Bensky/Gamble classifies this herb as an astringent.
Hsu: Antibacterial, antiviral effects.
4.5-9g
Kuan Dong Hua
Coltsfoot flower Tussilago

"Welcome Winter Flower"










acrid
warm
Lu Descends (and disperses) Lung Qi; moistens the Lungs; resolves phlegm; stops coughing.

• A key herb for many types of cough. Can be used alone for damp-phlegm or cold-phlegm. For phlegm-heat, combine with cool herbs.
• Fry in honey to enhance its ability to moisten the Lungs.
• Often combined with Zi wan since Zi wan is superior for resolving phlegm while Kuan dong hua is superior for stopping coughs.
K&R: Emollient, expectorant, antitussive, vagolytic, slightly diaphoretic and tonic.
• Metal yin: cough, acute bronchitis, laryngitis, tracheitis, lymphadenitis, postinfectious fatigue, emphysema, silicosis.
• Contains pyrrolizidine alkaloids - may damage the liver with excessive use.
RW: The combination of its bitter and mucilaginous qualities gives it expectorant/demulcent plus tonic properties.
• The choice remedy in chronic respiratory problems, especially chronic emphysema and silicosis: have a cup of the tea immediately upon waking, while still in bed.
• Reports of carcinogenicity may be disregarded if the herb used properly.
MLT: Pertussis.
PCBDP: Recent research: anti-inflammatory, immunostimulant, demulcent, antispasmodic.
MW: Good for deteriorating respiratory conditions, "incurables" - e.g. emphysema.
• Also for sore feet with respiratory conditions.
• Alcohol extracts its alkaloids - therefore, always take it as a tea rather than as a tincture.
1.5-9g
Ma Dou Ling
Aristolochia fruit
Birthwort

"Bell of a Horse's Hat"
bitter
sl. acrid
cold
Lu
LI
Resolves phlegm; clears Lung heat; stops coughing, relieves wheezing.

• Lung heat: cough with difficult breathing.
• Lung deficiency: prolonged cough.
• Bleeding hemorrhoids.
• Hypertension with lightheadedness and flushing: lowers blood pressure an average of 15 mm Hg diastolic.
• Very bitter. May make some patients vomit. Gua lou is often substituted.
• Honey-frying this herb makes it less cold and bitter, and reduces the side effects of nausea and vomiting.
• Contains aristolochic acid [only slightly soluble in water - Merck Index], which has been associated with renal damage when misused. Some authorities therefore discourage the use of this herb; its use may be prohibited in places.
Hsu: Strong expectorant (stronger than ammonium chloride).
3-9g
Mu Hu Die
Oroxylum seed

"Wood Butterfly"
sweet
bland
cool
Lv
Lu
Moistens the Lungs, clears the voice, stops coughing; comforts the liver, regulates Qi; topically promotes healing of sores.

• Hoarseness, cough, sore throat.
• Qi constraint: flank and epigastric pain.
• Topical: ulcerated, suppurative sores.
Hsu: Anti-inflammatory, decreases capillary permeability.
Li: Often uses to free constrained liver Qi.
1.5-9g
Pi Pa Ye
Loquat leaf
Eriobotrya




bitter
neutral
Lu
St
Descends stomach and Lung Qi; harmonizes the stomach, clears stomach heat; resolves phlegm; stops coughing; clears Lung heat.

• Wind-heat, dryness, or fire in Lung: cough with sticky sputum. Especially suitable for dry coughs.
• Stomach heat: vomiting, belching, hiccups, nausea.
Pi pa ye's expectorant action is very mild.
• Hairs on the leaf may cause throat irritation, belching, or vomiting. The leaves are therefore usually scrubbed to remove the hair. These side effects can also be avoided by honey frying the herb, which additionally gives the it the ability to moisten the Lungs.
• Frying in ginger juice enhances its ability to stop nausea and vomiting.
Hsu: Antitussive, expectorant, antiviral.
4.5-12g
Su Zi
(Zi Su Zi)
Perilla seed
acrid
warm
Lu
LI
Descends Lung Qi; stops coughing, eases difficult breathing; mildly resolves phlegm; moistens the large intestine, promotes bowel movement.

• Lung Qi fails to descend: coughing, wheezing, including patterns with copious phlegm. Used mainly for cold patterns. Especially indicated when the exhale is more labored than the inhale and there is a stifling sensation in the chest.
• Dryness of the large intestine: constipation.
• Compared to Bai jie zi and Lai fu zi: All are capable of transforming phlegm, regulating the Qi, and alleviating wheezing. However, Bai jie zi warms the Lung Qi, Lai fu zi disperses the Lung Qi, and Su zi descends the Lung Qi.
• Usually ground before use.
4.5-9g
Sang Bai Pi
Morus bark

"Mulberry White Bark"
















sweet
cold
Lu
Sp
Drains Lung heat (to the bladder); stops coughing, eases difficult breathing; promotes urination, reduces edema.

• Lung heat: cough with copious phlegm and difficult breathing.
• Edema related to an excess syndrome.
• Lung heat obstructs the descent of Lung Qi, preventing water from moving and cutting off perspiration: floating edema, facial edema, swelling of the extremities, fever, thirst, difficulty in urination, floating pulse.
• Hypertension: moderately lowers blood pressure.
• Honey fry when using the herb for coughing and wheezing.
Hsu: Diuretic, sedative, hypotensive.
DY: Disinhibits urination and disperses swelling without damaging Yin; eliminates evils from the Qi division.
• With Chen pi to clear the Lungs and transform phlegm, rectify the Qi, stop coughing and calm asthma. For cough and asthma due to Lung heat with abundant yellow phlegm.
• With Di gu pi to clear the Yin and Qi divisions, to effectively clear heat and drain fire from the Lungs, eliminate deficiency fire damaging the Lungs, stop cough, and calm asthma. For the following indications, the combination is found in Xie Bai San:
- 1. Cough and asthma with expectoration of yellow, sticky, and thick phlegm, fever and thirst due to Lung heat.
- 2. Cough accompanied by evening fever or low but persistent fever with skin which is warm to the touch due to deficiency heat damaging the Lungs.
- For the above indications, honey mix-fried Sang bai pi should be used. This combination can treat both full and deficiency heat. The Lungs are a delicate viscus and are easily damaged by heat. Full heat easily damages Lung Yin, causing both full and deficient heat simultaneously. This pair addresses this situation very well. In case of full heat, add Huang qin, Pi pa ye, and Zhe bei mu. In case of deficiency heat, add Zhi mu and Mai men dong.
6-15g
Ting Li Zi
Descurainia or Lepidium seed
bitter
acrid
very cold
Lu
BL
Strongly promotes urination, moves water, relieves edema; resolves phlegm; clears heat; descends Lung Qi; calms wheezing.

• Lung phlegm accumulation or Lung heat: cough with copious sputum, difficulty breathing, gurgling sound in the throat.
• Lungs fail to dominate the water passages or excess-type obstruction of Lung and bladder Qi: facial edema, fluid accumulation in the chest or abdomen, urinary difficulty.
• For hydrothorax, combine with Xing ren and Mang xiao.
• Large doses have produced a cardiotonic effect in various animals (positive ionotropic effect and negative chronotropic effect - increases cardiac output and reduces venous pressure).
Liu: Not for deficiency. Its purgative function is as strong as rhubarb - can damage the Qi.
Hsu: Purgative; expectorant, alleviates pharyngitis, facilitates removal of phlegm from throat.
DY: With Da zao to powerfully drain the Lungs, disinhibit urination, and drastically evacuate phlegm without damaging Yin or the stomach. Together, they downbear Qi and calm asthma. For indications such as asthma, cough with stertor, wheezing, a swollen face, and oliguria due to accumulation of phlegm in the Lungs. (Ting Li Da Zao Xie Fei Tang)
• There are two types of Ting li zi:
- Tian ting li is sweet and comes from the south. Its draining and dispersing properties are moderate. It drains the Lungs and expels phlegm without damaging the stomach.
- Ku ting li is bitter and comes from the north. This is the most currently prescribed in clinical practice and the most effective. Its draining action is strong. It strongly drains the Lungs and expels phlegm and can damage the stomach. In order to slow down the drastic action of this herb, it can be stir-fried until scorched. Also, its combination with Da zao is essential.
3-9g
Xing Ren
Apricot seed
Prunus








bitter
sl. warm
sl. toxic
Lu
LI
Descends the Lung Qi, stops coughing, eases difficult breathing; moistens the large intestine, promotes bowel movement.

• Lung fails to descend its Qi: cough, difficulty breathing. Appropriately combined, this herb can be used for either hot or cold patterns. It is the especially useful for externally contracted dry coughs, and coughs which are accompanied by wheezing.
• Dryness of the large intestine: constipation
• Topical: grind to a powder and mix with water to form a paste. Apply locally for acne, dog bites, trichomonas vaginitis.
• Forms a cyanide compound (hydrocyanic acid) in the body: lethal dosage for adults is approximately 50-60 kernels, and in children about 10 kernels. Cooking it, removing the outer coating, and mixing it with sugar all reduce its toxicity. Overdose can be treated with administration of activated charcoal and syrup of ipecac [Cephaelis ipecacuanha]. The bark of the apricot tree and the cortex of its root have also been used traditionally as antidotes. Use cautiously with infants.
• The type most often used are the bitter kernels which grow in northern China, called "bitter apricots" - Ku xing ren - or "northern apricots" - Bei xing ren. Sometimes, especially in the treatment of dry or deficient coughs, the sweet apricots grown in southern China are used. These are called "sweet apricots" - Tian xing ren - or "southern apricots" - Nan xing ren.
DY: The slight toxicity of Xing ren is located in the superficial skin and the tip of the seed. The preparation of Dan xing ren (scalded apricot seed) by removing the tip and skin, considerably reduces the risk of toxicity.
Tian/Nan xing ren (the sweet, southern type) is sometimes used - it is not toxic, and is favored for asthma and cough of the deficiency type and dry constipation.
• With Chuan bei mu to moisten while transforming phlegm, downbear the Qi, and stop cough. For indications such as:
- 1. Chronic cough and/or dry cough with little or no phlegm, difficultly expectorating, and dry throat due to Lung vacuity.
- 2. Relentless cough with expectoration of yellow phlegm due to external evils or an accumulation of phlegm-heat in the Lungs.
• With Jie geng to effectively regulate the Lungs' function of dispersing and descending, to transform and disperse phlegm, stop cough, and calm asthma. For such indications as cough and/or asthma with chest oppression, profuse phlegm, sore throat, and aphonia due to an attack of external wind (wind-cold or wind-heat) that disturbs the diffusion and downbearing function of the Lungs.
- Both herbs have the function of dispersing and descending the Lung Qi, however, Jie geng mainly disperses while Xing ren mainly descends. Both herbs transform and disperse phlegm, however, Xing ren mainly transforms while Jie geng mainly disperses (promotes expectoration of) phlegm.
Hsu: Expectorant, antitussive, emollient, laxative.
3-9g
Zi Wan
Purple Aster root
bitter
sweet
sl. warm
Lu Resolves phlegm; stops coughing; descends Lung Qi.

• Coughs of various etiologies - including phlegm or Lung deficiency: sticky sputum that is difficult to expectorate, difficulty breathing, or coughing of blood-streaked sputum. Especially for chronic cough or cold-induced cough.
• Can be combined with Bai bu for phlegm that is difficult to expectorate.
• Stronger than Bai bu at resolving phlegm.
• Fry in honey to strengthen its action of moistening the Lungs and stopping coughs.
MLT: Expectorant; antibiotic against E. coli, Shigella sonnei, Pseudomonas aeruginosa, more.
Hsu: Expectorant (increases secretions in respiratory tract), antibacterial (especially against tuberculosis), antiviral, diuretic.
3-9g


Herbs That Promote Bowel Movement By Moistening The Intestines

Also consider, as appropriate, these herbs from other categories which also moisten the intestines: Bai Zi Ren [Calm Shen], Dang Gui [Nourish Blood], Dong Kui Zi [Drain Damp], Feng Mi  [Tonify Qi], Gua Lou Ren [Resolve Phlegm-Heat], He Shou Wu [Nourish Blood], Hei Zhi Ma [Nourish Yin], Hu Tao Ren [Tonify Yang]Jue Ming Zi [Subdue Lv/Exting Wind]Lu Hui [Purge to Eliminate Pathogens], Mai Men Dong [Nourish Yin], Mang Xiao [Purge to Eliminate Pathogens], Niu Bang Zi [Acrid, Cool], Qin Jiao [Dispel Wind-Damp], Rou Cong Rong [Tonify Yang], Sang Shen  [Nourish Yin], Su Zi [Stop Cough], Suo Yang [Tonify Yang], Tao Ren [Promote Blood Circulation], Xing Ren [Stop Cough], Zi Cao [Clear Heat/Cool Blood].
In addition, consider herbs that generate body fluids, herbs that moisten the Lungs, herbs that nourish Yin and Blood. 
Huo Ma Ren
aka Ma Zi Ren
Cannabis seed

"Fire Hemp Seeds"
sweet
neutral
Sp
LI
St
Slightly nourishes blood/Yin; moistens the large intestine to promote bowel movement; clears heat; promotes healing of sores.

• Blood deficiency, Yin deficiency, or body fluid deficiency: constipation, especially in the elderly, postpartum, or after febrile disease.
• This herb must be ground before use.
• An auxiliary herb for sores and ulcerations. Taken orally or applied topically.
• Mildly lowers blood pressure.
• Doses over 60g may cause nausea, vomiting, restlessness, diarrhea.
• Sometimes the name Ma Zi Ren is used to refer to flax seed.
9-30g (to 45g when used as the principal herb in a prescription)
Yu Li Ren
Bush Cherry pit
Prunus japonica or P. humulis

"Constrained Plum Pit"
acrid
bitter
neutral
LI
SI
Sp
Moistens the large intestine to promote bowel movement; promotes urination to treat edema.

• Dryness or Qi stagnation in the intestines: constipation.
• Edema with abdominal distention or leg qi with difficult urination and constipation.
• Stronger than Huo ma ren at moistening the intestines and promoting bowel movement.
• For stubborn insomnia after a frightening event, this herb is taken as a folk remedy: Decoct it in yellow wine for 10 minutes, then add the drained seeds to an appropriate prescription based on the diagnosis.
• Some patients may get slight cramps in the intestines from this herb.
• Crush before use.
MLT: Contains 60-75% oils which give it its lubricating properties.
Hsu: Emollient laxative, stronger purgative than cannabis; diuretic.
3-9g


Herbs That Purge Accumulation And Stagnation By Promoting Bowel Movement

• Da huang, Lu hui, and Fan xie ye all contain anthraquinone glycosides which make them stimulant laxatives (as well as having some antibiotic effect) - increasing peristalsis. (The common Western herbal purgatives Cascara sagrada and Frangula are also stimulants containing anthraquinones.)
• Other common laxatives include citrus seed extracts and castor oil (the latter is a strong stimulant). Psyllium seed husk (a Plantago species), flax seed meal, and Pang da hai, when eaten, are high-fiber bulk-forming laxatives, which retain water and stimulate peristalsis by forming a mass in the intestines.
• All but the fiber (bulk-forming) laxatives are generally contraindicated in pregnancy.
• The herbs in this category are commonly combined with:
A. Herbs to clear heat and toxicity, promote Qi and blood circulation.
B. Herbs to warm the interior, when there is constipation due to Yang deficiency (e.g. Da huang + Fu zi).
C. Herbs that release the exterior, when there is an EPI associated.
D. Herbs that support Zhen Qi, when the patient has a weak constitution.
Chief Applications:
1. Dry and hard stool due to excess heat or fire in the large intestine.
2. High fever, coma, delirium due to blockage of the heart by excess heat.
3. Headache, red and painful eyes, toothache, hemoptysis, hematemesis due to flare up of fire from the liver, Lungs, stomach, or large intestine.
4. Tong Yin Tong Yang: Purgation when there is leakage (incontinence) due to blockage.
Da Huang
Rhubarb root and rhizome
Rheum

"Big Yellow"




bitter
cold
St LI Lv Ht Sp Clears heat, reduces fire; eliminates toxicity; promotes blood circulation, dispels blood stasis; drains accumulation and stagnation; drains damp-heat; drains heat from the blood, clears heat obstructing the blood level.

• Any accumulation or stagnation of heat or damp-heat in the large intestine, including Yangming stage invasion: high fever, profuse sweating, thirst, constipation, abdominal distention and pain, delirium, yellow tongue coat, full pulse.
• Stomach fire: hematemesis, epistaxis.
• Blood stasis: amenorrhea, lochioschesis, masses, trauma, hemorrhage, fixed pain, stasis due to intestinal abscess.
• Damp-heat: jaundice, painful urination, acute hot dysentery.
• Heat and toxicity: carbuncles, boils, furuncles, burns. Use internally and/or topically.
• Blood in the stool due to bleeding hemorrhoids or heat accumulation in the intestines.
• Excess heat obstructing the blood level: fever, hot, swollen, painful eyes, or fire toxin sores.
• Antineoplastic, antifungal, and antibacterial effects.
• May lower cholesterol.
• Also for schistosomiasis.
• Topical: for dermatitis, stomatitis, oral ulcers/canker sores.
• As a paste with vinegar on K-1 for abdominal distention. Change every 2 hours.
• Local application of a decoction has been shown to be effective in the treatment of stomatitis, oral ulcers, and folliculitis, especially those caused by Staphylococcus aureus.
• Ecthyma: a powder made of Da huang and Gan cao, used with a multilayered soybean plaster, was applied in 12 cases of ecthyma of up to 13 years duration. All cases healed within 1-4 weeks.
• A 1g dose has a mild effect to stimulate the appetite.
Da huang's purgative effect takes 6-8 hours.
Da huang has astringent tannin which has a constipating effect that outweighs the purgative effect when taken in small doses (<0.3g).
• For strong purgation, cook only 5 minutes. The longer the cook time, the milder the purgative effect.
• The wine or vinegar treated form has a stronger effect of promoting blood circulation, and is a milder purgative.
• To stop bleeding, use the charred form.
• The alcohol-prepared form can direct to the face.
• When using Da huang, the sweat and urine may be notably yellow.
• Contraindicated for nursing mothers because components are excreted in breast milk.
• One of four herbs in Essiac tea, a cancer formula.
• Anti-inflammatory: a COX inhibitor
Li: "Dissolves fat" - for obesity, high cholesterol, etc. (including with Dan shen, Shan zha, San Qi).
K&R: Metal and wood yang.
• Metal: constipation, dyspepsia, dysentery.
Wood: biliary dyskinesia, gallstones, high cholesterol, blood stasis.
• Anti-inflammatory.
• Has bacteriacidal action against Bacerioides fragilis, which has been found in large quantities in the gallbladders of patients with hepatic or gallbladder disease.
BII: Reduces bleeding of duodenal and gastric ulcers.
Yoga: Amla-vetasa: P, K-; V+
• Purges Pitta, Ama, and stagnation.
DY: To moderate Da huang's purgative effect, combine it with Gan cao.
• Can be used for any type of constipation, when combined with other herbs specific for the pattern.
• Up to 3g Da huang is lightly purgative and stimulates digestion. Over 3g, the higher the dose, the purgative its effect is. There is a wide variability in the degree of sensitivity of patients to the purgative effects of Da huang. Profuse diarrhea can occur with only 3g in one patient, while constipation can resist a 12g dose in another patient.
• Wine mix-fried Da huang is very slightly purgative. Carbonized Da huang is not purgative.
• With Fu zi to warm the interior, precipitate accumulation of cold, and evacuate the stools. For constipation, abdominal pain, fear of cold, and cold limbs due to accumulation of internal full cold. (Da Huang Fu Zi Tang).
When this pair is combined with Xi xin, it has shown an interesting action in the treatment of cold-damp Bi or impediment with Yang deficiency and blood stasis (use wine mix-fried Da huang for this) as well as for Bi with an accumulation of heat in the stomach and intestines with persistent constipation.
• It is noteworthy to mention that some practitioners believe that small doses (1-3g) of Da huang can have supplementing effects and that this medicinal can be integrated into any formula that supplements the middle burner. However, this is probably an indirect effect. As it is said, the bowels function when they are freely flowing. The spleen cannot be fortified and healthy if the stomach and intestines are not free flowing. In addition, when the spleen becomes weak and, therefore, loses its control over transportation and transformation, the stomach typically becomes hot due to accumulation and depression. Therefore, a small amount of Da huang can address this accumulation and heat even if the main symptoms are those of spleen deficiency and there is no marked constipation.
• With Mang xiao for mutual reinforcement, to effectively precipitate full heat and internal accumulation, and free the flow of stools. (Dose of each: up to 15g) For indications such as:
- 1. Constipation with dry, hard stools and abdominal pain which worsens with pressure due to heat accumulation in the Yangming bowels. (Da Cheng Qi Tang)
- 2. Constipation with dry, hard stools, high fever, delirium and mental confusion, and dry, yellow tongue fur due to full heat in the Yangming bowels. (Da Cheng Qi Tang)
- 3. Chronic or severe constipation due to heat.
MLT: For burns (not open sores) soak Da huang in vinegar for 1-3 days and apply locally.
• Use the charred form for diarrhea and to stop bleeding.
PFGC: Enters the blood layer, cracks all forms of stagnant blood. Since its Qi is fragrant, it can also enter the Qi layer - therefore, in small doses, Da huang can regulate Qi and treat Qi stagnation pain.
• Purges all kinds of masses and accumulations.
• Can treat mania by opening the epigastric region and resolving phlegm-heat. Use up to 60g when the pulse is clearly excess.
• Its fragrant orifice-opening effect can disinhibit urination.
• Can also clear heat in the upper Jiao - for all pain in the eyes and oral cavity.
• Descends stomach heat and "entices stomach Qi to move downwards" - excellent for hematemesis.
• Can "drain the old and generate the new."
Hsu: Stimulates bile and pancreatic secretions; broad antibacterial; anti-carcinogenic effect.
JC: Cathartic (aperient to brisk purgative, depending on dosage), hepatic, cholagogue, astringent, tonic, stomachic, antibilious, sialogogue, vulnerary, anthelmintic, peristaltic.
• Given in small doses, it is a valuable stomach tonic, increasing saliva and gastric juices, improving the appetite, promoting the action of the liver and the flow of bile (without astringing the intestines), and facilitating absorption throughout the system.
• Increases circulation in the glands by the GI tract and increases peristalsis by stimulating the muscular layer of the bowel.
• In larger doses (2-3g), it produces copious yellow, pultaceous stools in 6-8 hours, with considerable hepatic stimulation and some griping (although the larger doses may produce severe griping, the herb will never inflame the digestive mucous membrane).
• Highly esteemed as a laxative tonic for children and infants because of the milk-like quality of its action. It acts chiefly on the duodenum, and generally does not clog or produce an after-constipation. The tonic and astringent action following evacuation makes it a valuable remedy for diarrhea due to irritating matter in the bowel - it removes the irritating substance, its astringent properties check the diarrhea, and then it tones and corrects the accompanying atonic indigestion.
• Particularly useful for hemorrhoids with constipation, atonic dyspepsia, infantile digestive and intestinal disorders, and both constipation and diarrhea.
3-12g
Fan Xie Ye
Senna leaf
Cassia angustifolia or C. acutifolia

"Purgative Leaf of the Foreigners"

sweet bitter
cold
LI Purges accumulation and stagnation.

• Excess heat in the large intestine: constipation.
• Do not cook too long (over 10 minutes) or at too high a temperature - just add to water at 95°-100° C and let it steep. Water temperatures under 75° C will not be hot enough to extract the purgative constituents of this herb. Cooking over 1 hour will completely eliminate any purgative properties.
• Doses over 10g may cause nausea, abdominal cramps, and vomiting (can be combined with Huo xiang to prevent these side effects).
Fan xie ye's purgative effect takes 2-6 hours.
• Sources conflict on Fan xie ye's strength and nature:
Liu: Milder purgative than Da huang.
Li: Stronger purgative than Da huang.
BII: Probably the best-tolerated laxative.
MLT: Can cause griping - combine with a warming herb to counteract this side effect (e.g. Sheng jiang, Chen pi).
K&R: Metal yang, water yang.
• Inhibits resorption of water from the colon.
• Contraindicated with intestinal inflammation, pelvic congestion, or pregnancy.
JC: Cathartic (pods: laxative; leaflets: simple purgative), slight stimulant, antibilious, anti-periodic, tonic.
• A somewhat prompt cathartic that acts on nearly the entire intestinal tract, especially the colon. Suitable for chronic constipation. Acts locally on the intestine wall, increasing peristalsis and secretions, to produce copious yellow stools. Does not constipate afterwards.
• The leaves cause griping and flatulence (the pods do not), and the odor is nauseous to many persons. The griping and nausea may be alleviated by adding some corrective herb, such as: cloves, ginger, cinnamon, coriander, fennel, manna, etc. Often given with licorice.
• Two main varieties, Alexandrian or Nubian senna (Cassia acutifolia, C. senna, C. lenitive, C. officinalis, C. aethiopica) and East Indian or Tinnevelly senna, are used. The former is preferred by most herbalists since it is milder, but equally certain in its action.
• Should not be used when there is an inflamed condition of the GI tract.
• Shortly after administration (2-30 minutes) it may dye the urine reddish.
IBIS: Drug interactions:
• Sennosides aggravate nephropathy from analgesics associated with dehydration (DeSmet).
• Decrease in absorption of oral drugs due to decrease in bowel transit time (DeSmet).
• Aggravates loss of potassium associated with use of diuretics (DeSmet).
• Overuse or misuse can cause potassium loss leading to increased toxicity of cardiac glycosides (Wichtl, DeSmet) such as those in Adonis, Convallaria, Urginea, (Brinker, DeSmet) Helleborus, Strophanthus, and Digitalis (Brinker).
1.5-3g for mild purgation. 5-10g for strong purgation.
Lu Hui
Aloe
(dried concentrate)

A. vera or A. ferox






























Aloe (various forms)
bitter
cold
Lv LI
St
Clears liver heat; kills parasites (especially roundworms) and strengthens the stomach; purges accumulation and stagnation; drains fire.

• Heat accumulation (liver and/or large intestine): constipation, dizziness, headache, tinnitus, irritability, fever. Also used for chronic constipation.
• Roundworms. Also for ringworm.
• Childhood nutritional impairment, especially when due to roundworms: abdominal pain, sallow face, thin muscles.
• Stronger than Da huang, but can be mild when dosed appropriately.
• Very bitter. Often encapsulated.
• As effective in enema form as when taken orally.
Liu: Less likely to cause griping than Da huang.
Hsu: Low doses are a cholagogue, stimulate intestinal peristalsis.
• High doses induce abdominal pain and congestion of the pelvic cavity.
• Anti-carcinogenic effect.
• Aloe ulcin inhibits histamine synthesis.
IBIS: Note: The leaf gel, commonly consumed as a cleansing juice preparation, is a different product. (McGuffin, p.7).
• Affinities: intestines, skin.
• Actions: laxative on lower gastrointestinal (slow acting 10-15 hours), can also be a purgative; cathartic; bitter tonic, stomachic, hepatic; vermifuge/ anthelmintic; emmenagogue; vulnerary, demulcent, and emollient.
• Dosage: tincture: 1 - 4 mL. resin [Lu hui]: 100 - 300 mg.
• Therapy: atonic constipation; burns; to increase menstrual flow; insect bites; asthma.
• Toxicity varies between different species and varieties of Aloe; barbaloin can be very griping (especially in dried form) and cause severe intestinal irritation; Aloe vera [Lu hui], which has very little, if any, barbaloin, is usually considered non-toxic.
• Contraindicated in pregnancy and cases of menorrhagia or metrorrhagia; also in patients with gastrointestinal inflammation, irritable plethoric conditions and hemorrhoids; not to be used by patients with chronic constipation (Felter and Lloyd, pp. 151-152; Morton, pp. 47-50; U.S. Dispensatory, pp. 46-50).
• Produces catharsis in nursing child (Morton, pp. 47-50).
• May cause or potentiate kidney irritation (Brooks).
• Contraindicated in children younger than 12 due to depletion of electrolytes and water (De Smet).
• Extended use of more than 8-10 days may cause loss of peristalsis from intestinal smooth muscle and mesenteric plexi damage (De Smet).
• Drug interactions: Aloe can cause potassium loss which may lead to increased toxicity of cardiac glycosides such as those in Adonis, Convallaria, Urginea, Helleborus, Strophanthus, and Digitalis (De Smet; Wichtl). Aloe can reduce the absorption of oral drugs and increases potassium loss caused by diuretics (De Smet).
0.3-3g (usually taken directly as powder or in capsules)

Aloe in various forms (fresh gel, extract, powder):
BII: Cancer: contains a potent immunostimulant polysaccharide - acemannan - especially effective for leukemia, but also should be considered for: HIV, bronchial asthma, diabetes mellitus, immunodepression.
• May have an anti-ulcerative effect on the GI tract.
Yoga: Kumari: A young girl/virgin, called so because it imparts the energy of youth and brings about the renewal of the female nature.
• Bitter, astringent, pungent, sweet/cooling/sweet.
• VPK= (gel). The powder, except in very low doses, will aggravate Vata.
• Alterative, bitter tonic, rejuvenative, emmenagogue, purgative, vulnerary.
• Regulates sugar and fat metabolism.
• Tonifies all Agnis. Reduces Pitta.
• Fever, constipation, obesity, inflammatory skin diseases, swollen glands, conjunctivitis, bursitis, jaundice, hepatitis, enlarged liver or spleen, herpes, venereal disease, amenorrhea, dysmenorrhea, menopause, vaginitis, tumors, intestinal worms.
• The powder is a strong purgative. Caution: take with a carminative (turmeric, rose, etc.).
DH: For a dry person/constitution. Doctrine of signatures: Aloe retains moisture, even in extremely dry environments.
Mang Xiao
Mirabilite
Sodium sulfate
Glauber's salt
(Na2SO4)












Xuan Ming Fen
salty bitter
cold
St LI Softens masses; clears heat; moistens dryness; purges stagnation and accumulation; reduces swelling.

• Excess heat in the large intestine and stomach: constipation (only when the stool is dry and hard).
• Heat: painful, swollen, ulcerated mouth or sore throat, canker sores, red, swollen, painful eyes, carbuncles, swellings, skin lesions, breast swellings - yang type mastitis.
• Use large doses (carefully) to purge the intestines of toxicity for the treatment of all cancers.
• Purgative effect usually takes 4-6 hours.
• Should not be cooked - add to the strained decoction.
• Drink large quantities of fluids when taking this substance.
DY: Drains fire; disperses swelling, stops pain, disperses food accumulation (external use).
• With Da huang for mutual reinforcement, to effectively precipitate full heat and internal accumulation, and free the flow of stools. For specific indications and notes, see Da huang in this category.
• With Ji nei jin to strongly and effectively soften hardness, disperse accumulation, clear heat, and transform stones. For renal, urethral, or bladder lithiasis. Neither substance should be cooked. For greatest efficacy, the two herbs should be ground to a powder (6-10g Ji nei jin and 3-10g Mang xiao) and taken, 6g at a time, twice daily, dissolved in hot water.
3-9g

Xuan Ming Fen: a purer form of sodium sulfate
Less effective as a purgative than Mang xiao, but superior in topical preparations for ulcers of the oral cavity / canker sores.


Herbs That Aggressively Purge Accumulation (Cathartics)

These herbs powerfully eliminate pathological factors (chiefly harmful fluid) by drastically promoting bowel movement.
The effect of these herbs is generally milder when they are roasted or dry fried.
Caution with use on weak patients. The results can be quite bad.
Contraindicated in pregnancy.

Commonly combined with:
A. Herbs that clear heat and nourish Yin when Yin is damaged by excess heat.
B. Blood tonics when there is blood deficiency.
C. Herbs that promote Qi circulation.
D. Herbs that release the exterior, when there is an EPI associated.
E. Herbs that support the Zhen Qi when the patient has a weak constitution.
Ba Dou
Croton seed

"Clinging Bean"
acrid
hot
toxic
St
LI
Lu
Unblocks cold accumulation and vigorously purges the bowels; drives out water and reduces edema; dispels clogged phlegm, benefits the throat; promotes healing of abscesses and ulcers.

• Severe cold accumulation in the interior: constipation, abdominal fullness, distention, pain.
• Phlegm clogging the throat: difficult breathing, wheezing, severe fullness and distention in the chest and diaphragm.
• Phlegm misting the sensory orifices.
• Ascites.
• Topical: for abscesses that have suppurated but not yet ulcerated, to accelerate the ulcerating process. Also for severe ulcers such as phagedena.
• Bowel obstruction: The prepared herb (see below) was used in 50 cases of intestinal obstruction. The adult dosage was 150-300mg; a lower dosage was used for children. When necessary, the dosage was repeated every 3-4 hours. 40 cases were cured. When there is severe obstruction or no response to this treatment within 48 hours, immediate surgery is required.
• This herb is extremely harsh and should always be used with caution. It is said to be able to "chop through the gate and open the door."
• When taking this herb, one should avoid drinking hot liquids, as this may severely aggravate its laxative effect.
• If the herb causes unremitting diarrhea, one should take cold rice congee or a tea made from Huang lian and Huang bai.
• The herb is mainly used in its de-fatted form, Ba dou shuang.
• The oil: Oral administration of ½ to 1 drop of the oil causes a burning sensation in the mouth, gastric mucosa, and vomiting, then multiple episodes of watery diarrhea within 30-40 minutes, together with severe abdominal pain and tenesmus, and inflammation of the oral mucosa and GI tract. External application of the oil stimulates the skin and causes redness which may progress to blisters.
0.1-0.3g in pills
Da Ji
Euphorbia pekinesis 
or Knoxia valerianoides
Peking spurge root

"Big Lance from the Capital"
bitter
acrid
cold
toxic
Lu K
LI
Strongly eliminates harmful body fluid by purging the bowels; relieves swelling, dissipates nodules.

• Retention of harmful fluid: relatively moderate accumulation of fluid in the chest and flanks with such symptoms as labored breathing, dull pain in the lateral aspect of the chest, expectoration of thick sputum, a thick, greasy tongue coat; ascites, hydrothorax, edema.
• Phlegm and fire: lumps.
• Heat and toxicity: carbuncles and boils, red, swollen, painful, toxic, sores. Also used topically for sores and scrofula.
• Acute or chronic nephritis.
• Ascites due to schistosomiasis.
• Milder than Gan Sui.
• Cooking it with honey and Da zao reduces its harsh properties.
• Frying it in vinegar reduces its toxicity.
• Traditionally forbidden in combination with Gan cao. Recent animal studies have shown that a mixture of the two herbs has a much lower LD50 (i.e much higher toxicity) than Da ji alone.
MLT: Very similar to Gan sui. The two are often combined.
1.5-3g (1g in powders)
Gan Sui
Euphorbia kansui root

"Sweet Process"
bitter
sweet
cold toxic
Lu K
LI
Violently purges the bowels to strongly eliminate harmful body fluid; clears heat; reduces swelling.

• Retention of harmful body fluid: severe accumulation of fluid in the chest and abdomen - ascites, hydrothorax; also for generalized edema, facial edema, abdominal distention. May be combined with Zhu ling to simultaneously promote urination.
• Internal wind and phlegm: epilepsy (uncommon use).
• Topical: for swollen, painful, nodular skin lesions due to damp-heat. This herb is most appropriately used during early stages of this disorder. Herbs that clear heat and eliminate toxicity should be given orally simultaneously.
• Within 30 minutes following administration, borborygmus and cramps will begin.
• The use of this herb is generally limited to robust patients with severe patterns of excess.
• May be given in alternation with Ren shen to avoid causing depletion.
• Frying in vinegar reduces its purgative function.
• Roasting it reduces its tendency to cause vomiting.
• Rarely used in decoctions. The active ingredients may not be water soluble.
• Traditionally forbidden in combination with Gan cao. Animal studies have not produced any conclusive data on this combination.
MLT: The juice can be used topically as a counterirritant to clear warts and other skin nodules.
0.3-1g taken directly as power or in pill form
Qian Niu Zi
Morning Glory seed
Pharbitis (Ipomoea)

"Cowherd Seeds"
acrid
bitter
cold
toxic
K
LI Lu SI
Drives out harmful fluid by promoting bowel movement and urination; dispels accumulation; expels phlegm and fluids; expels intestinal parasites, reduces food stagnation.


• Heat accumulation in the stomach or intestines: severe constipation, abdominal distention, urinary difficulty, leg edema.
• Damp-heat accumulation in the stomach and intestines: constipation. (Lower dosage for this indication than the previous indications.)
• Fluid congestion obstructing the Lungs: cough, wheezing, fullness in the chest and abdomen.
• Roundworm or tapeworm infestation.
• Food stagnation.
• Dry-fry the herb for a milder effect.
• Contains d-lysergic acid amide, similar hallucinogenic effect to LSD in large doses.
MLT: Mildest herb in this category.
4.5-9g (or 1.5-3g alone as powder)
Shang Lu
Poke root Phytolacca

"Commerce Continent"


























bitter
cold
toxic
Lu K
LI
BL
Sp
Eliminates harmful fluid by promoting bowel movement and urination; relieves swelling, reduces sores and carbuncles.

• Retention of harmful body fluid: edema, scanty urination, urinary difficulty, constipation.
• Heat and toxicity: carbuncles, sores. Also used topically.
• For skin lesions, it is ground up and applied as a paste with petroleum jelly, honey, or egg white.
• When used internally, it is generally stir-fried with vinegar, which reduces its toxicity.
• The root must be dried, aged more than 3 months, and cooked long to neutralize its toxic elements.
• The traditional antidote for poisoning from the herb (particularly from the berries) is fresh Gan cao and Lu dou (Mung bean).
JC: Powerful alterative, relaxant, cathartic, emetic, resolvent, deobstruent, detergent, anti-syphilitic, antiscorbutic, nutritive.
• Cancer, skin problems, hardened liver, scanty flow of bile, hard, swollen, or enlarged glands (especially the thyroid, spleen, lymph, breast), abnormal growths, bony enlargements from direct injury, rheumatism, dyspepsia, inflamed kidneys.
• Slow but persistently powerful action.
MW: For the stagnant person: lazy, flabby, tired, flops down after work, apathetic (especially teenagers), lack of personal delicacy, disregard of surrounding objects, indifferent to life, "For the person who eats, sleeps, and shits in the same place." (A few drops of the tincture)
• Has definitely cured cancer. As a cancer preventative, boil it twice.
• For stagnant Qi, blood, and fluid.
NAH: Powerfully stimulates the lymphatic system: tonsilitis, swollen glands, mastitis (poultice).
IBIS: (fresh root, berries)
• Affinities: skin; glandular structures of the buccal cavity, throat, and sexual system; mammary glands; fibrous and serous tissues and mucous membranes of the digestive and urinary tracts; heart; spinal cord; bowels (Felter and Lloyd, p. 1473).
• Alterative, antirheumatic, anticatarrhal, cathartic, emetic, fungicide, narcotic, parasiticide.
• [Western] dosage: tincture of fresh root: 0.2 - 1 mL. tincture of berries: 0.2 - 1 mL. dry powder: 60 - 300 mg.
• Appearance: tongue hurts upon protrusion (Wood).
• Pulse: dull stroke with tremulous or vibratile wave (Scudder, 1903, p. 154).
• Specific indications: pallid mucous tissues with ulceration; sore mouth with small blisters on tongue and mucous membranes of cheeks; sore lips; hard, painful, enlarged glands; mastitis; orchitis; parotitis; aphthae; soreness of mammary glands, with impaired respiration; faucial, tonsillar, or pharyngeal ulceration; pallid, sore throat, with cough or respiratory difficulty (Felter and Lloyd, p. 1475).
• Internal: acute inflammations of the throat; adenitis; acute inflammations of the breast; children's glandular and skin disorders; sciatic rheumatism; syphilitic disorders with ulceration; long-standing ulcers in psoriasis, dermal abscesses, fissures, boils, and carbuncles (Ellingwood, p. 375); chronic rheumatism; chronic respiratory catarrh; tonsillitis; laryngitis; mastitis (British Herbal Pharmacopoeia p. 157).
• External: as ointment in scabies, tinea, sycosis, acne; as poultice in abscess, mastitis (British Herbal Pharmacopoeia p. 157).
• Contraindicated in pregnancy.
• Laboratory test results: agglutination of red and white blood cells is promoted by pokeweed mitogen (Tedeschi, Eckart and Tedeschi, p. 1524); pokeweed mitogen has been found to stimulate both B and T lymphocytes (Kinghorn, p. 84-90; Von Oettingen, p. 500)
3-9g
Yuan Hua
Genkwa flower
Daphne genkwa
bitter
acrid
warm
toxic
Lu K
LI
Eliminates phlegm, stops coughing; strongly eliminates harmful body fluid by purging the bowels and promoting urination; kills fungus (topically).

• Premier herb for fluid retention in the chest. In China, 500-1000mg capsules are given 2-3 times daily.
• Retention of harmful fluid: congested fluid in the chest, abdomen, or flanks, edema, ascites, hydrothorax.
• Lung cold and phlegm: cough. Shown to be 91% effective for chronic bronchitis.
• Topical: fungal infection, including ringworm.
• Traditionally forbidden in combination with Gan cao. Recent research suggests that there is in fact an increase in toxicity when these two herbs are combined.
• Fry with vinegar to reduce its toxicity.
1.5-3g (generally in powder)


Herbs That Promote Digestion And Relieve Food Retention

Commonly combined with:
• A. Herbs that promote Qi circulation.
• B. Herbs that warm the interior, when there is interior cold associated.
• C. Herbs that transform dampness, when there is dampness in the middle Jiao.
• D. Herbs that clear heat when there is heat associated. (Lian qiao is most commonly used.)
• E. Herbs that tonify the spleen and stomach when there is deficiency of either organ.
Gu Ya
Rice sprout
Oryza
sweet
neutral
Sp St Promotes digestion (mainly of starch); adjusts the middle Jiao; slightly tonifies the spleen and stomach; promotes the appetite.

• Food retention, including when due to spleen or stomach deficiency: indigestion - especially with accumulation of undigested starchy foods (contains amylase). Also appropriate in cases of hot food stagnation.
• Spleen or stomach deficiency: poor appetite, weak digestion.
• Will not damage stomach Qi - very safe.
• The raw form is mainly used to aid digestion.
• The dry-fried form is stronger at tonifying the stomach and spleen.
• This herb's potency is greatly diminished by cooking or prolonged toasting. It is best taken powdered and added to a prepared decoction.
9-15g
Ji Nei Jin
Chicken Gizzard Lining

"Chicken Inner Gold"
sweet
neutral
Sp St SI BL Slightly strengthens the spleen; promotes digestion; strongly eliminates food retention; controls Jing and urine; transforms hardness and dissolves stones.

• Food retention: malnutrition in children or distention of the epigastrium, poor appetite. Can be used alone in mild cases of food retention.
• Seminal emission, incontinence, enuresis, frequent urination. Especially for children.
• Stones in the urinary or biliary tract.
• Usually considered more effective when taken directly as a powder.
Hsu: Increases gastric secretions, promotes motor activity in the stomach, increases the rate of expelling air, stimulates the nerves and muscles of the GI tract.
DY: Frees strangury.
• With Hai jin sha to free strangury, transform stones, and, therefore, treat stone strangury. For stone strangury and urinary lithiasis due to damp-heat. This combination can be reinforced by combining it with Jin qian cao, Hua shi, Qu mai, and Che qian zi.
• With Mang xiao to strongly and effectively soften hardness, disperse accumulation, clear heat, and transform stones. For renal, urethral, or bladder lithiasis. Neither substance should be cooked. For greatest efficacy, the two herbs should be ground to a powder (6-10g Ji nei jin and 3-10g Mang xiao) and taken, 6g at a time, twice daily, dissolved in hot water.
3-9g (1.5-3g directly as powder)
Lai Fu Zi
Radish seed
Raphanus

acrid sweet
(bitter)
neutral
Sp St Lu Descends the Lung Qi; resolves phlegm; promotes digestion, eliminates food retention; slight function to promote bowel movement.

• Food retention: bloating, fullness, distended epigastrium and abdomen, belching with fetid odor, acid regurgitation, abdominal pain, or diarrhea with hesitant elimination.
• Food retention leading to dampness/phlegm in the Lungs: coughing, wheezing.
• Lung phlegm accumulation: cough with copious sputum.
• The raw form is used for food stagnation.
• The dry-fried form is used for productive coughs.
• The fried form is used for promoting bowel movement.
• Antimicrobial, antifungal properties.
• Reduces serum triglycerides.
• Compared to Su zi and Bai jie zi: All are capable of transforming phlegm, regulating the Qi, and alleviating wheezing. However, Bai jie zi warms the Lung Qi, Lai fu zi disperses the Lung Qi, and Su zi descends the Lung Qi.
JTCM: For abdominal distention after surgery: fry 200g Lai fu zi, grind to a powder, wrap in cloth or a tea bag, heat it, and apply it to the navel until the distention abates (can also apply a TDP lamp to keep the bag hot).
• For eczema and prevention of viral and fungal growths: fry the herb for 30 minutes, let it cool, grind it to a powder, mix it with vinegar, and apply it topically once a day.
PLB: For respiratory conditions with phlegm (allergies, asthma, etc.) which are exacerbated by food sensitivities.
Hsu: Antibacterial, antifungal, stomachic, expectorant.
6-12g
Mai Ya
Barley sprout














sweet
neutral

(warm if fried)
Sp St Lv Promotes digestion (mainly of starch); mildly frees the flow of liver Qi; adjusts the middle Jiao; strengthens the stomach and spleen; inhibits lactation.

• Food retention: distended epigastrium and abdomen, poor appetite. Particularly useful for over-consumption of starch and for cold food stagnation. Also for poorly-digested milk in infants.
• To stop nursing or for stagnant milk with distending pain in the breasts, use a large dose (to 60g).
• Liver Qi stagnation: stifling sensation and distention in the epigastrium or costal region, belching, poor appetite.
• Spleen deficiency: weak digestion, poor appetite.
• Treats hepatitis, especially acute.
• When using herbs which strongly subdue the liver, add a small amount of Mai ya - a sprout which possesses the "springing-forth" nature of wood - so as not to insult the proud general - to let it still rise upward.
• The raw form is neutral, and is used mainly to reduce and guide out.
• The dry-fried form is warm, and is better at strengthening the spleen, improving the appetite, and inhibiting lactation.
• The powdered form is better for aiding in the digestion of grains.
Hsu: Slightly stimulates secretion of pepsin and gastric acid.
• Treats painful and swollen mammary glands and milk stagnation due to cessation of breast feeding.
MLT: For blocked lactation with distended breasts, take 25g raw sprouts and 25g fried, in decoction, each day.
BF: I have lots of experience using Mai Ya to stem lactation, both in China and the U.S. To achieve this effect, the med must be used in large doses (30-60g) and lightly stir-fried till aromatic. I have found this med to be very dependable for this effect, and there is quite a lot of published research on this med's effect on PRL. I have used Mai Ya for women who had lost their babies during birthing, for women with galactorrhea due to hyperprolactinemia, and for women with galactorrhea-amenorrhea syndrome, and it has always worked.
12-30g (6-15g directly as powder)
Shan Zha
Crataegus fruit
Hawthorn
(C. pinnatifida or C. cuneata)



















Crataegus oxycantha
Western Hawthorn








































sour sweet
slightly warm
Sp St Lv Promotes blood circulation and dispels blood stasis and clumps; promotes digestion, eliminates food retention, digests fat. The partially charred form stops diarrhea (and is superior for moving blood).

• Food retention: distended epigastrium, abdominal pain, diarrhea. Particularly for over-consumption of meat or fatty foods.
• Blood stasis: abdominal pain (including post-partum), clumps, testicular pain and hernial disorders.
• Chronic diarrhea/dysentery: use the partially-charred form.
• Breast lumps: use the seeds.
• Hypertension; coronary artery disease; elevated serum cholesterol.
• This herb's combination of sweet and sour flavors give it the potential to nourish Yin.
• The herb is used commonly used raw for dispelling blood stasis and is dry-fried for food stagnation.
Li: Softens hardness: clots, etc.
Jin: Add to phlegm-resolving formulas to treat phlegm due to food sensitivity.
• For acne: pimples are deposits of oil (fat) and this herb helps digest fat (see Jin's acne formula.
• For weight loss: digests fat.
MLT: Reduces hypertension, cholesterol, blood lipids; also for murmurs, enlarged heart.
Yoga: V-, P+; K+ (in excess)
• Not for Pitta-type (hot) heart conditions.
• Especially good for Vata heart conditions like nervous palpitations, or the heart problems of old age (the age of Vata) like cholesterol and arteriosclerosis.
Hsu: Increases secretion of digestive enzymes; antibacterial, vasodilator.
9-15g (to 30g)

Western Hawthorne, C. oxycantha and many other species (in Western herbalism, the leaves and flowers are also often used):
K&R: Cardiac sedative, hypotensive, sympatholytic, febrifuge, diuretic and astringent, coronary dilator, chronotrope negative (strong), bathmotrope negative, antispasmodic.
• Fire and wood yang:
Fire: slows and reinforces the heart's contractions, treats tachycardia, extrasystoles, arrhythmia, promotes vasodilation of the coronaries and treats sequela of infarctus, increases oxygen supply to the heart, stimulates venous walls (varices, varicose ulcer), diminishes arterial tension, treats arterial hypertension, can reverse arteriosclerosis; diuretic.
• Diminishes diarrhea from full heat in the small intestine, inhibits the sympathetic tonus.
• Precordial pain or oppression, dyspnea, rapid and weak heart contractions, cardiac hypertrophy, endocarditis.
• Also for such Fire yang symptoms as: vertigo, dizziness, anguish, insomnia, night terrors, enuresis, hot flashes of menopause.
Wood: disperses liver and gallbladder channels, calms sympathetic nervous system, calms sympathotonic spasms, CNS sedative.
• The flowers and berries are astringent - use in decoction for a sore throat.
• East Asian uses: for blood stasis, menstrual pain, postpartum lower abdominal pain, intestinal bleeding, lower abdominal distention.
• Increases stomach acidity to help digest meats and fats.
• Treats bacterial dysentery and chronic enteritis.
• Chinese research has shown that its flavones can alleviate myocardial ischemia. Its flavones also can reinforce the crosslinking of collagen that forms connective tissue, and can prevent the release of pro-inflammatory substances such as prostaglandins, leukotrienes and histamine, and thus prevent tissue destruction in inflammatory diseases of the soft tissues.
• Potentiates the action of barbiturates.
• Topical: for angina.
• Not for acute cardiac insufficiency (use Lily of the Valley [Convallaria] or Foxglove [Digitalis]) - Hawthorn should be taken over time to improve the functional tone of the myocardium and prevent arteriosclerosis.
• Contraindicated for stomach ulcers with hyperacidity.
BII: Beneficial in: atherosclerosis, cardiac arrhythmia, CHF, hypertention, peripheral vascular disease, vascular fragility.
• Reduces angina attacks, lowers blood pressure and serum cholesterol.
IBIS: (berries, flowers, leaves)
• Qualities: sweet, slightly bitter, cool, dry, astringent.
• Affinities: heart, arteries, blood.
• Actions: cardiotonic, myocardial trophorestorative; coronorary and peripheral vasodilator, anti-arrhythmic, antioxidant, hypocholesterolemic, hypotensive, positive inotrope.
Dosage:
• Tincture (flowers & leaves) : 1 - 2 ml T.I.D.
• Tincture (berries) : 2 - 4 ml. T.I.D.
• (Preparations may vary, some are 50/50 Flower/Berries.)
• Dried herb : Infusion (flowers & leaves) Decoction (berries) Two teaspoons per cup (30gm/500ml) One cup T.I.D.
• Powdered dried herb : 500 - 1000 mg T.I.D.
• Standardized Extract : 100-250mg T.I.D. (Standardized to 1.8% vitexin or 10% total flavonoids as hyperoside)
• Therapy: coronary artery disease; angina pectoris; myocardial hypoxemia; Cardiac insufficiency (NYHA Stage I and II), arrhythmias; senile degeneration of the heart and atherosclerosis; post-infectious weakening of myocardium (Weiss pp. 164-65); paroxysmal tachycardia; Buerger's disease, (British Herbal Pharmacopoeia), synergist to reduce dosage of cardiac glycoside herbs (or drugs).
• Specific indications: hypertension with myocardial weakness, angina pectoris (British Herbal Pharmacopoeia).
Pharmacology:
• Cardioactivity: It is established that Crataegus oligomeric procyanidins and flavonoids increase myocardial and coronary blood flow, that it is positively inotropic and and hypotensive, but the mechanism of action is unclear. Crataegus flavonoids inhibit cAMP Phosphodiesterase, and myocardial Na+/K+ ATP'ase. The same compounds exhibit high antioxidant free radical scavenging activity, and are hypolipidemic via an action on hepatic LDL receptors and increased bile secretion. Crataegus also inhibits TXA2 (Thromboxane) formation, while stimulating prostacycline. Crataegus prolongs rather than reduces the myocardial refractory period, unlike most positive inotropes, hence reducing risk of arryhthymia. Animal studies have confirmed the abilty of Crataegus to lower blood pressure, increase myocardial perfusion, minimize ischemic damage (reduces post infarct LDH by 50%).(Literature Review see American Herbal Pharmacopoeia).
Clinical trials:
• Several controlled studies have been performed with Crataegus extracts and NYHA stage I and II cardiac insufficiency patients. Crataegus increased exercise tolerance, decreased systolic BP and heart rate (Schmidt 1994), decreased severity of symptoms subjectively as well as HR, BP (Leuchtgens, 1993). In another group (n=1476) Crataegus decreased symptom severity by 66%, and was associated with systolic drop of 10mm and diastolic drop pf 5mm average blood pressure. (Loew, 1996)
Drug interactions:
• Crataegus will synergize with the cardiac glycoside containing plants such as Convallaria, Digitalis, Strophanthus, Urginea, Apocynum, Asclepias etc., as well as the hypotensive alkaloids of Veratrum and Rauwolfia. Western clinical herbalists use Crataegus as an adjuvant to lower the dose of these more toxic herbs required for effective action.
• Crataegus potentiates the activity of cardiac glycosides including digitoxin, digoxin etc. Patients using these medications should be monitored by a herbalist or physician since the dose of pharmaceutical drug will need to be reduced during intercurrent therapy.
Joseph Coletto (OCOM): Extract of the berry (e.g. Scientific Botanicals' solid extract) is both tasty and excellent for oral lesions and irritation (administer repeatedly and hold in the mouth).
Shen Qu
Medicated Leaven
(Usually composed of 6 herbs)

"Divine Fermented Mass"
acrid
sweet
warm
Sp St Promotes digestion and eliminates food retention; harmonizes the stomach.

• Any type of food retention, including minerals, metals, bones: fullness, distention in the epigastrium and abdomen, poor appetite, borborygmus, diarrhea. Also appropriate for overindulgence in alcohol and starches.
• Especially effective for stomach cold with food stagnation.
• Can be dry-fried to enhance its effect on food stagnation.
• Added to pills that contain minerals to aid in their digestion and absorption.
• Bensky/Gamble: The ingredients vary - usually a fermented combination of wheat flour, bran, Qing hao, Xing ren, Cang er zi, Chi xiao dou. Liu: Wheat, Xing ren, Chi xiao dou, Qing hao, plus varying local herbs.
MLT: Rich in digestive enzymes.
• Also good for stomach flu.
6-15g


Herbs That Warm The Interior

Commonly combined with:
• A. Acrid, warm herbs that relieve exterior syndromes when there is exogenous cold attack.
• B. Herbs that promote Qi circulation when there is Qi stagnation associated.
• C. Herbs that tonify spleen and/or kidney Yang when there is Yang deficiency of either organ.
• D. Herbs that tonify source Qi when there is Yang collapse.

• These herbs are to be used with caution for patients with heat, Yin deficiency, or in pregnant women.
Bi Ba
(Bi Bo)
Long Pepper fruit
Pippali
acrid
hot
Sp
Lu
K
St
LI
Warms the middle; disperses cold from the stomach and intestines (middle and lower Jiaos); alleviates pain.

• Stomach cold: nausea, vomiting, belching, acid regurgitation, rumbling, abdominal pain.
• Topical: as a powder for pain, especially toothache.
• Antibiotic effect.
• Usually taken directly in powder or pill form.
• Contains piperine - used as a carrier to increase absorption of other substances through digestive tract (e.g., curcumin) and slow metabolism of certain drugs.
MLT: Reverses the flow of rebellious Qi.
• The Ayurvedic mixture Trikatu (the main stimulant compound of Ayurveda) consists of equal parts Bi bo, Hu jiao and Gan jiang. Powder the herbs and mix with honey. Take for cold digestion, allergies with clear/whitish discharges, abdominal and other pains caused by cold.
Yoga: Pippali: V, K-; P+
• Stimulant (digestive and respiratory systems), expectorant, carminative, aphrodisiac, anthelmintic, analgesic.
• Colds, coughs, asthma, bronchitis, laryngitis, arthritis, rheumatism, gout, dyspepsia, abdominal distention, flatulence, abdominal tumors, lumbar pain, sciatica, epilepsy, paralysis, worms.
• Strongly heating, dispels cold, congestion, and Ama, revives weakened organ functions.
• Unlike black pepper, it is a rejuvenative, mainly for the lungs and for Kapha.
• Use as a milk decoction for degenerative lung diseases like asthma.
• Strengthens reproductive functions.
• Take 3 pods with a little honey each morning to control excess secretions, mucus, and Kapha.
Trikatu (mentioned in MLT above) rejuvenates Agni, burns away Ama, allows for the assimilation of other medicines and foods.
Hsu: Analgesic, stomachic, antibacterial.
1.5-4.5g (usually taken directly as a powder or pill)
Chuan Jiao
(Hua Jiao)
Szechuan Pepper fruit
Chinese Prickly Ash
Zanthoxylum bungeanum






























Jiao Mu
Sichuan Pepper seed
acrid
hot
sl.
toxic
Sp
St
K
Warms the middle Jiao, disperses cold, relieves pain; kills parasites.

• Yang deficiency with cold in the spleen and stomach: epigastric and abdominal pain, vomiting, diarrhea.
• Roundworms: abdominal pain, vomiting.
• Pinworms: can be used as an enema.
• Schistosomiasis: Chuan jiao can be useful, increases appetite, reduces organomegaly. (Given in capsules in study.)
• Topical: as a poultice or compress for pain.
• Can reduce or stop lactation within 1 or 2 days postpartum.
• Overdose can cause paralysis of the diaphragm.
• Good quality Chuan jiao should cause numbness of the lips when eaten.
• Not to be combined with Li lu. Not to be used for Yang rising headaches.
• Farong Zhang: The seed inside "“ Jiao mu "“ is safe; its toxicity is in the fleshy covering.
Yoga: Tamburu: V, K-; P+
• Powerfully destroys toxins (Ama), kills worms and candida.
• Good for Sama Vata and arthritis; anti-rheumatic, increases peripheral circulation.
JC: (Z. americanum, Z. clava-herculis, Z. faxineum bark and berries. Berries are considered more effective, as they contain a volatile oil.)
• General stimulant (including cardiac), tonic, alterative, pungent, deobstruent, diuretic, antiseptic, diaphoretic, sialogogue, nervine. Plus, the volatile oil (found in the fruit) is stimulant, antispasmodic, carminative, acts principally upon mucus membranes.
• Dispels obstruction from all parts of the body.
• Asthma, cholera, cold extremities, colds, colic, diarrhea, dropsy, dyspepsia (atonic), female problems (chronic), flatulence, hepatic problems, lumbago, paralysis (including of tongue), pharyngitis, syphilis, rheumatism (chronic), scrofula, skin disease, poor circulation, mouth sores, toothache, ulcers, wounds. Can be chewed for mouth sores and toothache.
• Rheumatism liniment: mix 1 ounce [28.4g] of the herb in 4 ounces olive oil. Use with massage.
NAH: (Z. americanum, Z. clava-herculis)
• Stimulating to the circulation (the berries are reputedly more powerful than the bark, which is also used in Western herbalism) - causes blood to flow to the periphery, promotes sweating (helps reduce fevers).
• One common name is "toothache tree" since it can be chewed as a counter-irritant for toothache pain.
• Warms the stomach, stimulates the salivary glands and mucous membranes, reduces colic and flatulence, strengthens debilitated digestion, especially if the pulse is weak and the tongue is pale and flabby.
• Considerable reputation for allaying rheumatic pain.
• Reputed to have anti-cancer activity - the isolated benzophenanthridene alkaloids are reported to be destructive to cells, however, there are no accounts of adverse side-effects from medicinal doses.
1.5-6g

Jiao Mu: the seed
• Bitter, acrid, cold; enters the bladder and spleen channels.
• Moves water; calms wheezing.
• Edema with fullness and distention or wheezing and cough due to congested fluids.
1.5-6g
Ding Xiang
Clove flower bud
 
"Spike Fragrance"































Clove Essential Oil

acrid
warm
Sp
St
K
Warms the middle Jiao; descends stomach Qi; warms the kidneys, tonifies kidney Yang.

• Stomach cold: hiccups, vomiting, poor appetite, abdominal pain, diarrhea.
• Kidney Yang deficiency: impotence (Fu zi is superior), clear vaginal discharge (usually accompanied by weakness in the legs).
• Spleen or stomach cold from deficiency: lack or appetite, vomiting, diarrhea.
• Topical: fungal infections. (Treatment should not be interrupted.)
• Use as a powder locally or a rinse for toothache. Long history as a dental anaesthetic.
• Male cloves are preferred, as they provide a faster onset of action.
• Increases secretions of sputum from the gastric mucosa without increeasing acidity.
• Contraindicated in combination with Yu jin.
Hsu: Broad antibacterial, antiviral, antifungal; tranquilizing; adrenaline-antagonizing action - inhibits excitory transmission of the AV nodes of the heart; vasodilator; stimulates the uterus.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
BF: The Ben Cao Zai Xin says this herb opens the nine orifices, soothes depressed Qi, eliminates wind, and moves water.
DY: Scatters cold, stops pain.
• Male flowers, Gong ding xiang ("Spike Fragrance Father"), is reputed to be more powerful than the female flowers, Mu ding xiang ("Spike Fragrance Mother").
• With Shi di to effectively warm the middle burner and scatter cold, downbear Qi counterflow, and stop hiccups. For indications such as:
- 1. Hiccups due to cold in the stomach.
- 2. Nausea and vomiting due to deficiency cold in the spleen and stomach.
- For these indications, this pair is present in Shi Di Tang. For hiccups, add Chen xiang.
Ding xiang you, the aromatic oil extracted from cloves, warms the stomach and scatters cold. Applied externally, it treats epigastric pain, rheumatic pain, and toothache due to cold.
Yoga: Lavanga: K, V-; P+
Rajasic.
• Analgesic, stimulant, expectorant, carminative, mild aphrodisiac.
• Topical: administer the oil in the ear for tinnitus.
JC: Stimulant; the most powerful aromatic/carminative; stomachic; expectorant; anti-emetic; antispasmodic; astringent; rubifacient; antiseptic; digestive; increases circulation, stimulates excretory organs, stimulates and disinfects the kidneys, skin, liver, and bronchial mucous membranes.
• Toothache (use the oil), vomiting (especially in pregnancy), cholera, ague, infant convulsions (use a poultice on the nape of the neck), colic/flatulence (use a poultice on the abdomen), neuralgia, diarrhea, griping, hypotension, palsy, rheumatism, zygotic disease, nausea, epilepsy.
1.5-4.5g (0.5-1g directly as powder)

K&R: Essential oil (topical):
• Key for fatigue, memory loss, depression, colitis, weak libido.
• Oxytocic, aphrodisiac, parasympathomimetic, sympatholytic.
Water: severe fatigue, anergy, depression, melancholia, memory loss, impotence, frigidity, diarrhea from chronic intestinal disease, Crohn's disease, hemorrhagic rectocolitis, headache, UTI, edema, renal insufficiency, dental cavities, deafness.
Metal: pulmonary infection, tuberculosis, anorexia, parasites, chronic diarrhea, aerocolitis.
• Strong topical antiseptic/antifungal.
Fu Zi
(Zhi Fu Zi)
Prepared lateral (daughter) root of Aconite

"Appendage" or "Attached Son"

















































































Wu Tou
Aconite main root
acrid
hot
toxic
(ALL)
Ht
K
Sp
Restores collapsed Yang; tonifies heart fire, unblocks the vessels, and improves circulation; tonifies kidney Yang; disperses cold, warms the channels, relieves pain; reaches the 12 channels.

• Yang collapse: cold sweats, cold extremities, feeble pulse, diarrhea with undigested food (often after severe vomiting, diarrhea, or sweats). In these cases, Fu zi assists the heart Yang to unblock the vessels and improve circulation, and tonifies kidney Yang to augment fire and avoid loss of the source Yang.
• Heart, spleen, or kidney Yang deficiency: any associated patterns.
• Wind-cold-dampness: Bi syndrome, especially when cold is predominant. Also for cold blocking the organs, channels, sinews, bones, or blood vessels.
• Congestive heart failure.
• Lowers heart rate and slightly lowers blood pressure.
• Anti-inflammatory.
• Guohui Liu uses higher doses on Americans - up to 45g (so far) - and often begins with 10g.
• Guohui Liu recommends cooking Fu zi for at least 2 hours, until it no longer numbs the tongue, while Bensky/Gamble says to cook it for 30-60 minutes before adding other herbs.
• Watch for development of heat symptoms: burning urination, canker sores, bleeding, hard, dry stool.
Gan cao, Gan jiang, and honey substantially diminish Fu zi's toxicity (as do Xi jiao, Jin yin hua, and Lu dou).
• Symptoms of poisoning: vomiting, diarrhea, palpitations, drooling, nausea, vomiting, lightheadedness, blurry vision, numbness in the mouth and extremities, premature atrial contractions, dyspnea, tremors, incontinence, stupor, reduced temperature and blood pressure, death.
• Atropine and lidocaine have been used successfully in treatment of overdose.
• Contraindicated in pregnancy or Yin deficiency.
• One form of processing renders the herb black, called Hei fu pian or Hei fu zi ("Black Appendage"). Its action is focused on the kidneys.
• Another form of processing renders the herb white, called Bai fu pian or Bai fu zi ("White Appendage"). It is used by some for treating painful obstruction (Bi syndrome).
Sheng fu zi, the untreated herb, is used - rarely - when the full force of the herb is required - usually for emergencies and topical use.
PFGC: Enters and tonifies Ming Men; is pure Yang, moves without being confined, can reach any part of the body.
• For severe cold disorders causing: cold extremities, hiccups, nausea, regurgitation of food, diarrhea, cramps, wind obstruction, masses and accumulations, disorders of the Du Mai with stiffness and rigidity of the spine, chronic infant convulsions, greyish papules, skin ulcerations that do not heal with dispersing herbs.
• Aconite opens the pores to expel wind and cold from inside.
• Some books say that in combination with blood tonics, it can moisten deficiency of original Yin (not for complete water exhaustion).
• In extreme Yin syndromes with signs of false Yang, take the decoction cool.
• Though its action is opening, it also has a strong astringing effect: for profuse sweats from Yang collapse (cold body), diarrhea from intestinal cold, Yang deficiency in the lower Jiao with escaping Yin, cold excess syndromes with spontaneous seminal emission.
• Though all Yang things have the tendency to float upwards, aconite has ability to entice fire downward.
• Boosts both the imperial and ministerial fires.
• When the surface Yang of the Taiyang system floats precariously on the outermost surface, producing fever, aconite has ability to link it with the astringing energy of the Shaoyin system and heat symptoms will naturally disappear.
• If the inner core of the Shaoyin network is diseased, aconite can entice the energy to come up from below and make the pulse reappear.
Wu tou represents the mother Yin which is already depleted of the procreative force.
Tian xiong (an aconite root which does not spread laterally, but just grows fatter) represents the solitary Yang which is unable to procreate by itself.
Fu zi is the seedling of Wu tou and Tian xiong and thus contains both Yin and Yang.
MLT: Main herb for tonifying the Ming Men.
• Antidote to poisoning: mung bean congee (also Atropine).
Hsu: (Fu zi and Wu tou) Cardiotonic - increases contraction of the heart and improves circulation to the whole body; analgesic; antiphlogistic; stimulates the adrenocortical system of the pituitary, benefits patients with dysfunction of the adrenocortical system through adrenocortical hormone-like actions.
DY: Operates within the Qi division; returns Yang and stems counterflow; strongly supplements Yang; in the exterior, it is directed to the skin to drain cold; in the interior, it is directed to the three burners to drain cold; invigorates Ming Men fire; assists Yuan Yang; acts mainly on heart Yang (upper Jiao), spleen Yang (middle Jiao), and kidney Yang (lower Jiao).
• With Gan jiang for mutual reinforcement, to return Yang and stem counterflow. For indications such as:
- 1. Loss of consciousness, cold spontaneous perspiration, cold limbs, and a minute pulse due to Yang desertion. (Si Ni Tang) Use bland Fu zi.
- 2. Pain and a feeling of cold in the stomach and abdomen, vomiting, and diarrhea due to spleen vacuity cold. (Fu Zi Li Zhong Wan) Use blast-fried Fu zi.
• With Da huang (which operates within the blood division) to warm the interior, precipitate accumulation of cold, and evacuate the stools. For constipation, abdominal pain, fear of cold, and cold limbs due to accumulation of internal full cold. (Da Huang Fu Zi Tang).
When the pair of Da huang and Fu zi is combined with Xi xin, it has shown an interesting action in the treatment of cold-damp Bi or impediment with Yang deficiency and blood stasis (use wine mix-fried Da huang for this) as well as for Bi with an accumulation of heat in the stomach and intestines with persistent constipation.
• With Huang qi for mutual reinforcement, to supplement the Qi and warm the Yang, return Yang, secure the exterior, and stop perspiration. For indications such as cold spontaneous perspiration accompanied by aversion to cold, cold limbs, lassitude of the spirit, a pale tongue with white fur, a fine, weak pulse, and in severe cases, profuse sweating, loss of consciousness, and a minute pulse due to Yang deficiency or Yang collapse.
Fu zi is incompatible with soy sauce and millet.
RW: (part of root not specified) Neuralgia (facial/ trigeminal): 5-10 drops tincture (1:5::herb:menstruum) 3 times daily (increase dosage slowly).
IBIS: Actions: sedative, anti-inflammatory, synergist.
• Dosage: Tincture: 0.5 - 8 gtt., up to t.i.d.; Root: 0.06 g.
• Therapy: irritation of mucous membranes, facial neuralgia, fever and inflammation (especially with sudden onset), acute disease with restlessness.
• Toxic amounts of alkaloids have been absorbed through the skin. (Duke, pp. 12-13)
• Internal use may result in immediate oral burning, tingling, numbness, and throat constriction; followed by salivation, gastritis, nausea and vomiting. Characteristic tingling may spread over the entire body surface. Dysarthria, ataxia, vertigo, blurred vision, paresthesias and general weakness can follow. Myotoxic effects include stimulation followed by depression of cardiac, smooth and skeletal muscle. Alkaloidal effects on CNS and peripheral nerves produce a curare-like paralysis with labored respirations spreading from upper extremities to lower. Death from cardiac arrhythmia and respiratory failure occurs within 1-8 hours. (A.M.A., p. 20; Dreisbach, p. 434; Levy and Primack, p. 120; Theines and Haley, p. 24)
• The odor has a narcotic effect and can lead to eye irritation and swelling (Tedeschi, Eckert, and Tedeschi, p. 1525).
• Treatment for overdose: body warming (internally and externally), administration of atropine 0.05 mg/kg body weight, 2 - 3 mg total dose, and a potassium permanganate (1:1000) gastric lavage (Levy and Primack, p. 120; Theines and Haley, p. 24; Cooper, et al; Turnball)
• Laboratory changes: hypocalcemia due to reduction in free Ca++ ions.


1.5-15g (to 45g or more)
HF: Some practitioners of the Warming Yang school use doses up to 150g a day. It has even been claimed that these high doses are less likely to produce "overheating"-type side effects than lower doses.

Wu Tou: main root
• Includes two types: Chuan wu, Sichuan aconite, the garden variety (the form that is commonly used), and Cao wu, the wild variety (even stronger and more toxic, rarely used internally).
• Acrid, bitter, warm, very toxic; enters the heart, liver, spleen, kidney.
• Expels wind-damp, disperses cold, alleviates pain.
• Cold-dampness: Bi syndrome, cold and pain in the chest and abdomen, intense headaches, pain from trauma.
• Severe migratory arthralgia.
• Heart pain that radiates toward the back.
• Better at dispelling cold, eliminating obstruction, and alleviating pain than Fu zi, but less tonifying and more toxic.
• Must be cooked at least 30-60 minutes before adding the rest of the herbs (some say 60-90 minutes).
• Frequently used topically for pain.
• Traditionally not to be combined with Bai mu, Gua lou, Bai ji, Ban xia, Bai wei.
1.5-9g
Gan Jiang
Dry Ginger rhizome



















































Pao Jiang
Quick-fried Ginger rhizome
acrid
hot
Sp
St
Ht
Lu
Warms the middle Jiao; rescues collapsed Yang; expels interior cold; warms the Lungs, resolves harmful body fluid, transforms phlegm; warms the channels, stops bleeding.

• Yang collapse: very weak pulse, cold limbs, etc. Gan jiang alone cannot be counted on. Combine it with Fu zi.
• Yang deficiency cold: hemorrhage of various types, especially uterine bleeding - only when the bleeding is chronic, pale in color, with cold limbs, white face, and a soggy, thin pulse.
• Spleen and stomach cold (either Yang deficiency or externally-contracted excess cold): cold and pain in the epigastrium and abdomen, vomiting, diarrhea.
• Lung cold: cough with thin white sputum, difficulty breathing, cold in the back.
• Raises blood pressure (by acting on central sympathetic centers).
• Downregulates some detoxification genes "“ may prevent some drugs from working
DY: Gan jiang is often used to reinforce the action of Fu zi. As a pair, they are used to return Yang and stem counterflow. For specific indications and notes on this combination, see Fu zi in this category.
Gan jiang warms the spleen and stimulates its functions of transformation and transportation. This has the effect of promoting the upbearing of the clear toward the Lungs and the downbearing of the turbid toward the large intestine. Furthermore, it prevents development of phlegm which the spleen tends to discharge into the Lungs. It transforms cold phlegm (the Chinese word for transform literally means "to melt") in the Lungs by warming the Lungs. This then promotes diffusion and downbearing [by the Lungs]. In turn, this has the effect of regulating and freeing the flow of the water passageways in order to prevent the development of new phlegm, and downbearing the rebellious Lung Qi.
Gan jiang has clearly demonstrated its efficacy for cold-type asthma in clinical practice. It is, therefore, often systematically added to reinforce the impact of conventional treatments for this pattern of cough and asthma.
• With Wu wei zi: While Gan jiang treats the disease mechanism (see previous bullets), Wu wei zi treats the branch manifestations (i.e. cough and asthma) by securing the Lung Qi by its astringent nature. As a pair, Gan jiang andWu wei zi effectively warm the Lungs, transform phlegm, stop cough, and calm asthma. For indications such as cough and/or asthma with profuse, clear, and white phlegm due to cold in the Lungs, Lung Yang deficiency, or phlegm-cold. For these indications, the combination is used in Xiao Qing Long Tang accompanied by Xi xin.
• With Huang lian to eliminate cold accumulation and depressive heat, drain mixed cold and heat, in order to stop vomiting and diarrhea. The pair allows one to regulate upbearing and downbearing, to harmonize Yin and Yang, and to treat mixed cold and heat. The ratio of the two herbs can be adjusted (3-10g each) depending on whether heat or cold is predominant (use equal doses if heat and cold exist in equal proportion). For indications such as:
- 1. Vomiting, acid regurgitation, belching, epigastric pain or distention, and clamoring stomach (a feeling of hunger, burning, emptiness, unease, and sometimes pain in the stomach with nausea and acid regurgitation) due to a mixture of cold and heat in the stomach. (Ban Xia Xie Xin Tang) Use stir-fried Huang lian unless heat is severe.
- 2. Diarrhea, dysentery, and stomach rumbling due to mixed heat and cold and/or disharmony between the stomach and intestines. (Use stir-fried Huang lian unless heat is severe.)
- 3. Glossitis, stomatitis, and chronic, recalcitrant mouth ulcers due to spleen Yang deficiency and stomach fire.
Yoga: Sunthi, Nagara (dry), Ardraka (fresh): V, K-; P+
• Pungent, sweet/heating/sweet. The most Sattvic spice.
• With honey, it relieves Kapha.
• With rock candy, it relieves Pitta.
• With rock salt, it relieves Vata.
• Dry ginger is better than fresh as a stimulant and expectorant for reducing Kapha and increasing Agni.
• Fresh ginger is a better diaphoretic, better for colds, cough, vomiting and deranged Vata.
• The herb is also a heart tonic.
• Use as a paste for pain and headache.
BII: Carminative, intestinal spasmolytic.
• For all symptoms of motion sickness, and also for morning sickness in pregnancy.
• Some anti-inflammatory effects.
• Useful for migraines, arthritic conditions.
• Also useful in: atherosclerosis, headaches, inner ear dysfunction, nausea, vomiting, osteoarthritis, pain (rheumatic), rheumatoid arthritis.
Hsu: Raises blood pressure - reflexively stimulates the vasomotor center and stimulates the sympathetic nervous system.
• Anti-emetic, anti-diarrheal.
DY: This herb is specifically the older, more mature (dried) rhizome.
3-12g

Pao Jiang: Quick-fried Ginger (or fried until slightly blackened)
• Bitter, astringent, warm. Enters the liver and spleen.
• Stops bleeding associated with cold from deficiency; warms the channels.
• Less potent than Gan jiang at warming the interior, though may be better at treating lower abdominal disorders.
Gao Liang Jiang
Galanga rhizome
Alpinia officinarum

acrid
hot
Sp
St
Warms the middle Jiao, relieves pain.

• Cold in the spleen and stomach: pain in the epigastrium and abdomen, vomiting, diarrhea, hiccups.
DY: With Xiang fu to warm the stomach and drain cold, move the Qi, and stop pain. For indications such as pain in the epigastrium alleviated by warmth and pressure, chest and lateral costal distention, and nausea due to cold in the stomach and Qi stagnation. For these indications, the combination is used in Liang Fu Wan. Vinegar mix-fried Xiang fu should be used. In cases of severe cold, a larger dose of Gao liang jiang should be used. In cases of severe Qi stagnation (as evidenced by epigastric distention and pain aggravated by pressure), a greater quantity of Xiang fu should be prescribed.
Gao liang jiang is very acrid and drying. Its action is drastic, and it should not be prescribed over a long period of time, for fear of damaging stomach Qi and Yin.
PCBDP: Carminative, stimulant.
• Dyspepsia.
• In a paste with bloodroot [Sanguinaria] to treat periodontal diseases (including gingivitis) and skin cancer.
• Has anti-ulcer activity, possible anti-tumor activity.
Hsu: Stomachic, analgesic (stronger than Gan jiang), broad antibacterial.
1.5-9g
Hu Jiao
Black Pepper

"Barbarian Pepper"








acrid
hot
LI
St
Warms the middle; disperses cold; alleviates pain.

• Stomach cold: vomiting, diarrhea, abdominal pain.
• Diarrhea (chronic, non-infectious studied) - can be used orally or applied to the navel in a plaster.
• Nephritis: In one study, 10 patients were given two steamed eggs daily into which Hu jiao was placed prior to steaming. All but one patient (who had nephritis for 10 years) were cured.
• A large dose can be used for pain associated with malignancies.
• When prescribed in large doses (up to 30g), it must be cooked at least 2 hours.
• Contains piperine - used as a carrier to increase absorption of other substances through digestive tract (e.g., curcumin) and slow metabolism of certain drugs.
Yoga: Marich: The Sun, named because it contains large amounts of solar energy. Pungent/heating/pungent; K, V-; P+
• Stimulant, expectorant, carminative, febrifuge, anthelmintic.
• Chronic indigestion, toxins in the colon, degenerated metabolism, obesity, sinus congestion, fever, intermittent fever, cold extremities.
• Take nasally in ghee for sinus congestion, headache, seizures.
• Burns up Ama; energizes Agni.
• Good antidote for cold/raw food.
• With honey it is a powerful expectorant and mucus cleanser, dries up secretions.
• Excessive amounts can be an irritant - it is Rajasic in nature.
1.5-4.5g
Rou Gui
Inner bark of Vietnamese Cinnamon
(Cinnamomum loureirii)












































Guan Gui
Young Cinnamon bark





Rou Gui Xin
Cinnamon heart



Cinnamon Essential Oil
acrid
hot
K
Sp
Ht
Lv
Tonifies heart fire and kidney Yang; disperses cold to relieve pain; warms, activates, and unblocks the channels; conducts floating Yang back into kidneys; encourages the generation of Qi and blood.

• Kidney Yang deficiency, waning at the Ming Men: cold extremities, intolerance of cold, weak lumbar region and knees, impotence, frequent urination.
• Spleen and Kidney Yang deficiency: cold and pain in the epigastrium and abdomen, poor appetite, loose stools.
• Cold-dampness: low back pain, Bi syndrome.
• Failure of the kidneys to grasp the Lung Qi: wheezing.
• Yang deficiency: carbuncles.
• Qi and blood deficiency with cold: ulcers resistant to healing
• Floating Yang: flushed face, severe sweats, wheezing, weak and cold lower extremities, a deficient and rootless pulse (i.e. conditions of (false) heat above, cold below). Also used for other conditions where the upper part of the body is hot (e.g. dry mouth, sore throat, or toothache that become worse at night) and the lower part is cold (e.g. lower back pain, cold lower extremities, diarrhea, weakness in the proximal position of the pulse). To conduct floating Yang back to the kidneys, a tiny dose is used - 0.1 to 0.5g.
• Deep cold causing Qi or blood stasis: cold in the blood causing amenorrhea or dysmenorrhea; yin-type boils (concave, usually ooze a clear fluid), abscesses or sores that do not heal.
• With Qi and blood tonics as an auxiliary herb for chronic deficiency of Qi and blood.
• Injected into BL-13 for asthma. Clinical trials showed it to be very effective.
• Antibacterial and antifungal properties.
• Crush into small pieces before using.
• Weaker than Gui zhi at warming, activating, and unblocking the channels.
• Decoction causes loss of the volatile oils which are responsible for much of its effect. Usually taken directly as a powder, pill, or tincture (can also be added to a strained decoction).
• Recently used to treat blood sugar dysregulation and diabetes.
Yoga: Twak: pungent, sweet, astringent/heating/sweet; Sattvic; V, K-, P+
• Stimulant, diaphoretic, carminative, alterative, expectorant, diuretic, analgesic.
• Colds, sinus congestion, bronchitis, dyspepsia.
• Relieves pain of toothache, and muscular pain.
• Strengthens the heart, promotes Agni.
• Is less likely to aggravate Pitta than ginger is.
• Good general drink for Vata.
Hsu: Vasodilator, diaphoretic, alleviates pain due to GI spasms, inhibits abnormal fermentation processes in intestines.
DY: Supplements the source Qi.
• By supplementing source Qi, it assists in the engenderment of Qi, blood, and essence (as in Shi Quan Da Bu Wan [Ba Zhen Tang + Huang qi and Rou gui]).
• Real Rou gui is very expensive. Many importers sell the culinary quality - Gui pi - which has little medicinal value. It focuses on the middle burner. It does not reinforce kidney Yang or Ming Men fire.
• With Huang lian (3-6g each) to harmonize Yin and Yang, drain the south (heart fire) and supplement the north (kidney Yang), and re-establish the interaction between the heart and kidneys. For indications such as:
- 1. Insomnia, vexation, and agitation due to heart and kidneys not communicating. (Such as for kidney Yang deficiency which cannot move and upbear kidney water, which then becomes dead and stagnant, and fails to nourish heart Yin and control heart fire which rises upward. Use Jiao Tai Wan.)
• As a powder (Rou gui mo or Rou gui mian), some expense can be spared, as it needs only be prescribed at a dose of 1-2g daily, taken directly or added to a decoction within the last 5 minutes of cooking.
1.5-4.5g (to conduct floating Yang back to the kidneys, use 0.1-0.5g)

Guan Gui: the thinner bark of trees that are 6-7 years old
• This bark has less oil than Rou gui, and is considered to be drier.
• Weaker than Rou gui for supplementing the original Qi, but better for warming the middle and drying dampness. Guan gui is mainly for the middle burner and spleen.
• Less tonifying for Yang Qi than Rou gui.
4.5-9g

Rou Gui Xin (Gui Xin): the heart of Rou gui
• This is cinnamon bark which has been cleaned of its fine, superficial layer.
• It is believed to be superior for reinforcing heart Yang and for re-establishing the interaction between the heart and kidneys.


Essential Oil of Cinnamon 
K&R: Key for fatigue, weak digestion, weak libido.
• Sympathomimetic, adrenal cortex stimulant, carminative, astringent, antibacterial, oxytocic, antispasmodic.
Earth: flu, parasitosis, digestive mycosis, fatigue after infection, spastic colitis, obsessions, contracts uterus for labor, stimulates sexual appetite, stimulates CNS.
Metal: flu, hemoptysis, melancholy, stimulates psychic functions.
Wu Zhu Yu
Evodia fruit
acrid
bitter
hot
sl. toxic
Lv
Sp
St
K
Warms the middle Jiao, disperses cold, relieves pain; stops diarrhea; frees the liver Qi; redirects rebellious Qi, stops vomiting; warms the liver channel and organ; dries dampness; expels damp-cold; leads fire downward (topically).

• Yang deficiency cold in the middle Jiao: severe pain in the epigastrium and abdomen.
• Liver and/or stomach channel disorders from cold or phlegm: headaches, epigastric pain, nausea, drooling, reduced taste sensation, pale tongue, wiry or weak pulse.
• Cold in the liver channel: hernial disorders.
• Liver Qi stagnation, Qi rebellion, or Liver attacking the stomach: vomiting, acid reflux, flank pain, severe vertex headache. For liver/stomach disharmony (liver channel heat attacking the stomach), Zuo Jin Wan is commonly used - 6 parts Huang lian with 1 part Wu zhu yu. Indications: hypochondriac pain, indeterminate gnawing hunger, epigastric focal distention, vomiting, acid regurgitation, belching, bitter taste in the mouth, dry mouth, red tongue, yellow coat, wiry, rapid pulse.
• Topical: Grind the herb to a powder. Combine it with water or vinegar (vinegar is stronger) to form a mud. Apply it to the soles of the feet (covering K-1) and cover it with plastic wrap. Put socks on and walk on it for up to 6 hours. This tonifies/warms the kidneys for kidney deficiency; leads fire downward - for rising Yang, mouth or tongue sores, toothache; speeds up metabolism (helps weight loss); lowers blood pressure (in 12-24 hours). This method of application may lose efficacy (particularly for weight loss) after several consecutive treatments.
• Irritable bowel syndrome: powder the herb, mix it with vinegar, and apply it to the navel.
• Useful for early and subacute eczema, childhood eczema, and localized neurodermatitis.
• Antibiotic and antiparasitic effects; analgesic.
• Very drying. Can injure the Qi. Not for long term use.
• Administering a Gan cao decoction before this herb can reduce its side effects.
Hsu: Constricts the uterus; anthelmintic; antifungal; analgesic; stimulates blood circulation.
• Large doses cause CNS stimulation and hallucinations (contains DMT).
DY: This is one of six medicinals which have been traditionally aged for the purpose of reducing secondary effects and reinforcing their therapeutic actions. Generally, the longer it is kept, the more efficient it becomes.
• With Huang lian to effectively drain liver fire, harmonize the stomach, downbear counterflow, and stop pain, acid regurgitation, and vomiting. For indications such as:
- 1. Lateral costal pain and distention, nausea, vomiting, acid regurgitation, belching, clamoring stomach, and a bitter taste in the mouth due to liver depression transforming into fire which disturbs the stomach. (Zuo Jin Wan)
- 2. Diarrhea and dysentery due to damp-heat.
- The usual dosage for this pair is 3-10g Huang lian and 2-5g Wu zhu yu. Traditionally, the combination is for liver fire causing liver-stomach disharmony which, in turn, leads to nausea, vomiting, and acid regurgitation. In this case Huang lian should be prescribed in a larger quantity and Wu zhu yu in a lesser amount. However, this pair can also be used in patterns where cold and heat are mixed. In this case, if heat is predominant, the dosage of Huang lian should be proportionately more. If there is concomitant stomach Yin deficiency, add Shi hu. If cold is predominant, the dosage of Wu zhu yu should be proportionately more. If there is concomitant Qi deficiency, add Dang shen. If cold and heat are present in identical proportions, the quantities of both herbs should be equal.
3-9g
Xi Xin
Asarum root
"Wild Ginger"

"Thin Acrid"
acrid
warm
sl. toxic
Lu
K
Alleviates pain; releases the exterior, eliminates wind, disperses cold; warms the Lungs, resolves harmful fluid, transforms phlegm; opens the nose; mildly promotes sweating.

• Wind-cold or any exterior cold pattern, especially with the addition of dampness or underlying Yang deficiency: headache (especially Shaoyin, radiating to the teeth), toothache, body aches, Bi syndrome, other pain.
• Cold and harmful fluid in the Lungs: cough with thin, whitish sputum, difficulty breathing.
• Nasal congestion - various types.
Shaoyin syndrome, fever, deep pulse.
• Topical: in powder, mixed with water and glycerine, and applied to the navel (for at least 3 days) for oral lesions.
• Better at warming the interior than releasing the exterior.
• For nasal and oral problems, it is often powdered and sucked directly into the affected areas.
• Antipyretic; analgesic.
• Liu: Can be used in doses as high as 10g daily for body aches. Monitor the patient for signs of toxicity - not for prolonged use at higher doses.
• Bensky/Gamble classifies this herb with acrid warm herbs that release the exterior.
• Contains aristolochic acid. Caution in patients with renal problems. May be restricted by FDA. 
Hsu: Local anesthetic, analgesic; antitussive.
DY: Powerful analgesic. Despite its warm quality, it can be combined with appropriate herbs for any pain pattern.
• Toxic at doses over 5g per day.
IBIS: Carminative, diaphoretic.
• Avoid in stomach inflammation and/or intestinal inflammation due to its spicy stimulant effects (Brinker).
• Avoid during pregnancy due to its emmenogogue and abortifacient effects (Lewis & Elvin).
1-3g
Xiao Hui Xiang
Fennel seed




















acrid
warm
Lv
K
Sp
St
Disperses cold, relieves pain; regulates Qi, harmonizes the stomach; frees the liver Qi, warms and moves the liver channel and lower Jiao, warms the kidneys.

• Cold in the liver or kidneys: severe pain in the lower abdomen and testes, especially in cases of hernia. Useful for any kind of lower abdominal pain due to cold. In one study of 26 cases of incarcerated hernia, Xiao hui xiang was given orally and then patients were asked to lie supine with their knees bent. The hernia and symptoms were reduced in 22 cases, usually within a half hour. The longer the incarceration, the less effective the treatment.
• Stomach cold: vomiting, poor appetite, indigestion, distending pain in the epigastrium or abdomen. (Wu zhu yu and Ding xiang are superior.)
• Regulates intestinal peristalsis, reducing emptying time and increasing the passage of gas. It also relieves spasms of the intestines.
• Topical: powder the herb, heat it (under a TDP lamp, in a microwave, or by dry-frying it), put it in a tea bag, and place it over a hernia or an area with a sensation of cold or pain.
• Hydrocele of the tunica vaginalis: Xiao hui xiang was given (with salt and other ingredients) at bedtime with rice wine. 59 of 64 cases were cured at six weeks and 1 was improved.
K&R: Carminative, eupeptic, expectorant, antispasmodic, galactagogue, diuretic (azoturic), urinary antiseptic.
• Earth yin, water yin, metal yin.
Earth: digestive insufficiency, colic, pediatric abdominal pain.
Metal: intestinal colic, colitis, pediatric- expectorant for bronchitis, asthma.
Water: oliguria, renal calculi, amenorrhea, frigidity, impotence, urinary infection.
• Use with a laxative for constipation with poor intestinal tone.
• Sedative and carminative for excitable children with indigestion.
Yoga: Shatapushpa: sweet, pungent/slightly cooling/sweet; VPK=
• Carminative, stomachic, stimulant, diuretic, antispasmodic.
• Indigestion, low Agni, abdominal pain, cramps or gas, difficult or burning urination, children's colic.
• Stops griping from purgatives.
• Helps promote menstruation and lactation.
• Good for all constitutions. Strengthens Agni without aggravating Pitta.
• The aroma acts on the mind, produces alertness.
Hsu: Expectorant, stomachic.
3-9g



Herbs That Promote Qi Circulation

Commonly combined with:
• A. Herbs that disperse the Lungs and resolve phlegm when there is attack of the Lungs by an EPI.
• B. Herbs that clear heat and resolve phlegm when there is Lung phlegm-heat.
• C. Herbs that clear damp-heat when there is damp-heat in the middle Jiao.
• D. Herbs that warm the interior when there is spleen cold-dampness.
• E. Herbs that promote digestion when there is food retention.
• F. Herbs that tonify spleen Qi when there is spleen Qi deficiency.
• G. Herbs that nourish liver blood and Yin and promote blood circulation when there is liver Qi stagnation.
• Since these herbs disperse Qi and tend to be aromatic and drying, they are generally used with caution for patients with Yin or Qi deficiency.
• Since the dispersing effect of many of these herbs is dependent on their volatile oils, these herbs are generally decocted for no longer than 15 minutes.
• When using Chen pi, Ju hong, Ju He, Qing pi, Zhi shi, Zhi ke, Fo shou, Xiang yuan, and other citrus herbs, remember to consider the possibility of the patient's having a citrus sensitivity or allergy.
The term "adjusts the middle Jiao" refers to an herb's ability to re-establish the proper ascent and descent of Qi by the spleen and stomach.
• Also consider these Qi moving herbs from other categories, as appropriate: An Xi Xiang [Open Orifices], Bai Jie Zi [Resolve Phlegm], Bai Dou Kou [Aromatic Transform Damp], Bing Lang [Kill Parasites], Bo He [Acrid, Cool], Cao Dou Kou [Aromatic Transform Damp], Du Huo [Expel Wind-Damp], E Zhu [Move Blood], Gua Lou Pi [Resolve Phlegm], Hou Po [Aromatic Transform Damp], Jiang Xiang [Move Blood], Lu Lu Tong [Move Blood], Rou Dou Kou [Astringent], Ru Xiang [Move Blood], San Leng [Move Blood], Sha Ren [Aromatic Transform Damp], Yan Hu Suo [Move Blood], Yu Jin [Move Blood], Zi Su Ye [Acrid, Warm].
Chen Pi
(Ju Pi)
Citrus peel
(usually Tangerine or Mandarin Orange)

Citrus reticulata, C. tangerina, C. erythrosa

"Aged Peel"





















































Ju Hong
Red part of Citrus peel











Ju He
Citrus seed




Qing Ju Ye
Bluegreen Citrus leaf
acrid
bitter
warm
Sp
Lu
St
Regulates Qi; adjusts the middle Jiao (acrid lifts the spleen Qi, bitter descends the stomach Qi); dries dampness; resolves phlegm; helps the spleen to transport; relieves the diaphragm; directs Qi downward.

• Spleen/stomach Qi stagnation: distention in the epigastrium and abdomen, belching, bloating, fullness, nausea, vomiting. Also used for various other forms of nausea and vomiting.
• Accumulation of dampness in the middle Jiao: distention in the chest, epigastrium, and abdomen, stifling sensation in the chest, poor appetite, fatigue, loose stool, thick and sticky tongue coat. An important Qi-level herb of both the spleen and Lung channels, it is especially appropriate for disorders involving both channels.
• Phlegm-damp in the Lungs: cough with copious sputum, difficulty breathing, stifling sensation in the chest.
• Added to tonics to help keep their rich quality from stagnating the Qi.
• Some effectiveness as a transdermal carrier of other substances.
• Mastitis: Chen pi was used with Gan cao in one study to yield good results in 70% of the cases, usually within 2-3 days. The longer the duration of the mastitis, the less effective the treatment.
Chen pi is aged (cured) to eliminate secondary effects and reinforce its primary actions. Generally, the older the Chen pi, the higher the quality and the more effective.
• Use with caution when there is heat.
• Can be carried to guard against taking on patients' sicknesses.
• Compared to Qing pi, Chen pi has a more harmonious nature and tends to enter the Qi level of the spleen and Lungs. Its actions are primarily vertical and it is therefore used for both coughing and vomiting. Qing pi, on the other hand, has scattering and unblocking properties that are relatively harsh; it is accordingly prescribed for breaking up Qi stagnation. Its actions are more horizontal and it is therefore used primarily for pain.
DY: Moderately fortifies the spleen; harmonizes the stomach, stops vomiting; rectifies the Qi on the right side of the body; downbears stomach Qi counterflow.
• Three essential therapeutic methods are used to treat phlegm-dampness:
- 1. Transforming and drying existing phlegm or evacuating it through expectoration.
- 2. Moving Qi - if Qi moves with fluidity, phlegm is expelled through expectoration and stagnant dampness, which is the origin of the production of phlegm, is moved and does not accumulate - thus dampness does not congeal into phlegm.
- 3. Supplementing the spleen - to promote the transformation and transportation of water and food, and prevent the accumulation of dampness and the engenderment of phlegm.
- Chen pi possesses all three essential functions for the elimination of phlegm-dampness - it transforms phlegm, moves Qi, and fortifies the spleen.
• Zhang Zi-he of the (12th century) Southern Song dynasty, said: "Chen pi is upbearing and floating, goes to the Lungs and spleen, influences the upper (body) and frees the flow."
Chen pi is often added to formulas which supplement the Qi, blood, or Yin in order to ease the assimilation of rich herbs and to avoid Qi stagnation. It can be systematically added to these types of formulas whenever spleen deficiency is suspected.
• With Ban xia for mutual reinforcement, to fortify the spleen, rectify the Qi, dry dampness, transform phlegm, and stop vomiting. For such indications as:
- 1. Cough due to an accumulation of phlegm-dampness. (Use lime-processed Ban xia.)
- 2. Chest oppression, nausea, and vomiting due to stomach disharmony and phlegm-damp stagnation. (Use ginger-processed Ban xia and stir-fried Chen pi.)
• With He zi to effectively constrain the Lung Qi, rectify the Qi, and increase the voice. For hoarse voice, loss of voice, and chronic cough (deficiency type) with loss of voice and phlegm in the throat. (He zi is contraindicated in cases of phlegm-heat or full patterns.)
• With Qing pi to soothe the liver, regulate the stomach, harmonize the liver and spleen, harmonize the liver and stomach, rectify the Qi, and stop pain. For epigastric and abdominal distention and pain, chest and lateral costal region distention and pain due to disharmony of the liver and spleen, liver and stomach, or a liver depression Qi stagnation. For these indications, uncooked or stir-fried Chen pi and vinegar mix-fried Qing pi should be used. In cases of liver-spleen disharmony, add Bai shao, Chai hu, and Bai zhu. This pair is also sometimes used to treat food accumulation in the stomach, diarrhea with abdominal distention due to liver-spleen disharmony, and premenstrual syndrome due to liver-spleen disharmony.
• With Sang bai pi to clear the Lungs and transform phlegm, rectify the Qi, stop coughing and calm asthma. For cough and asthma due to Lung heat with abundant yellow phlegm.
• With Zhu ru to clear and warm simultaneously, eliminating mixed cold and heat in the stomach. They harmonize the stomach, downbear Qi counterflow, and stop vomiting. The combination can be used in the formula Ju Pi Zhu Ru Tang for indications such as:
- 1. Nausea, vomiting, and epigastric and abdominal distention due to spleen-stomach deficiency mixed with cold and heat. (In actuality, the spleen is deficient and cold or at least benefits from the use of warm ingredients, and the stomach is hot and requires clearing with cold medicinals.)
- 2. Nausea and vomiting during pregnancy.
Ju pi vs. Chen pi: Ju pi is the recent skin, while Chen pi is the aged skin. Ju pi is very drying and acrid, more draining and irritating to the stomach. Chen pi is moderate and more efficient. Chen pi is preferred for use in clinical practice.
Hsu: Stomachic; expectorant; anti-emetic; regulates the intestines; hemostatic - strengthens capillaries; antibacterial; increases blood pressure; stimulates the heart; inhibits GI and uterine activity; slightly inhibits urinary excretion.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
3-9g

Ju Hong: Just the red part of the peel
• Acrid, bitter, warm. Enters the Lung and stomach chanels.
• Similar to Chen pi, but more drying and aromatic than Chen pi and less effective at harmonizing the middle and regulating the stomach and spleen.
• Resolves phlegm, dispels wind-cold.
• Primarily used for vomiting, belching, phlegm-damp coughs.
DY: Scatters cold, rectifies the Qi; resolves the exterior; dries dampness, transforms phlegm; disperses food stagnation and distention.
• With Zi wan to effectively dry dampness and transform phlegm without drying the Lungs, rectify the Qi, and stop cough. For indications such as:
- 1. Cough with profuse phlegm and chest oppression due to accumulation of phlegm and Qi stagnating in the Lungs.
- 2. Cough with itchy throat, low grade fever, fear of cold, and profuse phlegm due to wind evils attacking the Lungs.

Ju He: The seed
• Liu: Shaped like a testicle: guides to and treats testicular problems.
DY: Moves the Qi; scatters nodulation; stops pain; directed toward the Jueyin channel and the Qi division, directed toward the lower burner, into the kidney channel and treats shan. See Li zhi he in this category for notes on shan.
• With Li zhi he, these two herbs are directed toward the liver channel and especially to the region of the pelvis. They effectively scatter cold and nodulation, and stop pain. For specific indications of this combination, see Li zhi he in this category.

Qing Ju Ye: Bluegreen citrus leaf
• Frees liver Qi.
Chen Xiang
Aquilaria sap
Aloeswood

"Sinking Fragrance"
or "Fragrant Dense Herb"
acrid
bitter
warm
Sp
St
K
Regulates Qi, relieves pain; descends stomach Qi, adjusts the middle Jiao; directs rebellious Qi downward, regulates the middle Jiao; warms the kidneys, aids them in grasping the Qi.

• Blood stasis or cold obstruction (including from deficiency) with Qi stagnation: distention, pain, or a feeling of pressure in the chest, epigastrium, or abdomen.
• Stomach or spleen cold (including from deficiency): rebellious Qi wheezing, vomiting, hiccups, belching.
• Kidney deficiency: asthma, wheezing, cough with difficulty breathing.
• Particularly useful for stagnation in the lower abdomen.
• The true herb is expensive, very aromatic, precious - do not cook it. It is usually powdered and taken directly.
• Powerfully inhibits M. tuberculosis, Shigella.
• Traditionally, this is not just the wood of this tree, but specifically very old wood, and, some say, wood that has been underwater for many years.
Hsu: Antibacterial - for typhoid, dysentery; analgesic, tranquilizing effects.
1.5-3g
Chuan Lian Zi
Melia fruit
Sichuan Pagoda Tree fruit
Sichuan Chinaberry























bitter
cold
sl toxic
Lv
St
SI
BL
Regulates Qi (especially liver Qi), relieves pain; kills parasites, treats fungal disease; clears heat; dries dampness.

• Liver Qi stagnation or liver attacking the stomach: costal, hypochondriac, epigastric, or abdominal pain. Also for hernial disorders. Especially useful when there are heat signs.
• Damp-heat Qi stagnation: epigastric, abdominal, flank, or hernial pain.
• Roundworms, tapeworms: abdominal pain. More effective at treating the pain than killing the parasites.
• Particularly useful for stagnation in the flanks and lower abdomen.
• Topical: for fungal infections on the scalp.
• May irritate the stomach - when given in a large dose for a long time, it injures the mucous membrane of the stomach.
• May cause elevation of liver enzymes.
• Must be broken up before using.
Jin: Safe to use in pregnancy (when indicated). Unlike some herbs in this category, this herb is not especially drying.
Li: When used for excess conditions, it will not irritate the stomach.
• Use as a sitz bath for yeast infections, and as a wash for other fungal diseases.
DY: With Yan hu suo to clear heat, eliminate dampness, course the liver, move the Qi and blood, and stop pain. This combination (Jin Ling Zi San) is used for indications such as:
- 1. Pain in the chest, epigastrium, abdomen, and lateral costal regions due to liver depression Qi stagnation sometimes associated with liver blood stasis. (Use wine mix-fried Yan hu suo and scorched Chuan lian zi.)
- 2. Liver depression Qi stagnation transforming into liver heat or fire.
- 3. Dysmenorrhea and menstrual irregularities due to Qi and/or blood stasis. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- 4. Heart pain due to Qi and blood stagnation. (Use wine mix-fried Yan hu suo and scorched Chuan lian zi.)
- 5. Inguinal hernia or diseases of the scrotum or testicles due to Qi stagnating in the liver channel. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- 6. Hepatitis, cholecystitis, and angiocholitis due to damp-heat in the liver and gallbladder. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- This combination is a major analgesic which can be added to other prescriptions when pain is a key manifestation of the disorder and especially if this pain is due to Qi stagnation and blood stasis. If there is a headache, add Chuan xiong and Hong hua. If there is chest pain, add Jie geng, Zhi ke, and Xie bai. If there is lateral costal pain, add Chai hu and Yu jin. If there is stomach and epigastric pain, add Mu xiang and Dan shen. If there is lower abdominal pain, add Mu xiang and Tao ren. If there is lower abdomen pain occurring on both sides of the abdomen in the area traversed by the liver channel, add Wu yao and Xiao hui xiang.
3-9g
Da Fu Pi
Betel husk
Areca peel

"Big Abdomen Peel"
acrid
sl warm
LI
SI
Sp
St
Promotes the downward movement of Qi; reduces stagnation; expels dampness; promotes urination, reduces edema.

• Food stagnation, Qi obstruction: epigastric and abdominal distention, regurgitation of food, belching with acid regurgitation. Especially useful when these disorders are accompanied by constipation.
• Damp stagnation in the stomach and intestines.
• Abdominal distention with edema, especially superficial edema, or the symptoms of food stagnation. Also for damp leg qi.
• Strengthens the contractions and tension of the intestines.
6-9g
Fo Shou
Finger Citron

"Buddha Hand"







Fo Shou Hua
Finger Citron flower
acrid
bitter
warm
Lv
Sp
St
Lu
Frees the flow of liver Qi; regulates Qi; adjusts the middle Jiao; resolves phlegm; mildly dries dampness; harmonizes the stomach, strengthens the spleen.

• Liver Qi stagnation: costal, hypochondriac, or flank pain, distention in the chest, belching.
• Spleen/stomach Qi stagnation: distention and fullness in the epigastrium and abdomen, epigastric pain, poor appetite, belching, nausea, vomiting.
• Lung phlegm: cough with copious sputum. Especially useful for unrelenting coughs with chest pain. Because its phlegm-resolving function is mild, it is not used in treating the early stages of externally-contracted coughs.
• This herb is strong at moving Qi, but weak at alleviating pain.
3-9g

Fo Shou Hua: the flower
• Similar properties to the fruit, but milder.
• More effective than the fruit at directing Qi downward.
• Often used for cough and wheezing due to rebellious Lung Qi.
Li Zhi He
Litchee nut
(Leechee)




sweet
astringt
warm
Lv
St
Regulates Qi, relieves pain; eliminates cold obstruction (particularly in the liver channel).

• Cold obstruction of Qi in the liver channel: lower abdominal, genital, testicular, hernial pain, swelling (also for heat in the liver channel when combined with cold herbs).
• Liver Qi stagnation: epigastric pain; abdominal pain, particularly pre-menstrual or post-partum.
• Guides to the genitalia; can guide herbs to the prostate for prostatitis.
• Ringworm: powder the herb, mix with sesame oil, and apply topically.
• Must be broken up before use.
DY: Moves the Qi and blood; scatters cold; directed toward the Jueyin channel and the blood division; directed toward the lower burner, the kidney channel, and treats shan. (Shan: 1. A generic term for all disease of the scrotum and testicles. 2. Hernias, specifically inguinal hernias. 3. Severe abdominal pain associated with anuria and constipation. "Cold Shan" may indicated either of two pathologies: 1. Severe periumbilical pain and abdominal spasms together with spontaneous cold perspiration, fear of cold, cold limbs, a deep tight pulse, and sometimes, in severe cases, numbness of the limbs and generalized stiffness due to a stagnation and congelation of cold evils in the interior of the abdomen. 2. Scrotal or testicular disease due to stagnation and congelation of cold dampness in the liver channel with pain, contracture, swelling and hardening of the testicles, pain radiating toward the scrotum, worsened by cold, etc.)
• With Ju he, these two herbs are directed toward the liver channel and especially to the region of the pelvis. They effectively scatter cold and nodulation, and stop pain. For the following indications, both herbs should be salt mix-fried, because salt guides the action of these herbs toward the lower burner, toward the pelvis, and toward the kidneys. In addition, salt promotes the softening of nodulations in the treatment of shan.
- 1. Inguinal hernia, swelling and pain of the testicles, and scrotal hernia, all due to cold Qi congealing and stagnating in the liver channel.
- 2. Piercing pain in the pelvis due to Qi stagnation and blood stasis.
- 3. Masses in the pelvis (chronic salpingitis, chronic salpingo-ovaritis, chronic adnexititis, ovarian cysts, endometriosis, and fibroids) due to Qi and blood stagnation.
- 4. Abnormal vaginal discharge due to vacuity cold.
- This combination is used successfully in strangury patterns, particularly for stone strangury and Qi strangury (Qi stagnation type), in order to counteract piercingly painful urination and spasms and contractures in the pelvis. For these indications, the combination is an auxiliary treatment and should be added to other standard formulas that treat strangury.
6-15g (24-30g for epigastric pain)
Mei Gui Hua
Young flower of Chinese Rose
Rosa rugosa
sweet
sl bitter
warm
Sp
Lv
Promotes Qi circulation, relieves constraint; harmonizes the blood and disperses stasis.

• Liver/spleen disharmony: stifling sensation in the chest, pain and distention in the flanks and epigastrium, belching, poor appetite.
• Blood stasis: irregular menstruation, premenstrual breast tenderness, menstrual pain.
• Blood stasis secondary to trauma.
• Antidotes antimony poisoning.
• Often used in medicinal wines and made into pastes.
• Bensky/Gamble: When treating menstrual dysfunction, Xiang fu is preferred when there is scanty bleeding, while Mei gui hua is more ideal for excessive bleeding.
MLT: Used in Ayurveda for depression.
1.5-6g
Mu Xiang
Auklandia root
= Saussurea
or Costus

"Fragrant Wood"


acrid
bitter
warm
Sp
St
LI
GB
Regulates Qi, adjusts the middle Jiao, relieves pain; strengthens the spleen, prevents stagnation (does not tonify Qi); adjusts and regulates stagnant Qi in the intestines.

• Qi stagnation in the stomach/spleen and/or intestines (including from food retention): distended epigastrium, borborygmus, lack of appetite, epigastric or abdominal pain, nausea, vomiting, diarrhea or dysentery with tenesmus. Because of its slightly astringent quality, this is a common herb for treating tenesmus.
• Liver or gallbladder Qi stagnation: flank pain, distention, or soreness.
• Damp-heat: distending pain in the costal/hypochondriac region, bitter taste in the mouth, yellowish tongue coat.
• Spleen/stomach Qi deficiency: distended epigastrium, poor appetite, vomiting, diarrhea.
• Often included (as with tonics) to facilitate absorption of rich or heavy substances. Especially useful when the transformative and transportative functions of the spleen are weak.
• Particularly useful for paraumbilical stagnation and stagnation in the upper abdomen.
• The unprepared herb is used for stopping pain, while the prepared form (fried with wheat bran) is better for treating diarrhea.
Some sources say this herb is so aromatic and bitter that it can cause dryness.
• This herb should only be cooked for 5 minutes (or less).
Chuan mu xiang - Vladimiria - is sometimes substituted for Mu xiang. It is similar to Mu xiang, but weaker.
MLT: This herb's action comes from its volatile oils [which will evaporate from extended exposure to heat], therefore, add it during the last 5 minutes of cooking.
• A small amount helps prevent griping from purgatives.
Hsu: Acts on the vagus nerve - stimulates the large intestine, increases peristalsis, moderates pain and gas in the GI tract; antibacterial properties.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
DY: Dries dampness; arouses the spleen, disperses food stagnation.
• With Bing lang to move the Qi, disperse food stagnation, and stop pain. For such indications as:
- 1. Lack of appetite, abdominal and epigastric distention and pain aggravated by pressure, difficult defecation or dry stools due to food stagnation in the stomach and intestines. (Bing lang should be stir-fried until scorched.)
- 2. Dysentery or diarrhea with tenesmus and abdominal pain due to Qi stagnation. (Use scorched Bing lang and roasted Mu xiang.)
- 3. Constipation or difficult defecation due to Qi stagnation. (Use scorched Bing lang.)
• With Huang lian to rectify the Qi, drain heat, dry dampness, and treat dysentery. This combination is used in Xiang Lian Wan for indications such as diarrhea, bloody and purulent dysentery, abdominal pain, and tenesmus due to damp-heat and Qi stagnation in the large intestine. Roasted Mu xiang should be used.
1.5-9g
Qing Pi
Bluegreen Citrus peel
(Immature Chen Pi)

"Bluegreen Peel"















bitter
acrid
warm
Lv
GB
St
Frees the flow of liver Qi (particularly in the lower Jiao); strongly regulates Qi, breaks up stagnant Qi, dissipates clumps; disperses accumulation of pathogens; eliminates food retention; dries dampness, transforms phlegm.

• Liver Qi stagnation: pain - costal, hypochondriac, breast, lower abdomen, genital, hernial, flank.
• Food retention: distention, pain, or a stifling sensation in the epigastrium. Can be used for severe cases.
• Stagnant Qi/blood: masses, lumps, liver Qi stagnation surrounding food retention.
• Phlegm-dampness with malarial disorders. Especially useful for breast abscesses with this etiology.
• Raises blood pressure.
• Much stronger than Chen pi.
• Compared to Chen pi, Qing pi has scattering and unblocking properties that are relatively harsh; it is accordingly prescribed for breaking up Qi stagnation. Its actions are more horizontal and it is therefore used primarily for pain. Chen pi, on the other hand, has a more harmonious nature and tends to enter the Qi level of the spleen and Lungs. Its actions are primarily vertical and it is therefore used for both coughing and vomiting.
• Guohui Liu: Compared to Chai hu, which mainly addresses liver Qi stagnation in the upper Jiao and costal region, Qing pi mainly addresses liver Qi stagnation in the lower Jiao (though neither herb's action is entirely limited to that area).
DY: Sinking, drastic; drains the liver and gallbladder Qi; disperses lump glomus; moves the Qi on the left side of the body.
• Its drastic action of breaking Qi contraindicates its long term use.
• 3g rectifies the Qi, 6g moves the Qi, 9g breaks the Qi.
• Zhang Zi-he of the (12th century) Southern Song dynasty, said: "Qing pi is downbearing and sinking, goes to the liver and gallbladder, influences the lower (body) and drains."
• In combination with Chen pi to soothe the liver, regulate the stomach, harmonize the liver and spleen, harmonize the liver and stomach, rectify the Qi, and stop pain. See Chen pi in this category for specific indications and notes.
• When Qing pi is small, the whole fruit is used. It is then called Xiao qing pi or Xin qing pi.
3-9g
Shi Di
Persimmon (Kaki) calyx
bitter
neutral
astringt
St
Lu
Descends rebellious Qi, eases hiccups and belching.

• Stomach Qi rebellion: hiccups, belching. For either hot or cold patterns, depending on the herbs with which it is combined.
DY: With Ding xiang to effectively warm the middle burner and scatter cold, downbear Qi counterflow, and stop hiccups. For indications such as:
- 1. Hiccups due to cold in the stomach.
- 2. Nausea and vomiting due to deficiency cold in the spleen and stomach.
- For these indications, this pair is present in Shi Di Tang. For hiccups, add Chen xiang.
6-12g
Tan Xiang
White Sandalwood
(heartwood)
Santalum

























Sandalwood Essential Oil
acrid
warm
Sp
St
Lu
Regulates Qi, adjusts the middle Jiao; disperses cold, relieves pain.

• Cold obstruction, Qi stagnation: chest and abdominal pain.
• Stomach cold: thin, clear, watery vomit.
• Promotes activation of local immune system. Some people hang a small bag of it over the chest to prevent EPI's.
• Recently used for coronary artery disease.
• Precious and expensive. When used in decoctions, it should be added near the end of cooking, to preserve its aromatic compounds. Often used as a powder. Choose cultivated sandalwood, as the wildcrafted product is endangered. 
DY: With Dan shen to regulate and rectify the Qi and blood, move the Qi and blood, free the flow of the network vessels, and stop pain. For the following indications, wine mix-fried Dan shen should be used:
- 1. Chest Bi or impediment, heart diseases with severe cardiac pain due to Qi and blood stasis. If heart blood stasis is severe, add San qi, Hong hua, and Yan hu suo. If Qi stagnation is severe, add Chen xiang and Qing mu xiang. If there is phlegm-damp obstruction in the chest, Gua lou pi, Jie geng, and Zhi ke. If there is chest Yang deficiency, add Xie bai, Gui zhi, and Fu zi. If there is Qi deficiency, add Huang qi, Zhi gan cao, and Ren shen.
- 2. Stomach pain due to Qi and blood stasis.
Yoga: Chandana: P, V-; K or Ama+ (in excess)
• Bitter, sweet, astringent/cooling/sweet.
• Alterative, hemostatic, antiseptic, antibacterial, carminative, sedative, refrigerant.
• Eye diseases, cystitis, urethritis, vaginitis, acute dermatitis, herpes zoster, bronchitis, palpitations, gonorrhea, sunstroke.
• Calms and cools the body and mind; stops sweats; reduces fever.
• Applying the oil on the third eye relieves heat and thirst and is good for fever or overexposure to the sun.
• Helps the awakening of intelligence, special function to help open the third eye, increase devotion, and promote meditation.
• Aids in the transmutation of sexual energy.
• Good for most inflammation; good anti-Pitta herb.
• External: as a paste or oil for infectious sores, ulcers.
Hsu: Diuretic; increases WBC count.
3-9g (1.5-3g as powder)

The essential oil:
K&R: Urinary antiseptic.
• Water: UTI (in deficient patient), impotence, frigidity.
Metal: Chronic bronchitis, tuberculosis, chronic or severe diarrhea.
KAD: An active substance of agreeable odor employed in the treatment of subacute and chronic affections of mucous tissues, particularly gonorrhoea after the active symptoms have been mitigated. Chronic bronchitis, with fetid expectoration, chronic mucous diarrhoea, chronic inflammation of the bladder and pyelitis are also said to be benefitted by it. It occasionally disturbs the gastrointestinal tract, and, like copaiba, which it was introduced to supersede, it will occasion cutaneous eruptions. The dose ranges from 5 to 20 drops, in capsules or emulsion. (Note, this essential oil is often adulterated, due to its expense. Only genuine, steam-distilled oil should ever be taken internally.)
Wu Yao
Lindera root
acrid
warm
Lu
Sp
K
BL
Regulates Qi, relieves pain; warms the kidneys; disperses cold; spreads and unblocks the Qi mechanisms, smooths the flow of Qi, facilitates the middle.

• Cold obstruction with Qi stagnation: distention in the chest; costal, hypochondriac, epigastric, abdominal and hernial pain; dysmenorrhea; borborygmus.
• Kidney/bladder yang deficiency cold: frequent urination or incontinence.
• While generally more restricted to cold problems, Wu yao treats a wider area than most herbs - for pain anywhere in the trunk from the genitals to the chest.
• Particularly useful for paraumbilical stagnation and stagnation in the lower abdomen.
MLT: Contains borneol - very penetrating and analgesic.
Hsu: Increases intestinal peristalsis, expels gas.
DY: Its area of pronounced action is the abdomen in general and the lower abdomen in particular. It can guide herbs to this area.
• Warms and scatters cold in the liver and kidney channels.
3-9g
Xiang Fu
Cyperus rhizome
Nutgrass

"Aromatic Appendage"














acrid
sl. bitter
sl. sweet
neutral
(some
say
warm)
Lv
SJ
Frees the flow of liver Qi; regulates menstruation; relieves pain.

• Liver Qi stagnation (including with liver/spleen disharmony): pain - costal, hypochondriac, breast, epigastric, abdominal.
• Liver Qi stagnation: irregular menstruation, dysmenorrhea.
• Any "women's" Qi stagnation problem.
• Particularly useful for stagnation in the upper abdomen.
Xiang fu's volatile oils contain an estrogen-like substance.
• Bensky/Gamble: When treating menstrual dysfunction, Xiang fu is preferred when there is scanty bleeding, while Mei gui hua is more ideal for excessive bleeding.
• Frying it in vinegar enhances the herb's ability to enter the liver channel and alleviate pain.
• Frying it in wine enables it to penetrate all the channels.
Yoga: Musta: pungent, bitter, astringent/cooling/pungent; P, K-; V+ (in excess)
• Stimulant, carminative, astringent, alterative, emmenagogue, antispasmodic, anthelmintic.
• Dispels premenstrual congestion of blood and water, menstrual regulator; especially good for emotional problems of PMS.
• Good digestive stimulant for Pitta-types; liver stimulant.
• Improves absorption in the small intestine; stops diarrhea; useful for gastritis.
• Kills parasites; may help candidiasis.
• Chronic fever.
MLT: Amazonian tribes use it as birth control, maybe because an ergot-like fungus with oxytocic properties grows on the root hairs (especially in the jungle).
Hsu: Analgesic; inhibits contraction of uterus.
DY: With Gao liang jiang to warm the stomach and drain cold, move the Qi, and stop pain. For indications such as pain in the epigastrium alleviated by warmth and pressure, chest and lateral costal distention, and nausea due to cold in the stomach and Qi stagnation. For these indications, the combination is used in Liang Fu Wan. Vinegar mix-fried Xiang fu should be used. In cases of severe cold, a larger dose of Gao liang jiang should be used. In cases of severe Qi stagnation (as evidenced by epigastric distention and pain aggravated by pressure), a greater quantity of Xiang fu should be prescribed.
4.5-12g
Xiang Yuan
Citrus Vilsonii Tanaka
acrid
sl bitter
sour
warm
Lv
Sp
Lu
Same properties and indications as Fo shou, but this herb is milder at moving Qi and stronger at resolving phlegm than Fo shou.
Xie Bai
Chinese Chive bulb
Bakeri









acrid
bitter
warm
Lu
St
LI
Activates Yang/unblocks the Yang Qi; disperses accumulation of cold, phlegm, and dampness; regulates Qi, disperses Qi stagnation, promotes the movement of Qi and blood, and alleviates pain; directs Qi downward.

• Obstruction of cold, phlegm, damp in the chest preventing the dissemination and flow of Yang Qi: chest pain, difficulty breathing, stifling sensation in the chest, flank or upper back pain, coughing, wheezing. Also for blood obstructing the heart channel, and such Western presentations as angina and coronary heart disease.
• Stomach Qi stagnation or damp stagnation in the large intestine: dysentery with tenesmus.
• Cold stagnant Qi: epigastric fullness, distention, abdominal pain.
• Do not use long term in cases of peptic ulcers.
DY: Modern research shows this herb lowers serum cholesterol.
• With Gua lou to effectively free the flow of Yang and move the Qi, loosen the chest and clear the Lungs, transform phlegm and scatter nodulation, stop pain, moisten the intestines, and free the flow of the stools. For indications such as:
- 1. Constipation due to fluid dryness of the large intestine and/or Qi stagnation.
- 2. Yin binding constipation. (Constipation due to spleen-kidney Yang deficiency or sometimes due to dryness in the large intestine caused by an essence-blood deficiency with pale lips, white tongue fur, and clear, copious urination.)
- 3. Chest Bi with oppression of the chest and epigastrium, cough, profuse phlegm, piercing pain in the chest radiating toward the back, and shortness of breath due to accumulation of turbid phlegm blocking the Qi and Yang of the chest. (Gua Lou Xie Bai Ban Xia Tang - which can be favorably combined with Er Chen Tang) Use Gua lou which has been stir-fried until scorched.
- 4. Chest Bi and cardiac disease with intense heart pain due to heart Qi and blood stasis and deficiency of heart Yang. (Gua Lou Xie Bai Bai Jiu Tang) For these indications, the combination can be favorably reinforced by adding Dan shen, San qi, Tan xiang, and Gui zhi. The Gua lou should be stir-fried until scorched.
4.5-9g (30-60g when used fresh)
Zhi Shi
Immature Bitter Orange


























Zhi Ke
(Zhi Qiao)
Mature Bitter Orange














bitter
acrid
sl. cold
Sp
St
LI
Strongly moves/regulates Qi; directs Qi downward; eliminates food retention (particularly in the large intestine), breaks up stagnation and accumulation; resolves phlegm; relieves distention; unblocks the bowels

• Accumulation and stagnation: epigastric or abdominal pain and distention or indigestion with focal distention or gas.
• Accumulation and stagnation, including due to food retention in the large intestine: distention in the abdomen, constipation or diarrhea with tenesmus.
• Phlegm obstruction with Qi stagnation: distention and fullness in the chest and epigastrium.
• Particularly useful for stagnation in the chest and upper back.
• Lifts prolapse of the stomach, uterus, or rectum. Used with Qi tonics for gastriectasis, gastroptosis, rectal prolapse, uterine prolaspe, etc.
• Raises blood pressure.
• Contains cirantin (inhibits activity of periovicular hyaluronidase) which may account for its reported contraceptive effect.
• Recent use in Western OTC weight loss products.
• The herb may have some use in treating cardiogenic shock.
• Liu: For urinary stones, Zhi shi helps the urethra relax.
Hsu: Stimulates GI motor activities, increases digestion; contracts the uterus; purgative; raises blood pressure.
DY: With Bai zhu to supplement without producing stagnation and drain without damaging the correct Qi, to fortify the spleen, disperse food stagnation, and effectively eliminate accumulations and distention. For the following indications, except as otherwise indicated, the two herbs should be stir-fried:
- 1. Accumulation of food, distention and fullness of the abdomen and epigastrium, and difficult bowel movements due to spleen Qi deficiency and Qi stagnation. (Zhi Zhu Wan) When the patient's main complaint is abdominal and epigastric distention due to Qi deficiency and spleen deficiency with or without dampness, the dosage for Bai zhu should be very high - as much as 100g per day. In this case Bai zhu is generally used alone.
- 2. Splenomegaly and hepatomegaly due to Qi deficiency and stagnation.
- 3. Ptosis of the organs (stomach, uterus, and anus) due to central Qi deficiency. For these indications, honey mix-fried Huang qi, stir-fried Chai hu, and honey mix-fried Sheng ma should be added.
3-9g

Zhi Ke: the mature fruit
• Bitter, cool; enters spleen, stomach, and, Wei Li says, the san jiao.
• Milder, perhaps more often used than Zhi shi, especially for weak or deficient patients - less energy than the unripe fruit and less potential to damage the Qi.
• Frequently used to move Qi and reduce distention and pressure.
• Stifling sensation in the chest with belching.
• Particularly useful for stagnation in the flanks.
Zhi shi is more appropriate than Zhi ke when there is constipation.
Li: Zhi ke is more liver-oriented than Zhi shi, which is more spleen-oriented.
[Bensky/Gamble corroborates this idea, stating that Zhi shi is used for stagnant Qi of the spleen and stomach while Zhi ke is used for constrained liver Qi with symptoms of stagnant Qi.]
Hsu: Stomachic; contracts the uterus; increases blood pressure.
DY: This is one of six medicinals which have been traditionally aged for the purpose of reducing secondary effects and reinforcing their therapeutic actions. Generally, the longer it is kept, the more efficient.
• With Jie geng to effectively regulate upbearing and downbearing, regulate the upper and middle burners, diffuse the Lung Qi, and loosen the chest and diaphragm. For indications such as:
- 1. Chest and diaphragm oppression or distention or chest Bi due to accumulation of phlegm and Qi stagnation. (Jie Geng Zhi Ke Tang)
- 2. Epigastric distention, stomach rumbling, and difficult defecation due to disturbance of ascending and descending. Note: Zhi ke and Jie geng do not moisten the intestines, do not soften the stools, and do not precipitate the bowels. However, Zhi ke moves and descends the Qi in the large intestine in order to improve evacuation of the stools, while Jie geng disperses and descends Lung Qi. When the Lung Qi correctly descends, the large intestine Qi does the same. Therefore, although Zhi ke and Jie geng do not have a direct action on peristalsis, they can treat constipation due to Lung-large intestine Qi stagnation. Hence, this pair may be used to advantageously reinforce any formula that specifically treats constipation.
3-9g

K&R: (maturity not stated) Sedative (CNS), antispasmodic, expectorant, eupeptic, sympatholytic.
• Bitter-cooling; fire yang, wood yang.
Fire: tachycardia, anguish, nervousness, anxiety, insomnia, epilepsy.
Wood: aerophagia, dyspepsia, digestive spasms, tachycardia of emotional origin, anxiety, insomnia.
• Good for cooling liver fire stemming from heart fire.


Herbs That Promote Blood Circulation And Dispel Blood Stasis

These herbs promote proper circulation and dispel stasis for the recovery of normal blood circulation. According to Guohui Liu, with normal use, they will not move blood in an aberrant manner (with a few possible exceptions). Most of the herbs in the category are not anticoagulants.

Commonly combined with:
A. Herbs that warm the interior and disperse cold when blood stagnation is caused by cold obstruction.
B. Herbs that clear heat and cool the blood when blood stasis is due to congealing of the blood by heat.
C. Herbs that eliminate wind, cold, and damp when the channels are obstructed by invasion of these factors.
D. Qi tonics when Qi is deficient, and also to protect the Qi from damage by these herbs.
E. Blood tonics when blood is deficient, and also to protect the blood from damage by these herbs.
F. Herbs that resolve phlegm when blood stasis is caused by phlegm.
Other Herbs that Promote Proper Blood Circulation, to Consider When Appropriate:
An Xi Xiang [Open Orifices]Bie Jia [Nourish Yin], Chi Shao [Cool Blood], Da Huang [Promote BM], Dang Gui [Nourish Blood], Du Huo [Dispel Wind-Damp], Fu Zi [Warm Interior], Gu Sui Bu [Tonify Yang], Gui Zhi [Acrid, Warm], He Huan Pi [Calm Shen], Hong Teng [Clear Heat & Toxicity], Jing Jie Tan (charred) [Acrid, Warm], Lu Jiao [Tonify Yang]Mu Dan Pi [Cool Blood], Mu Tong [Drain Damp], Pu Huang [Stop Bleeding]Qian Cao Gen [Stop Bleeding], San Qi [Stop Bleeding], She Xiang [Open Orifices], Wa Leng Zi [Topical Herbs], Xie Bai [Move Qi], Xu Duan [Tonify Yang], Xue Yu Tan [Stop Bleeding], Xue Jia [Topical Herbs], Zao Jiao Ci [Resolve Phlegm], Zi Cao [Cool Blood].
Chuan Shan Jia
Anteater scales
Pangolin

"Penetrate Mountain Scales"
salty
sl cold
Lv St Promotes blood circulation and dispels blood stasis from the channels; promotes lactation; relieves swelling; drains pus; unblocks menstruation; expels wind-dampness from the channels.

• Pangolins are endangered. You can get the job done with another herb. 
Blood stasis: amenorrhea, masses, Bi syndrome, early stage carbuncles/boils or with pus that does not drain, lumps, dysmenorrhea, lack of or insufficient lactation.
• Galactostasis after childbirth.
• Toxic swellings: abscesses, boils. Can dissolve as yet unformed pus, but it is more useful for suppurative lesions. Can be used topically.
• Wind-damp obstruction of channels: pain, stiffness or spasms in the limbs, pain that prevents bending and stretching.
• When the patient lacks breast milk and is Qi deficient, do not count on this herb to promote lactation.
• Excellent success as a hemostatic in surgery.
• May be useful for the treatment of hematuria.
• May raise WBC count.
• Traditionally this herb is powdered and taken directly. Too expensive to cook.
• Contraindicated in pregnancy.
• Liu: This herb can go anywhere in the body, and conducts other herbs to the appropriate area.
• The unprepared form is black. The prepared form has been fried until yellowish.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
BF: Useful when there is concomitant damp-heat. Stasis with damp and heat is very common in women with endometriosis.
3-9g
Chuan Xiong
Ligusticum root
Szechuan Lovage
Cnidium
acrid
warm
Lv GB PC Promotes blood and Qi circulation; eliminates external wind; relieves pain; moves Qi upward.

• Blood (and Qi) stasis: irregular menstruation, amenorrhea, difficult labor, lochioschesis, and many kinds of pain, including abdominal, chest, flank, hypochondriac, dysmenorrhea, pain from traumatic injury, pain from carbuncles and boils, headaches, Bi syndrome.
• External wind disorders: headache, dizziness, painful obstructions, skin disorders; wind-damp arthritis/rheumatism.
• Reaches from the head down to the sea of blood.
• For a variety of wind patterns (wind-cold, wind-heat, wind-dampness, etc.) depending on the herbs it is combined with.
• Overdose may cause vomiting and dizziness.
Hsu: Antispasmodic, analgesic: inhibits intestinal and uterine contraction; slightly hypotensive; tranquilizer (essential oil); antibacterial, antifungal.
DY: Treats the Qi within the blood; dispels stasis; in the upper body, it goes toward the head and the eyes; in the lower body it goes toward the sea of blood (uterus ["Sea of Blood" may also indicate the Chong Mai or liver]); drying.
• For wind-cold (headache, etc.), use the uncooked form.
• For menstrual problems, pain, and inflammations, use the wine-processed form.
• With Dang gui to move the Qi and quicken the blood without damaging the blood, to nourish the blood without producing stasis, to dispel stasis and stop pain. For the following indications, both herbs should be wine-processed, though uncooked Chuan xiong may be used in the case of headaches or dermatological problems:
- 1. Menstrual irregularities, dysmenorrhea, and postpartum abdominal pain due to blood stasis that may be mixed with Qi stagnation. (Xiong Gui San)
- 2. Rheumatic pain due to wind-dampness and blood vacuity.
- 3. Headaches due to blood deficiency and/or blood stasis. (Jia Wei Si Wu Tang)
- 4. Wounds, ulcers, or enduring cutaneous inflammations due to Qi and blood vacuity with Qi and blood stagnation. (Tou Nong San)
• With Shi gao to dispel wind, clear and drain heat, quicken the blood and move the Qi, and stop pain. For headaches due to wind-heat or full heat (particularly that which is located in the Shaoyang or Jueyin channels). Use unprepared Chuan xiong. For wind-heat headaches, add herbs that dispel wind.
• Headaches: Chuan xiong is mainly used for wind-dampness and wind-cold headaches. However, it can be used for all kinds of headaches if combined appropriately. For wind-damp, add Qiang huo and Bai zhi. For wind-cold, add Fang feng and Jing jie. For wind-heat, add Ju hua and Bo he. For blood stasis, add Hong hua and Yan hu suo. For blood deficiency, add Dang gui and Ji xue teng. For full heat, add Shi gao and Zhi mu. For Qi stagnation, add Chai hu and Bai ji li. For liver Yang hyperactivity, add Tian ma and (Huai) Niu xi.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
3-10g
Dan Shen
Salvia root
Red Sage

"Cinnabar Root"






































bitter
sl cold
Ht PC Lv Promotes blood circulation and dispels blood stasis; cools the blood; relieves swelling; mildly nourishes blood; calms the Shen; unblocks the menses.

• Blood stasis: irregular menstruation, amenorrhea, abdominal pain after childbirth, pain in the chest, abdomen, epigastrium, masses and pain in the limbs, lochioschesis.
• Blood stasis with liver Qi stagnation: pain in the ribs or hypochondria.
• Heat in the blood and blood stasis: carbuncles, boils.
• Febrile disease (including Ying level): restlessness, delirium, high fever, eruptions, red tongue.
• Heat and blood stasis in the heart: insomnia, palpitations, irritability, restlessness. Also for heart/kidney Yin deficiency heat patterns.
• Primary herb for coronary heart disease in China. (Particularly in combination with San qi, Gui zhi, Shan zha, etc.)
• For immune system disorders Liu combines with Dang gui.
• For CNS-mediated pain, including post-stroke, combine with Huang qi in doses of 15-30g of each (when Qi deficiency and blood stasis are present)
• Promotes tissue regeneration; opens coronary arteries; reduces blood sugar; reduces serum cholesterol; protects the liver; enhances the immune system; vasodilator; relieves angina pectoris.
• Wine-frying the herb enhances its blood circulating properties.
• This herb can be compared to the formula Si Wu Tang, though Dan shen is weaker at nourishing blood and stronger at moving blood than Si Wu Tang.
• Do not use large doses in patients predisposed to bleeding.
BII: May improve visual acuity in glaucoma.
MLT: Regulates cholesterol, triglycerides. Premiere herb for heart problems, especially angina.
Hsu: Dilates peripheral blood vessels, lowers blood pressure; strong antibacterial properties.
DY: Engenders new tissue; nourishes the heart.
• With Mu dan pi to quicken the blood and dispel stasis, cool the blood, and eliminate deficiency heat. For indications such as:
- 1. Hematemesis, epistaxis, metrorrhagia, purpura, and also rubella and pruritis due to heat in the blood division.
- 2. Menstrual irregularities, dysmenorrhea, amenorrhea, dark purple menstrual blood with clots, and postpartum abdominal pain due to heat in the blood which causes blood stasis.
- 3. Continuous, low-grade fever due to Yin deficiency heat. In this case, if there are night sweats, use Di gu pi instead of Mu dan pi.
- 4. Hot, red, swollen, painful joints due to hot Bi or impediment.
• With San qi to quicken the blood, dispel stasis, nourish the heart, open the network vessels, stop pain, and settle palpitations. For indications such as chest Bi or impediment, i.e. cardiac problems with pain and severe palpitations. For these indications, wine mix-fried Dan shen should be used. This combination treats heart pain no matter what the cause. This action may be reinforced by adding Shi chang pu, Xie bai, Gua lou pi, Gui zhi, and Tan xiang.
• With Tan xiang to regulate and rectify the Qi and blood, move the Qi and blood, free the flow of the network vessels, and stop pain. For the following indications, wine mix-fried Dan shen should be used:
- 1. Chest Bi or impediment, heart diseases with severe cardiac pain due to Qi and blood stasis. If heart blood stasis is severe, add San qi, Hong hua, and Yan hu suo. If Qi stagnation is severe, add Chen xiang and Qing mu xiang. If there is phlegm-damp obstruction in the chest, Gua lou pi, Jie geng, and Zhi ke. If there is chest Yang deficiency, add Xie bai, Gui zhi, and Fu zi. If there is Qi deficiency, add Huang qi, Zhi gan cao, and Ren shen.
- 2. Stomach pain due to Qi and blood stasis.
Dan shen has "very interesting action" on coronary heart disease, circulatory system diseases, and hypercholesterolemia.
Dan shen only mildly nourishes blood. To reinforce its supplementing action, it should be prepared with pig or tortoise blood.
Dan shen is incompatible with vinegar or any other very sour or acrid food.
IBIS: Occasional hypersensitivity may lead to excessive bleeding or fever.
6-15g (up to 60g when used alone or in treating vasculitis)
E Zhu
Zedoaria rhizome
Curcuma zedoaria, C. aromatica, 
or C. kwangsinensis















acrid bitter
warm
Lv Sp Strongly promotes blood and Qi circulation and dispels blood stasis; dissolves accumulations, eliminates food retention; relieves pain.

• Blood stasis: amenorrhea with abdominal pain and masses, ovarian cysts, fibroids, epigastric masses.
• Food retention: fullness, constriction, distention, pain in the epigastrium, chest, and abdomen.
• Childhood nutritional impairment.
• Controls some cancers - particularly cervical (especially grade II and below).
• Stimulates motility of GI tract.
• Its powerful nature can damage the Qi (do not use for long periods).
• This is the strongest herb in the pharmacopeia to eliminate food retention.
• Much stronger than Ru xiang and Mo yao to move blood and relieve pain.
• Often combined with San leng. Liu says E zhu is stronger than San leng at moving blood, but weaker than San leng at moving Qi. Bensky/Gamble says just the opposite.
• Fry with vinegar to enhance its blood circulating properties and stop pain.
• Kamto: San leng + E zhu is a great combination for treating depression.
RW: Carminative (a type of turmeric).
Li: (Often with San leng) for blood stasis in difficult skin conditions.
PCBDP: Aromatic; stimulant; treats some tumors.
Hsu: Some antihistamine effects; promotes resorption of coagulated blood; inhibits cancer cell growth; stomachic.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
DY: Breaks the Qi and quickens the blood; treats the blood within the Qi; treats Qi stagnation which causes blood stagnation; tropism: liver, spleen, and Qi division.
• With San leng to strongly and effectively break both the Qi and blood, regulate and rectify the Qi and blood, stop pain, and reduce food accumulation. (Note that breaking the Qi and breaking the blood are both attacking methods that can damage the Zhen Qi if used inappropriately, too much, or for too long.) For indications such as:
- 1. Abdominal lump glomus, hepatomegaly, splenomegaly due to blood and/or Qi stasis. (E Leng Zhu Yu Tang)
- 2. Amenorrhea, dysmenorrhea, menstrual clots, and infertility due to blood stasis. (San Leng Wan) Both herbs should be vinegar mix-fried for these indications.
- 3. Abdominal pain due to food accumulation. (E Zhu Wan) Vinegar mix-fried E zhu should be used.
3-9g
Hong Hua
Carthamus flower Safflower

"Red Flower"





















very acrid
warm
Ht Lv Promotes blood circulation, dispels blood stasis from the channels, opens the channels; alleviates pain; unblocks the menses.

• Blood stasis: dysmenorrhea, amenorrhea, postpartum abdominal pain or dizziness, abdominal masses, lochioschesis, traumatic injury - wounds and pain, painful obstruction of the chest, non-suppurative sores, carbuncles.
• Heat and blood stasis: dark red skin eruptions, suppressed rashes, including measles.
• Beneficial in coronary artery disease. May also lower cholesterol.
• For Berger's disease, combine with Ru xiang, Mo yao, Dang gui, Tao ren.
• For angina pectoris, often combined with Tao ren, Dan shen, Chuan xiong.
• Usually added near the end of cooking a decoction - should not be cooked long.
• Contraindicated in pregnancy.
• Bensky/Gamble: To harmonize the blood, use 0.9-1.5g.
Chen: Used successfully in one study to treat peptic ulcer.
DY: In a small dose (1-2g), it can slightly nourish blood. In a moderate dose (3-5g), it harmonizes the blood. At the usual dose (6-10g), it quickens the blood. At a high dose (10-15g), it breaks blood [stasis].
• Tends to dispel stasis in the upper part of the body and in the channels.
• With Tao ren: Hong hua is stronger than Tao ren at moving blood, while Tao ren is stronger at dispelling stasis. Together, they complement and reinforce each other to effectively quicken the blood, dispel stasis, engender blood, and stop pain. For such indications as:
-1. Cardiac and chest pain due to heart blood stasis. (Add San qi, Dan shen, Xie bai, and Gua lou pi.)
- 2. Amenorrhea, dysmenorrhea, menstrual irregularities, and dark menstrual blood with clots due to blood stasis. (Tao Hong Si Wu Tang)
- 3. Fixed, stabbing, and severe pain aggravated by pressure due to blood stasis. The combination appears in many formulas for these indications, based on the location and nature of the pain (Xue Fu Zhu Yu Tang, Tong Qiao Zhu Yu Tang, Fu Yuan Huo Xue Tang, Shen Tong Zhu Yu Tang, etc.).
- 4. Traumatic injuries with pain and swelling due to blood stasis. (Xiao Zhong Zhi Tong Tang)
MLT: Similar to, but stronger than Western Calendula.
PCBDP: Laxative, diuretic.
Hsu: Stimulates the uterus to contract rhythmically/tonically - particularly effective in pregnancy - fast, long lasting effect.
3-10g (0.9-1.5 to harmonize blood) See comments from Dui Yao above.
Hu Zhang
Bushy Knotweed root and rhizome
Polygonum cuspidatum

"Tiger's Cane"
bitter
cold
Lv GB Lu Promotes blood circulation; relieves pain; eliminates toxicity; clears heat; drains dampness; resolves phlegm; stops coughing; slightly promotes bowel movement.

• Especially indicated for a combination of phlegm, damp, heat, and blood stasis.
• Blood stasis: amenorrhea, traumatic injury, Bi syndrome.
• Damp-heat: jaundice, turbid vaginal discharge, painful urination.
• Heat-toxicity: burns, snake bites, skin infections, carbuncles. Often the fresh ground herb is applied topically.
• Lung phlegm-heat: cough.
• Heat accumulation: constipation (use 30g - discharges heat, toxicity).
• Guohui Liu: especially useful for hepatitis.
• Many constituents (resveratrol, piceatannol, polydatin, emodin) with medicinal properties elucidated through modern research:
   - (from the scholarly folks at Herbal Vitality of Sedona) Anti-angiogenic (vitro), antibacterial against streptococci (vitro)/ vibrio (vivo), decreases histamine release (vitro), decreases COX-2 expression (vitro), anti-oxidant (vitro), antiviral - hepatitis B (vitro), anti-inflammatory (vivo), anti-allergenic (vivo), protects against burns (vivo), tyrosine kinase inhibitor, decreases oncogene function (vitro), neuroprotective (emodin / vivo), decreases leukopenia due to radiation (emodin / vivo), polydatin is cardioprotective (vitro) and decreases CAM expression (vivo), resveratrol has glucose regulating properties (vitro), inhibits cancer cell lines (vitro), decreases VEGF activity (vivo), decreases expression of NF-KappaB, COX-2, MMP9 (vivo), protects against bone loss (vivo), and is anti-inflammatory (vivo); piceatannol is hypolipidemic (vivo); stilbenes cause apoptosis of leukemic cells (vitro).
• Antiviral, antibacterial.
Promotes leukocyte proliferation for leukopenia (particularly due to radiation or toxic chemicals).
• Contraindicated in pregnancy.
9-30g
Ji Xue Teng
Millettia or
Spatholobus root and vine













Ji Xue Teng Jiao
bitter
sl sweet warm
Lv
Ht
Sp
Promotes blood circulation; mildly nourishes blood; relaxes the tendons; activates the collaterals, dispels stasis from the channels and collaterals; unblocks the menses.

• Blood stasis: irregular menstruation, slow menstrual flow, dysmenorrhea, Bi syndrome.
• Blood stasis with blood deficiency: amenorrhea.
• Wind-dampness with blood deficiency or blood stasis: numb extremities, lumbar pain, knee pain, generalized joint soreness.
• Blood stasis or wind-stroke: weak extremities in the elderly, or paralysis and vertigo.
• For leukopenia from chemotherapy, radiation, aplastic anemia - combined with Dang gui, Bai shao, Shu di huang.
Hong teng - Sargentodoxa - (an herb that clears heat and eliminates toxicity) is used as this herb in many parts of China. It has none of Ji xue teng's blood-nourishing properties or the ability to relax the tendons. Efforts should be taken to procure the correct herb if Ji xue teng's unique properties are desired.
Hsu: Hypotensive.
SD: May help antidote lead poisoning.
9-15 (to 30g in severe cases)

Ji Xue Teng Jiao:
• This is Ji xue teng made into an enriched syrup by concentrating it and adding malt sugar syrup and extracts of Hong hua, Niu xi, Xu duan, and black beans.
• Slightly sweet, astringent, aromatic, warm.
• Similar effect to Ji xue teng, but stronger at nourishing blood.
• Dissolve it into a strained decoction.
4.5-9g
Jiang Huang
Turmeric rhizome Curcuma longa

"Ginger Yellow"


acrid bitter
warm
Lv Sp
St
Strongly promotes blood circulation; dispels blood stasis from the channels and collaterals; relieves pain; unblocks menstruation; disperses wind-cold; promotes Qi circulation.

• Blood stasis: pain in the shoulder, chest, hypochondria, abdomen, and amenorrhea, dysmenorrhea. Especially effective for shoulder pain.
• Wind-cold-dampness: Bi syndrome, especially in shoulders, limbs.
• Blood stasis due to cold from deficiency.
• Topical: stops bleeding and pain.
• Can be made into an ointment with oil.
• Cholagogue.
• Stimulates the uterus.
• Lowers blood pressure.
• One study showed piperine (the active pungent compound in black pepper - hu jiao - and pippali - bi bo) can dramatically increase the absorption of curcumin (perhaps as much as 2000%). [Planta Med. 1998 May;64(4):353-6.
Influence of piperine on the pharmacokinetics of curcumin in animals and human volunteers.]
MLT: Increases bile flow, reduces liver enzymes SGOT and SGPT, prevents and dissolves gall stones.
• Anti-inflammatory, analgesic for sports injury, musculoskeletal trauma, inflammatory bowel disease, arthritis, rheumatoid arthritis.
BII: Contains curcumin - a powerful and safe anti-inflammatory; protective against cancer development.
• Possible uses in: atherosclerosis, cancer, gallbladder disease (curcumin increases bile acid output over 100%, and greatly increases the solubility of bile - may prevent and treat gall stones), rheumatoid arthritis, general inflammation.
Yoga: Haridra: K-; P, V+ (in excess)
• Stimulant, carminative, alterative, vulnerary, antibiotic while improving digestive flora.
• Gives the energy of the Divine Mother and grants prosperity.
• Cleanses the chakras, purifies the channels of the subtle-body.
• Helps stretch the ligaments, good for the practice of hatha yoga.
• Promotes proper metabolism.
• Topical: sprains, strains, bruises, itching.
Hsu: Increases the detoxifying abilities of liver.
• Stimulates the uterus to contract (paroxysmally).
• The ethanol extract is hypotensive.
CHA: (Karen S. Vaughan, 8-30-2001) Fungal infections of the feet: soaking the feet in a turmeric footbath is part of Ayurveda and is also done in traditional Hawaiian medicine.
3-9g
Jiang Xiang
Dalbergia heartwood

"Descending Fragrance"
acrid
warm
Ht Lv
Sp
St
Promotes blood and Qi circulation, dispels blood stasis; stops bleeding; relieves pain.

• Blood stasis: pain in the chest, hypochondria, pain and bleeding in trauma, fractures, sprains, contusions.
• Spleen and stomach Qi stagnation: epigastric and abdominal pain.
• Topical: for lacerations.
• Coronary heart disease.
• Bensky/Gamble classifies this with herbs that stop bleeding.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
6-9g (1.5-3g directly as powder)
Liu Ji Nu
Artemisia anomala
Anomala

"Liu's Resident Slave"
bitter
warm
Ht
Sp
Dispels blood stasis; unblocks menstruation; alleviates pain.

• Blood stasis: amenorrhea, post partum abdominal pain; falls, fractures, contusions, sprains.
• Acute viral hepatitis: icteric or anicteric phase. Rapidly improves the appetite.
• Topical: as a powder/ointment for contusions, bleeding from wounds, and especially burns. In one study, an ointment made from the herb was beneficial in treating all 24 cases of second- and third-degree burns, with healing occurring in three days to three weeks.
3-9g
Lu Lu Tong
Sweetgum fruit
Liquidambar

"All Roads Open"
bitter
neutral
Lv
St
Promotes blood and Qi circulation; opens the middle Jiao; unblocks the channels; promotes urination.

• Stagnation: Epigastric pain, abdominal distention, irregular, scanty menses.
• Wind-damp Bi syndrome with pain and stiffness of the lumbar region and knees.
• Edema with difficult urination.
• Doctrine of signatures: resembles a pollen grain or mast cell - useful for allergic disorders. Also, Li: its tiny points indicate its ability to guide to small places (sinuses, channels, etc.).
Hsu: Anti-allergic effect, cures urticaria and allergic rhinitis.
3-9g
Mao Dong Qing
Ilex root
Rough-haired Holly
Ilex pubescentis
bitter astringt
neutral
  Hsu: Clears heat and toxicity; invigorates blood circulation; promotes flow of the channels.

• Wind-heat EPI; Lung heat: cough; water distention in the larynx; tonsilitis. An ingredient in the popular patent remedy Gan Mao Ling.
• Dysentery.
• Coronary disease; thrombotic infarction; vasculitis.
• Anti-tussive; bacteriostatic; expectorant; hypotensive; dilates coronary arteries; probably has antiviral properties.
60-120g (to 500g for phlebitis)
Meng Chong
Tabanus
Gadfly
bitter
sl toxic sl cold
Lv Powerfully promotes blood circulation and removes blood stasis.

• Blood stasis: amenorrhea, traumatic injury, masses.
• May cause diarrhea (which can be beneficial if there is blood stasis in the intestines).
• This is the strongest herb to promote blood circulation in the pharmacopeia.
Hsu: Anticoagulant and hemolytic effects.
1.5-3g
Mo Yao
Myrrh
Commiphora myrrha









































Gugglipid
bitter
neutral
Ht Lv Sp Promotes blood circulation, dispels blood stasis, relieves pain; relieves swelling; promotes tissue regeneration; relaxes the tendons.

• Blood stasis: dysmenorrhea, amenorrhea, epigastric pain, Bi syndrome, traumatic injury, carbuncle pain, appendicitis, immobile abdominal masses, abdominal pain, chest pain, sores, swellings.
• Topical: non-healing carbuncles, ulcers, sores.
• Stomatitis, gingivitis, laryngitis.
• Stronger for severe pain (e.g. angina pectoris) than Ru xiang.
• Better than Ru xiang at removing blood stasis.
• May lower cholesterol and prevent plaque.
• Stimulates gastrointestinal motility.
• Antifungal.
• Fry with vinegar to enhance its blood circulating properties.
• Related to the Ayurvedic herb Guggul.
JC: Tonic, stimulant, powerful antiseptic and disinfectant (mucus membranes), vulnerary (healing), expectorant, emmenagogue, astringent, carminative, purgative (large dose), cardiac stimulant.
• Increases WBC count.
• Enhances the eliminative function of the mucus membranes of the bronchi and genitourinary tract.
DY: The uncooked herb is irritating to the stomach and mucus membranes.
Yoga: Bola: K, V-; P+ (in excess)
• Bitter, astringent, sweet/heating/pungent.
• Alterative, emmenagogue, astringent, expectorant, antispasmodic, rejuvenative, analgesic, antiseptic; prevents decay, reverses aging, rejuvenates the mind and body.
• Closely related to Guggul (Commiphora mukul).
• Dispels old, stagnant blood from the uterus.
K&R: Anti-inflammatory, astringent, immune stimulant, epitheliogenic.
• Metal: clears phlegm from the mucus membranes.
• For bronchitis, urinary tract infections, pharyngitis, gingivitis, skin ulcers.
• Increases WBC count.
PCBDP: Lowers lipids, cholesterol; inhibits platelet aggregation; appears to activate the thyroid gland (animal studies).
IBIS: Anticatarrhal, antimicrobial, antiseptic, astringent, carminative, expectorant, stimulant.
• [Western] Dosage: tincture: 2 - 5 mL.
• Mucous membranes pale and lax; tonsils enlarged and spongy; throat pale and tumid; chronic bronchitis with profuse secretion of mucus or muco-pus, difficult to expectorate; soreness and sponginess of gums; ptyalism; weight and dragging in pelvis in females; leukorrhea; muscular debility (Felter and Scudder, p. 483)
• External: spongy and bleeding gums; sore throat with aphthous or sloughing ulcers; chronic pharyngitis with tumid, pallid membranes and elongated uvula; spongy, enlarged tonsils (Felter and Scudder, p. 483)
• Internal: enfeebled conditions with excessive mucous secretion, especially in the bronchial and renal mucosa; chronic bronchitis; chronic gastritis; atonic dyspepsia (Felter and Scudder, p. 483); pharyngitis; respiratory catarrh; common cold; furunculosis; mouth ulcers; gingivitis (British Herbal Pharmacopoeia, p. 73)
• Contraindicated during pregnancy (Felter and Lloyd, p. 1300) due to its emmenagogue and abortifacient effects (Brinker, Farnsworth)
3-12g

BII (Guggulipid, from Guggul, Commiphora mukul): Lowers cholesterol and triglycerides - cholesterol typically will drop 14-27% in 4-12 weeks while triglycerides will drop 22-30%.
• Increases the liver's metabolism of LDL and uptake of LDL from blood.
• Standard dosage is 25 mg of guggulsterone [a component] TID.
• Non-toxic, safe in pregnancy.
• Beneficial in acne vulgaris.
• May inhibit platelet aggregation.
• Useful in atherosclerosis, however the high dosage required of the crude herb or extracts can lead to side effects and therefore pure guggulipid (guggulsterone) should be used.
Niu Xi
(Huai Niu Xi)
Achyranthes root

"Ox Knee"











Chuan Niu Xi
Cyathula

"Sichuan Ox Knee"
bitter sour
neutral
Lv K Promotes blood circulation, dispels blood stasis; tonifies the liver and kidneys; strengthens the sinews and bones, benefit the joints; promotes urination; conducts blood, fire/heat/Yang, and herbs downward; clears damp-heat in the lower Jiao; unblocks the menses.

• Blood stasis: irregular menstruation, dysmenorrhea, amenorrhea, abdominal pain after childbirth, traumatic injury, lochioschesis.
• Liver and kidney deficiency: weak, sore lower back, and lower limbs (knees).
• Liver Yang rising, upper body bleeding, or flare-up of fire: hematemesis, epistaxis, toothache, mouth sores, headache, dizziness, bleeding gums, blurred vision.
• Lower Jiao damp-heat: knee pain, lower back damp Bi syndrome, painful urinary dysfunction, vaginal discharge, stones, hematuria.
• Lower Jiao blood stasis (damp-heat): urethral pain, hematuria.
• In its raw form, it is better at promoting blood circulation.
• When it is cooked, it is more tonic. In its raw form it is more blood-moving.
• Lowers blood pressure - sometimes used in very high doses for this purpose.
Hsu: Analgesic, antispasmodic (GI), diuretic, hypotensive (temporary vasodilation), anti-allergic action
9-15g

Chuan Niu Xi: Cyathula
• Sweet, bitter, neutral; enters liver, kidneys.
• Expels wind; drains dampness; invigorates the channels and blood.
• Stronger to move blood and less tonifying than Huai niu xi.
• Pain due to wind-dampness - especially lower back pain.
• Atrophy and spasm in the lower extremities.
• Painful urination with blood in the urine.
• Amenorrhea, abdominal masses.
4.5-9g
Ru Xiang
Frankincense
Mastic
Boswellia carterii

"Fragrant Milk"
acrid bitter
warm
Ht Lv Sp Promotes blood and Qi circulation; relieves pain; relieves swelling; promotes tissue regeneration; relaxes the sinews, invigorates the channels.

• Blood stasis: dysmenorrhea, amenorrhea, epigastric, chest, abdominal pain, Bi syndrome, traumatic injury, carbuncle pain, appendicitis, early stages of carbuncles, sores, swellings, wind-damp Bi syndrome, rigidity, spasms, angina pectoris. Often used with Mo yao (in studies, for chest pain).
• Pain, redness, swelling of the gums, mouth, and throat.
• Topical: as powder or ointment to reduce swelling, generate flesh, alleviate pain, and promote healing of non-healing carbuncles, ulcers, and traumatic injuries.
• Can easily exhaust the Qi.
• Better than Mo yao at relaxing the tendons.
• Fry with vinegar to enhance its blood circulating properties.
Hsu: Strong antibacterial properties.
DY: The uncooked herb is irritating to the stomach and mucus membranes.
Ru xiang is superior to Mo yao for simultaneously moving Qi and blood and freeing the flow of the network vessels to treat Bi with loss of articular mobility and contracture of the sinews.
3-9g
  
BII: on a constituent, boswellic acids:
• Osteoarthritis: several mechanisms of anti-arthritic action, including inhibition of inflammatory mediators, prevention of decreased glycosaminoglycan synthesis, and improved blood supply to joint tissues.
400mg boswellic acids TID
San Leng
Sparganium rhizome
(or Scirpus)

"Three Edges"
bitter acrid
neutral
Lv Sp Strongly promotes blood and Qi circulation, and dispels blood stasis; relieves pain; dissolves accumulations.

• Blood stasis: amenorrhea with abdominal pain, post-partum abdominal pain, abdominal masses, dysmenorrhea.
• Food retention and stagnant Qi: (severe) distending pain in the epigastrium and abdomen.
• Often combined with E zhu. Liu says San leng is stronger than E Zhu at promoting Qi circulation, but weaker than E zhu at promoting blood circulation. Bensky/Gamble says just the opposite.
• Used with E zhu in oncology (useful in hepatic carcinoma in one study).
• Kamto: San leng + E zhu is great combination for depression.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
DY: With E zhu to strongly and effectively break both the Qi and blood, regulate and rectify the Qi and blood, stop pain, and reduce food accumulation. For specific indications and notes on this combination, see E zhu in this category.
3-9g
Shui Zhi
Leech
Hirudo




bitter salty
sl toxic neutral
Lv
BL
Strongly dispels blood stasis; reduces immobile masses.

• Blood stasis: amenorrhea, traumatic injury, masses.
• Wind-stroke.
• Hypercholesterolemia.
• Coronary heart disease. 
Shui zhi eyedrops are very effective for acute conjunctivitis. (May cause transitory pain upon application, but no other side effects.)
• Hirudin (a component): anticoagulant (especially in ethanol extract) - is denatured by heat. Therefore, the herb should not be cooked long, if at all. Leech extracts (hirudin) are tremendously popular in Chinese hospitals, used for everything Warfarin (Coumadin) is prescribed for. 
• Leech secretes a histamine-like substance that acts as a vasodilator.
• Contraindicated in pregnancy.
• Some say the herb should be toasted until yellow, then powdered and taken directly.
• Guohui Liu says: Much stronger than Tu bie chong. Bensky/Gamble say: More moderate than Tu bie chong but with a more sustained effect.
MLT: Hirudin interferes with the clotting effect of thrombin on fibrinogen.
1.5-6g
Si Gua Luo
Luffa
Dried skeleton of vegetable sponge

"Net of String Melon"



sweet
neutral
Lu
St
Lv
Expels wind; invigorates the channels; expels phlegm; expels summer-heat; promotes urination; benefits the breasts.

• Damp-heat obstruction of the channels and muscles: chest and flank soreness, pain and soreness in the muscles and sinews, stiffness in the joints. Also for traumatic injury.
• Lung heat: cough with high fever, chest pain, and sputum that is difficult to expectorate.
• Summer-heat: fever, scanty urine.
• Swollen, painful breasts; insufficient lactation; breast abscess.
• Antitussive and expectorant (though not as strong as the vine if the same plant).
• Doctrine of signatures: its affinity for the muscles and sinews is reflected in its sinewy, fibrous makeup.
6-12g (up to 30g when used alone)
Su Mu
Sappan wood
Caesalpinia sappan
sweet
salty
sl acrid
neutral
Lv Ht Sp Promotes blood circulation; dispels blood stasis from the channels; relieves pain; reduces swelling; stops bleeding.

• Blood stasis: amenorrhea, abdominal pain after childbirth, pain and swelling of traumatic injury - falls, fractures, contusions, sprains.
• Excessive post-partum bleeding with dizziness, vertigo, and shortness of breath.
• Similar to Hong hua but not often used - usually for fractures and sprains.
• Antibiotic: particularly against staph, salmonella.
• Contraindicated in pregnancy.
Hsu: Analgesic; inhibitory effect on the CNS; tranquilizer - a small dose can induce sleep; shortens blood coagulation time.
3-10g
Tao Ren
Peach kernel Prunus persica
(or P. davidiana)



bitter
neutral
Ht LI
Lv
Lu
Promotes blood circulation, dispels blood stasis; moistens the large intestine, promotes bowel movement; unblocks the menses.

• Blood stasis: dysmenorrhea, abdominal pain after childbirth, traumatic injury, flank pain, Lung abscess, intestinal abscess with immobile abdominal mass.
• Large intestine dryness: constipation.
• Alcohol extractions have a weak anticoagulant effect.
• Traditionally this herb is used with its peel. To promote bowel movement, remove the tip.
• Contraindicated in pregnancy.
• Sometimes double kernels occur (they look like "Siamese twin" kernels) - these are said to be toxic.
Hsu: Anticoagulant, antiphlogistic, detoxicant, laxative.
DY: Tends to dispel blood stasis in the lower part of the body, in the abdomen, and in the organs; very slightly nourishes blood.
• Like Xing ren, Tao ren is slightly toxic. The toxicity is localized in the superficial skin and the tip of the seed. The preparation, scalded Tao ren, eliminates this toxicity. However, in this form, Tao ren is less powerful at quickening the blood and dispelling stasis.
• With Hong hua: Hong hua is stronger than Tao ren at moving blood, while Tao ren is stronger at dispelling stasis. Together, they complement and reinforce each other to effectively quicken the blood, dispel stasis, engender blood, and stop pain. For specific indications and notes on this combination, see Hong hua in this category.
4.5-10g
Tu Bie Chong
(Di Bie Chong,
Zhe Chong)
Eupolyphaga
Wingless Cockroach

"Land Soft-Shelled Turtle"
salty
sl toxic
cold
Lv
Ht
St
Strongly dispels blood stasis; promotes regeneration of tendons and bones.

• Blood stasis: amenorrhea, abdominal pain after childbirth, masses, numb and swollen tongue.
• Sprains, fractures, contusions, lacerations.
• Acute lumbar strain: toast, grind and take as a powder (1-1.5g).
• Coronary artery disease
• For numb and swollen tongue, grind 6g herb with 3g table salt and apply directly.
• Usually ground and put into a tea bag (will float otherwise).
• Soak in wine and then dry-fry to enhance the herb's effect.
• Contraindicated in pregnancy.
• Liu: Weaker than Shui zhi. Bensky/Gamble: More intense but shorter-acting than Shui zhi. Tu bie chong is used more for treating channel-level problems. The two herbs are often used together.
• Kamto: Ideal for stroke "“ guides to brain. (This is the large, winged cockroach actually)
HF: For cancer: (doctrine of signatures) cockroaches go where the nastiest stuff is and eat it.
3-6g
Wang Bu Liu Xing
Vaccaria seed

(Ficus pumila, Hypericum sampsoni, and Vicia sativa also used, each with unique properties)

"King Who Does Not Stay But Departs"
bitter
neutral
Lv St Promotes blood circulation, invigorates the channels; dispels blood stasis; reduces swelling; promotes lactation; unblocks menstruation; slightly promotes urination.

• Blood stasis: dysmenorrhea, amenorrhea; galactostasis after childbirth, mastitis.
• Swellings: benign prostatic hypertrophy/prostatitis, testes, breasts.
• Topical: herpes zoster (shingles) - use a paste of the toasted, powdered seeds mixed with sesame oil. Apply locally once or twice a day and leave on for (at least) 30 minutes. Avoid open sores.
• Used as ear seeds, particularly for the treatment of gall stones.
• Stimulates the uterus.
• Pound before decocting or fry until it pops like popcorn.
3-30g
Wu Ling Zhi
Flying Squirrel feces
(Pteromys or
Trogopterus)

"Fat of the Five Spirits"
bitter sweet
warm
Lv
Sp
Promotes blood circulation; relieves pain; dispels blood stasis; stops bleeding.

• Blood stasis: pain - dysmenorrhea, abdominal pain after childbirth, chest, epigastric, or abdominal pain; lochioschesis, amenorrhea, uterine bleeding.
• Childhood nutritional impairment with focal distention.
• Often combined with Pu huang in Shi Xiao San for pain (usually dysmenorrhea with bleeding).
• Dry fry the herb to stop bleeding.
• Vinegar fry it to enhance its blood circulating properties.
• Often decocted in cheesecloth or a tea bag.
• Bat (Pteropus) feces is sometimes used as this herb.
CHA: Heiko Lade, 3-19-01: No one in China has used the correct Wu ling zhi for about 20 years because the habitats where flying squirrels used to live are virtually non-existent now, and it is almost an extinct species. Instead they use the feces of a wild field rat.
MLT: For fibroids, uterine or ovarian cysts, tumors.
Hsu: Analgesic - relaxes spasm of smooth muscle; antibacterial (tuberculosis), antifungal.
3-10g
Yan Hu Suo
Corydalis rhizome






















acrid bitter
warm
Ht Lv Sp
Lu
St
Promotes blood and Qi circulation, relieves pain.

• Blood and Qi stagnation: pain - chest, abdomen, epigastrium, limbs, hernial, trauma, and especially dysmenorrhea. This is the premier analgesic herb.
• Can be used for any kind of pain when combined appropriately.
• Treats ulcers.
• Possesses 1% the analgesic strength of opium. 
• Some hypnotic effects; used to promote sleep for insomnia. 
• Toast or fry in vinegar to enhance its blood circulating properties.
• Use as a powder for a stronger effect.
Jin: Focuses on the liver.
RW: Greatly reduces the tremors of Parkinson's disease, chorea minor, and other forms of ataxia.
NAH: Contains the alkaloid bulbocapriine, which has been used for Parkinson's, Meniere's, convulsions.
Hsu: Tranquilizer, analgesic, spasmolytic, anti-ulcerative agent.
DY: When used alone or with small amounts of other herbs, use up to 50g in decoction or 10g directly as powder.
• Stops pain in the whole body - the upper and lower, interior and exterior.
• A medicinal for the qi within the blood. It moves the Yang aspect of the blood. It disperses Qi stagnation in the blood and blood stagnation in the Qi. It is, therefore, a medicinal which quickens simultaneously the Qi and blood, but which, nevertheless, has more of its action on the blood than the Qi.
• With Chuan lian zi to clear heat, eliminate dampness, course the liver, move the Qi and blood, and stop pain. This combination (Jin Ling Zi San) is used for indications such as:
- 1. Pain in the chest, epigastrium, abdomen, and lateral costal regions due to liver depression Qi stagnation sometimes associated with liver blood stasis. (Use wine mix-fried Yan hu suo and scorched Chuan lian zi.)
- 2. Liver depression Qi stagnation transforming into liver heat or fire.
- 3. Dysmenorrhea and menstrual irregularities due to Qi and/or blood stasis. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- 4. Heart pain due to Qi and blood stagnation. (Use wine mix-fried Yan hu suo and scorched Chuan lian zi.)
- 5. Inguinal hernia or diseases of the scrotum or testicles due to Qi stagnating in the liver channel. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- 6. Hepatitis, cholecystitis, and angiocholitis due to damp-heat in the liver and gallbladder. (Use scorched Chuan lian zi and vinegar mix-fried Yan hu suo.)
- This combination is a major analgesic which can be added to other prescriptions when pain is a key manifestation of the disorder and especially if this pain is due to Qi stagnation and blood stasis. If there is a headache, add Chuan xiong and Hong hua. If there is chest pain, add Jie geng, Zhi ke, and Xie bai. If there is lateral costal pain, add Chai hu and Yu jin. If there is stomach and epigastric pain, add Mu xiang and Dan shen. If there is lower abdominal pain, add Mu xiang and Tao ren. If there is lower abdomen pain occurring on both sides of the abdomen in the area traversed by the liver channel, add Wu yao and Xiao hui xiang.
4.5-12g
Yi Mu Cao
Leonurus
Chinese Motherwort

"Benefit Mother Herb"






































Chong Wei Zi
Leonurus seed
acrid bitter
sl cold
Ht Lv BL Promotes blood circulation, dispels blood stasis; regulates the menses; reduces masses; promotes urination, relieves swelling and edema.

• Blood stasis: irregular menstruation, slow flow, amenorrhea with lower abdominal pain, lochioschesis and abdominal pain after childbirth, infertility, immobile abdominal masses, premenstrual abdominal pain.
• Edema with scanty urination, especially with hematuria.
• Acute systemic edema, especially when accompanied by hematuria.
• Damp-heat in the lower Jiao.
• Benign prostatic hypertrophy, prostate cancer, testicular pain.
• Contracts the uterus.
• Opens the coronary artery, treats coronary artery disease.
• Lowers blood pressure.
• Generally contraindicated in pregnancy.
MLT: Also for acute and chronic nephritis; postpartum uterine bleeding; incomplete involution of uterus; myocardial infarction: increases circulation to the coronary artery, lowers heart rate, improves microcirculation, prevents platelet agglutination.
• Cook 27g Yi mu cao with 9g Dang gui and take in 3 doses to help restore the womb after childbirth.
K&R: (L. cardiaca) Cardiotonic; stimulates oxytocin; antispasmodic; mild diuretic.
• Fire yin.
• Precordial pain, palpitations, cardiopathy, heart disease.
• Amenorrhea, dysmenorrhea; contracts and clears the uterus postpartum.
• PID - improves circulation in the lower abdomen.
• Relieves edema from nephritis; hematuria from renal calculi.
• Insomnia; goiter; epilepsy.
• Recent use in China as a morning-after contraceptive.
• Lowers blood viscosity and platelet aggregation rate.
• The extract is used for headache, insomnia, vertigo, peripheral circulatory paresthesias.
JC: (L. cardiaca) Emmenagogue, heart tonic, diaphoretic, tonic, nervine, antispasmodic, aperient, hepatic, diuretic.
• May be the best heart tonic known. Calms and supports the heart and nerves, may be used in large doses. Beneficial as a healing tonic in recovering from debilitating fever where other tonics are inadmissible.
• Chest cold, cramps, pains: foment over affected area and take internally.
• Delayed menstruation: give the syrup in hot water. When normal flow is re-established, take cold as a tonic.
• Influenza, severe colds, low fevers: give as hot as can be taken until the patient perspires freely.
• Acute and chronic heart problems (palpitations, endocarditis, pericarditis, intermittent pulse, etc.), epilepsy, nervous exhaustion, spasms, twitching, chorea, neuralgia, spinal disease, indigestion, liver affections, vaginitis (douche).
PCBDP: Chinese studies show anti-platelet aggregation action, lowers blood lipids, inhibitory effects on pulsating myocardial cells.
RW: (L. cardiaca) Antithyroid: for hyperthyroidism, palpitations, tachycardia.
MW: (L. cardiaca) Doctrine of signatures: has "goose tongue" leaves - a signature for rhythm - for the heart - palpitations.
• Also a good spinal remedy - for spinal irritation.
Hsu: Stimulates the uterus, increases flexibility and tonicity of uterus (much weaker than pituitary hormones); diuretic; hypotensive; antibacterial.
DY: Slightly nourishes blood - just enough to not damage the blood when used to dispel stasis.
• Must be used in relatively high dosage (15-30 or more).
9-60g (to 120g for edema in glomerulonephritis)

Chong Wei Zi: the seed
• Sweet, slightly cold.
• Dispels blood stasis, but is also astringent and tonic; cools the liver; brightens the eyes.
• For excessive menstruation/uterine bleeding.
• Liver heat: for red, painful, swollen eyes, pterygium.
3-9g
Yu Jin
Curcuma tuber
(Curcuma longa, C. kwangsinensis, C. aromatica, C. zedoaria)

"Constrained Metal"




acrid bitter
cold
Ht Lv GB
Lu
Promotes blood and Qi circulation, dispels blood stasis; promotes circulation of liver Qi; relieves pain; clears heart heat; cools the blood; opens the orifices of the heart; normalizes the function of the gallbladder and relieves jaundice.

• Qi or blood stasis which has created heat.
• Liver Qi stagnation and blood stasis: pain in the chest, hypochondria, costal region, and abdomen, irregular menstruation, dysmenorrhea, masses in the abdomen.
• Blockage of the heart by damp-heat: distention in the chest and epigastrium, fuzzy head.
• Blockage of heart by stagnant phlegm and Qi: seizures, mania, mental depression, anxiety, agitation.
• Liver Qi stagnation heat: hematemesis, hematuria, epistaxis during menstrual period.
• Gallbladder disorders: damp-heat, jaundice, gall stones, hepatitis.
• Lung heat.
• Topical and internal: pain related to traumatic injury, chronic sores.
• Viral hepatitis: effective at alleviating pain, treating jaundice, and reducing organomegaly.
• There are two main types of Yu jin: Chuan yu jin ("River Constrained Gold") is less commonly used, is considered to be milder, and is usually used for patients who are relatively weak; Guang yu jin ("Broad Constrained Gold") is the more commonly used variety.
MLT: Use with Shi chang pu for mental derangement, the effects of intoxicating drugs such as marijuana, and lack of focus.
Hsu: Promotes production and secretion of bile; stimulates motor activities of the stomach; stimulates gastric secretions and appetite.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
4.5-9g
Yue Ji Hua
Partially-opened Chinese Tea Rose
Rosa chinensis

"Moon Season Flower"
sweet
warm
Lv Promotes blood circulation; regulates menstruation; reduces swelling.

• Blood stasis: scanty menstruation, amenorrhea, chest pain, abdominal pain and distention.
• Swelling: neck swellings, scrofula.
• With brown sugar: for amenorrhea or scanty menstruation with abdominal pain, emotional stress, and constipation.
3-6g
Zang Hong Hua
(Xi Hong Hua)
Saffron
Crocus sativa stigma
    • Similar to Hong hua but much stronger and much more expensive.
• It is used in relatively severe cases, mainly for painful obstruction of the chest.
• Used for depression. Extensive research in Iran (main global producer) looks very promising.
• Topical for acne.
• Regulates menstruation.
• Eases cough and asthmatic breathing.
• Reduces fever and inflammation.
• Not to be confused with Meadow Saffron (Colchicum autumnale) which is toxic.
1-3g in decoction or 0.5-1.5g eaten directly
Ze Lan
Lycopus Bugleweed

"Marsh Orchid"


acrid bitter
sl warm
Lv Sp Promotes blood circulation (without damaging Zhen Qi), dispels blood stasis; promotes urination, relieves edema; frees the flow of liver Qi; opens the channels; unblocks the menses.

• Blood stasis: irregular menstruation, dysmenorrhea, amenorrhea, abdominal pain during menses and after childbirth, masses in the abdomen, traumatic injury, abscess, pain and swelling, pain in the chest and hypochondria, carbuncles.
• Edema over the face and body, dysuria, particularly post partum.
• Postpartum painful urinary dysfunction.
• Cardiotonic effect.
• Also for prostatitis/benign prostatic hypertrophy.
• Topical: for pain and swelling, traumatic injury, abscesses.
• Very safe herb.
• In some parts of China, Pei lan (Eupatorium) is sometimes used as this herb. (Pei lan does not promote blood circulation.)
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
K&R: Thyroid inhibitor, pituitary inhibitor (TSH, gonadotropins, prolactin), sympatholytic. Fire yang.
• Tachycardia and arrhythmia especially with hyperthyroidism.
• Hormonal influence to treat various prostate and ovary disorders.
RW: Antithyroid: for milder hyperthyroidism: small doses, takes 3-4 weeks for good effect (mainly helps palpitations). Use with Leonurus.
3-15g (up to 30g topically)
Zi Ran Tong
Pyrite

"Natural Copper"
acrid
neutral
Lv
K
Dispels blood stasis, relieves pain; promotes regeneration of bones and sinews.

• Blood and Qi stasis caused by injury: swelling, pain, and especially fractures.
• Has been used successfully for endemic goiter.
• Decoct for at least 30 minutes or take directly as powder.
• Major known constituents include: ferrous disulfide, copper, nickel, arsenic. Due to arsenic content, probably toxic. 
3-15g (0.3-0.6g directly as powder)



Herbs That Subdue Liver Yang And Extinguish Liver Wind

These herbs each possess any of four major actions:
1. Clear Liver Heat.
2. Subdue Liver Yang.
3. Extinguish Liver Wind.
4. Calm/Anchor the Shen.
These herbs are commonly combined with:
A. Herbs that clear heat or reduce fire from the liver when there is liver heat leading to Yang rising or liver wind.
B. Liver and kidney Yin tonics when liver wind is due to Yin deficiency of the liver and kidneys.
C. Herbs that quiet the Shen when there is Shen disturbance.
D. Herbs that resolve phlegm when liver wind stirs up phlegm and blocks the channels and collaterals.
Bai Ji Li
(Ci Ji Li)
Tribulus fruit
Puncture vine
Caltrop
Tribulus terrestris

bitter
acrid
neutral
Lv
Lu
Subdues the liver, anchors the yang; frees the flow of liver Qi; eliminates external wind, dispels wind-heat; promotes vision; stops itching.

• Liver yang rising: headache, dizziness, vertigo, hypertension.
• Liver Qi stagnation: distention in the chest, costal region, and flanks, postpartum galactostasis or insufficient lactation.
• Wind: skin eruption with itching, hives, vitiligo.
• Wind-heat: red, swollen, painful eyes, increased tearing; nasal congestion.
• Promotes urination.
• Lowers blood pressure.
• Recent Western use as "herbal Viagra" to improve libido and erectility.
• Guohui Liu: Useful for Liver attacking transversely, causing bloating, etc. (15-30g)
Yoga: Gokshura: sweet, bitter/cooling/sweet; VPK=
• Diuretic, lithotriptic, tonic, rejuvenative, aphrodisiac, nervine, analgesic.
• Cools and soothes the membranes of the urinary tract; stops bleeding.
• Rejuvenative to Pitta, calms Vata. Invigorating for postpartum women.
• Difficult or painful urination, edema, kidney or bladder stones, chronic cystitis, nephritis, hematuria, gout, rheumatism, lumbago, sciatica, impotence, infertility, seminal debility, venereal disease, cough, dyspnea, hemorrhoids, diabetes.
Hsu: Hypotensive, sedative.
DY: Upbearing and dispersing; calms the liver, resolves depression.
• With Sha yuan zi to regulate upbearing and downbearing and the liver and kidneys. Together, they course the liver and rectify Qi, resolve depression and calm the liver. They harmoniously supplement the liver and kidneys - they enrich the kidneys and secure the essence, nourish the liver and brighten the eyes. For such indications as:
- 1. Vertigo, unclear vision due to liver and kidney deficiency. (Use salt mix-fried Bai ji li - this alleviates the draining and dispersing characteristics of the herb and reinforces its supplementing aspect.)
- 2. Lumbar pain, seminal emission, premature ejaculation, frequent urination due to kidney deficiency. (Use salt mix-fried or stir-fried Sha yuan zi.)
- 3. Abnormal vaginal discharge due to kidney deficiency.
6-12g
Dai Zhe Shi
Hematite

"Red Stone from Dai County"
bitter
cold
Lv
Ht
Pc
Subdues the liver, suppresses liver Yang rising; clears liver heat; descends the Qi of the Lungs and stomach, strongly directs rebellious Qi downward; cools the blood; stops bleeding; anchors the Shen.

• Stomach Qi rebellion: belching, hiccups, vomiting. Use when Ban xia is not enough. This herb is not appropriate for morning sickness of pregnancy.
• Failure of Lung Qi to descend: wheezing, asthma.
• Liver Yang rising, liver fire: headache, dizziness, tinnitus, pressure around the eyes.
• Hematemesis, epistaxis. Primarily for bleeding due to heat, but can also be used for bleeding due to cold from deficiency when combined with appropriate herbs.
• Should be boiled for approximately 30 minutes before adding other herbs.
• Often calcined or pulverized after soaking in vinegar.
• Major known constituents include diferric trioxide, aluminum, silicon, magnesium, tin.
• Bensky/Gamble classifies this with herbs that anchor the Shen.
MLT: For short term use only - likely contains traces of arsenic.
9-30g
Di Long
Earthworm
Lumbricus

"Earth Dragon"
salty
cold
Lv
Sp
BL
Lu
Removes obstructions from the channels and collaterals; relieves asthma, calms wheezing; clears heat; extinguishes liver wind; stops spasms and convulsions; promotes urination.

• Lung heat obstruction: asthma, wheezing. Clears Lung heat.
• Liver wind: convulsions with high fever, seizures - can be used alone.
• Damp-heat: Bi syndrome with red, painful, swollen joints.
• Obstruction of channels and collaterals: hemiplegia, sequelae of wind-stroke, for either hot or cold (with appropriate combination) Bi.
• Bladder heat: painful urination or retention of urine, cystitis, urinary stones, edema.
• Liver Yang rising: hypertension. Lowers blood pressure. Over 90% effective for essential hypertension in one study.
• Hot, manic type schizophrenia. (Recent use)
• Temporarily lowers men's sperm count.
• May temporarily lengthen the penis.
• May inhibit the effects of histamine on smooth muscle.
• This herb's effectiveness is enhanced by washing it in wine.
• This herb's ability to treat spasms and convulsions (compared to Ling yang jiao and Gou teng) focuses mainly on its ability to open up and penetrate.
• Doctrine of signatures: earthworms' (and other insects') ability to remove obstructions is indicated by their skill at wriggling through small places or plowing right through the earth.
• A very safe herb.
MLT: Insects [and worms] represent the essence of pure neurological instinct reaction that is akin to the manifestation of involuntary reflexes such as spasms, shaking, and stroke. Described as "strange proteins," they seem to have a corrective effect on the nervous system. Customarily administered as a powder in capsules.
Hsu: Antipyretic, hypotensive (probably by direct action on CNS), bronchodilator, stimulates the uterus, small intestine and large intestine.
5-15g
Gou Teng
Uncaria stem and thorns

Uncaria rhynchophylla, U. sinensis, and related species

"Hook Vine"











Cat's Claw


















































































































sweet
sl. cold
Lv
Pc
Ht
Clears liver heat; subdues liver yang; extinguishes liver wind, alleviates spasms; releases the exterior.

• Liver wind: convulsions, tremors, seizures, eclampsia. Especially useful when due to intense heat.
• Liver heat: distention and pain in the head, red eyes.
• Liver Yang rising (including Yin deficiency patterns): dizziness, vertigo, irritability, blurry vision.
• Wind-heat: fever, headache.
• Lowers blood pressure. For hypertension take 30g twice a day. Especially useful when due to liver Yang rising. If there is liver Yin deficiency, combine with Bai shao - 2:1::Gou Teng:Bai Shao (i.e. 15g Bai shao BID). Gou teng's hypotensive effect diminishes if it is cooked too long. Old stems, without thorns, have no hypotensive effect.
• Similar to Ling yang jiao, but while antelope horn enters the blood level, Gou teng enters the Qi level and is especially useful for problems secondary to externally-contracted wind-heat.
• Do not cook longer than 10 minutes.
• It is traditionally believed that the more hooks and less stems, the stronger the herb.
• Contains rhynchophylline - a non-competitive NMDA receptor antagonist (anesthetic) and calcium channel blocker. 
Hsu: Hypotensive - inhibits vasomotor center, dilates peripheral blood vessels; sedative, inhibits the CNS; prevents epilepsy; antiviral - especially against respiratory viruses.
6-15g

Cat's Claw / Uña de Gato - Uncaria tomentosa (from the upper Andes in Peru):
This species grows much larger than the Chinese forms. The bark is used.
Its similarity (or lack thereof) to Gou teng has not been clearly established.
Major claims are that it is an immune enhancer, antiviral/antibiotic, anti-inflammatory, antispasmodic. Satya Ambrose uses it (as the extract under the trade name Samento or Saventaro) to treat Lyme disease. Shown in studies to fight the progression of Alzheimer's disease (better when combined with Ginkgo leaf and Gotu Kola).
Recently, there has been some controversy over the constituents TOA's (tetracyclic oxindole alkaloids) and POA's (pentacyclic oxindole alkaloids). Numerous sources claim TOA's are ineffective or even harmful, while the medicinal potency of the plant comes from the POA's. Consequently, there are products which claim to be TOA-free and/or which maximize POA's.
SD: Cat's claw is one of several dozen herbs being promoted these days as an effective treatment, even a potential cure, for cancer, AIDS, chronic fatigue syndrome, candida infection, arthritis, and other disorders for which modern medicine is often unsatisfactory. The broad spectrum of action claimed for these herbs is not an impossibility, as the disorders that are said to be treated involve the immune system: there could be a central regulatory mechanism affected by a natural compound that leads to improvements for many patients with various diseases. The suggestion that the herbs produce dramatic effects or are curative rather than merely helpful is more problematic, as clinical evaluations of several such materials have failed to confirm many of the claims that were based on individual case studies.
Cat's claw seems exotic because it is a native Indian remedy from the mountains of Peru. Yet, there is no evidence that it is any more valuable than less exotic items from China, India, Europe, or the U.S. which were previously considered exotic. Apparently, the root bark of the plant has been used by the aborigines in the area where it grows for gastric distress, skin diseases, arthralgia, and cancer. It is not clear how accurately cancer was diagnosed (in most medical traditions, cancers, abscesses, and non-malignant swellings were lumped together), nor what effect this herb had in native hands, nor whether it was only one of several remedies provided in combination to the patient. The "claw" which characterizes this vine may have been selected by "doctrine of signatures" as something that could penetrate and puncture a lump or grab the cause of localized pain. In China, the related plant Uncaria rhynchophylla (gouteng), is said by native healers to effectively treat headaches: the hook on the vine indicates that it can go in and grasp the pain to pull it out. This explanation may also come after the observation of effects, as an aid to memory: Chinese research confirms that the herb can treat certain types of headache, especially that associated with hypertension.
The active components of cat's claw are mainly alkaloids, glycosides (triterpenes and procyanidins), and tannins. The oxindole alkaloids of the stem (including the hooks) are the same as those found in the Chinese plant that is far more intensively analyzed. Rhynchophylline, the main alkaloid, has been made into a drug in China for treating hypertension and headache due to vascular constriction. The alkaloids in the root bark of cats' claw are in the same category as rhynchophylline, but are slightly differently. The claim made by some investigators appears to be that these unique alkaloids are responsible for the ability of the plant to treat cancer and to inhibit viral infections. Enhancement of phagocytosis in vitro was reported in 1985 by Wagner, a European researcher who has focused efforts on revealing immune-enhancing actions of natural products (his work with echinacea, eleutherococcus, and the liver-protective herb sylibum is frequently reported in the alternative medicine literature). However, it is not clear that sufficient amounts of such alkaloids are consumed so that one would obtain this effect nor how strong the effect might be. Based on his research experience, Wagner believes that polysaccharides, terpenoids, alkaloids, and polyphenolic compounds from plants have immunostimulating activity.
The triterpenoids of cat's claw have been shown to have an anti-inflammatory effect. This effect is not surprising: dozens of plants with triterpenoids have an anti-inflammatory action; triterpenoid compounds often have a steroidal structure. Other materials have been isolated from the herb, such as oleanolic acid (which has anti-allergy actions), but the amounts are so small as to make their presence insignificant in relation to the herbal activity in clinical practice. Clearly, one can find numerous compounds in this plant and attribute healthful activities based on in vitro tests that require large amounts of the compounds, but that doesn't mean one is likely to obtain those effects from oral consumption of recommended amounts (e.g., 20 grams by decoction or infusion, much less by ingestion of encapsulated powders) of the crude herb.
In a patent application for use of cat's claw alkaloids for immune-modulatory effects against cancer, other alkaloids with similar effects obtained from other plants are mentioned, such as berbamine and matrine, ingredients identified from common Chinese herbs (e.g., hu-chang and sophora) that boost certain immune responses and which can be used in the treatment of cancer (Chang and But 1987). The question that arises is this: is it worthwhile collecting a species that has a limited growing range for which the root bark may be the key ingredient, and which is quite expensive, rather than using readily available plants that are less expensive and are already cultivated and which have far more supporting research for the intended application? The patent application also lists more than a dozen phenols/quinones and terpenes as examples of natural substances "with stimulating effect on the immunological system."
That aside, one can examine carefully the research to date. In one study (Aquino, et al. 1991), anti-inflammatory compounds were isolated. In rat paw inflammation experiments (usually used in the study of potential anti-arthritis remedies), dosages of 2 g/kg of the dried bark (corresponds to typical human dosage of 140 grams of the herb) were used, and the most active isolated fractions were able to inhibit the rat paw edema by about 40%. Aspirin is a lot easier to use and more effective and although aspirin may cause gastric irritation, so might the isolated components of cat's claw. The common, cultivated Chinese herb tang-kuei, has an anti-inflammatory action that is slightly greater than that of aspirin, weight for weight.
Antiviral activity of quinovic acid glycosides from cat's claw were also analyzed (Aquino, Simone, and Pizza, 1989). As the authors of the study report: "an inhibitory effect against VSV [vesicular stomatitis virus] was evident for all the nine compounds tested, although at relatively high concentrations with respect to the toxic dose...." In other words, the antiviral activity was weak unless you approach the point where the herbal components would kill the cells as well. Before one reaches cell killing by a compound, severe side effects would tend to be observed clinically. The authors continue: "almost all these quinovic acid glycosides were inactive against rhinovirus type IB infection...." These same authors mention in their introduction the antiviral action of glycyrrhizin (from licorice). This and other components from readily-available and inexpensive herbs have been demonstrated effective in treating viral infections; for example, glycyrrhizin can cure a portion of clinical cases of chronic hepatitis B infection and it has been shown, in vitro, to inhibit HIV.
The potential antitumor activity of cat's claw remains pure speculation. In a paper about the constituents of various Uncaria species in Peru, it was suggested (de Matta, et al.) that catechin in the root bark may be responsible for the effect. Catechin is believed to be anticarcinogenic, but it is obtained from dozens of other herbs (it is often found in barks) that are much more easily obtained (rhubarb is the main source used in Chinese anticancer studies). In a recent evaluation of antimutagenic effects (Rizzi, et al., 1992), it was speculated that cat's claw acts as an antioxidant, thus potentially reducing the incidence of transformation to cancer cells via an oxidation reaction. Yet, there are dozens of antioxidants already identified which have this property, many of which have useful nutritional benefits (e.g., vitamins C and E, selenium, cysteine) and which are inexpensive and readily available. While these are thought to be useful in reducing cancer risk, their impact on existing cancers is minor.
To get around the rather poor outcomes found in laboratory experiments and the availability of alternative sources for materials for which similar claims could be made, promoters of cat's claw resort to hyperbole. Philip Steinberg, a nutritional consultant, proclaims it a "wondrous herb from the Peruvian Rainforest," and refers to an article by a chiropractor, Brent Davis, who proclaims it a "world class herb." The patent issued more than five years ago is trotted out as primary evidence of its value. Indeed, cat's claw has been sold in Europe, but an analysis of the capsules of product show that it is extremely low in the supposed active components compared to reference samples from Peru (Stuppner, Sturm, and Konwalinka, 1992) so that any claims made for it are likely placebo effects.
To promote the product, "The Cat's Claw Quarterly" was generated. As illustration of its irresponsible reporting, the 10 page first issue carries not one author's name. Keplinger, the holder of the above-mentioned patent is reported to have been treating AIDS patients in Europe. He proclaims benefits were observed as follows: "within twenty days treatment there were positive signs in the immune system." Anyone working with AIDS knows that the manifestations of the disease is highly variable and that few, if any, patients stick to only one remedy at any time; besides that, there was no way to show "positive signs" in the immune system within twenty days back then (in 1987, two years before this first issue of the newsletter). An herbal correspondence course devotes lesson 26 to cat's claw, as part of the larger section on "killing cancer." All that is offered is a rambling narrative of the author's attempt to track down information on cat's claw (one section is headed "very little written about cat's claw"). As an example of successful use of the herb for cancer, here is one story he relates from Austria, where Keplinger works: Male 14-year-old [with lymph leukemia]. Chemotherapy was applied. However, patient suffered extreme discomfort. Cat's claw given. Three week's later, blood values improved. Patient more active. Since the blood condition improved so much, they thought this was because of the chemotherapy. So they increased the dosage of chemotherapy. The blood test did not reveal further pathology. The patient is now considered a mostly healthy child." That certainly shows that cat's claw is effective against cancer by the contorted reasoning methods employed by such writers. Chemotherapy, which is effective in many cases of childhood leukemia, by this reasoning came out poorly in this report. In a letter to Townsend Letter for Doctors (an informal and unreviewed magazine), Steinberg claims that one Peruvian physician spoke at an international congress on traditional medicine "about his and his colleagues' successes with Uncaria tomentosa and other herbs in treating 14 types of accurately diagnosed cancer in 700 patients." The suggestion to be taken by the unsuspecting reader is that it was this herb that was responsible for the undefined successes. One wonders what these physicians actually did and what was actually said about the results.
Cat's claw may indeed be a good remedy for gastritis (one wouldn't be able to determine that from the current literature, however: gastritis isn't as interesting as cancer and AIDS). Herbal therapies for gastritis are relatively easy for native herbalists to select, because the effects are usually prompt. There are hundreds of other gastritis remedies available; its just a matter of whether or not the gastritis sufferer will try them. If the first they try is cat's claw, it may well be one they can say works for them.
At this time, there is no evidence that cat's claw has significant immunological properties. It may have such properties, but there are potential problems with promoting it for this application. First, it appears that the tops of the plant, which mainly contain rhyncophylline in the stem and tannins in the leaves, are probably not effective for this purpose. In China, where immune regulators are a central area of concern, Uncaria species are not counted among them. When purchasing powdered materials, it is difficult to know if one is getting the right species (importers already caution that you buy their species of cat's claw and not an alternative one, Uncaria guaianensis, available on the Peruvian market), much less the right plant part. If the root bark, which may have relatively unique compounds, is to be used, then the plants must be dug up, and we have one more case of damage to the rain forest plants. It has been suggested that the upper bark might have the same activity as the root bark, and it is possible, with vines, to collect the tops and still have the plant grow back. However, a careful analysis of the vine bark must be made and one must be assured of getting just this part (there isn't much bark on this plant). But, why bother? There are so many established immune-regulating herbs already available that putting great effort into this one seems unappealing.
What about the current research status? In the U.S., this is being trusted to practitioners of natural medicine untrained or poorly trained in clinical evaluations who are to report on the effects in their patients
(who are almost certainly taking other remedies at the same time) under the general heading of conducting a "clinical trial." These practitioners will no doubt claim benefits seen in numerous patients, as they have in the past for each remedy that has been brought out for informal evaluation by practitioners untrained in research methodology. In Austria, Dr. Keplinger is said to be using a medicine extracted from the vine along with AZT in AIDS patients. His results (from the past eight years of experience) are being reported not in medical journals but in newspapers, such as El Comercio (Lima). In Peru, researchers are making a sincere effort to analyze the ingredients and effects of the plant. As reported in journals, the observed effects have been quite limited and the activities can be explained by compounds and mechanisms that do not require one use cat's claw. Yet, an American distributor says that "Cat's claw promises to become a major therapeutic agent worldwide in the very near future due to its unusual and significant health-stimulating properties."
It is quite unfortunate that the diligent efforts of Peruvian researchers are being largely ignored in favor of the outlandish claims of chiropractors, nutritional consultants, and writers of informal correspondence courses. Desperate AIDS and cancer patients, as well as others, may be taken in by this (that is, after all, what the effort is all about), and spend their limited resources on this potentially endangered rain forest remedy when better-studied, more effective, and less expensive remedies are available to them. This is the ongoing problem with alternative medicine: uncritical acceptance of remedies promoted by persons with limited knowledge, but strong financial interests, and unreliable enthusiasm. If cat's claw is a legitimate contributor to treatment of serious illnesses, then let the scientific knowledge be compiled and analyzed and then compared to what is known about other plant remedies before it is touted as the newest remedy for cancer and AIDS.
Appendix: Other Uncaria Species
Uncaria vines are native to Japan, China, Vietnam, and the Malaysian peninsula. Among the species used in China, interchangeably, are U. rhyncophylla, U. macrophylla, U. hirsuta, U. sessifructus, U. formosana, and U. scandens. The branch and stem are used for their nerve-inhibiting actions, associated with the alkaloid components. They are thus applied as a sedative, anticonvulsant, hypotensive, and analgesic. In Vietnam, U. tonkinensis is used; the bark of the vine is considered useful in lowering fever; it is said that the bark contains no alkaloids, but does contain catechin and catechutannic acid. In Malaysia, Uncaria gambir is used. The top of the plant is rich in tannins and is not very suitable for internal use (except temporarily to treat dysentery). Rather, it is applied topically for its antiseptic action (attributable to tannins) and some analgesic effects (probably due to the alkaloids). The roots are considered a remedy for intestinal inflammation, which is a common application of tannins. Such compounds may also have a positive effect on gastritis and urethritis, conditions for which cat's claw has been claimed to be of use.
Jiang Can
(Bai Jiang Can)
Silkworm (Bombyx)
infected with Beauveria bassiana
salty
acrid
neutral
Lv
Lu
Eliminates external wind, eases itching and relieves pain; extinguishes liver wind, relieves spasms and convulsions; resolves phlegm, dissipates nodules; clears heat, dissipates stagnant heat.

• Wind: skin eruption with itching.
• Liver wind or wind-phlegm-heat: convulsions, facial paralysis, deviation of the mouth and eyes in wind-stroke, seizures.
• Liver heat or attack of the liver channel by wind-heat: headache, red eyes, sore, swollen throat, loss of voice.
• Stagnant heat: carbuncles, sore throat, toothache.
• Phlegm accumulation: lumps, scrofula, nodules.
• Use raw for dispersing wind-heat, otherwise dry fry.
• Compared to Wu gong and Quan xie in the treatment of wind and spasms, Jiang can is most appropriate for those due to phlegm-heat.
• Pound before cooking.
Hsu: Hypnotic, antispasmodic, stimulates adrenal cortex.
3-9g (0.9-1.5g as powder or pill)
Jue Ming Zi
Cassia seed
Fetid Cassia seed

"Seeds of Realized Brightness"


sweet
bitter
sl. cold
Lv
LI
K
Clears liver heat; expels wind-heat; promotes vision; moistens the large intestine, promotes bowel movement.

• Liver heat or liver channel wind-heat: red, swollen, itchy, painful eyes with photophobia and increased tearing. Especially useful when liver heat is accompanied by constipation.
• Heat or dryness in the large intestine (especially from liver Yin deficiency): constipation.
• Used to prevent atherosclerosis: lowers blood pressure and serum cholesterol.
• Hypercholesterolemia: in one study of 100 patients (mean value 246.9 mg%, and as high as 484) given Jue ming zi decoction, 85% had normal values within 2 weeks. 98% were normal within 4 weeks.
• Can counteract the constipating effects of some other herbs in this category (such as Mu li).
• Compared to Ju hua, Jue ming zi is better at clearing liver fire and benefitting the kidneys; Ju hua more effectively pacifies the liver and disperses wind-heat.
• Dry fried: tonifies the liver and is used for eye problems due to liver and kidney deficiency.
• Antibiotic effect.
• Bensky/Gamble classifies with herbs that drain fire.
• Bensky/Gamble: Do no t use with Huo ma ren; not recommended when there is diarrhea or hypotension.
MLT: Pan roast and powder, and use as a coffee substitute for hypertension.
9-15g (up to 30g alone)
Ling Yang Jiao
Antelope Horn

















Shan Yang Jiao
Mountain Goat horn
salty
cold
Lv
Ht
Clears liver heat; subdues liver yang (remarkably); extinguishes liver wind; promotes vision; clears heat and toxicity; clears damp-heat; quiets the Shen.

• Liver wind: convulsions, spasms - infant, epilepsy, other seizure disorders, including for recalcitrant fevers, internal wind due to intense heat.
• Liver Yang rising: dizziness, vertigo, headache, blurry vision, red eyes, photophobia, hypertension, spasms, convulsions.
• Liver fire: red eyes, headache.
• Heart blockage by heat and toxicity with liver wind stirring: high fever, unconsciousness, delirium, involuntary limb movement.
• Wind-damp-heat: Bi syndrome.
• Doctrine of signatures: Antelopes and mountain goats live (and thrive) at high altitudes. The herb is useful for Yang that rises, like the peak of a mountain, and also for mountain sickness - increases resistance to a low oxygen environment.
• Less effective than Xi jiao (rhinoceros horn) at clearing heat and toxicity, but more effective at relieving spasms and extinguishing wind. The two horns are used together in severe cases of coma and convulsions due to high fever (however, rhinoceros horn should no longer be used, given rhinos' endangerment).
• Take directly as powder or pills.
• Ling yang jiao is similar to Gou teng, but while Gou teng enters mainly the Qi level, Ling yang jiao enters the blood level, relives toxicity, and treats heat in the blood
Hsu: Antipyretic, anticonvulsive - tranqulizing, antispasmodic - inhibits CNS.
0.9-3g (directly)

Shan Yang Jiao: Mountain Goat horn
• For ecological considerations, this herb may be used in place of Ling yang jiao.
• Mountain goat horn is much weaker - use10 times the dose of antelope horn that would be used.
9-60g
Mu Li
Oyster Shell




salty
astringt
sl. cold
Lv
Ht
K
Subdues the liver and suppresses rising liver yang; anchors the Shen; benefits the Yin and anchors floating Yang; softens and disperses hardness, nodules, stagnation of phlegm and fire; astringes and controls body fluids; neutralizes acid (calcined form) and alleviates (stomach) pain.

• Liver yang rising (including with Yin deficiency): restlessness, insomnia, palpitations, dizziness, vertigo, tinnitus, bad temper, red, flushed face
• stagnation of phlegm and fire: masses, lumps, swollen lymph nodes and glands, scrofula, goiter.
• Weak constitution (deficiency only - steaming bone disorder or following a warm febrile disease): seminal emission, leukorrhea, uterine bleeding, spontaneous or night sweats.
• Acidity: heartburn, excessive stomach pain with sour taste (Bensky/Gamble recommends the calcined form for this, while Liu says to swallow 10g uncooked, non-calcined Mu li). Note: Mu li contains a high amount of calcium carbonate. The carbonate acts as a pH buffer in the stomach, but calcium is a stimulus for acid secretion in the stomach (because it is soluble only at a low pH). At best, Mu li is a branch treatment for acidity. As antacids go, Mu li - and all antacids which contain calcium - may be inferior to those comprised of other mineral carbonates (such as sodium bicarbonate - baking soda).
• Muscle cramps: by "softening hardness" - anecdotally useful as a standalone herb, even in the common form of oyster shell calcium pills. Also beneficial for restless legs.
• Useful in treating night sweats due to tuberculosis.
• Weaker than Long gu to quiet the Shen, but stronger than Long gu to subdue liver Yang.
• "Slipperier" than Long gu.
• For astringing body fluids, use the calcined form, Duan mu li. For all other purposes use the unprepared form (note Bensky/Gamble says to use the calcined form for neutralizing acid).
• Cook for 20-30 minutes longer than other herbs.
• Bensky/Gamble classifies with herbs that anchor the Shen.
• Some sources claim Mu li works synergistically with Bei mu, Gan cao, Niu xi, and Yuan zhi, and that it has adverse effects when combined with Ma huang, Wu zhu yu, and Xi xin.
Hsu: Astringent, sedative, analgesic, antioncotic.
• Use 90-120g for neck lymphadenitis.
DY: With Huang qi to supplement Qi, constrain Yin, secure the exterior, and stop perspiration. For indications such as:
- 1. Spontaneous perspiration due to Qi or Yang deficiency. (Mu Li San) Use calcined Mu li.
- 2. Night sweats due to Yin deficiency. (This combination is appropriate for moderate Yin deficiency. In cases of deficiency fire, this pair cannot be used alone.)
- 3. Spontaneous and nighttime perspiration due to Qi and Yin deficiency. (Mu Li San) Use calcined Mu li.
15-30g
Quan Xie
Scorpion
Buthus


acrid
salty
neutral
toxic
Lv Extinguishes liver wind, relieves convulsions; eliminates external wind; cleans and dissipates stagnation of (fire) toxicity, dissipates nodules; removes obstruction from channels and collaterals, relieves pain.

• Liver wind, wind-phlegm: convulsions (acute or chronic infant), tetany, tics, deviation of the mouth and eye in wind-stroke, tremors, opisthotonos, seizures. This herbs is among the most effective at eliminating wind.
• External wind: convulsions due to tetanus (wind invades wound).
• Stagnation of toxicity: carbuncles, lumps, toxic sores, swellings - includes topical use - follows the theory "use toxin to attack toxin."
• Obstruction of channels and collaterals (blood stasis): stubborn headaches, migraines, Bi syndrome.
• Lowers blood pressure; tranquilizer.
• Weaker anticonvulsive effect than Wu gong. Compared to Wu gong and Jiang can in the treatment of wind and spasms, Quan xie is most appropriate when there is heat.
• Start with a very low dose and slowly raise it (if necessary).
• Often combined with Wu gong.
• Contraindicated for internal wind due to blood deficiency; pregnancy.
LL: Essential for a serious headache - always consider this herb.
MLT: For cancer/tumors: powder Quan Xie with Wu gong and Jiang can, suspend in water in a cloth bag while cooking an egg in the water. Eat the egg and drink the broth.
Hsu: Antispasmodic (weaker than Wu gong), antifungal, sedative.
2-5g or 0.9-1.5 of just the tail (0.6-0.9g directly as a powder)
Shi Jue Ming
Abalone shell
Haliotis

"Stone Sense Brightness"
salty
cold
Lv
K
Clears liver heat; subdues the liver and suppresses rising liver yang; promotes vision, dispels superficial visual obstruction.

• Liver yang rising: dizziness, vertigo, headache, hypertension.
• Liver fire: red and swollen eyes, nebulas, blurry vision, optic neuritis, photophobia, pterygium.
• Topical ophthalmic: apply as a very fine powder to eyes.
• If the digestion is poor, use only 15g.
• Decoct for about one hour longer than other herbs.
9-30g
Tian Ma
Gastrodia rhizome

"Heavenly Hemp"
sweet
neutral
Lv Subdues the liver and suppresses liver Yang rising; extinguishes liver wind, relieves convulsions; eliminates wind-damp; relieves pain.

• Wind-phlegm or liver Yang rising: dizziness, also headaches, migraines. This is perhaps the best herb for dizziness in the pharmacopeia.
• Liver wind: convulsions, trembling, epilepsy, tonic-clonic spasms, opisthotonos, tetany, wind-stroke - including with hemiplegia, dizziness, and numbness of the extremities.
• Wind-damp: Bi, pain and numbness of the lower back and extremities.
• High doses can cause nausea and vomiting.
• Since this herb is expensive, some deceitful sellers in China will steam potatoes to shrink them and then sell them as Tian ma.
• Some advise against using this herb in cases of Yin deficiency (such as liver wind due to liver Yin deficiency), claiming that it is warm and dry, however, MLT says: similar to Gou teng, but its sweet flavor gives it Yin tonic properties.
Hsu: Anticonvulsive, cholagogue.
3-10g (0.9-1.5g directly as powder)
Wu Gong
Centipede Scolopendra

acrid
warm
toxic
Lv Extinguishes liver wind, relieves convulsions; eliminates external wind; cleans and dissipates stagnation of toxicity; removes obstruction from channels and collaterals, relives pain, dissipates nodules.

• Wind, tetanus: acute or chronic infant convulsions, opisthotonos, spasms, seizures, lockjaw.
Stagnation of toxicity: carbuncles, lumps, nodules, neck lumps, sores, poisonous snake bites, stings. Used internally and topically.
• Blood stasis, obstruction of channels: stubborn headaches, migraines, Bi syndrome, impotence. Directs herbs to the penis.
• Very effective at treating diphtheria (used with Gan cao in study).
• Antifungal.
• Possesses anti-tumor effects (in vitro).
• Effective for submandibular lymphadenitis.
• Some sources say to remove the legs and head - only use the trunk and tail.
• May cause stomach upset.
• Often combined with Quan xie.
• Stronger than Quan xie and Jiang can for wind and spasms. Since it is warm, is most appropriate for wind-cold. It is superior to the other two in the topical treatment of toxic swellings.
• Doctrine of signatures: Its form indicates its ability to direct to the penis and treat impotence. Liu: "Like an arrow that directs herbs to the penis." Bugs, in general, are adept at squirming into small places, and are useful for opening blockages and freeing the channels.
• Usually taken directly in powder form (often in capsules).
• Contraindicated in pregnancy.
Hsu: Antibacterial, hypotensive, antispasmodic.
0.9-3g (0.6-1g as powder or pill)
Zhen Zhu
Pearl
Margarita
sweet
salty
cold
Ht
Lv
Anchors the Shen; clears liver heat; eliminates superficial visual obstructions; sedates the heart; settles tremors, convulsions, and palpitations; astringes, promotes tissue regeneration; enhances the skin.

• Shen disturbance or liver wind: palpitations, childhood convulsions, seizures.
• Disharmony of heart and Shen: easily frightened or angered.
• Liver heat: red, swollen eyes, nebulas, pterygium, blurred vision.
• Skin: take 1-2g internally daily to enhance skin.
• Topical: for non-healing ulcers, macerated areas (usually throat or gums); applied to the eyes as a very fine powder or in eye drops for nebulas; applies to the skin to soften, refine, and enhance its color.
• Often cooked with tofu and water for two hours prior to being ground into powder.
• Bensky/gamble classifies with herbs that anchor the Shen.
Hsu: Antihistamine, anti-allergic, diuretic.
0.3-1g usually directly as powder/pill
Zhen Zhu Mu
Mother of Pearl

salty
cold
Lv
Ht
Subdues the liver and suppresses any type of liver Yang rising; clears liver heat; promotes vision; anchors the Shen.

• Liver Yang rising and liver Yin deficiency: headache, dizziness, vertigo, tinnitus, restlessness, insomnia, seizures.
• Liver Yin deficiency: blurry vision.
• Liver heat: red eyes, photophobia.
• Topical: promotes healing of canker sores.
• Commonly used as a cheap substitute for Zhen zhu, though it is much less effective.
• Must be cooked longer than other herbs.
• Difficult to digest (like all shells and minerals).
• Bensky/Gamble classifies with herbs that anchor the Shen.
• As a topical facial exfolliant. One source claims machine grinding produces a powder too fine to exfolliate effectively. Hand grinding may be preferable.
MLT: Promotes healing, generates flesh.
• Topical for acne/blemishes.
15-30g



Herbs That Open The Orifices And Induce Resuscitation

• These herbs are to be used only for excess conditions (heat, toxicity, phlegm, etc.). They are forbidden for Yang or Qi collapse.
• These herbs are very acrid and have the potential to damage the Qi.
• Also consider: Niu huang, Zao jiao, Yu jin, herbs which resolve phlegm (Bai fu zi, Dan nan xing...)
• These herbs are commonly combined with:
A. Herbs that clear heat and eliminate toxicity when loss of consciousness is due to (Xue level) heat and toxicity.
B. Herbs that disperse cold and promote Qi circulation when loss of consciousness is due to cold phlegm (this is not common).
An Xi Xiang
Benzoin

(Resin of Styrax benzoin and other Styrax species)

"Peaceful Rest Fragrance"
acrid
bitter
neutral
Ht
Lv
Sp
Opens the orifices; promotes Qi circulation; promotes blood circulation.

• Delirium or coma with a stifling sensation and focal distention in the chest and abdomen.
• Qi and blood stagnation: pain in the chest and abdomen.
• Tinctures of the herb have been shown to directly stimulate the mucosa of the respiratory tract and promote expectoration.
• Difficult to procure in the U.S.
Hsu: Stimulates CNS; stimulating expectorant - when dissolved in hot water and inhaled, directly stimulates the mucosa of the respiratory tract, increases secretions, promotes discharge of phlegm.
• Inhaling too high a concentration can irritate the nose, eyes, and throat.
PCBMP: Antiseptic, expectorant, astringent.
• Topical: on wounds, ulcers (including of the mouth) to protect and disinfect.
• Inhale for coughs, bronchitis, colds.
0.3-1.5g (in pills and powders)
Bing Pian
Borneol

(Natural form is from Dryobalanops aromatica or Blumea balsamifera)

"Ice Slice"




































acrid
bitter
sl. cold
Ht
Sp
Lu
Clears heat; relieves pain; dissipates nodules and stagnant fire; alleviates itching; aromatically opens the orifices, revives the spirit.

• Used topically (especially for heat) for eye, throat, skin, and mouth problems: toothache, sore throat, pain and swelling of the throat, mouth ulcers, carbuncles, eczema (with Qing dai, Shi gao, sesame oil), sores, scabies, neuralgia, photophobia, excessive tearing. Commonly used topically to regenerate flesh.
• Loss of consciousness and convulsions due to various causes, primarily heat and toxicity.
• Mildly stimulates the peripheral sensory nerves.
• Has a stimulatory effect on the higher centers of the brain.
• Similar in action to She xiang, but weaker.
• Never cook or expose to heat.
• Natural borneol is Mei pian. It is safe, most effective, but difficult to procure. Most borneol is synthetic and should probably not be taken internally, except perhaps in very small doses.
Hsu: Antibacterial, antifungal; stimulates CNS.
SD: The Chinese traditionally obtained their borneol (as an isolate) mainly from Dryobalanops aromatica and from Blumea balsamifera. The latter is used as the herb Ainaxiang (fragrant herb that looks like artemisia), which is rich in borneol and also contains limonene, camphor, and other terpenoid compounds. The extracted borneol (longnaoxiang; fragrant dragon's brain; also known as bingpian [ice slice] referring to the appearance of the finished product) is considered to be suitable for abdominal and chest pains, intestinal parasites, phlegm congestion, and fevers. Blumea is in the same plant family (Labiatae) as capillaris, chrysanthemum, and saussurea, which also contain important terpenes.
Borneol and bornyl acetate are ingredients in the following herbal materials: cardamon, magnolia, nutmeg, turmeric, ginger, liquidambar, lindera, camphor oil. These herbs are all used in the treatment of pain syndromes.
Three forms of borneol were mentioned in the Bencao Gangmu: aifen (powdery borneol), the crude product aipian (the refined substance, now known as bingpian), and aiyu, a by-product of distillation. The material was obtained from Blumea grown in the southern part of China, primarily Hainan Island (near Canton), or from imported material (from Borneo in Indonesia) derived from Dryobalanops. Borneol was originally used as a carminative to reduce fevers and alleviate digestive distress. It was also said to inhibit worms. Another name given to borneol was longnaoxiang (dragon camphor fragrance), referring to its alchemical applications (the term "nao" also means brain).
Today borneol is classified as an agent for opening blocked orifices, and is described as pungent, bitter, and slightly cold. It is indicated for severe obstruction of the orifices (that may cause coma or convulsive diseases), for heat syndromes, and for pain. Although not often mentioned as useful for this purpose, borneol is a common addition to treatments for lung diseases in modern clinical practice. It is also applied topically (usually with other substances) for a wide range of conditions, mainly for swelling in the throat, mouth sores, ear infections, cervical erosion, psoriasis, boils, pain, and eye diseases.
Because the resin is strongly aromatic and, partly, because of its historically high price (which has been reduced in recent years, in part due to the availability of the synthetic version), the recommended dosage is quite small. Many herb guides list the internal dosage as 30 to 100 mg, taken in powders or pills (if added to a decoction, it will all evaporate). The Pharmacopeia of the PRC indicates 150 to 300 mg per day. It appears that Chinese Herbal Medicine: Materia Medica by Bensky and Gamble has an error in reporting of dosages, indicating 300 to 900 mg per day, a higher recommendation than virtually all other sources.
TOPICAL APPLICATIONS OF BORNEOL
Borneol is used in greater frequency for topical applications than for internal use. Those applications are numerous, but especially apply to injuries, burns, rheumatic pains, hemorrhoids, skin diseases, and ulcerations of the mouth, ear, eye, and nose. Borneol (or camphor) is almost always used in complex formulas, and typically comprises 1.6 to 8.5 percent of the total prescription. Because topical preparations are often difficult to make in convenient form on the spot, they are frequently used as patent remedies.
In the English-Chinese Encyclopedia of Practical Traditional Chinese Medicine, vol. 4, a recipe for treating purulent otitis media is:
borneol 20% , dragon bone 33%, alum 20%, kaempheria (camphor root) 27% , one pig gallbladder. The powdered materials are applied in the ear once per day. Kaempheria (shannai) is a relative of ginger that contains borneol and camphor. Traditionally, kaempheria is used topically for toothache and internally for warming the spleen and stomach to treat cold pain in the abdomen, vomiting, and diarrhea.
The Manual of Dermatology in Chinese Medicine provides the following examples of special preparations with borneol for application to the skin:
Luhui Binz Zhu Weifu Ji: 1 fresh aloe-vera leaf, 0.3-1.0 grams borneol, a pinch of pearl powder: mash the ingredients together and apply 1-2 times daily for herpes zoster sores.
Bing Shi Dan: 30g calcined gypsum powder, 0.6g borneol powder: combine and apply to herpes zoster pustules.
Di Yu Er Cang Hu Gao: 18g each of phellodendron, red atractylodes (cangzhu), and xanthium, 36g sanguisorba, 3g menthol, and 1.5g each of calomel and borneol: grind to powder, combine with petroleum jelly, and apply to skin 2-3 times daily for atopic dermatitis.
Dong Chuang You: combine 5g borneol and 15g camphor with 100g dried chili peppers: grind the borneol and camphor into powder and add to a hot water extract of chili pepper (steep peppers in hot water for 10 hours in closed container, string and then add alcohol to precipitate solids that are removed). Add glycerine and apply the ointment 3-4 times daily to the affected area (but not ulcerated lesions) for treating frostbite.
Qing Liang Fen: combine powdered talcum (120g), licorice (20g) and borneol (12g): sprinkle on affected area 3-5 times daily for treatment of sunburn causing erythema, wheals, or itching.
Dahuang Bingpian Fang: combine 100g rhubarb powder and 20g borneol in 250g table vinegar: let steep for 7 days; apply to affected sites 3 times daily for seborrheic dermatitis.
Dingxiang Bingpian San: combine 30g cloves with 6g borneol: grind to powder and apply to underarms 1-2 times daily to treat sweat odor.
TOXICITY
The California Health Department, Food and Drug Branch, has raised concerns about the safety of borneol in patent remedies. Guanxin Suhe Wan, because it is currently available in the form of small capsules, might be accidentally taken in some overdose, but it seems unlikely that anyone would consume several times the 3 capsule recommended amount.
For references purposes, borneol is included in the amount of either 1% or 2% in some of the Seven Forests herb formulas made available from ITM for prescription by practitioners. In 700 mg tablets, this corresponds to 7-14 mg of borneol per tablet. With daily dosing of 6-18 tablets (the upper dose being the highest recommended in the ITM literature and twice the highest amount suggested on the label), the amount of borneol taken in one day can range from 42 mg (6 tablets, 1%) to 252 mg (18 tablets, 2%). The amount of borneol is either below or within the range suggested by the Chinese Pharmacopoeia (100-300 mg), and corresponds well with recommendations in various Materia Medica guides (which have dosages as low as 30 mg). The Seven Forests formulas, used as examples of traditional-style prescriptions, have about the same concentration of borneol (1-2%) as does ordinary cardamon seed. Cardamon, including sharen and baidoukou, commonly used as a medicinal as well as food spice, typically contains 2-3% essential oil, for which borneol and camphor, as well as closely related chemical compounds, are the primary constituents.
The concern about borneol apparently stems from a worry about camphor oil.
0.3-0.9g (taken directly)
She Xiang
Musk
(Secretions from the Musk Deer)
acrid
warm
Ht
Sp
Lv
Promotes blood circulation, relieves pain and swelling, dissipates clumps; intensely opens the orifices, revives the spirit, unblocks closed disorders; induces labor, hastens delivery, facilitates passage of stillborns.

• Heart misted by phlegm or heat, heat entering the pericardium in warm-febrile disease, or other disorders which impair consciousness: loss of consciousness, coma, convulsions, delirium, fainting, stupor, closed disorders, tetanic collapse, phlegm collapse, seizures.
• Blood stasis: pain - acute chest and abdominal pain, Bi syndrome, trauma, toxic sores, carbuncles, immobile palpable masses, coronary artery disease, angina pectoris - comparable to nitroglycerine. For blood stasis disorders, it is used topically (in plasters, compresses) as well as internally.
• To discharge the placenta or fetus, combine with it with Rou gui.
• Powerfully anti-inflammatory.
• Thought to stimulate the CNS in small doses and inhibit it in large doses.
• Strongly stimulates the uterus; stimulates the heart.
• Possesses male hormone-like effects.
• Raises blood pressure.
• Musk deer are endangered and importation is illegal. Most commercially available musk is synthetic or is collected from raised deer.
• Due to its expense, this herb is never cooked.
• This is the most intensely aromatic and penetrating substance in the materia medica.
• Contraindicated in pregnancy and in cases of Yin deficiency heat.
• Helps other herbs cross the blood-brain barrier. Useful for brain conditions such as cancer and migraines.
0.6-1.5g
Shi Chang Pu
Acorus rhizome
(A. gramineus)

similar to
A. calamus (Calamus,
Sweetflag)





















































































acrid
warm
Ht
St
Lv
Opens the orifices; calms the Shen; vaporizes phlegm; resolves damp; adjusts the stomach/harmonizes the middle Jiao; brightens the eyes; improves hearing; benefits muteness; mildly induces resuscitation.

• Damp-phlegm obstruction of the heart and sensory orifices: fuzzy head, loss of consciousness, dizziness, forgetfulness, dull senses, seizures, stupor, phlegm blockage of the ears including deafness.
• Damp accumulation with Qi stagnation: chest, epigastric, and abdominal fullness and pain.
• Damp/phlegm in the middle Jiao which disturbs the mind.
• Used internally or externally for wind-cold-dampness: Bi syndrome, trauma, sores.
• Potential use in ADD/ADHD (e.g., Seven Forests Acorus Tablets).
• Increases digestive secretions, relaxes intestinal spasm.
• Ulcerations of the cornea: with Hu po, Gou qi zi, and Ju hua.
• Hoarseness with accompanying sputum in the throat or swollen, edematous vocal cords: with Jie geng and Shi hu.
• This herb's ability to open the orifices is secondary to its general, aromatic action in vaporizing phlegm.
• Powdered herb can be blown up the nose in emergency situations.
• Used in Ayurveda to antidote marijuana.
• Contains β-asarone, which has been show to be carcinogenic to animals in laboratory studies. These studies do not conclusively demonstrate any danger from standard therapeutic doses in humans. Also, β-asarone is destroyed by prolonged cooking. Traditionally, Shi chang pu is long-cooked with other herbs.
DY: Some materia medica maintain that Shi chang pu opens the nine portals (the seven sensory orifices plus the anus and urethra). It is particularly effective for sensory or psychological problems such as deafness, tinnitus, nasal obstruction, blurred vision, loss of consciousness, slow-wittedness, loss of memory, dementia, and psychoses.
Shi chang pu is incompatible with meat, lamb's blood, and Yi tang.
• With Chan tui to effectively rouse the spirit and open the portals. For vertigo, tinnitus, and deafness due to obstruction of the portals.
• With Ci shi to enrich the kidneys, calm the liver, diffuse impediment, open the portals, and sharpen the hearing. For indications such as:
- 1. Tinnitus and/or deafness due to Yin deficiency or deficiency fire. (Use vinegar dip-calcined Ci shi.)
- 2. Headaches, vertigo, heart palpitations, vexation and agitation, and insomnia due to Yin deficiency causing Yang hyperactivity. (Use unprepared Ci shi. However, it is important to know this form can cause abdominal pain. Therefore, the dosage should be moderate [15g] and it should be combined with Shen qu.)
Shi chang pu is a generic name which covers three distinct medicinal substances:
- 1. Jiu jie chang pu - Anemone altaica: Transforms phlegm; eliminates wind-phlegm; opens the orifices. To treat sensory or psychological disorders due to phlegm confounding the orifices of the heart, Jiu jie chang pu is the most appropriate and effective of these various medicinals.
- 2. Xian chang pu or Xi ye chang pu - Acorus gramineus var. pulsillus: Is prescribed fresh (Xian) and clears heat; transforms phlegm-heat; used for loss of consciousness due to febrile disease or accumulation of phlegm-fire.
- 3. Shi chang pu - Acorus gramineus: Transforms phlegm; eliminates dampness; stimulates hunger.
- Bai chang pu or Shui chang pu - Acorus calamus [Sweetflag] is substituted for Shi chang pu by the majority of importers. This has a similar action to Shi chang pu, but is less powerful.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
Hsu: Stimulates secretion of digestive juices, prevents abnormal fermentation in the GI tract; analgesic - relieves spasms of intestinal tract smooth muscle; sedative; antifungal; diuretic.
JTCM: For insomnia, particularly after history of using sleeping pills which have blocked the orifices of the heart with phlegm: use Wen Dan Tang plus Shi chang pu, Yuan zhi, He huan pi. In Ben Cao Gan Mu, Shi chang pu is said to tonify the heart Qi.
• Somnolence: when due to spleen Qi sinking, preventing the clear Yang from reaching the head, add Shi chang pu to Bu Zhong Yi Qi Tang. When due to phlegm-heat flaring up and blocking the orifices of the heart, add Shi chang pu to Huang Lian Wen Dan Tang.
• Fresh Shi chang pu juice can be dropped into the ear to unblock the ear and disperse EPIs.
• Tongue stiffness after wind-stroke.
• Hoarse voice, loss of voice, difficulty speaking: fresh herb gives better results than dry - use 15g fresh slices in tea (particularly effective with Chao yi, Xuan shen, Ma bo).
• Leukorrhea: in Ben Cao Gan Mu, it is said that Shi chang pu can treat uterine bleeding and leukorrhea. Use Hua Zhuo Tiao Jin Tang for dampness and imbalance of the Chong and Dai Mai: Shi chang pu 15g/day, Chao yi ren 30, Cang zhu 10, Bai zhu 10, Che qian zi 10, Chao huang qin 12.
• Inhibits growth of fungus. Especially good for women with both digestive disorders and leukorrhea.
• Short cook to preserve the volatile oil which calms the mind.
MLT: With Yu jin for mental derangement, the effects of intoxicating drugs such as marijuana, and lack of focus.
Yoga: Vacha, meaning "speaking" the power of the word, of intelligence or self-expression that this herb stimulates.
• Pungent, bitter, astringent/heating/pungent; V, K-; P+
• Stimulant, rejuvenative, expectorant, decongestant, nervine, antispasmodic, emetic.
• Colds, coughs, asthma, sinus headache, sinusitis, arthritis, epilepsy, shock, coma, memory loss, deafness, hysteria, neuralgia.
• Used by Vedic seers.
• Rejuvenates the brain and nervous system, purifies and revitalizes.
• Rejuvenates Vata and secondarily, Kapha.
• Clears the subtle channels of toxicity and obstructions.
• Promotes cerebral circulation, increases sensitivity, sharpens the memory, enhances awareness.
Sattvic nature.
• Helps transmute sexual energy, feeds Kundalini.
• Apply paste to the forehead for headaches, on joints for arthritis.
• Take nasally for congestion, polyps, to revitalize prana.
• Take with fresh ginger to counter its emetic properties.
• Take powder nasally to resuscitate from shock or coma.
• Caution with bleeding.
RW: Aromatic bitter; powerful stomach tonic, encourages its secretions; stimulates the appetite for any type of anorexia.
• Chew the herb to help quit smoking.
• Tonic effect on the mucus membranes of the mouth and throat, and stimulates saliva.
• Put bits of the herb into a piece of cloth for a teething baby to chew on.
• Topical: the oil is refreshing and stimulating - for tired feet, varicose veins, more.
PCBMP: Chinese studies show the herb to be anti-arrhythmic, hypotensive, vasodilatory, anti-tussive, antibacterial, and expectorant.
• The American variety may be preferable to the Chinese kind, since it contains less or no β-asarone (a carcinogen) and is also more aromatic, with superior spasmolytic activity.
MW: Opens the sinuses (as in nasya oil) and third eye.
• Good for slow speaking, voice sounding impacted, or when the voice is wearing out, especially due to smoking or singing. Acts on the trachea.
• Post-stroke: inability to speak.
• Joint pain.
IBIS: (A. calamus)
• Qualities: aromatic, pungent, bitter, sweet, warm, dry.
• Affinities: mucous membranes.
• Actions: carminative, diaphoretic, sialogogue, spasmolytic, stomachic.
• Therapy: encourages secretory action of stomach; anorexia nervosa; lack of appetite in asthenic, young girls; children with umbilical colic; children with appetite disorders; tones mucous membrane lining mouth and throat; to stop smoking; teething children (Weiss, pp. 44-45); acute and chronic dyspepsia; gastritis; gastric ulcer; intestinal colic (British Herbal Pharmacopoeia, p. 14). Increases appetite, improves digestion.
• Use with caution during pregnancy due to emmenagogue effect (Lust, Farnsworth)
• Potential hallucinogen (Kinghorn; Lewis and Elvin-Lewis; Schultes and Hofmann, p. 201) [large dose of the fresh herb]
• Isolated constituents, beta-asarone and safrole, have been shown to be carcinogenic (Duke, pp. 14-15)
CHA: (Karen S Vaughan, 8-30-2001)
(Regarding the concern of β-asarone carcinogenicity:)
Traditionally, in Mideastern and European herbalism, the Acorus calamus was candied, thus cooked for a long period, which would reduce the beta-asarone. Native Americans did chew the raw root as well as infuse and decoct it, but the dosage would tend to be self-limited as the taste can become unpleasant after prolonged chewing. (And I believe that the native American calamus species are somewhat milder.) However, in large doses sweet flag can be mildly hallucinogenic and quite emetic.
The Mongolians, who brought calamus to Russia in the 13th century, were known for planting the stronger Indian and Chinese versions of the root near water sources in order to keep the drinking water pure. It's nickname "Mongolian Poison" appears to be a slur against the Mongols rather than a reference to the plant, which was considered benign. However, this tradition made more use of the antiseptic qualities of calamus.
The live plant was introduced into Europe in 1565 and widely distributed by the botanist Clausius. It was decocted for food stagnation, and for problems of the liver, gallbladder, kidney, bladder and for malaria. Leaves were burned as an aromatic disinfectant and insectide. The roots were burned to clear the air from typhus, cholera and influenza. It was used topically and in alcohol solution as a disinfectant, for scrofula and for ulcerous skin conditions.
In Ayurveda, Acorus calamus is known as Vacha and is generally used as a dried powder. This probably leads to a partial dispersion of the essential oils. It is considered light and drying and is frequently used for epilepsy and as a gargle for acute tonsilitis. It can be boiled with milk to reduce the mucous-producing properties of the milk. It is also used to counteract the effects of constant marijuana smoking.
One note which may account for the California ban: sweet flag oil is
widely used as an aromatic wine adulturant.

The FDA frowns upon the sale and use of calamus and has issued directives to certain herb dealers not to sell it to the public. (An FDA directive is simply a polite word for a threat of hassling without a law to back it.) At present there are no federal laws against calamus.
3-9g (up to 15g)
Su He Xiang
Resin of Rose Maloes
Liquidambar sap
Styrax

"Revive and Join Fragrance"
sweet
acrid
warm
Ht
Sp
Opens the orifices and penetrates thru turbidity; opens up areas of constraint and clears away filth.

• Closed disorder, phlegm blockage, epidemic toxic disease. Especially indicated for cold disorders.
• Stifling sensation, cold, fullness, and pain in chest and abdomen.
• Expectorant by irritating the respiratory mucosa.
• Compared to the other herbs in this category, Su he xiang is particularly useful for wind-stroke with collapse due to phlegm.
• When taken internally this herb is always administered in powder or pill form.
• Topical: with olive oil for scabies, also has some effect on eczema.
• Misleadingly called Styrax, this herb is actually the resin of Liquidambar orientalis (Rose Maloes) - see An Xi Xiang.
• Difficult to procure in the U.S.
PCBDP: Antiseptic, expectorant, stimulant.
• Inhale for cough/cold.
• Topical for wound/ulcer.
Hsu: Antibacterial, anti-inflammatory - promotes healing of ulcers.
0.3-1g



Herbs That Quiet the Shen

Part 1: Herbs That Nourish And Calm

These herbs are commonly combined with:
A. Herbs that nourish blood and Yin when there is Yin or blood deficiency of the heart.
B. Herbs that clear heat from the heart when there is excess heart heat or fire.
C. Herbs that subdue liver Yang when there is liver Yang rising.
D. Herbs that clear heat from the Stomach, when there is Stomach heat/fire disturbing the Shen.
Also Consider, When Appropriate, Herbs From Other Categories That Nourish and Quiet or Anchor the Shen:
Bai He [Nourish Yin], Da Zao [Tonify Qi], Dai Zhe Shi [Subdue Liver], Dan Shen [Move Blood], Fu Ling/Shen [Drain Damp], Fu Xiao Mai [Astringent], Lian Zi [Astringent], Long Yan Rou [Nourish Blood], Mu Li [Subdue Liver], Ren Shen [Tonify Qi], Shi Chang Pu [Open Orifices], Tian Zhu Huang [Resolve Phlegm], Wu Wei Zi [Astringent], Xi Xian Cao [Expel W-D], Xi Jiao [Cool Blood], Zhen Zhu [Subdue Liver],  Zhen Zhu Mu [Subdue Liver].
Bai Zi Ren
Biota seed
Thuja orientalis
= Platycladus
= Biota
Chinese Arborvitae
sweet
neutral
K
LI
Ht
Sp
Nourishes heart blood; quiets the Shen; moistens the large intestine, promotes bowel movement.

• Heart blood deficiency: insomnia, palpitations, forgetfulness, anxiety, irritability (most effective herb for heart blood deficiency insomnia).
• Large intestine dryness due to Yin or blood deficiency: constipation, especially in the elderly, debilitated, and in post-partum women.
• Yin deficiency: night sweats.
• More oily than Suan zao ren - caution with loose stools, phlegm.
• This herb must be crushed before cooking.
• When used topically, it is dry-fried until the oil seeps out.
DY: Supplements heart Qi and blood; quiets the Hun, Po, and Shen; boosts the intelligence.
• With Suan zao ren for mutual reinforcement, to effectively nourish both the liver and the heart, tranquilize the heart, and quiet the spirit. For indications such as:
- 1. Palpitations, profuse dreams, and insomnia due to heart blood (and Qi) deficiency. (Tian Wang Bu Xin Dan) Defatted Bai zi ren and stir-fried Suan zao ren should be used.
- 2. Constipation with dry stools due to blood deficiency and intestinal fluid insufficiency.
6-18g
He Huan Pi
Albizzia bark
Mimosa tree

"Collective Happiness Bark"





He Huan Hua
Albizzia flower
sweet
neutral
Ht
Lv
Quiets the Shen; relieves mental stress and depression; relieves constraint; promotes blood circulation; dissipates swelling; alleviates pain; calms the five organs and promote happiness.

• Anger, restlessness, insomnia, poor memory, constrained emotions, irritability (when using it for insomnia, it is especially indicated when due to Qi problems [usually constraint]).
• Blood stasis: trauma, carbuncle, internal abscess, pain and swelling.
Li: Nourishes heart blood.
Hsu: Tonic, stimulant, analgesic, anthelmintic, diuretic, oxytocic action.
9-30g

He Huan Hua: the flower
• Sweet, neutral.
• Same functions as the bark, though generally stronger overall, more moving to the Qi, and promotes the free flow of stagnant liver Qi.
• Primarily for depression, constrained emotions, irritability, insomnia, especially when accompanied by epigastric pain and feelings of pressure in the chest.
• There are at least four different plants used as this herb, including albizzia flower, which consists of many pink hairs when fresh and becomes brown when dry, and several unrelated others. Many practitioners prefer the substitute species to the "true" herb.
6-15g
Ling Zhi
(Chi Zhi,
Dan Zhi)
Ganoderma
Reishi mushroom

Mushroom of Immortality

bitter
sweet
warm
Ht
Lv
Lu
Chen: Nourishes the heart and calms the Shen; stops coughing and arrests wheezing, dispels phlegm; tonifies Qi and nourishes blood.

• Restless Shen, spleen Qi and heart blood deficiency: insomnia, forgetfulness, fatigue, listlessness, poor appetite.
• Cough and asthma, difficulty sleeping due to dyspnea, profuse sputum. With Ku shen and Gan cao in the simplified ASHMI formula for asthma.
• Qi and blood deficiency, weak digestion: poor appetite, listlessness, loose stools, fatigue, dizziness, soreness of lower back. Can be used alone.
• Antineoplastic activity: by enhancing immune function. Increases monocytes, macrophages, and T-lymphocytes. Increases production of tumor necrosis factor, interleukin, and interferon.
• Cardiovascular: increases cardiac contractility, lowers blood pressure, increases resistance of cardiac muscle to hypoxia.
• Antibiotic properties, broad spectrum, and inhibits E. coli, B. dysenteriae, Pseudomonas spp., pneumococci, streptococci (type A), staphylococci, and others.
• Hepatoprotective, antidiabetic, antitussive, expectorant, sedative, analgesic, and anti-asthmatic effects.
Hsu: Nourishes, supplements, tonifies, eliminates toxicity, astringes, disperses accumulation.
• For deficiency fatigue, neurasthenia, insomnia, bronchial cough in elderly, cancer.
SNBCJ: The six colors of Ling zhi are the first six herbs listed in the superior class section of the Shen Nong Ben Cao Jing. [only red and black are commonly available in the U.S.] The color of the mushroom indicates its flavor and affinities, based on five element correspondences.
• Of all varieties, the SNBCJ says, "Protracted taking may make the body light, prevent senility, and prolong life so as to make one immortal."
Qing zhi (green/bluegreen) is sour and mainly affects the liver.
Huang zhi (yellow) is sweet and mainly affects the spleen.
Bai zhi (white) is acrid and mainly affects the Lungs.
• Purple also exists (Zi zhi), which is not associated with any single element.
Hei zhi (black) is salty and balanced. It mainly treats urinary dribbling block, it disinhibits the water passageways, boosts kidney Qi, frees the nine orifices, and sharpens the hearing
Chi zhi (red) [the most common form available, and the one which is used to calm the Shen] is bitter and balanced. It mainly treats binding in the chest, boosts the heart Qi, supplements the center, sharpens the wits, and [causes people] not to forget. Its other name is Dan zhi (Cinnabar Ganoderma).
GIRI: Enhances the immune system; contains carcinostatic component (β-(1-3)-D-Glucan); antitumor (interferon-inducing) activity; reduces blood pressure; lowers serum cholesterol; lowers serum glucose; inhibits platelet aggregation; treats hepatitis; promotes robustness.
• Historical reputation as a cancer cure.
• Appearance varies tremendously, based on culture conditions - six major colors, four major shapes.
• Once extremely rare. Now mass cultivated on bed logs or sawdust.
Amato: Anti-inflammatory. May reduce the inflammation which is a critical factor in Alzheimer's and cardiovascular disease.
CHA: (Karen S Vaughan, 8-26-2000): The ganodermas (black G. lucidum, red G. lucidum, G. oregonense, G. tsuga, G. adspersum and G. applanatum) are tonic, immune strengthening, protect against cancer, have anti-tumor properties, calm the spirit, protect and clear heat from the central nervous system, open the heart, lower serum cholesterol and are good for adrenal fatigue and for depression and anxiety. They enter all five zang organs. They have anti-allergic effects, inhibiting histamine production and stabilizing immunoglobulin levels. They lower blood pressure, are antioxidant, antiviral and antibacterial. Combining with astragalus, atractylodes and Ren shen increase phagocytosis, promote immune globulin formation, promote lymphocyte transformation, and induce the generation of interferon. Chinese mountain climbers use Ling zhi to alleviate altitude sickness by oxygenating the blood.
I learned from a Thai doctor with a cancer practice, Santi Rosswong, to make a water decoction of Ganoderma lucidum (Ling zhi) with 10% cordyceps [Dong chong xia cao] for stamina. But since the polysaccharides in ganoderma are quite long, it has been shown to be more effective if the decoction is taken with not less than 500 mg of vitamin C, and 5 mg of folic acid each time. (The vitamin C is based upon Japanese research by Morishige and the folic acid is based upon Santi's clinical experience.) Take several tablespoons (or more) every three hours. The most important dose is just before retiring, which should be larger. Take the folic acid and vitamin C with each dose.
There are two types of tinctures. One uses a concentrated decoction and adds alcohol to stabilize it. When I make it, I learned from Chris Hobbs to shoot for 25% alcohol to protect the polysaccharides, to ensure that I got between 22% and 28%, the lower number for spoilage and the upper number being a maximum for the polysaccharide protection. This appears to be the best formulation for immune system effects. The other way is to use a high alcohol formation to get the triperetenes, but I understand that this destroys the polysaccharides and differs significantly from the constituents extracted in traditional uses or from powdered extracts. It may have stronger CNS effects however. I know several herbalists who make a high alcohol tincture and add it to the subsequently decocted marc to get the best of both (and they understand that the high alcohol just makes the polysaccharides clump together but does not destroy them). There is not a consensus.
Ling zhi has various steroidal compounds, long chain polysaccharides, bitter triperetenes such as ganodermic acid and some volatile oils. Unlike Echinacea which activates macrophages, ganoderma is not believed to stimulate the immune system directly. It is probably an immune regulator rather than an immune stimulant. Ling zhi mushrooms get to the bone marrow and induce the marrow to put on more nucleated marrow cell mass, according to Jia. The marrow then increases B-cell production, which in turn increases antibodies. The DNA and RNA made in the bone marrow increases production of lymphocytes. This very deep immune nourishing means that it may be appropriate for AIDS patients although the patient should not suffer from undue dampness. For cancer therapy, combined with other fu zheng herbs, Ling zhi can be quite useful, even for patients undergoing chemo and radiation. Hobbs recommends low dose decocted ganoderma with cinnamon bark and orange peel as a tonic drink (for those not suffering from undue dampness) and I find that preparation, with roasted dandelion or chicory, combines well with coffee, helping neutralize coffee's negative effects.
PLB: Some sources (including Subhuti Dharmananda of ITM) indicate that when ethanol is introduced to a water extract of Ling zhi (at greater than 25% by volume) the polysaccharides are not destroyed, but precipitated. Therefore, in a bottle of Ling zhi extract with over 25% ethanol, the polysaccharides are likely to be stuck to the sides of the bottle or settled at the bottom (or they are still stuck in the manufacturer's vessels). When attempting to deliberately concentrate the polysaccharides, this is a useful phenomenon. Water extracts may be treated with up to 99% ethanol so polysaccharides - a greyish-white powder - can be claimed. For normal use, hot water extracts are best, and should be preserved with less than 25% ethanol (or as much glycerine as you like). 
1.5-15g or more (some say 15g is the minimum effective daily dose)
Suan Zao Ren
Zizyphus seed
Sour Jujube seed

"Sour Date Seed"
sweet
sour
neutral
Ht
Lv
GB
Sp
Nourishes heart Yin and liver Yin/blood; quiets the Shen; astringes sweat.

• Heart and liver blood or Yin deficiency: insomnia, palpitations.
• Liver Yin deficiency with Yang rising: irritability.
• Weak constitution: spontaneous or night sweats.
• Sedative, hypnotic.
• Tolerance develops (abates with a break).
• Lowers blood pressure.
Raw: stronger sedative; can clear heat and treat insomnia due to Yin deficiency heat. May make some patients too sleepy.
Dry-fried: more effective for spontaneous sweats.
• Often combined with Hou po (Suan zao ren:Hou po ::2:1), Chen pi, or other herbs to counteract its greasiness.
• Can be taken alone, 4g 1-2 hours before bed for insomnia.
• Should be ground, or at least broken, before use.
Hsu: Stimulates the uterus, caution in pregnancy; inhibits the CNS.
BII: Suan Zao Ren Tang is as effective as some benzodiazepenes for nervousness, anxiety.
DY: Nourishes heart Yin and blood; quiets the Hun and Shen; supplements the liver and gallbladder; treats heart palpitations due to gallbladder deficiency.
• With Bai zi ren for mutual reinforcement, to effectively nourish both the liver and the heart, tranquilize the heart, and quiet the spirit. For indications such as:
- 1. Palpitations, profuse dreams, and insomnia due to heart blood (and Qi) deficiency. (Tian Wang Bu Xin Dan) Defatted Bai zi ren and stir-fried Suan zao ren should be used.
- 2. Constipation with dry stools due to blood deficiency and intestinal fluid insufficiency.
9-20g
Shou Wu Teng
(Ye Jiao Teng)
Polygonum multifl. vine
(aerial portion of He Shou Wu)

"Vine to Pass Through the Night"
sweet
sl bitter
neutral
Ht
Lv
Nourishes the heart and blood; unblocks the channels; quiets the Shen; alleviates itching.

• Yin or blood deficiency: insomnia, irritability, and especially dream-disturbed sleep
• Blood deficiency (with channel blockage): general weakness, soreness, pain, numbness.
• Topical: use as a wash for itching and rashes.
• I have found it unusually effective, even as a single herb, for insomnia.
MLT: Sore, aching, tired limbs from blood deficiency with internal wind.
9-30g
Yuan Zhi
Polygala root
Chinese Senega

"Profound Will"
or "Long-term Memory"

acrid
bitter
sl warm
Lu
Ht
(K)
Quiets the Shen; relieves mental stress; resolves phlegm; opens the orifices of the heart; disperses swelling; reduces abscesses; improves the memory; supports the Jing; disperses stagnant heart Qi, helps the heart and kidney communicate.

• Insomnia, palpitations, disorientation, poor memory, mental stress, restlessness, especially with brooding or constrained, pent-up emotions.
• Blockage of orifices of the heart by phlegm: mental disorders, fuzzy- headedness, epilepsy, emotional and mental disorientation.
• Lung phlegm: cough with copious sputum, especially when difficult to expectorate.
• Carbuncles, boils, abscesses, sores, swollen and painful breasts: (uncommon use) - used in powdered form and applied topically or taken with wine.
• Stimulates animal uteri.
• Excessive amounts can cause nausea and vomiting.
• Caution with peptic ulcer, gastritis.
Li Shi Zhen: This herb reaches the kidneys, improves the memory, supports the Jing.
Li: Warm and drying - caution with Yin deficiency.
DY: Use honey-fried or licorice-processed to avoid irritation to gastric mucous membranes and nausea.
MLT: Similar to various Western species, including Western Senega Snake root.
6-9g

Herbs That Quiet The Shen, Part 2: Heavy Substances That Anchor The Shen

Ci Shi
Magnetite

(Oxides of Iron, also Magnesium and Aluminum)

"Magnetic Stone"

acrid
salty
cold
Lv
Ht
K
Anchors and quiets the Shen; subdues liver Yang rising; nourishes the kidneys and liver; brightens the eyes and promotes hearing; brings Qi from Lung to the kidneys (aids the kidneys in grasping the Qi).

• Hyperactive liver Yang due to liver Yin deficiency: restlessness, insomnia, palpitations, dizziness, headache, convulsions, tremors.
• Fear: convulsions in children.
• Liver/kidney Yin deficiency: blurry vision, tinnitus, poor hearing or deafness.
• Kidney Qi deficiency: asthma.
• Caution for long term use: probably contains heavy metals.
• Very difficult to digest.
• Be cautious of damage to the (anatomical) liver and heart.
• Usually prepared by being fired, dipped in vinegar, then pulverized.
• Generally cooked 20-30 minutes longer than other herbs.
DY: Should be systematically combined with Shen qu (which "enables the digestion of metals") so it can be digested.
• With Shi chang pu to enrich the kidneys, calm the liver, diffuse impediment, open the portals, and sharpen the hearing. For indications such as:
- 1. Tinnitus and/or deafness due to Yin deficiency or deficiency fire. (Use vinegar dip-calcined Ci shi.)
- 2. Headaches, vertigo, heart palpitations, vexation and agitation, and insomnia due to Yin deficiency causing Yang hyperactivity. (Use unprepared Ci shi. However, it is important to know this form can cause abdominal pain. Therefore, the dosage should be moderate [15g] and it should be combined with Shen qu.)
Hsu: Inhibits the CNS; stimulates formation of blood cells (hemopoietic).
9-30g (1-3g directly as powder)
Hu Po
Amber
Succinum
sweet
neutral
Ht
Lv
BL
Anchors and quiets the Shen; relieves convulsions, tremors, and palpitations; promotes blood circulation; dispels blood stasis; promotes urination; reduces swelling and promotes healing.

• Shen disturbance: insomnia, palpitations, excessive dreams, forgetfulness, anxiety, seizures; also for childhood convulsions and seizures.
• Blood stasis: amenorrhea, pain from trauma, palpable immobile masses; coronary heart disease.
• Scanty, difficult urination or retention of urine, hematuria.
• Sores, carbuncles, ulcerations of the skin, swelling and pain around the scrotum or vulvular area.
• Generally not cooked.
0.9-3g (directly as powder or pill)
Long Gu
Fossilized Bone (usually mammal vertebrae and extremities)

"Dragon Bone"






Long Chi
Fossilized Teeth

"Dragon Teeth"
sweet
astringnt
sl cold
Ht
Lv
K
Anchors and quiets the Shen; subdues the liver; suppresses liver Yang rising; astringes and controls any body fluids.

• Heart/shen agitation: insomnia, palpitations, epilepsy, depression, mania, anxiety.
• Liver Yang rising: dizziness, restlessness, irritability, easily angered, blurry vision, vertigo.
• Deficiency/weak body constitution: spermatorrhea, leukorrhea, uterine bleeding, night sweats, spontaneous sweating, vaginal discharge.
• Topical: powdered and calcined for non-healing carbuncles, furuncles, sores and ulcerations.
• Its sedative property is probably due, in part, to its richness in calcium.
• Drier than Mu li and stronger to settle the Shen, better for tremors.
• Often used with Mu li to harness rising Yang.
• Use Long gu raw to settle and calm the Shen.
• Use the calcined form as an astringent for preventing leakage of fluids and for non-healing sores.
• Cook 20-30 minutes longer than other herbs.
Hsu: Anti-inflammatory, expectorant, hemostatic, astringent.
DY: Quiets the Hun.
15-30g

Long Chi: fossilized teeth
• Astringent, cool.
• Basically same as Long gu, but more sedating, and especially good for palpitations with anxiety, insomnia, and dream-disturbed sleep.
9-15g
Sheng Tie Luo
Iron filings

"Raw Iron Leavings"
acrid
cool
Ht
Lv
Calms the liver; sedates the Shen.

• Withdrawal-mania, delirium from febrile disease, palpitations, insomnia, being easily startled or prone to anger.
• Decoct for an extra 60-90 minutes.
• Note high doses of iron are toxic, particularly to children.
9-30g
Zhu Sha
Cinnabar
Mercuric Sulfide

"Vermillion Sand"
sweet
cold
toxic
Ht Anchors and quiets the Shen; clears heat and eliminates toxicity from the heart; sedates the heart; prevents putrefaction; expels phlegm and clears heat.

• Shen disturbance / hyperactive fire in the heart: insomnia, hot sensation in the chest, palpitations, restlessness, anxiety, convulsions. Depending on the herbs with which it is combined, it can be used for treating patterns of heat excess, phlegm-heat, or blood deficiency.
• Heat and toxicity: carbuncles.
• Topical: mouth sores, sore throat, snake bite, carbuncles.
• Wind-phlegm dizziness and Lung heat
• Especially indicated in cases resulting from fright and anxiety.
• Antiseptic
• Use only the recommended dosage, take for a short time.
• Contraindicated in patients with a Western diagnosis of liver or kidney disease.
• To avoid mercury poisoning, DO NOT HEAT this herb.
Jin: Can substitute Hu po when Zhu sha is unavailable or inappropriate. [Or illegal]
Liu: Temporary use of appropriate dose when indicated is harmless.
Li: "[When overused] this herb makes people stupid."
0.3-2.7g (directly as powder or pill, or added to strained decoction)
Zi Shi Ying
Fluorite
(Calcium Fluorite)
Amethyst also used

"Purple Stone Radiance"
sweet
warm
Ht
Lv
Sedates the heart; settles tremors and palpitations; warms the Lungs; directs Qi downward; warms the womb.

• Heart blood deficiency or liver Yang rising: disorientation, trauma, insomnia, anxiety, convulsions.
• Lung deficiency cold: cough, wheezing, copious sputum.
• Deficiency cold of the womb: excessive menstruation, uterine bleeding, infertility.
• Best herb in the category for palpitations and irritability due to Yang rising and excessive heart fire due to blood deficiency.
• Cook 20-30 minutes longer than other herbs.
6-15g

Gem Essence of Fluorite: receptivity; grounding of excess energies.
IBIS: Amethyst:
• Qualities: cell and molecular alteration, energizes transmutation, attunes one with higher self/potential, releases habits and thought patterns, improves self-esteem, soothes central nervous system, helps remove parasites.
• Traditional uses: alcoholism, overindulgence, gout, diabetes, urinary problems essence: Amethyst energizes, cleanses and heals with a vibration of love energy. Aids spiritual opening in a grounded way.
• Spiritual: transmutation potential, service to humanity, giving, spiritual stimulant.


Blood Tonics

• Herbs in this category are rich and tend to be greasy. Use caution when there is accumulation of dampness in the middle Jiao.
• These herbs are commonly combined with Qi tonics since Qi is necessary for blood production. They may also be combined with herbs to support their digestion (e.g., sha ren, chen pi, mu xiang, ji nei jin, shen qu, etc.) by promoting Qi circulation in the middle jiao. 
The two major approaches to nourishing blood are:
1. Build blood directly with blood tonics.
2. Strengthen the digestive system (spleen Qi) to enhance the body's production of blood. 
(A formula such as Dang Gui Bu Xue Tang, which is just Huang Qi [30g] and Dang Gui [9g], is a simple example of both approaches.)
• Also consider, as appropriate: Qi tonics, Yin tonics, Jing tonics; Gou qi zi, Sang shen, Bai zi ren, Ji xue teng, Dan shen, etc.
Bai Shao Yao
White Peony root

bitter
sour
sl cold
Lv
Sp
Nourishes blood; astringes Yin; softens the liver (by nourishing and astringing liver blood); relieves pain; subdues liver Yang rising; regulates the menses; adjusts the Ying and Wei; separates a mixture of Yin pathological factors.

• Blood deficiency: irregular menstruation, abdominal cramps during menstruation, uterine bleeding, vaginal discharge.
• Yin deficiency leading to floating Yang: night sweats, spontaneous sweating.
• Liver blood deficiency: hypochondriac pain, costal pain, spasm in the limbs.
• Liver Qi stagnation, liver attacking the spleen/stomach: flank, chest, epigastric, or abdominal pain.
• Liver Yang rising: dizziness, headache.
Ying/Wei disharmony: exterior wind-cold from deficiency patterns with continuous sweating that does not resolve the problem.
• Painful spasms in the abdomen, cramping pain or spasms in the hands and feet, abdominal pain associated with dysenteric disorders.
• Vaginal discharge, spermatorrhea.
• The liver, the general, can easily become stiff, stagnant, overpowering - Bai shao softens it.
• This herb has a downward energetic.
• May lower blood pressure.
• Use raw to pacify the liver. Dry-fry the herb to nourish the blood and harmonize the Ying and Wei.
• Never to be combined with Li lu.
• Compared to Dang gui, both are used for pain and blood deficiency patterns. Bai shao is more appropriate for blood deficiency accompanied by heat, while Dang gui is used more for blood deficiency accompanied by cold.
MLT: Antispasmodic, blood moving.
• King's American Dispensatory (Lloyd/Felter)lists indications of this herb as "chorea, epilepsy, spasms, various nerve affections"
PFGC: Can astringe heat that has floated to the upper warmer and entice it down and drain it via urine.
• Due to its bitter essence, it can enter the gallbladder and boost bile production.
• Excellent at purging liver/gallbladder heat, eliminating tenesmus in dysentery or treating eye disorders involving swelling and pain.
• With Fu zi, it can astringe escaping original Yang and entice it back to the lower Jiao (must use a high dose of Bai shao in this case).
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
Hsu: Anti-spasmodic, analgesic, CNS sedative, antibacterial, may help prevent development of gastric ulcer.
DY: Harmonizes the constructive Qi; constrains and protects Yin; nourishes the blood and constrains Yin without attracting nor blocking evils in the interior; nourishes stomach Yin; relieves tension, stops pain; tropism: the Yin division.
• With Chai hu to drain the liver without damaging liver Yin, nourish the liver without causing liver depression Qi stagnation, regulate the spleen, stop pain effectively, harmonize the interior and exterior, and constrain Yin while upbearing Yang. For such indications as:
- 1. Liver depression Qi stagnation causing disharmony between Qi and blood.
- 2. Vertigo, unclear vision, chest and lateral costal oppression, pain, and distention due to liver depression Qi stagnation or to disharmony between the exterior and interior.
- 3. Menstrual irregularities, dysmenorrhea, breast distention, low-grade fever during the menses, premenstrual syndrome, and fibrocystic breasts, all caused by liver depression Qi stagnation or disharmony between the liver and spleen.
• The combination of Bai shao and Chai hu is effective for the treatment of liver and digestive problems caused by liver depression Qi stagnation or liver-spleen or liver-stomach disharmony, such as subacute or chronic hepatitis, hepatomegaly, cholecystitis, gallstones, enteritis, and colitis.
• With Chi shao to nourish the blood, constrain Yin, stop pain, cool the blood without causing blood stasis, and drain and nourish the liver. For indications such as:
- 1. Persistent low-grade fever due to heat in the blood. (Add Sheng di, Di gu pi, and Mu dan pi.)
- 2. Dry mouth and tongue, red and painful eyes due to insufficiency of fluids or Yin caused by residual heat. (Wine mix-fry both herbs and add Xiang fu and Dang gui.)
- 3. Lateral costal and chest pain, abdominal pain and conglomerations due to blood stasis or liver depression Qi stagnation.
- 4. Menstrual irregularities or amenorrhea caused by blood stasis, blood deficiency, and/or liver depression Qi stagnation.
• With Gan cao to engender Yin (sour + sweet), calm the liver, fortify the spleen, supplement Qi and blood, harmonize the liver and spleen, soothe the sinews, and stop pain. In this combination, 6-10g Gan cao and 10-15g (up to 60g) of Bai shao can be used. For indications such as:
- 1. Weakness in the lower limbs and spasms and pain in the limbs due to disharmony between the Qi and the blood which causes inadequate nourishment of the sinews and vessels.
- 2. Abdominal pain due to liver-spleen disharmony. If either disorder is accompanied by cold signs, use wine mix-fried Bai shao and mix-fried Gan cao. If the disorder is accompanied by heat signs, use raw Bai shao (or Chi shao) and raw Gan cao.
- 3. Headaches due to blood deficiency. (Add He shou wu, Bai ji li, and Jiang can.)
• The combination of Bai shao and Gan cao is very effective for numerous problems accompanied by spasms and pain, such as gastritis or colitis, spasm of the gastrocnemius muscle in the leg, contraction of the limbs, tendinitis, lateral costal pain, and hiccups or stubborn vomiting caused by spasm of the diaphragm.
• With Gui zhi to harmonize Yin and Yang, the Qi and the blood, and the constructive and the defensive. This combination drains without damaging Yin, while constraining without retaining evils. They harmonize the vessels, relieve tension and stop pain, as well as support stomach Yin and spleen Yang, while regulating the spleen and stomach. For indications such as:
- 1. Common cold with fever, shivers, slight perspiration, no thirst, headache, thin white tongue fur, and a floating, moderate pulse or, in other words, a wind-cold exterior pattern with disharmony between the constructive and the defensive. (Take Gui Zhi Tang. 10 minutes later, eat very hot rice porridge, and stay well covered in bed to promote perspiration.)
- 2. Spontaneous perspiration and/or night sweats accompanied by fear of wind and cold, a cold feeling in the low back, and frequent catching of colds due to disharmony between the constructive and the defensive. (Use stir-fried Gui zhi.)
- 3. Chest and cardiac area pain due to heart Yang deficiency and disharmony between the Qi and blood. (Use 15-30g Gui zhi. In case of very cold limbs, Fu zi can be added.)
- 4. Abdominal pain with spasms and cramps due to deficiency cold and disharmony between the Qi and blood. (Dose Bai shao:Gui zhi::2:1. Use honey mix-fried Gui zhi and wine mix-fried Bai shao.)
- 5. Pain and/or numbness of the limbs due to disharmony between the Qi and blood. (Use stir-fried Gui zhi and wine mix-fried Bai shao.)
- 6. Vomiting and weakness during pregnancy accompanied by fear of cold, lack of appetite, nausea and a weak pulse in the cubit position due to disharmony of the spleen and stomach and the constructive and defensive. (Use stir-fried Gui zhi and wine mix-fried Bai shao.)
- 7. Weakness in the elderly, during convalescence, postpartum, and post-operatively with fatigue and lack of strength, fear of wind, and slight perspiration due to disharmony between the constructive and the defensive. (Use stir-fried Gui zhi.)
• In cases of vertigo, uncooked Bai shao should be used.
• In cases of liver-spleen disharmony causing diarrhea, Bai shao should be stir-fried until yellow.
• In cases of gynecological problems, wine mix-fried Bai shao should be used.
• In cases of chest or lateral costal pain, abdominal pain, or pain in the stomach area, wine mix-fried Bai shao should be used.
6-30g
Dang Gui
Angelica
  sinensis root

"State of Return"

sweet
acrid
warm
Lv
Ht
Sp
Nourishes blood; promotes blood (and Qi) circulation; harmonizes the blood; relieves pain; moistens the large intestine; regulates the menses; disperses cold; reduces swelling; expels pus; generates flesh.

• For any form of blood deficiency.
• Blood deficiency and stagnation: irregular menses, dysmenorrhea, amenorrhea.
• Blood deficiency: ashen face, tinnitus, blurry vision, palpitations.
• Blood deficiency with chronic wind-damp Bi syndrome.
• Blood deficiency and cold: abdominal pain.
• Blood stasis (especially with cold from deficiency): pain, traumatic injury, Bi, carbuncles/boils.
• Blood deficiency leading to large intestine dryness: constipation.
• Useful for some sores or abscesses (where blood deficiency and stasis are involved).
Dang gui's combination of nourishing and moving qualities means that it can nourish blood without blocking it and it can move blood without depleting it.
• Injected into acupoints in China for pain (neuralgias, ischemic, arthritis - this form of therapy is not used for acute pain, tumors, infections).
• May reduce vascular plaque formation.
• Compared to Bai shao, both are used for pain and blood deficiency patterns. Bai shao is more appropriate for blood deficiency accompanied by heat, while Dang gui is used more for blood deficiency accompanied by cold.
• Doctrine of signatures (to my eye, anyway [PLB]): shaped like a uterus.
• The four parts of Dang gui:
Dang Gui Tou: head of the root. Most tonifying, less ability to promote blood circulation. DY: Quickens the blood and stops bleeding. Often stir-fried until carbonized to reinforce its hemostatic action.
• Dang Gui Shen: body of the root. Slightly more tonifying than moving.
• Dang Gui Wei: tail of the root. More moving than tonifying. DY: Quickens the blood and breaks blood stasis. This part if often wine-processed to reinforce its action.
Dang Gui Xu: the beard of Dang gui - the rootlets of the main and secondary roots. DY: Dang gui xu quickens the blood and frees the flow of the network vessels. This part is often wine-processed to reinforce its action.
Quan Dang Gui: the entire root, which includes the four parts mentioned above. DY: It harmonizes the blood. Li Dong Yuan said, "The head stops bleeding and is directed upwards. The body nourishes the blood and is fixed to the center. The tails break the blood and flow downward. The whole root quickens the blood and treats everything."
MLT: Rich in nutrients, including vitamin B-12, folic acid, biotin.
• Stimulates hematopoeisis; also has antiplatelet action.
• One compound stimulates the uterus while another relaxes it and increases DNA synthesis and growth of uterine tissue.
• For all forms of anemia, including pernicious.
BII: Regulates estrogen, tones the uterus.
Yoga: Choraka: VPK=; P+ (in excess)
• Tonic, emmenagogue, rejuvenative (especially for Vata), diaphoretic, antispasmodic, analgesic, anti-arthritic.
• Topical: for wounds, ulcers, itching, and to nourish and beautify the skin.
Hsu: The non-volatile water-soluble compounds stimulate uterine muscle, while the volatile oil inhibits (relaxes) uterine muscle.
• Therefore, to contract the uterus, decoct for a long time (cook off the volatile oil).
• To relax the uterus, add Dang gui at the end and cook over low heat and/or for short duration.
PFGC: Li Dong Yuan said the head of Dang gui controls bleeding and entices its effect to go upward, the body nourishes blood and keeps its effect in the central region, and the tail cracks blood and causes its effect to go down. The entire plant [taken as a whole] vitalizes blood but does not much move around the body.
• With Chuan xiong, Dang gui gains the momentum of budding growth and nourishment.
• With Bai shao, the combination is an essential remedy to rescue Yin and astringe Yang.
Dang gui can harmonize blood in cases of Qi rebellion resulting in coughing - once the blood is harmonized, the Qi will descend.
Dang gui can disperse cold stasis causing diarrhea, abdominal pain, lumbar pain, or headache.
• For disorders of the Chong Mai manifesting in Qi counterflow and internal distress.
• Disorders of Dai Mai manifesting in abdominal pain and a sensation of the lumbar region being submerged in water.
• Dry skin due to undernourished flesh and muscles.
• Can moisten Lung dryness, can smooth aggravation of liver wood.
• Its moistening effect reaches all tissues and muscles.
• Can move blood and control bleeding - useful for hematemesis and epistaxis (for this use, it is best to fry it in vinegar to emphasize its descending effect.
• Its ability to disperse the surface is weak, but it is still an excellent remedy to dispel wind (by moving blood) - good for post-partum seizures.
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
DY: Dispels stasis; downbears the Qi, stops cough, and calms asthma.
Dang gui is probably the best Chinese herb for treating blood stasis due to blood deficiency or accompanied by blood deficiency.
Dang gui, or rather Quan dang gui (whole Dang gui), harmonizes the blood. Harmonizing the blood is a term which (in the Chinese materia medica) is almost specific to Dang gui. This is because Dang gui is one of the few medicinal substances which nourishes and moves the blood simultaneously (other substances which possess both properties only mildly nourish the blood).
• To stop cough and calm asthma, the whole herb (Quan dang gui) should be used.
Dang gui and Shu di are probably the two most effective medicinal substances for treating constipation due to blood deficiency. Dang gui you, the oil extracted from Dang gui, is particularly indicated for nourishing the blood, moistening dryness, moistening the intestines, and promoting defecation.
• With Chuan xiong to move the Qi and quicken the blood without damaging the blood, to nourish the blood without producing stasis, to dispel stasis and stop pain. For the following indications, both herbs should be wine-processed, though uncooked Chuan xiong may be used in the case of headaches or dermatological problems:
- 1. Menstrual irregularities, dysmenorrhea, and postpartum abdominal pain due to blood stasis that may be mixed with Qi stagnation. (Xiong Gui San)
- 2. Rheumatic pain due to wind-dampness and blood vacuity.
- 3. Headaches due to blood deficiency and/or blood stasis. (Jia Wei Si Wu Tang)
- 4. Wounds, ulcers, or enduring cutaneous inflammations due to Qi and blood vacuity with Qi and blood stagnation. (Tou Nong San)
• With Huang qi to supplement the Qi to strongly engender and transform blood, to effectively supplement the Qi and blood. For the following indications, wine mix-fried Dang gui and honey mix-fried Huang qi should be used. Also, the whole Dang gui root (Quan dang gui) or the body of Dang gui (Dang gui or Dang gui shen) should be used. The dosage of Dang gui for the following indications should be relatively low if there is Qi deficiency and weakness in the middle burner.
- 1. Delayed menstruation (a long cycle), postpartum weakness, agalactia due to Qi and blood deficiency. (Shi Quan Da Bu Tang)
- 2. Low-grade fever caused by blood deficiency. (Dang Gui Bu Xue Tang) Wu Kun of the Ming dynasty said, "When the blood is full, the body is cool. When the blood is vacuous, the body is warm."
- 3. Sores and welling abscesses that do not heal, due to blood and Qi deficiency. (Tou Nong San)
- 4. Numbness of the limbs due to deficient blood not nourishing the sinews.
- 5. Various hemorrhages due to Qi not containing the blood within the vessels. (Dang Gui Bu Xue Tang)
• With Shu di to nourish blood, enrich Yin, supplement the liver and kidneys, downbear the Lung Qi and promote Qi intake by the kidneys, stop cough, and calm asthma. For indications such as:
- 1. Chronic cough and/or asthma due to Yin deficiency of the kidneys associated with blood deficiency. If there is blood deficiency, Qi lacks its root. This can create an imbalance in the upbearing and downbearing function of the Qi with Lung Qi deficiency. If the kidneys are weak, they cannot insure their function of Qi intake. This then results in Qi counterflow and asthma. For these indications, this combination can be found in Jin Shui Liu Jun Jian.
- 2. Blood deficiency. (Si Wu Tang)
- 3. Constipation due to blood deficiency.
PCBDP: In a clinical trial, it was shown to be effective in improving abnormal protein metabolism in 60% of patients with chronic hepatitis or cirrhosis of the liver, and it increased the erythrocyte and platelet count in many patients.
3-15g
E Jiao
Ass Hide Gelatin

sweet
neutral
Lu
Lv
K
Stops bleeding; nourishes blood; nourishes Lung Yin and moistens the Lungs.

• Any bleeding leading to blood deficiency: hematemesis, hemafecia, epistaxis, uterine bleeding, consumptive disorders with coughing of blood.
• Blood deficiency: dizziness, palpitations, sallow face, vertigo, insomnia.
• Liver Yin deficiency: restlessness, insomnia.
• Lung Yin deficiency: dry cough, asthma.
• Increases WBC's for cancer, anemia.
• Greasier than Shu di (commonly combined with herbs such as Pei lan, Huo xiang, etc.).
• The substance of choice for blood deficiency with concurrent loss of blood.
• Usually dissolved into a strained decoction or wine, or used in pills.
MLT: Regularly taken by older women to counteract symptoms of dryness associated with aging.
Hsu: Aids in blood clotting, increases RBC count and amount of hemoglobin in the blood, aids against shock due to external wounds.
DY: With Huang lian to drain fire and enrich Yin according to the method of draining the south (i.e. fire) and supplementing the north (i.e. water), reestablish the interaction between the heart and kidneys, quiet the spirit, and treat dysentery damaging Yin. For indications such as:
- 1. Vexation, agitation, and insomnia due to febrile disease which has damaged Yin, deficiency fire, or heart and kidneys not communicating. (Huang Lian E Jiao Tang) Unprepared, or, even better, wine-processed Huang lian should be used.
- 2. Dysentery which damages Yin with pus and blood in the stools due to damp-heat in the large intestine.
- This is a key pair for heart-kidney disharmony, with symptoms mentioned above, plus many psychological disorders, loss of memory, profuse dreams, and tendency to wake up easily and frequently.
• Some treatises say that when E jiao is stored and aged, it is of superior quality. It is then called Chen e jiao.
E jiao has a remarkable ability to promote red blood cell production.
3-15g
He Shou Wu
Polygonum
multiflorum root

"Mr. He's Black Hair"



bitter
sweet
astrngnt
sl warm
Lv
K
Nourishes blood; augments the Jing; secures the Jing and stops leakage; tonifies the liver and kidneys; eliminates toxicity and treats malaria; relieves fire toxicity; moistens the large intestine and promotes bowel movement; eliminates internal wind and expels wind from the skin (through nourishing blood).

• Jing and blood/Yin deficiency: dizziness, blurry vision, early greying of the hair, weakness of the lumbar region and knees, soreness in the extremities, insomnia, seminal emission, uterine bleeding.
• Jing leakage: nocturnal emission, premature ejaculation, vaginal discharge.
• Jing and blood deficiency: chronic malaria, carbuncles, lumps, constipation.
• Fire toxicity: carbuncles, neck lumps, goiter, sores, scrofula.
• Blood deficiency: wind rash with itching.
• Bensky/Gamble: compared to Shu di, He shou wu is thought to focus more on the liver, while Shu di focuses more on the kidneys.
PLB: when He shou wu is prepared with black beans, its action is focused more on the kidneys.
He shou wu is drier than Shu di. It does not have Shu di's viscous, cloying properties, does not impair digestion, and is acceptable for use with mild dampness.
• Weaker than Shu di at nourishing blood, stronger than Shu di at nourishing Jing.
• Use the prepared form to nourish Jing and blood and tonify the liver and kidneys.
• Use the dry form to moisten the large intestine for constipation and for its anti-inflammatory action.
• Lowers serum cholesterol.
• Widely used for hypertension and coronary heart disease.
• Do not cook this herb in a steel vessel - it alters the chemistry of the herb.
• This herb is also known (mistakenly) as Fo ti tieng.
MLT: Often steamed with black soy beans and yellow rice wine (giving it a reddish-brown color) to increase its tonic properties.
• Its chemistry resembles human adrenocorticoids.
• Contains much lecithin (may be responsible for the herb's cholesterol-controlling effects).
• Reduces the heart rate while slightly increasing circulation of blood through the heart.
• Very good for lumbar pain from blood/Jing deficiency.
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
BF: In He Shou Wu Lu (Song of He Shou Wu), it is said that this herb boosts the Qi.
• In Dian Nan Ben Cao, it is said that this herb astringes the Jing and hardens the kidneys.
• In Kai Bao Ben Cao, it is said that this herb mainly treats scrofula, disperses welling abscesses and swellings, treats head and face wind sores and the five kinds of hemorrhoids, stops heart pain, boosts the blood and qi, blackens the hair, brightens the color of the cheeks, and also treats various women's postpartum and abnormal vaginal discharge diseases (several of these patterns involve damp-heat).
Yoga: P, V-; K and ama+ (in excess)
• Tonic, rejuvenative, aphrodisiac, astringent, nervine.
• For anemia, neurasthenia, impotence, low back pain, enlarged lymph glands, arteriosclerosis, diabetes.
• With Gotu kola to counteract aging (He shou wu for the tissues, Gotu kola for the mind).
Hsu: Purgative (by anthraquinone derivatives) - stimulates intestinal peristalsis; inhibits increase in serum cholesterol, decreases absorption of cholesterol from the alimentary canal, prevents retention of lipid in serum or inhibits deposition of lipid on inner membrane of arteries; antiviral; cardiotonic.
9-30g
Long Yan Rou
Longan fruit

"Dragon Eye Flesh"
sweet
warm
Ht
Sp
Tonifies Qi and nourishes blood of the spleen and heart; calms the Shen.

• Heart and spleen blood and Qi deficiency: insomnia, palpitations, poor memory, dizziness.
• Especially for problems associated with excessive pensiveness or overwork.
• Often eaten alone or taken as an infusion.
LL: Very warm.
6-15g (to 30)
Shu Di Huang
Rehmannia root
(Wine-cooked)
 
"Cooked Earth Yellow"










sweet
sl warm
Lv
Ht
K
Nourishes blood and Yin; supports the Jing and marrow.

• Blood deficiency: sallow face, dizziness, insomnia, palpitations, irregular menstruation, uterine bleeding, postpartum bleeding.
• Kidney Yin deficiency: tidal fever, night sweats, seminal emission, steaming bone disorder, wasting and thirsting disorder (may correspond with diabetes), low back and joint pain, vertigo.
• Jing and blood/Yin deficiency: weak lumbar region, knees and lower extremities, dizziness, poor hearing and vision, early greying of hair.
• Very greasy - can cause nausea and damage the digestion (often combined with or toasted with Chen pi and Sha ren).
Shu di's function to nourish the Jing is not as strong as Lu rong.
• May lower blood pressure and serum cholesterol.
• Bensky/Gamble: compared to He shou wu, Shu di is thought to focus more on the kidneys, while He shou wu focuses more on the liver. [Though preparing He shou wu with black soy beans enhances its action on the kidneys.]
PFGC: Treats asthma due to Yin deficiency and failure of the kidneys to absorb Qi.
• Taxation cough.
• Kidney deficiency leading to inhibition of the kidneys' filtering process, causing decreased urination and eventually edema.
• Treats injury to the Yin layer of all organ networks.
Hsu: Cardiotonic; dilates renal blood vessels, diuretic; hypoglycemiant.
Yoga: P, V-; K and Ama +
• Tonic, rejuvenative, aphrodisiac, demulcent, laxative, emmenagogue.
• For weak kidneys, lumbar pain, sexual debility, irregular menses, cirrhosis, anemia, hair loss, diabetes, senility.
DY: With Dang gui to nourish blood, enrich Yin, supplement the liver and kidneys, downbear the Lung Qi and promote Qi intake by the kidneys, stop cough, and calm asthma. See Dang gui for specific indications and notes.
Shu di and Dang gui are probably the two most effective medicinal substances for treating constipation due to blood deficiency.
Shu di is incompatible with animal blood, onions, chives, turnips, radishes, and garlic.
9-30g



Qi Tonics

These herbs are commonly combined with:
A. Blood tonics, because blood is the mother of Qi.
B. Herbs that promote Qi circulation "“ for when there is stagnation (which may be due to Qi deficiency) and also to prevent stagnation as a result of ingestion of these rich herbs.
Bai Zhu
White
Atractylodes
rhizome



bitter
sweet
warm
Sp
St
Tonifies spleen Qi; dries dampness; promotes urination; stabilizes the exterior, stops sweating; calms the fetus; resolves water retention and phlegm.

• Spleen (or stomach) Qi deficiency with dampness: diarrhea, fatigue, distention in the epigastric region and abdomen, poor appetite, vomiting, constipation.
• Failure of the spleen to transform and transport food: retention of water and dampness: edema, cough, difficult breathing, nausea, vomiting, dizziness, reduced urination.
• Auxiliary herb for damp Bi syndrome.
• Spleen Qi deficiency leading to failure of the Wei Qi to control the pores: spontaneous sweating.
• Spleen Qi deficiency: threat of miscarriage.
• For constipation due to spleen Q deficiency and dampness, use 30g Bai zhu alone.
• Elevates prothrombin time.
• Use raw to dry dampness and promote urination.
• Dry-fry to strengthen the spleen and tonify Qi.
• Scorch to strengthen the spleen and stop diarrhea.
Li: Very warm and dry.
PFGC: Increases the appetite, enhances processing of ingested food.
• Best herb for tonifying spleen Qi (Yang).
• Controls excessive sweating due to spleen dampness.
• Can stimulate sweating because a strong spleen will facilitate sweating if there is a need for it.
• All disorders involving water accumulation and dampness will resolve when the spleen is built up.
Bai zhu should not be used in excessive cold-damp when water pathogens drown the entire central region of the body (must tonify kidney Yang).
• Unprocessed, it can disperse blood between the lumbar region and umbilicus that runs disorderly in the vessels and causes Qi counterflow and internal distress.
• Treats weakness or pain in the extremities caused by a dilapidated spleen.
• With rising and dispersing herbs, it can regulate the liver.
• With sedating herbs, it can nourish the heart.
• With cooling, moistening herbs, it can tonify the Lungs.
• With herbs that moisten Yin, it can tonify the kidney system.
DY: Disperses swelling.
Bai zhu is incompatible with black carp, peaches, plums, coriander, and Chinese cabbage.
• To fortify the spleen and supplement the Qi, bran stir-fried Bai zhu is prescribed. To dry dampness and disinhibit urination, unccoked Bai zhu is used.
• With Fu ling, the two herbs reinforce each other to effectively supplement the spleen and dry dampness, percolate dampness, and disinhibit urination. For such indications as:
- 1. Edema due to accumulation of dampness, due in turn to spleen deficiency. (Bai Zhu San)
- 2. Fatigue, weakness in the limbs, lack of appetite, loose stools or diarrhea caused by spleen deficiency with accumulation of dampness. (Shen Ling Bai Zhu San)
- 3. Vertigo, blurred vision, and/or heart palpitations due to phlegm-dampness. (Ling Gui Zhu Gan Tang)
- 4. Chronic cough due to phlegm-dampness and spleen deficiency. (Liu Jun Zi Tang)
• With Huang qin to clear heat stirring the fetus, dry dampness, and fortify the spleen to contain the blood and the fetus. For uterine bleeding during pregnancy, threatened miscarriage, nausea and vomiting during pregnancy caused by heat or damp-heat associated with spleen deficiency which is incapable of containing the blood within the vessels. For these indications, the Bai zhu should be bran stir-fried, and the Huang qin should be stir-fried until scorched.
• With Zhi shi to supplement without producing stagnation and drain without damaging the correct Qi, to fortify the spleen, disperse food stagnation, and effectively eliminate accumulations and distention. For the following indications, except as otherwise indicated, the two herbs should be stir-fried:
- 1. Accumulation of food, distention and fullness of the abdomen and epigastrium, and difficult bowel movements due to spleen Qi deficiency and Qi stagnation. (Zhi Zhu Wan) When the patient's main complaint is abdominal and epigastric distention due to Qi deficiency and spleen deficiency with or without dampness, the dosage for Bai zhu should be very high - as much as 100g per day. In this case Bai zhu is generally used alone.
- 2. Splenomegaly and hepatomegaly due to Qi deficiency and stagnation.
- 3. Ptosis of the organs (stomach, uterus, and anus) due to central Qi deficiency. For these indications, honey mix-fried Huang qi, stir-fried Chai hu, and honey mix-fried Sheng ma should be added.
Dong bai zhu is Bai zhu harvested in the winter. Instead of having a drying nature, it has a moistening one. It fortifies spleen Yang and nourishes spleen Yin, moistens the intestines, and treats constipation.
Hsu: Pronounced and long-lasting diuretic effect; sedative; lowers blood sugar; stomachic.
4.5-9g
(Bai) Bian Dou
Dolichos
Hyacinth bean

"Flat Bean"
sweet
sl. warm
Sp
St
Resolves dampness; clears summer-heat; mildly tonifies spleen Qi.

• Spleen Qi deficiency: loose stool or diarrhea, poor appetite, fatigue, copious leukorrhea, loud stomach growling.
• Summer-heat: especially with vomiting, diarrhea.
• Can tonify spleen Qi without blocking the Qi.
• Can resolve damp without damaging Yin.
• Use dry-fried to strengthen the spleen, untreated to clear summer-heat.
• Some say this herb can nourish spleen Yin.
• Bensky/Gamble: clear summer-heat category.
MLT: Must be cooked - uncooked, it can inhibit the enzymes trypsin and amylase (this effect is significantly but not completely resolved by cooking).
• Eat 50g boiled each day for gastroenteritis.
9-21g
Ci Wu Jia
Eleutherococcus senticosus root





























    Tonifies Qi, nourishes the heart; promotes blood circulation.

• Generally indicated for any pain.
BII: Adaptogen: increases humans' ability to withstand adverse physical conditions, increases mental alertness and work output, increases quality of work under stressful conditions, and improves athletic performance. Also has adaptogenic activity in disease states.
Virtually nontoxic.
Useful mainly in fatigue, depression, immunodepression.
PPP: Assists the body to counteract and adapt to stress of many origins; restores and strengthens the body's immune response; increases vitality.
• Improves mental and physical performance.
• Used to minimize the effects of stress in those subject to chronic illness or to environmental or occupational stress: spares the adrenal glands, promotes self-repair mechanism to enhance resistance to radiation and chemical carcinogens. Compared to Ren shen, Ren shen confers a direct resistance to cells by altering cell physiology whereas the improved survival from eleutherococcus is via an indirect action on the whole organism.
• Used to improve performance and minimize the effects of stress in athletes. In studies, improved speed of runners, maximal work capacity of athletes, and enhanced muscle strength.
• Enhances immune function, especially natural killer cells and T-helper cells. Stimulates immunity against bacteria and viruses.
• May heighten protective activity of the anticoagulant system, improve repair of heart muscle. May provide greater oxygen metabolism and increase conversion of fat into glycogen for energy. May counter the effects of cerebral ischemia. Atherosclerotic patients and those with rheumatic heart lesions show an improvement in cardiovascular function and general well-being when taking eleutherococcus.
• Patients with chronic bronchitis, pneumoconiosis, and pneumonia show improved well-being and Lung capacity when taking eleutherococcus.
• Eleutherococcus lowers blood pressure in hypertension and raises low blood pressure (e.g. in hypotensive children).
• Cancer: Eleutherococcus enhances non-specific immunity and minimizes side effects from radiation, chemotherapy, and surgery, improves healing and well-being.
• Eleutherococcus has been found to inhibit spontaneous malignant tumors and tumors induced by a number of carcinogens. It also led to decreased transplantability of tumors in mice and inhibition of metastases in some cases. Components of eleutherococcus exert an antiproliferative action upon some cancer cells. Eleutherococcus potentiates the effect of some cytotoxic drugs, thereby reducing the amount of drug needed. Eleutherococcus lowered the occurrence of chromosomal mutations and increased the survival rate of plants exposed to mutagens.
• Convalescence after antibiotic therapy: Eleutherococcus has demonstrated a beneficial effect on antibiotic-induced diarrhea during convalescence.
• Adjuvant treatment in dysentery.
• Compared to Panax [true Ginseng]: Unlike ginseng, eleutherococcus rarely causes excitation or a stress-like syndrome in patients. Eleutherococcus has a more general effect on immunity than ginseng. Eleutherococcus causes a more profound increase in stamina than ginseng.
• Caution: sometimes species of Periploca - an inferior and toxic herb - are substituted for eleutherococcus.
• Recommended regime for healthy people is a course of 6 weeks followed by a 2 week break. For treatment of specific illnesses, continuous use is preferable.
Da Zao
Jujube
Zizyphus
Red Chinese Date

"Big Date"
sweet
warm
Sp
St
Tonifies spleen Qi; nourishes blood; calms the Shen; reduces herbs' side effects (mild action), moderates and harmonizes the harsh properties of other herbs.

• Spleen/stomach Qi deficiency: poor appetite, loose stool, fatigue, shortness of breath (good for children).
• Blood deficiency: mental depression.
• Restless organ disorder: wan appearance, irritability, severe emotional lability.
• Good for eruptions, hives, bleeding.
• Stronger than Gan cao to tonify Qi.
• Closely related to Suan zao ren.
• Seems to normalize the liver (enzymes, recovery from toxicity).
Hsu: Anti-ulcer activity.
DY: Harmonizes and protects the stomach.
• With Sheng jiang to move the defensive Qi, nourish the constructive Qi, harmonize the constructive and defensive, fortify the spleen, and harmonize the middle burner. For indications such as:
- 1. Perspiration, fear of wind, and fever due to disharmony between the constructive and defensive Qi. (Gui Zhi Tang)
- 2. Fatigue, lack of strength, abdominal pain, and lack of appetite due to disharmony between the constructive and defensive Qi. (Xiao Jian Zhong Tang)
- This pair helps insure the proper assimilation of the active principles of other medicinal substances. These are the two main harmonizing herbs in Chinese medicine.
• With Ting li zi to powerfully drain the Lungs, disinhibit urination, and drastically evacuate phlegm without damaging Yin or the stomach. Together, they downbear Qi and calm asthma. For indications such as asthma, cough with stertor, wheezing, a swollen face, and oliguria due to accumulation of phlegm in the Lungs. (Ting Li Da Zao Xie Fei Tang)
Da zao can be used as a harmonizing medicinal with herbs that are incompatible with Gan cao, such as Gan sui, Yuan hua, Da ji, and Hai zao, or in case of edema, anuria, or hypertension.
PCBDP: Emollient, sedative, antitussive, anti-allergic (increases cyclic AMP and GMP in leukocytes), nutritive; may inhibit anaphylaxis; in vitro anti-tumor activity.
3-30g (3-12 dates)
Dang Shen
Codonopsis root

"Group Root"

sweet
neutral
Sp
Lu
Tonifies Lung Qi; tonifies spleen/middle Jiao Qi; mildly nourishes body fluids; mildly nourishes blood.

• Spleen Qi deficiency: fatigue, poor appetite, loose stool, lassitude, diarrhea, vomiting, weak limbs, chronic illness, prolapse of stomach, uterus, or rectum.
• Lung Qi deficiency: chronic, weak cough, shortness of breath, weak voice (also with copious sputum due to spleen Qi deficiency).
• Injury of body fluids and Qi in febrile disease: shortness of breath, thirst, wasting and thirsting disorder.
• Blood deficiency: dizziness, sallow face, palpitations.
• Pathogenic influences with significant concurrent Qi deficiency: combine Dang shen with herbs to release the exterior, drain damp, etc.
• Raises RBC count and hemoglobin.
Dang shen is similar to Ren shen, but not as strong. In most cases of Qi deficiency, it can be effectively substituted for Ren shen. In cases of deficiency of both spleen and Lung Qi, it is even preferred. However, Ren shen is imperative for collapsed Qi or devastated Yang. When replacing Ren shen with Dang shen, use about 3 times as much Dang shen as you would use of Ren shen.
• Compared to Yi tang, Dang shen is indicated for deficiency-induced cough with profuse sputum, while Yi tang is more for a non-productive deficiency-induced cough.
• Heiner Fruehauf believes this herb is what was historically used as Ren shen (not ginseng).
• Heiner Fruehauf believes this herb has some potential to exacerbate Gu parasite infections. If the Gu symptoms worsen after administering Dang shen, consider it as a possible cause.
Hsu: Hypotensive; dilates peripheral blood vessels; inhibits adrenal cortex activity.
SD: May help antidote lead poisoning. Has also been widely used for its immune enhancing effects. It is reported to have the same basic action as ginseng, and it is especially good for building up the red blood cells.
DY: Tends to supplement the middle burner and Yin.
• With Huang qi to powerfully supplement the Qi, to effectively supplement the Qi of the middle burner and the exterior defensive. For indications such as:
- 1. Chronic illness leading to Qi vacuity.
- 2. Rectal and uterine prolapse and gastric ptosis due to central Qi fall. (Bu Zhong Yi Qi Tang)
- 3. Lack of appetite, loose stools, fatigue, lack of strength, and spontaneous perspiration due to Qi deficiency.
- 4. Low-grade fever due to Qi vacuity. (Bu Zhong Yi Qi Tang)
- To supplement the middle burner, these two herbs should be honey mix-fried. In case of loose stools or diarrhea, one should prescribe rice stir-fried Dang shen. In case of spontaneous sweats, one should prescribe unprepared Huang qi.
Dang shen does not directly nourish the blood and fluids. It supplements the spleen which is the latter heaven or postnatal root, the origin of Qi, blood, fluids and humors, and acquired essence.
9-30g
Feng Mi
Honey (light)

sweet
neutral
Sp
Lu
LI
Tonifies spleen Qi; relaxes muscles to relieve pain; moistens the Lungs, stops coughing; moistens the large intestine, promotes bowel movement.

• Spleen Qi deficiency: fatigue, poor appetite, abdominal and epigastric pain.
• Lung Yin deficiency: dry cough, dry throat.
• Large intestine dryness: constipation, especially in the elderly (take 30-60g in warm water or with cucumber).
Li: Honey has a quite cool nature.
• Other sugars: red is quite warm, brown is warm, white is slightly warm or neutral, rock is slightly cool.
15-30g
Gan Cao
Licorice root

"Sweet Herb"


















sweet
neutral
all,
esp.
Ht
Lu
Sp
St
Tonifies spleen Qi; moistens the Lungs to stop coughing, eases difficult breathing; relaxes the muscles, eases spasms to relieve pain; clears heat; eliminates toxicity; conducts herbs into the twelve channels; coordinates herbs: reduces side effects of some herbs, antidotes some poisons, harmonizes cold and warm herbs, protects the spleen from cold herbs, mitigates the purging function of purgatives and lightens other violent qualities of herbs.

• Spleen Qi deficiency: poor appetite, loose stool, fatigue, shortness of breath.
• Spasm and pain in the epigastrium, abdomen, limbs (including when due to malnutrition or cold).
• Fire-toxicity: carbuncles, poisoning from food or herbs, sores, sore throat.
• Used internally and externally to antidote poisons.
• Heat or cold in the Lungs: coughing and wheezing.
• Increases duration and strength of effects of cortisol: useful for low adrenal function.
• Anti-inflammatory effects (glycyrrhetinic acid [weaker than cortisol]).
• Useful for chronic asthma. Used with Ku shen and Ling zhi in the simplified ASHMI formula for asthma.
• Relieves and prevents ulcers (DGL can be used if there is concern of sodium retention and the resulting hypertensive effect).
• May possess anti-neoplastic effects.
• Can cause water retention: aldosterone-like effects, decreased urination, decreased sodium excretion - long-term use may cause hypertension and/or edema.
Zhi gan cao: honey fried - more tonic, better than the raw herb for moderating spasms. This form is used in most cases, except when clearing heat and toxicity (for which the raw herb is preferred).
• Raw Gan cao is more detoxifying and heat clearing than the prepared form.
Gan cao shao: tips of the root - can disinhibit urination and free strangury.
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
SD: May help antidote lead poisoning.
DY: With Bai shao to engender Yin (sour + sweet), calm the liver, fortify the spleen, supplement Qi and blood, harmonize the liver and spleen, soothe the sinews, and stop pain. For indications such as:
- 1. Weakness in the lower limbs and spasms and pain in the limbs due to disharmony between the Qi and the blood which causes inadequate nourishment of the sinews and vessels.
- 2. Abdominal pain due to liver-spleen disharmony. If either disorder is accompanied by cold signs, use wine mix-fried Bai shao and mix-fried Gan cao. If the disorder is accompanied by heat signs, use raw Bai shao (or Chi shao) and raw Gan cao.
- 3. Headaches due to blood deficiency. (Add He shou wu, Bai ji li, and Jiang can.)
• The combination of Bai shao and Gan cao is very effective for numerous problems accompanied by spasms and pain, such as gastritis or colitis, spasm of the gastrocnemius muscle in the leg, contraction of the limbs, tendinitis, lateral costal pain, and hiccups or stubborn vomiting caused by spasm of the diaphragm.
Gan cao can moderate the cold nature of Hua shi and protect the middle jiao, while Hua shi can prevent stasis due to the sweet flavor of Gan cao. As a pair, they clear heat, eliminate summer-heat, disinhibit urination without damaging the middle burner, and free strangury. For such indications as:
- 1. Fever, vexation, agitation, thirst, vomiting, diarrhea, and dysuria due to attack of summer-heat with internal and external heat. (Liu Yi San)
- 2. Turbid strangury.
- 3. Stone and/or sand strangury.
- For these indications, Gan cao shao is superior to regular Gan cao.
• With Jie geng to clear heat, transform phlegm, disinhibit the throat and stop pain, evacuate pus, and resolve toxins.
- 1. Pulmonary abscess with cough, expectoration of profuse, purulent phlegm, and chest oppression and pain due to heat stasis in the chest. (Jie Geng Tang)
- 2. Pain, redness, and swelling of the throat due to heat (deficient or excess, external or internal).
- 3. Loss of voice and/or hoarse or husky voice.
- For indications 2 and 3, the combination can be reinforced by adding He zi, as in He Zi Tang. For these indications, in cases of Lung dryness, honey mix-fried Jie geng should be used.
Gan cao is incompatible with pork, seaweed (particularly Hai zao), and Chinese cabbage.
• In cases of edema, oliguria, anuria, or hypertension, the dosage of Gan cao must be moderate (3-6g) and its administration should be of short duration. In other cases, for prolonged administration, a dosage of 10g per day should not be exceeded.
• Note: Sionneau lists the usual dosage of Gan cao at 6-10g.
K&R: Anti-inflammatory, anti-allergic, immune strengthener, estrogenic, luteotropic, antispasmodic, antiulcerative, vagolytic, febrifuge, antitussive, aldosterone stimulant, MAOI, stimulates the adrenal cortex.
• Improves fat digestion, reverses degeneration of liver cells by improving detoxification - for fatty liver, chronic hepatitis, to lower cholesterol.
• Increases interferon production.
• Eye drops: for conjunctivitis, blepharitis.
• Chronic gum infections.
• Prolonged use is suitable only for the water yin type (since it can lead to K+ loss and edema).
• Earth, water, and metal yin.
Earth: GI ulcer and spasm, glossitis, stomatitis, herpes simplex infection, tooth plaque.
Water: low immune function, depression, chronic infection, gonadal insufficiency, trichomonas infection.
Metal: recurring, chronic respiratory tract infection, cough.
BII: Heals peptic ulcers (DGL preferred), estrogenic activity, aldosterone-like action (can cause sodium retention and hypertension - a high potassium, low sodium diet may prevent this), anti-inflammatory (cortisol-like action), anti-allergic, antihepatotoxic, antineoplastic, expectorant, antitussive, antiviral.
• Possible use in: HIV (seems to halt progress of the disease, may prevent decline of CD4s and CD8s), aphthous stomatitis (mouthwash), eczema, heartburn, hepatitis, inflammation, menopausal symptoms, periodontal disease.
JC: Aperient, demulcent, emollient, pectoral, slight stimulant, sialogogue, expectorant.
• Laxative or mildly purgative (by dose) to the entire intestinal tract: a moderate dose makes liquid stools within 3-12 hours (3-6 on an empty stomach).
• Useful for hemorrhoids.
• Healing to the glandular system.
• Heals mucous membranes.
Yoga: Yashti Madhu (honey stick): V, P-; K+(if used long term)
• Demulcent, expectorant, tonic, rejuvenative, laxative, sedative, nourishes the brain, increases cerebrospinal fluid.
Sattvic - calms the mind, nurtures the spirit.
• A large dose is a good emetic for cleansing the Lungs and stomach of Kapha.
Hsu: Detoxifies bacterial toxins, poisonous foods and drugs, toxins of metabolic products.
• Antispasmodic, inhibits gastric secretions caused by histamine, anti-inflammatory, antitussive, antiallergic, antiulcerative, expectorant, adrenocortical hormone-like effects.
HF: (The words of Zhang Xichun:) If processed, the tonic properties of licorice become enhanced, while if left unprocessed, it not only tonifies the center, but also disinhibits. It is therefore appropriate for the treatment of cholera. The theory that raw licorice has a disinhibiting effect can easily be proven in clinical practice. I once treated the child of a Mr. Wang from Kaiyuan. Endowed with a weak spleen and stomach, the boy suffered from serious indigestion and kept throwing up his food. Also, his urination was inhibited, producing edema in virtually every part of his body, as well as a large and distended belly. I prescribed fine licorice powder, to be mixed with an equal amount of the Western drug Pepsinum. I had him take one qian (3g) of this mixture three times per day. After several days, the vomiting stopped, the urination returned to normal, and the swelling and distention disappeared.
My friend Wei Ziba made it a habit to put some licorice in his teapot every day, pour hot water over it, and drink it like a tea. After about ten days, he noticed that both his stool and his urination started to get quite busy, and he stopped drinking the licorice water. When he saw me later, he related this to me and asked why an herb that is usually thought of as a tonic can disinhibit urination and bowel movements. I answered: "When cooked or processed, licorice tonifies; when used unprocessed, it disinhibits. Even though you put the herb into a teapot with hot water, it never got cooked. Therefore, its effect was still close to the raw herb, and therefore could disinhibit."
Li Zibo told the story of a child suffering from abdominal pain. The doctor said that frequent consumption of licorice decoction could cure the problem. Because the patient drank too much of the licorice decoction, urination became inhibited and symptoms of edema and abdominal distention emerged. The boy lived close to the train station, where there were always wagons loaded with licorice. His sister often brought some of it home so they could chew on it, and as this became a daily habit, his edema and distention gradually disappeared.
These examples demonstrate that the functions of unprocessed licorice and processed or cooked licorice are fundamentally different. When working with licorice, therefore, shouldn't we always consider the raw or processed/cooked state of the herb as an integral part of the prescription?
CHA: (Karen S Vaughan, 11-17-2000):
As far as I can determine blood pressure has never been known to be raised from properly prescribed herbal preparations containing licorice root, of either the European or Chinese varieties. It has however been found to be raised in persons consuming large quantities of (real) licorice candy such as Panda licorice, at doses as low as 1 ounce candy daily and can also be attributable to (real) licorice flavored alcoholic drinks. Candy consumption and extrapolation from constituent data are the root of warnings about licorice and blood pressure. Quantity and refinement issues are both factors with licorice candy. There is a significant difference in aqueous extractions and alcohol extractions in licorice. My information is that one would need 10-45 grams per day [to raise blood pressure], which is a lot of licorice. There are cases of persons who have unusual sensitivity (almost allergy) to licorice, plain or DGL which may manifest with high blood pressure. I find oedemic, not diuretic indications for licorice in my western sources. Reduced excretion of potassium (and its replacement) can be achieved with the addition of dandelion to formulas. Some constituent information which may or may not be relevant to aqueous extractions of Gan cao: One active ingredient in licorice, glycyrrhizin, and it main gut metabolite in humans, glycyrrhetic acid, both prolong the effects of cortisol, by creating an aldosterone-like agonist effect, thereby causing sodium retention and potassium depletion at the distal tubule in the nephron. Those on blood pressure medicines such as Lasix (furosemide) or hydrochlorothiazide, heart medicines such as Lanoxin (digoxin), or cortisone-type drugs, including prednisone may be susceptible to cross-reactions from constituents in licorice, especially in concentrated extracts, candy or licorice liqueurs. For over forty years, glycyrrhizin has been a prescription drug in Japan to treat inflammatory illnesses such as ulcers and chronic liver disease. It is also used to decrease allergic reactions to other drugs. Glabridin, which is not water extracted, but may be present in other preparations, has strong antioxidant properties. Researchers using a highly refined licorice extract suggest that chemicals in glycyrrhizin called triterpenoids may be effective against cancer. They may block the production of a prostaglandin that may be responsible for stimulating the growth of cancer cells - and help get rid of cancer-causing invaders. Triterpenoids have been shown in test tubes to stunt the growth of rapidly multiplying cells, like cancer cells, and they may even help precancerous cells return to normal. Glycyrrhetic acid is also antitumoral in low doses in estrogen sensitive cancers, operating by tying up estrogen receptors. Large doses(> 300mg extract, >2 gm powder, or >4 ml fluid extract) of licorice may, however, show more of the estrogenic effects due to the higher availability of the isoflavones. The antagonistic effects occur by competing for receptor sites, but once all empty sites are filled, there is no greater antagonistic effect. There is some early indication for use in AIDS treatment but the research is difficult to interpret accurately. The American species (Glycyrrhiza lepidota) does not share the potential for blood pressure elevation in concentrated doses that European and Asian species have.
2-12g
Huang Qi
Astragalus root
Milk-vetch






































































sweet
sl. warm
Sp
Lu
Tonifies spleen Qi and Lung Qi; lifts spleen Qi (raises the Yang Qi of the spleen and stomach); tonifies defensive (Wei) Qi; protects/stabilizes the body surface and eliminates pathogenic factors from the surface; discharges pus; promotes tissue regeneration; promotes urination, relieves edema; regulates water metabolism; nourishes blood (via Qi); can connect the Lungs and spleen.

• Lung and spleen Qi deficiency: poor appetite, loose stool, fatigue, shortness of breath.
• Spleen Qi sinking: chronic diarrhea, uterine bleeding, prolapsed rectum, stomach, or uterus.
• Wei Qi deficiency: spontaneous sweating, frequent EPI's.
• Qi and blood deficiency: non-healing carbuncles, boils, post-partum fever; also used in recovery from severe loss of blood.
• Spleen failing to transform and Lung failing to dominate the water passages: edema, scanty urination, retention of water, dampness, obesity.
• Used often for wind-stroke (with Hong hua, Dang gui, Chuan xiong).
• When appropriate: for wasting and thirsting, paralysis, numbness of the limbs.
• Chronic ulcerations or sores due to deficiency that have formed pus but have not drained or healed well.
• Appropriately combined, it may be used for excessive sweating associated with Qi, Yin, or Yang deficiency.
• Its function to stabilize the exterior may be used to produce a therapeutic sweat when diaphoretics do not work.
• Vasodilator: lowers blood pressure.
• Compared to Dang shen and Ren shen, Huang qi focuses more on the superficial aspects of the Qi (especially Wei Qi), is better for warming and raising the Qi and tonifying the Qi to improve metabolism, whereas Dang shen and Ren shen focus more on the source Qi. Tonification is more complete when these substances are used together.
• Fry (dry or with honey) to focus the herb's action on tonifying Qi and raising Yang (rather than securing the exterior, promoting urination, and reducing swelling).
Liu tends to use a minimum of 30g per day.
MLT: When combined with Gan cao, it regulates blood sugar - useful for both diabetes and hypoglycemia.
HF: A supplement with an anti-Gu nature, possessing acrid, toxin-resolving qualities, useful in Gu Zheng (Gu parasites) formulas.
BII: Enhances T-lymphocyte function, may enhance macrophage phagocytic function, increases NK cell activity.
PFGC: Unprocessed: fortifies the surface: will bring sweat if there is none (when the body is too weak to expel pathogens), and will astringe sweat if there is too much (by stabilizing the surface).
• Processed: produces blood, generates muscles, accelerate formation of (transformation of toxins into) and expulsion of pus - good for boils.
• Purely Yang in nature - best for the surface, Yang-collapse, weak eruptive force behind skin problems. Ginseng is more for water exhaustion and problems of Qi diffusion, while astragalus is more for fire exhaustion with the inability of Qi to reach the upper and outer regions of the body.
Hsu: Effective for nephritis, especially in treating proteinuria.
• Vasodilator, improves blood circulation to the skin, antibacterial, hypotensive, diuretic.
DY: Fills the interstices; secures the exterior; fluid and mobile.
• With Dang gui to supplement the Qi to strongly engender and transform blood, to effectively supplement the Qi and blood. For the following indications, wine mix-fried Dang gui and honey mix-fried Huang qi should be used. Also, the whole Dang gui root (Quan dang gui) or the body of Dang gui (Dang gui or Dang gui shen) should be used. The dosage of Dang gui for the following indications should be relatively low if there is Qi deficiency and weakness in the middle burner.
- 1. Delayed menstruation (a long cycle), postpartum weakness, agalactia due to Qi and blood deficiency. (Shi Quan Da Bu Tang)
- 2. Low-grade fever caused by blood deficiency. (Dang Gui Bu Xue Tang) Wu Kun of the Ming dynasty said, "When the blood is full, the body is cool. When the blood is vacuous, the body is warm."
- 3. Sores and welling abscesses that do not heal, due to blood and Qi deficiency. (Tou Nong San)
- 4. Numbness of the limbs due to deficient blood not nourishing the sinews.
- 5. Various hemorrhages due to Qi not containing the blood within the vessels. (Dang Gui Bu Xue Tang)
• With Fang feng to supplement the defensive Qi without retaining external evils in the body, to drain external evils without damaging correct Qi and without causing perspiration, to secure the exterior, prevent invasion by external evils, and stop perspiration. This combination appears in Yu Ping Feng San for indications such as:
- 1. Spontaneous perspiration due to exterior deficiency.
- 2. Tendency to contract EPIs frequently due to defensive Qi deficiency.
- Yu Ping Feng San should not be used to treat wind affections that are already established. This combination is too astringent once the evil Qi and the defensive Qi are already struggling. Its use might, in this case, retain the external evil inside the body.
- The pair Fang feng and Huang qi, when combined with Zhi ke, yields good results in the treatment of prolapse of the rectum, external hemorrhoids, flatulence, and abdominal distention. For rectal prolapse, the best approach is to add 3g Fang feng and 6g Zhi ke to Bu Zong Yi Qi Tang.
• With Dang shen to powerfully supplement the Qi, to effectively supplement the Qi of the middle burner and the exterior defensive. For specific indications and notes, see Dang shen in this category.
• With Fu xiao mai to supplement Qi, nourish the heart, clear heat, secure the exterior, and stop perspiration. For indications such as spontaneous sweating due to exterior deficiency. (Mu Li San) Use stir-fried Fu xiao mai.
• With Fu zi for mutual reinforcement, to supplement the Qi and warm the Yang, return Yang, secure the exterior, and stop perspiration. For indications such as cold spontaneous perspiration accompanied by aversion to cold, cold limbs, lassitude of the spirit, a pale tongue with white fur, a fine, weak pulse, and in severe cases, profuse sweating, loss of consciousness, and a minute pulse due to Yang deficiency or Yang collapse.
• With (Han) Fang ji to simultaneously drain and supplement, to support the correct Qi and drain evil Qi at the same time, to regulate the upbearing and downbearing of the Qi mechanism and strongly promote diuresis. For the following indications, the combination is found in Fang Ji Huang Qi Tang:
- 1. Edema due to wind-water with fever, fear of wind, edema predominantly in the upper body and face, joint pain, scanty urination, and a floating pulse. If wind attacks the exterior and blocks the Lung Qi, this causes a disturbance in the Lungs' diffusing and downbearing function. Therefore, because the water passageways are not regulated, dampness is not moved downward. Thus, there is accumulation of dampness in the upper body and edema appears.
- 2. Rheumatic pain due to damp Bi with heavy limbs, joint numbness, and sometimes swollen joints.
- 3. Chronic nephritis and cardiac disease with edema due to Qi deficiency and accumulation of dampness.
• With Mu li to supplement Qi, constrain Yin, secure the exterior, and stop perspiration. For indications such as:
- 1. Spontaneous perspiration due to Qi or Yang deficiency. (Mu Li San) Use calcined Mu li.
- 2. Night sweats due to Yin deficiency. (This combination is appropriate for moderate Yin deficiency. In cases of deficiency fire, this pair cannot be used alone.)
- 3. Spontaneous and nighttime perspiration due to Qi and Yin deficiency. (Mu Li San) Use calcined Mu li.
Huang qi pi is outer bark of Huang qi. It has a greater affinity than Huang qi does for the exterior, and is more potent for securing the exterior, stopping perspiration, disinhibiting urination, and treating edema.
9-60g
Ren Shen
Ginseng root

"Man Root"



























































































































































































































































Ren Shen Lu
Ginseng neck/head


Ren Shen Ye
Ginseng leaf




sweet
sl. bitter
sl. warm
Sp
Lu

(K
Ht)
Powerfully tonifies the source Qi; tonifies Lung Qi; tonifies spleen and stomach Qi; generates body fluids, eases thirst; benefits heart Qi; calms the Shen; slightly nourishes Yin; improves wisdom; the red form (steamed) tonifies Yang.

• Qi collapse (as after severe vomiting, diarrhea, bleeding): cold sweats, shallow breathing, shortness of breath, cold limbs, weak and feeble pulse.
Ren shen can be used alone after severe blood loss.
• Spleen Qi deficiency: fatigue, poor appetite, distended epigastrium, chest, or abdomen, vomiting, chronic diarrhea, prolapse of stomach, uterus, or rectum.
• Lung Qi deficiency: shortness of breath, spontaneous sweating, weak pulse, labored breathing, wheezing (usually also a concurrent failure of the kidneys to grasp the Qi).
• Body fluid injury: thirst, wasting and thirsting disorder, injury of body fluids by high fever and profuse sweats.
• Heart Qi/blood deficiency: palpitations, anxiety, insomnia, forgetfulness, restlessness, lots of dreams.
• Adaptogenic: long-term use makes one better able to deal with stressors (temperature changes, fatigue, infection, etc.).
• Has both stimulatory and sedative effects on the CNS.
• Accelerates transmission of nerve impulses, shortens latency period of nerve reflexes.
• Can improve myocardial utilization of nutrients and cardiac function.
• Increases synthesis of proteins and nucleic acids.
• Diabetes: may lower blood sugar and glucosuria, seems to act synergistically with insulin.
• Cultivated forms of ginseng are called Yuan shen.
• Ginseng cured in rock candy, Bai shen/Tang shen is used for Qi and Yin deficiency patterns, especially for the spleen/stomach.
• The small inexpensive rootlets are called Shen xu.
• Fresh-dried ginseng, Sheng shai shen can nourish Yin, and is similar to Xi yang shen (American Ginseng).
• When cured by steam, ginseng turns red - Hong shen - and is warmer, for Qi and Yang deficiency (can rescue devastated Yang).
• Most Korean ginseng is stronger than Chinese and is usually the red form.
• The white form is generally cooler than red.
• Quality is difficult to determine. One measure is that tap root and all lateral rootlets are intact and unbroken, though others dispute the significance of this factor. Another measure is the straightness of the root (where straighter is better). Size and age are the most general indicators of potency. Wild is considered better than cultivated.
• Because of its expense, the herb is often decocted separately in small amounts of water in a double boiler.
• The antidote for ginseng overdose (with symptoms such as headache, insomnia, palpitations, and a rise in blood pressure) is mung bean soup.
Jin: Use 30-50g alone (especially the red form) to stop bleeding from (spleen) deficiency.
PFGC: Can be used for fevers: where the patient's righteous Qi is constitutionally weak and pathogens are trapped inside.
• Can be used for any deficiency - even with heat or bleeding.
• With Sheng ma, it can drain Lung fire.
• With Fu ling, it can drain kidney fire.
• With Mai men dong, it can boost the pulse.
• With Huang qi and Gan cao, it can lower fever.
• Useful for deficiency pain.
• The imperial herb for slight Yin deficiency with severe Yang deficiency leading to steaming sensations due to the Yin not being able to contain the vital fire.
• Can nourish Yin and produce blood.
• (In the proper context:) it boosts earth to generate metal, brightens the eyes, opens the heart, invigorates mental clarity, nourishes the Jing, supplements the Shen, controls palpitations, resolves thirst, dispels restlessness, opens the channels, boosts the pulse, breaks up accumulations, eliminates phlegm, cures all conditions involving Qi deficiency and blood injury.
• Not for Yin deficiency fire causing asthma and coughing.
HF: Patients with Gu Zheng (Gu parasites) tend to react negatively to Ren shen.
Hsu: Acts synergistically with insulin to lower blood sugar; antidiuretic; lowers blood cholesterol; increases protein synthesis; stimulates sex hormones; cardiotonic.
CHA: (Al Stone, 9-26-2000)
I. Yuan Shen ("Garden Ginseng," meaning cultivated ginseng)

A. Hong Shen ("Red Root") Its color is brown and red. It is slightly transparent. After cleaning, it is steamed two to three hours, then oven dried or sun dried. This is the most common variety of Yuan shen. Its smell is very pleasant, with a slight bitter taste.
B. Bian Tao Shen ("Edge Long Root") Similar to red ginseng in color and quality. It is longer that red ginseng with a greater diameter. Its branch, too is longer and wider. This suggests a better quality medicine than red ginseng. C. Tang Shen ("Sugar Root") First the Yuan shen is placed into boiling water for 3 to 7 minutes, then placed into cold water right away to soak for about 10 minutes, then sun dried. Liu huang (sulfur) is burnt beneath the ginseng to smoke it. The essence of the Liu huang passes into the ginseng via the smoke. This may be a preservative for the ginseng to keep it free of worms. They use a special needle to puncture tiny holes in the root. Then they place the ginseng into highly concentrated sugar water for more than 24 hours. Then the ginseng is placed under direct sunlight to dry it out. Then they beat the ginseng with a wet towel to soften, and repeat the process from the punching of the holes. Once it has been in the sugar water again for 24 hours it is rinsed off and sun- or oven-dried. The color becomes a lighter yellow/white. The smell is pleasant. The taste is sweet and slightly bitter.
D. Bai Ren Shen ("White Man Root") Quality and shape is a kind of like sugar shen. Most of the time it has a good shape (straight) and is very white. It is longer than red ginseng. The ginseng's beard (the long hairy roots at the end of the branches) is short, but very brittle.
E. Sheng Shai Shen ("Raw Sun-dried Root") This kind of ginseng is washed until clean and then partially dried by placing in the sun for one day (one full day of very clear, brilliant sunshine). The next day, it is smoked with Liu huang, possibly as a preservative. Then the sun-drying process is continued until completely dried. The color is mostly yellow, a little brown. It is crisp and lighter now. The smell is pleasant. The taste is bitter.
F. Bai Gan Shen ("White Dry Root") The superficial skin of the root is scratched off. The color is light yellow or white. It is called "white" because it has been made lighter by the scraping of the skin. Quality and shape are similar to Sheng shai shen. G. Qia Pi Shen ("Strangled Skin Root") The method of preparation is similar to Tang shen: Put ginseng into boiling water for 3 min, then remove until cold, then replace into the boiling water. Repeat until the it has been bathed three times. At this point, root will be 30% done. Then, put the it into boiling water for 20 minutes. Remove it, let it cool, and punch tiny holes in it as with Tang shen. Then place it into slightly sweetened sugar water (nowhere near as concentrated as for Tang shen). Then remove and oven dry. This will cause the skin to separate from the meat. Then use a bamboo knife to make small indentations into the root, very superficial. The smell if pleasant. The taste is slightly sweet and slightly bitter as typical ginseng.
H. Da Li Shen ("Great Force Root") Take fresh raw ginseng for several seconds and remove. [sic] Then dry very well beneath the sun (as many days as necessary until fully dry). This is the most natural form of ginseng. This kind of ginseng is not often exported because it has a short shelf life. It is the strongest and least prepared. It has a slightly yellow color and is slightly transparent. The beard and branches are cut off to leave only the best part of the ginseng, however the head is left on for consumers to better assess the quality of the herb. This root is hard and crisp. Smell is pleasant, taste is bitter.
II. Ye Shan Shen ("Wild Mountain Grown Root")
The shape looks like garden ginseng. The body of the root is wider and shorter. Usually there are two major branches to the body, which makes the root look like a body with two legs. In the head you will find numerous concentric wrinkles. The legs tend to be curved, not straight like garden ginseng. The root beard (small rootlets) is much longer than that of garden ginseng - one or two times the length of the "legs" of the root. The beardy roots also have pearly spots on them. This is the biggest difference between wild and cultivated ginseng - them pearly whites. Wild ginseng's color (of the whole body) is a light yellow. The skin of the root is very soft. Its natural smell (before cooking) is stronger than garden ginseng. It is sweet, with a light bitter quality also. The preparation procedures are different. There are three methods of preparation (see above for details): 1. Sheng shai shen 2. Tang shen 3. Qia pi shen
Wild Ginseng of the best quality is very large and juicy, full of liquid. Wrinkles that are small and compact are better than wide and thick wrinkles. Longer head is better than a short one. The more pearls on the beard roots the better.
III. Korean Ginseng [Gao Li Shen or Chao Xian Shen]: Korean ginseng, of course, grows in Korea. It, too, comes in both wild and garden varieties. The more northern, the better, though it is grown in the South as well.
Bei Zhi Shen ("Fork in the Road Straight Root"). Probably named because the herb is a little bigger and the legs resemble a "Y" in the road. These roots have a stronger tonification function.
Production: There is Korean red ginseng and Korean white ginseng. Red is better, stronger than white. Preparation is the same as Chinese ginseng.

SD: Ginseng (Panax ginseng) has been a prominent herb in Chinese medicine for at least twenty centuries. Due to scarcity of the herb at various times, its use has been restricted and substitute herbs have replaced it in certain prescriptions. For example, in China, most prescriptions that would otherwise contain ginseng are made with the less-expensive herb codonopsis.
Classically, ginseng is used to restore vital energy (qi) and to generate fluids (especially for the stomach). A major use was for the recovery from debilitating feverish diseases which parched the body fluids and drained energy. It was also relied upon as a sedative and longevity tonic. Through extensive experience with its use, the number of indications for it increased. The diversity of ginseng actions that were claimed was the basis for its original description as a panacea by Western visitors to China centuries ago. The official genus name, Panax, comes from the word panacea. When Western-style research was initiated in the Orient on a large scale following World War II, ginseng became the primary subject. Its chemical constituents were analyzed, and numerous physiologic actions were determined. These include reduction of stress reaction, normalization of blood pressure and blood sugar levels, increase in endurance, improved mental functions, resistance to disease (and to chemicals and radiation), longer life span, and anti-tumor activities.
Much of the ginseng research during the past few years has done little more than reconfirm previous findings about ginseng's ability to normalize body functions. These general findings are displayed in Appendix 1. Different
dosages, methods of preparation, and testing situations are tried out in some of the recent studies. Sometimes the results appear contradictory, but as the information accumulates, many of the results can be reasonably explained. The current thrust of research is in three areas: immune system actions, cardiovascular effects, and hormonal effects.
IMMUNE SYSTEM STUDIES
At the Institute of Traditional Chinese Medicine in Jilin Province (where ginseng is grown), researchers in the pharmacology department evaluated the effects of ginseng on immune responses. The immune responses of mice were tested with different dosages of ginseng extracts obtained either from the leaf or the root of ginseng. Significant changes in the response of the reticuloendothelial (RES) system were found,especially with moderate doses of the root extracts. Larger doses did not improve the response. RES cells are the immune system components that devour foreign organisms without leaving their original sites in the liver, spleen, and other tissues of the body. When tumors were implanted in mice, the response of the immune system was notably improved by the ginseng extracts and this caused a reduction of tumor weight by 1/3 to ½. Levels of antibodies in the blood were also significantly increased when the mice, injected with foreign blood cells, had received ginseng pre-treatment. In these experiments, ginseng was administered daily for five to ten days prior to testing the immune system responses. In human patients undergoing cancer therapies with radiation or chemical agents, it was shown that the anti-cancer effects of these therapies were increased. Ginseng administration accelerated recovery of the immune system and the function of the bone marrow (producing red blood cells) in these patients. As a result of these investigations, ginseng extracts are now used to treat patients with chronic hepatitis (who often suffer further depression of immunity due to steroid treatment) and those who have undergone cancer therapies.
A distant relative of ginseng, eleuthero ginseng (Eleutherococcus senticosus), is used in Chinese hospitals to treat cancer patients undergoing chemotherapy. It protects the immune system and is used in the Soviet Union as a preventive for colds and flu.
THE HORMONAL SYSTEM
It was established by modern research in the 1970's that ginseng relieves stress on the adrenal glands. It has recently been proven that both ginseng and deer antler, a Chinese health tonic often combined with ginseng, affect luteinizing hormone (LH). In laboratory experiments at the Department of Physiology at Jianxi Medical College, animals were given ginsenosides from ginseng and the active fraction from deer antler. Luteinizing hormone secretion increased dramatically, about ten fold. This hormone influences the menstrual cycle in women and it stimulates testosterone secretion in men. Ginseng and antler extracts were also shown to increase testosterone secretion in males; this can help overcome impotence and will have an influence on muscular development. In the laboratory experiments, a 45"“ 90% increase in testosterone levels was found. Ginseng and deer antler have been used for centuries in Chinese remedies for menstrual disorders and for male impotence; this research confirms their efficacy. Luteinizing hormone is produced by the pituitary gland, so it is proposed that ginseng and deer antler ingredients do not have a direct hormonal action but instead influence the production of hormones by the body. In Italian studies of ginseng activity on the glands and hormone secretions in mice, the findings suggested that ginseng has a strong influence on the hypothalamus and pituitary glands, and that the adrenal effects of ginseng that are often noted were linked to these glands. Ginseng extracts of varying strength were given to normal rats and to rats who had their adrenal cortex removed. Based on the biochemical and histological evaluation of their spleen, liver, thymus, and other organs, it was suggested that ginseng induced the pituitary to release ACTH (a steroid hormone also produced by the adrenal cortex), which influenced the functions of the organs. It is generally agreed by researchers today that ginseng exerts its effects on what is called the "pituitary, hypothalamus, adrenal axis." The term indicates the coordinated functions of these three glands in regulating metabolism, response, and homeostasis. Furthermore, this set of interacting glands may have been indirectly recognized for centuries by the Chinese as a functional unit influencing stress, aging, sexual function, and overall vitality. In the translation of Chinese medical terminology to Western terminology, this functional unit has been assigned to the "kidney." Hence, one hears Chinese medical specialists frequently speaking of kidney functions we never otherwise associate with the kidney. In fact, the functional unit appears to rely heavily on the pituitary, hypothalamus, adrenal axis. As a result of the hormone research, we have a clearer picture of the ancient science of Oriental medicine. The hormonal effects are usually noted with higher dosages of ginseng. In one of the Swiss studies of athletes using relatively low ginseng dosage (equal to 1.0 grams of ginseng per day), hormone levels were monitored and no significant change was observed. Studies demonstrating a strong hormonal effect used the equivalent of about 3.0 grams per day of ginseng. During a double-blind study of the effects of ginseng conducted by the Institute for Traditional Medicine in the U.S., it was noted that large doses of ginseng (3.0"“4.5 grams per day) appeared to influence the menstrual cycle of women. Reports of altered cycle length or change in bleeding pattern during menstruation were made by 29% of the women receiving ginseng daily for three weeks. For the purpose of regulating menstruation, ginseng is usually combined with tang-kuei and other Chinese herbs, and not used alone.
CARDIOVASCULAR IMPACT
Until recently, Chinese dogma held that ginseng was to be reserved for those who were ill and for those who are showing the effects of aging. Korean and Japanese experience, however, suggests that ginseng can be taken everyday as a preventive health tonic. Now, research shows clearly that one need not be ill to use ginseng: even the healthiest among us may have cause to use it. Athletes, whether beginning joggers or Olympic contenders, agree that ginseng helps them overcome the strain and drain of exercise. A recent Swiss study conducted by Dr. Anton Kirchdorfer shows how ginseng helps. Thirty athletes were given exercise tests on a programmed exercycle to assure a specific level of muscle work. The heart rate and lactate concentration in the blood was measured before, immediately after, and for several minutes following the exercise. Strong exertion for eight minutes raised the athletes heart rate from an average value of about 70 to 155. During recuperation, their heart rate slowly returned to normal over a period of about 20 minutes; their heart rates fell below 100 after 4"“5 minutes. The athletes were then given ginseng daily for 9 weeks. The material used was a standardized extract of active constituents called "ginsenosides." The tests were conducted again, using the same amount of exercise. Their pulse rates this time increased to only 140, and during recuperation their heart rates fell below 100 within just 3 minutes, and were back to normal in 5 minutes. Lactate (the by-product of muscular oxygen utilization that causes pain following exercise) was measured during the same tests. Before using ginseng, the lactate levels of the athletes increased from 2.0 before exercise to 10.5 afterwards, without returning to normal levels even after 20 minutes. Following 9 weeks of ginseng administration, lactic acid levels only reached 6.2 at their highest point, and decreased to normal in about twenty minutes. The lower heart rate and quicker return to normal suggests improved oxygen utilization and faster clearance of lactate. Additional measurements taken during this same research program demonstrated that reaction time was improved and pulmonary function was greatly enhanced. The effects of ginseng given for 9 weeks persisted for about three weeks after ginseng use was ceased. This persistence of herbal effects following long-term administration has been shown with other herb products. Traditionally, herbalists recommend a short break of one to two weeks when patients are using herbs for an extended period of time. This may be one way of getting the maximum advantage of the herbs used. The findings in this Swiss research are consistent with a previous double-blind study using the same ginseng extracts with 120 members of sports clubs. In that study, conducted by I. Forgo in Switzerland, significant improvements in pulmonary function, reaction time, and overall vitality (as self-evaluated) were found. These effects were especially noted in the 40"“60 age group, less so in the 30"“40 age group. The study lasted 12 weeks. The results obtained with athletes confirm laboratory animal studies that have been conducted in the past. Animals forced to perform vigorous exercise utilized less of their stored glycogen, fatigued less quickly, and generally performed better if they were first administered ginseng. Ginseng has been shown to increase the time which animals could keep up vigorous exercise by as much as 100%. Athletic-oriented research was conducted in China with tien-chi ginseng. Tien-chi ginseng is a close relative to ordinary ginseng, but it grows in a different climate, produces a harder root, and has somewhat different active constituents. The following is a summary of findings: 1. Under usual circumstances, pulse rates of weight lifters the morning after a day of intensive weight lifting did not return to normal levels. If they took tien-chi ginseng, on the other hand, their morning pulse did return to normal. 2. The pulse rate of swimmers following a medium-load training session was about 170, and after 2"“3 minutes rest, it was reduced to about 120. But if tien-chi ginseng was taken, the pulse right after swimming only reached about 125, and returned to normal rates (about 70) after 2"“3 minutes. 3. Differences between those not taking tien-chi ginseng and those taking tien-chi ginseng increased as use of the ginseng was continued over a longer period of time. The experiments were continued for 7 weeks (compared to 9 and 12 weeks for the Swiss studies). The study results with Panax ginseng and tien-chi ginseng are clearly similar to each other; further, they are similar to those obtained by Soviet researchers with eleuthero ginseng. Eleuthero ginseng is a distant relative of these plants; it is a woody shrub, with significantly different chemical constituents, but is used in much the same way as Panax ginseng. Soviet athletes regularly use eleuthero ginseng extract as a health tonic. With regard to oxygen consumption, these three types of ginseng have all been successfully tested in the treatment of oxygen deficit among Chinese workers transferred to the high plateau of Tibet (average altitude: 14,000 feet). This application follows up laboratory animal studies measuring response and survival rate of animals subjected to very low pressure atmosphere. Thus, it does not seem to be a critical concern as to which kind of ginseng is used for this purpose. Some athletes prefer to use several types of ginseng at once. Tien-chi ginseng has the advantage of resolving bruises and other injuries that often occur during sports activities, so it may be especially useful to those just starting an exercise program and those involved in more vigorous sports for that reason. It is gratifying for researchers to see human trials yielding results similar to those obtained during laboratory animal tests; this suggests that the models used in the laboratory were properly chosen.
THE ACTIVE CONSTITUENTS OF GINSENG
One problem with earlier ginseng research is that each scientist might utilize a different quality of ginseng and there may be no data indicating the content of the material that was used. Today, there are established chemical assays to assure that ginseng used in studies is of good quality. In fact, for the purpose of scientific precision, most researchers are using standardized ginseng extracts (the amount of selected active ingredients are standardized). Nearly all ginseng researchers claim that ginseng's actions are attributable to the combined effect of its glycoside components called ginsenosides (they were previously called panaxosides). These components have a structure similar to steroid hormones, but as indicated by research cited above, they do not have a direct hormonal action; rather, they influence the production of hormones. Eleutherosides, the glycoside components found in eleuthero ginseng, generally do not have a steroid structure. There are at least ten ginsenosides present in Panax ginseng and tien-chi ginseng in quantities that can have a notable physiologic effect. Eleuthero ginseng contains at least seven eleutherosides. If the ginsenosides are isolated individually and tested in laboratory animals, it is found that each has a somewhat different, and sometimes opposite effect. The balancing action of ginseng"”for example, lowering blood pressure in those with hypertension and raising blood pressure in those with hypotension"”is thought to be due to the complex interaction of different glycoside effects. Thus, to get the desired balancing action of ginseng, it is necessary to utilize the complete set of glycosides. Depending upon the species of ginseng and other factors, its content of glycosides ranges from about 4% to 12% (tien-chi ginseng has the highest levels). White ginseng has the lowest levels of ginsenosides because, during the drying process, enzymes in the ginseng roots break down these active ingredients. Red ginseng is prepared by a steaming process that prevents this breakdown of constituents. Ginsenoside content, both total amount and distribution amongst the different types of ginsenoside, is used as a measure of ginseng quality. Chinese researchers working with flowers of eleuthero ginseng at the Department of Pharmacology, Shanghai College of Traditional Chinese Medicine, demonstrated that the oil fraction had a high activity in reducing stress. Laboratory animals exposed to low oxygen environment or high levels of physical activity performed much better if they received eleuthero flower oil than if they did not. Thus, the oil components, which are different than the glycosides, may be of importance. All parts of the ginseng plant contain a small amount of oils. Furthermore, polysaccharides have been isolated from ginseng and eleuthero ginseng. These components are valuable in enhancing immune system functions. Polysaccharides of similar nature found in medicinal mushrooms such as ganoderma and shiitake, and in Chinese herbs with actions similar to ginseng, such as astragalus, have all been shown to boost weakened immune responses. It is important to note that the same polysaccharides that enhance immune responses also tone down aberrant immune responses associated with autoimmune diseases. Interestingly, a plant unrelated to ginseng, Gynostemma pentaphyllum, was recently shown to contain several ginsenosides. This plant has become an important therapeutic agent in China during the 1990's, being used to help improve immune system functions in cancer patients. The clinical benefits of this herb suggests that the ginsenosides are the most important of the immune-enhancing agents in ginseng.
From the information presented above, it should be evident that ginseng is to be taken for a period of time before one expects to see substantial results. Some people experience immediate effects, but in general, the use of a ginseng product should continue for at least one week to one month before one looks for notable changes in health and performance. A two to three month period of use may be ideal. Nearly everyone can use ginseng, but experienced Chinese herbalists recommend that persons with the following conditions do not use ginseng except under the advice of a professional: persons with extremely high blood pressure, those who tend to get spontaneous nose bleeds, women with excessive menstrual bleeding, and persons who experience a hot and dry feeling frequently. Ginseng is one of the few Oriental herbs that can be used by itself with good results. However, outside of Korea, where it is frequently used as a single herb remedy, ginseng is most often used in combination with other herbs.
Effects of Ginseng from Earlier Research Studies
Blood Pressure: hypertension patients experience a reduction of blood pressure using low to moderate doses of ginseng; hypotensive patients experience an increase of blood pressure using moderate to large doses of ginseng.
Blood Sugar: diabetic patients experience some lowering of blood sugar with prolonged use; at least one month.
Central Nervous System: calming action in cases of insomnia in low dosage, stimulant action in cases of lethargy, poor digestion, chill, and mental dullness in larger doses.
Stress: reduces stress reaction, including depletion of vitamin C, glycogen, and protein, and preserves life against many physical (e.g., temperature, low oxygen, radiation), chemical (e.g., liver toxins), and biological (e.g., viral) stresses.
Active Constituents of Ginseng
Panaxosides and Eleutherosides: these are glycosides that have been intensively studied. They seem to have many of the central nervous system and cardiovascular effects.
Polysaccharides: these are highly branched chains of sugar molecules; they appear to have a normalizing effect on immune system functions.
Phenolic Compounds, other complex alcohols, and organic acids: these have been recently studied; it is suggested that they contribute an anti-aging effect and reduce fatigue.
Fixed and Volatile Oils: these have an anti-stress effect and are sedative in nature.
Vitamin and Mineral Components: ginseng contains B vitamins and a number of minerals; however, it is unlikely that the amounts contained in the average daily dose of ginseng have much health impact. Nonetheless, ginseng can be classified as a nutritious food. Some authorities believe that ginseng was originally eaten raw or in soups as a food which provided energy and quenched thirst.

1-9g (or more for shock) For Qi collapse, cook 30-60g for one hour and drink

Ren Shen Lu: the neck/head of root
• Mild emetic (rare use): used to induce vomiting to eliminate phlegm for epilepsy.
• Also for food stagnation and phlegm with deficiency.

Ren Shen Ye: the leaf
• Bitter, slightly sweet, cold.
• Clears summer-heat; generates body fluids.
• Treats deficiency heat/fire.
• Summer-heat with thirst.
• Injury to fluids from febrile disease.
• Lung heat: hoarseness.
• Stomach Yin deficiency fire: toothache.
• Drunkenness.
Shan Yao
Dioscorea
Chinese Yam

"Mountain Herb"
sweet
sl. astringent
neutral
Lu
Sp
K
Tonifies spleen, stomach, Lung, and kidney Qi and Yin; slightly controls body fluids; benefits both the Yin and the Yang of the Lungs and kidneys.

• Spleen Qi deficiency: poor appetite, loose stool, fatigue, spontaneous sweating.
• Lung Qi/Yin deficiency: cough, difficulty breathing.
• Kidney Qi deficiency: seminal emission, copious leukorrhea, frequent urination.
• Slowly lowers blood sugar.
• For diabetes (Lung, stomach, kidney Qi deficiency or Qi and Yin deficiency): up to 250g per day, decocted and taken as a tea.
• Powder and make into jook to build spleen Qi and appetite.
• Use raw to tonify the Yin, dry-fry to strengthen the spleen.
• In some damp patients, Shan yao's astringent quality contraindicates its use.
Li: Useful for nasal dripping - astringes.
PLB: Recent studies indicate that orally consumed diosgenin is not converted to progesterone in the human body. Does not have hormonal effects.
Yoga: Aluka: V, P-; K+ (in excess)
• Nutritive tonic, aphrodisiac, rejuvenative, diuretic, antispasmodic, analgesic.
• For impotence, senility, hormonal deficiency, infertility, colic, nervous excitability, hysteria, abdominal pain, cramps.
9-60g (up to 250g/day for wasting and thirsting disorder)
Tai Zi Shen
Pseudostellaria
root

"Prince Root" or "Child Root" or
"Son of the Emperor Root"



sweet
sl. bitter
neutral
Sp
Lu
Tonifies Lung Qi and spleen Qi; produces body fluids.

• Spleen and Lung Qi deficiency: poor appetite, fatigue, palpitations, spontaneous sweating.
• Lung Yin deficiency: cough and thirst.
• Thirst and injury to fluids after a febrile disease.
• Unrelenting fever or summer-heat in children.
• Used with Wu wei zi to treat "neurasthenia": fatigue, lassitude, depression, anxiety, etc.
• Similar to Xi yang shen, but gentle - weaker than Xi yang shen at tonifying both Qi and Yin.
• Can often be used as a substitute for Ren shen, especially in cases of liver Yang rising.
• Contraindicated for use with Li lu.
MLT: Very similar to Starflower (Trientalis borealis) of the Pacific Northwest United States.
9-30g
Yi Tang
Maltose
Grain Malt extract









sweet
warm
Sp
Lu
St
Tonifies spleen Qi; relaxes the muscles to relieve pain; moistens the Lungs; stops coughing.

• Spleen Qi deficiency (including by overexertion): poor appetite, fatigue, shortness of breath.
• Lung Yin deficiency: dry, nonproductive cough, difficult or slow, labored breathing, weak voice.
• Spleen cold and Yang deficiency: abdominal pain (relieved by warmth and pressure), excessive salivation, pale tongue, white coating, deep, slow pulse.
• Not usually a chief herb for Qi tonification. Used to make a formula taste better.
• Weaker than Gan cao at relaxing the muscles to relieve pain.
• Compared to Dang shen, while Dang shen can be used for a deficiency-induced cough with profuse sputum, Yi tang is indicated more for a non-productive deficiency-induced cough.
• Contraindicated with vomiting, abdominal distention due to damp-heat, phlegm-heat cough, infant malnutrition.
• Preparation: barley malt is cooked with rice flour (glutinous or non-glutinous) or wheat flour.
• Rich in minerals.
• Dissolve in a strained decoction at the very end of cooking.
CDT: Made from grains such as glutinous or non-glutinous rice, wheat, millet, barley, maize, through fermentation.
• Performs functions listed above plus detoxifies.
• Spleen and stomach deficiency with loss of appetite, fatigue, abdominal pain: decoct with cinnamon twig, common peony, ginger, dates, licorice.
• Lung deficiency with dry cough, sore throat, shortness of breath: take Yi tang alone or steamed with turnip juice until it melts.
• Poisoning or unwanted reaction caused by overdose of Fu zi or Wu tou: take Yi tang immediately.
• Taken chewed, sucked, or decocted.
30-60g




Yang Tonics

• These herbs are generally contraindicated in cases of hyperactive Yin deficiency fire. Most are contraindicated when an excess, exterior, or heat condition exists. Compared to the category of herbs that warm the interior, Yang tonics are mostly sweet, many slightly nourish Yin, and most are slower acting than the interior-warming herbs to activate Yang. Herbs that warm the interior may be used for excess cold, can restore collapsed Yang, are mostly hot and acrid, and mainly activate but do not so much tonify Yang.
• Yang tonics are often combined with a small amount Yin nourishing herbs to give the Yang some substance to "cook" or "cling to." (The formula Jin Gui Shen Qi Wan is a good example of this principle, though it utilizes Interior Warming herbs [Fu Zi, Rou Gui] instead of Yang tonics.)
Ba Ji Tian
Morinda root
acrid
sweet
sl warm
K
Lv
Tonifies kidney Yang (without blocking Qi); eliminates wind-damp (including in the bones); strengthens sinews and bones.

• Kidney Yang deficiency: impotence, frequent urination, infertility (male or female), irregular menses, premature ejaculation, urinary incontinence, cold and pain in the lower abdomen, weak and sore lower back, muscular atrophy.
• Kidney Yang deficiency plus attack of wind-damp: weakness or pain in the lumbar region, knees, backs of the legs; bony Bi.
• Best used for cases of Yang deficiency with cold-damp.
Hsu: Antibacterial, hypotensive, has effects resembling those of cortical hormones.
6-15g
Bu Gu Zhi
Psoralea fruit

"Tonify Bone Resin"














acrid
bitter
v. warm
K
Sp
Tonifies kidney Yang; controls Jing and urine; tonifies and warms spleen Yang, stops diarrhea; helps the kidneys grasp the Lung Qi.

• Kidney Yang deficiency: impotence, cold and pain in the lumbar region and knees, weak lower back and extremities, premature ejaculation; frequent urination, urinary incontinence, enuresis, nocturnal emissions without dreams.
• Spleen Yang deficiency (usually with kidney Yang deficiency): severe, chronic diarrhea, borborygmus, abdominal pain.
• Kidneys fail to grasp the Lung Qi: wheezing.
• This herb can be hard on the stomach, but is still sometimes used cautiously for cold deficiency of the stomach.
• Topical: alopecia, psoriasis, vitiligo (especially in combination with UV light), fungus.
• May dilate coronary vessels.
• With Chi shi zhi, it can stop menorrhagia.
Bu gu zhi's kidney-tonifying properties are more pronounced than its spleen-warming qualities. The opposite is the case with Yi zhi ren.
• Crush before using.
Jin: Modern research shows hormonal (estrogen-like) effects.
• Uses in acne formula.
DY: Strengthens true Yang; warms the cinnabar field.
• With Hu tao ren to supplement metal and water, to effectively constrain the Lung Qi and promote the intake of Qi by the kidneys, stop cough, and calm asthma. For the following indications, salt-processed Bu gu zhi should be used:
- 1. Cough, dyspnea, and asthma due to kidney Yang deficiency.
- 2. Lumbago, impotence, seminal emission, constipation, frequent and abundant urination, and enuresis due to kidney Qi deficiency.
• With Rou dou kou to supplement spleen and kidney Yang, secure the intestines, and stop daybreak or "cock-crow" diarrhea. For indications such as:
- 1. Chronic diarrhea due to spleen-kidney Yang deficiency. (Si Shen Wan) Use salt mix-fried Bu gu zhi and roasted Rou dou kou.
- 2. Daybreak diarrhea with abdominal pain and rumbling noises due to spleen-kidney Yang deficiency. (Er Shen Wan)
Bu gu zhi is incompatible with pork blood.
Hsu: Dilates coronary arteries, stimulates the heart, increases rate and function.
• Antibacterial (tuberculosis).
• External use promotes production of melanin - used to treat calluses and warts.
• May have anti-cancer effects - inhibits artificially-induced tumors.
• Therapeutic action against Tinea versicolor and psoriasis.
3-9g
Dong Chong Xia Cao
Cordyceps mushroom
(and, traditionally, the carcass of the caterpillar it parasitized)

"Winter Bug Summer Herb"







Jin Chan Hua
Cordyceps on Cicada
sweet
warm
K
Lu
Tonifies Lung Yin and kidney Yang; stops bleeding; resolves phlegm.

• Kidney Yang deficiency: impotence, seminal emission, weak and sore lumbar region, knees, and lower extremities.
• Lung Yin deficiency: asthma and cough with bleeding, chronic bronchitis, pulmonary tuberculosis, consumptive cough with blood-streaked sputum.
• Because it tonifies both Yin and Yang and is a very safe substance, it can be taken over a long period of time.
• Often cooked with duck (or other meats) for a stronger tonic effect.
• Doctrine of signatures: for impotence - this mushroom (after invading the insect's body with its mycelia) bursts forth from the caterpillar's head.
• Different species of cordyceps fungi parasitize hundreds of different insects and also decaying wood. Dong chong xia cao is specifically the species that grows on the caterpillar or pupa Hepialus varians. The whole caterpillar-mushroom combination is very expensive. High quality, more affordable lab-grown fungus is now widely used.
Hsu: Bronchodilator, sedative, antibacterial, antifungal.
4.5-12g

Jin Chan Hua: Cordyceps sobolifera - Cordyceps growing on Cicada.
• Tonifies Lungs, improves vision.
• Kamto Lee: Specific guiding herb for lung cancer.
Du Zhong
Eucommia bark



sweet
warm
Lv
K
Tonifies the kidneys and liver, strengthens tendons and bones; holds and calms the fetus; promotes smooth circulation of Qi and blood.

• Kidney and liver deficiency: weak, sore lumbar region and knees, Wei syndrome, fatigue, frequent urination.
• Kidney and liver deficiency: threatened or habitual miscarriage, restless fetus; cold deficient kidney patterns with bleeding during pregnancy.
• Liver/kidney Yang deficiency cold: impotence, frequent urination.
• Lowers blood pressure: for hypertension, dizziness, lightheadedness from liver Yang rising.
• Compared to Xu duan, Du zhong is more effective when the problem is due primarily to deficiency, while Xu duan is used more to treat lower back pain with significant aspects of both wind-damp and kidney deficiency.
• Fry in salt water to increase kidney-tonification properties.
Hsu: Hypotensive - the fried herb is more potent, and the decoction is better than the tincture.
• Analgesic.
• Can decrease absorption of cholesterol.
DY: Secures the Chong Mai.
• The major herb to treat lumbar pain. Can be used for all types - excess or deficiency, hot or cold - when combined appropriately with other herbs.
• With Xu duan for mutual reinforcement, to supplement the liver and kidneys, strengthen the sinews and bones, stop metrorraghia during pregnancy, and quiet the fetus. For indication such as:
- 1. Aches and pains, stiffness, lumbar pain, and weakness of the lower limbs due to kidney-liver deficiency. (Du Zhong Wan) Salt mix-fry both herbs.
- 2. Knee and lumbar pain due to wind-dampness.
- 3. Metrorrhagia during pregnancy and threatened miscarriage accompanied by lumbar pains due to kidney deficiency. (Salt mix-fry both herbs.)
- 4. Traumatic lumbar pain. (Qian Jin Bao Yun Dan) Use salt mix-fried Du zhong and wine mix-fried Xu duan.
Du zhong is more powerful than Xu duan at supplementing the liver and kidneys, strengthening the sinews, bones, and lumbar area. But Xu duan promotes circulation within the vessels, dispels blood stasis, and knits together fractured bones and torn ligaments.
6-15g
E Guan Shi
Tubular Stalactite tip

"Goose Neck Stone"
sweet
warm
Lu Strengthens Yang; transforms phlegm; descends Qi; benefits Qi; promotes lactation.

• Yang deficiency with phlegm: cough and wheezing, emphysema.
• Insufficient lactation.
• Doctrine of signatures: its ability to direct Qi downward is indicated by its consistent downward growth.
• Crush or powder before use.
• Excessive or prolonged use can stagnate stomach Qi.
• Bensky/Gamble: In most cases this herb is fossilized Balanophylla species (coral).
• Contraindicated in cases of wheezing with blood.
• Cook 30 minutes longer than other herbs.
9-30g
Ge Jie
Gecko
salty
neutral
Lu
K
Tonifies Lung Qi and kidney Yang; nourishes Jing and blood.

• Lung Qi deficiency: cough.
• Kidney Yang deficiency (fails to grasp the Lung Qi): asthma.
• Also for a combination of the two above syndromes, and consumptive cough, blood streaked sputum.
• Kidney Yang deficiency: impotence, daybreak diarrhea, frequent urination.
• Often made into a tonic wine - commonly using one male and one female gecko.
• The tail is considered the most effective part.
• The head and feet are usually not used in decoctions.
Joe Coletto: May counteract the destructive effect of steroids on the adrenals.
3-7g directly as powder or 9-15g in decoction
Gou Ji
Cibotium
 rhizome

"Dog Spine"
bitter
sweet
warm
Lv
K
Tonifies the liver and kidneys; strengthens the lumbar region and knees, sinews and bones; eliminates wind-damp; stabilizes the kidneys.

• Liver and kidney deficiency: stiffness, soreness, weakness of the knees, feet, lower back, spine, and lower extremities.
• Wind-cold-damp obstruction: pain, soreness, numbness; also swelling of the legs.
• Kidney deficiency: urinary incontinence, vaginal discharge.
• Similar to Du zhong, but milder to tonify the kidneys and liver.
• Compared to Ba ji tian, this herb is drier.
4.5-15g
Gu Sui Bu
Drynaria rhizome

"Mender of Shattered Bones"
bitter
warm
Lv
K
Promotes bone and sinew regeneration; promotes blood circulation; tonifies the kidneys; stop bleeding; stimulates hair growth.

• Kidney deficiency: lumbar pain, weak feet, lumbar region, knees, tinnitus, poor hearing, toothache, bleeding gums, chronic diarrhea.
• Traumatic injury: falls, fractures, contusions, sprains. Especially good for ligamentous injuries and simple fractures. Also used to help regain strength during the convalescent phase following injuries.
• Topical (tincture): for hair loss/alopecia, corns, warts (soak 100g herb in 1 L white wine for at least a week).
• Stronger than Xu duan at promoting blood circulation, but weaker at tonifying the liver and kidneys.
• Treats adverse effects of streptomycin in patients with a sensitivity to it: headache, dizziness, numbness of the tongue, tinnitus, hearing loss.
6-18g
Hu Lu Ba
Fenugreek seed
Trigonella












bitter
warm
K
Lv
Warms the kidneys; disperses damp and cold, alleviates pain; increases lactation.

• Kidney Yang deficiency with cold accumulation or stagnation Qi: abdominal or flank distention and pain or hernial disorders.
• Cold-damp leg qi: soreness, numbness, weakness, edema.
• Prevents and treats mountain sickness (in studies, was effective in about 1/3 of the subjects).
• May be useful in some forms of insomnia.
K&R: Hypoglycemiant, adrenal cortex stimulant, digestive tonic, lymphatic detergent, improves digestive absorption, eliminates intestinal mucus.
• Earth yin, metal yin.
Earth: digestive aid, hypoglycemiant, good for emaciation.
Metal: neuromuscular stimulant, good for emaciation (including diabetic), malnutrition, anemia, frigidity, impotence.
Water: impotence, frigidity, lumbar pain, dysmenorrhea.
• Opera singers used for centuries to clear excess phlegm from the throat.
• Claimed equal to quinine in preventing fever.
• Topical: for cellulitis.
• Chronic prostatitis, impotence.
BII: May lower blood lipids (LDL, VLDL and trigylcerides): atherosclerosis.
• Diabetes: may improve glucose tolerance.
Yoga: Methi: bitter, pungent, sweet/heating/pungent; V, K-; P+
• Stimulant, tonic, expectorant, rejuvenative, aphrodisiac, diuretic.
• Hypo-function of the liver, seminal debility, dysentery, dyspepsia, chronic cough, allergies, bronchitis, flu, convalescence, dropsy, toothache, neurasthenia, sciatica, arthritis.
• Take gruel to improve milk flow and hair growth.
• Use paste for boils, ulcers, non-healing sores.
• Caution in pregnancy.
PCBDP: Trigonelline significantly inhibits liver carcinoma in mice, is used in China for cervical cancer.
3-9g
Hu Tao Ren
(Hu Tao Rou)
Walnut (nut)

"Barbarian Peach Pit"
sweet
warm
K
LI
Lu
Tonifies kidney Qi, strengthens the back and knees; warms the Lungs, tonifies Lung Qi; helps the kidneys grasp the Lung Qi; moistens the large intestine, unblocks the bowels.

• Kidney Yang deficiency: weak, cold, painful lumbar region, feet, knees, frequent urination.
• Lung cold and Qi deficiency: cough, asthma.
• Lung and kidney deficiency: wheezing.
• Large intestine dryness: constipation, especially in the elderly or that from injured fluids following a febrile disease.
• Also used to dissolve/expel urinary stones.
• Use as a paste for contact, seborrheic, and atopic dermatitis.
• Its function to tonify Yang is very mild.
• The skin of the nutmeat is astringent. Eat this in order to help the kidneys grasp the Lung Qi. To promote bowel movement, remove this skin.
Jin: Eat in pregnancy for constipation. Also helps the baby's brain develop.
DY: Invigorates Yang; calms or levels asthma; warms and supplements the life gate.
• With Bu gu zhi to supplement metal and water, to effectively constrain the Lung Qi and promote the intake of Qi by the kidneys, stop cough, and calm asthma. For the following indications, salt-processed Bu gu zhi should be used:
- 1. Cough, dyspnea, and asthma due to kidney Yang deficiency.
- 2. Lumbago, impotence, seminal emission, constipation, frequent and abundant urination, and enuresis due to kidney Qi deficiency.
9-30g (eaten)
Jiu (Cai) Zi
Allium seed
Chinese Leek
acrid
sweet
warm
Lv
K
Tonifies kidney Yang; controls Jing; warms the stomach, stops vomiting.

• Kidney Yang deficiency: impotence, weakness, cold and pain in lumbar and knee, urinary incontinence.
• Kidney Qi deficiency: seminal emission, frequent urination, copious leukorrhea.
• Stomach cold: vomiting.
• Must crush before use.
3-9g (decoctions, pills, and powders)
Lu Jiao Jiao
Gelatin of Mature Deer Antler









Lu Jiao Shuang
Antler dregs
sweet
salty
sl warm
Lv
K
Tonifies liver blood and kidney Jing; stops bleeding.

• Kidney Yang deficiency: intolerance to cold, cold extremities, impotence, seminal emission, infertility, frequent urination, dizziness, weak lumbar region and knees, fatigue.
• Kidney Yang deficiency cold: hematemesis, epistaxis, hematuria, uterine bleeding.
• Non-healing Yin-type carbuncles.
• Do not cook - melt into a warm decoction or yellow wine.
• Can be combined with Chen pi to counteract its greasiness.
Li: Strong blood tonic, great for chemotherapy patients.
6-12g

Lu Jiao Shuang: the dregs left over after boiling Lu jiao jiao
• Sweet, slightly warm.
• Much weaker than Lu rong to tonify Jing and blood, but has a stronger retaining effect.
• Mainly for cold deficient uterine bleeding and vaginal discharge.
• Topical: to stop bleeding.
Lu Rong
Deer Antler
(young velvet)


















Lu Jiao
Mature Antler





sweet
salty
warm
Lv
K
Tonifies kidney Yang; slightly nourishes kidney Yin; nourishes Jing and blood, supports the brain; strengthens tendons and bones; tonifies the Du Mai (governing vessel); regulates the Chong Mai (penetrating vessel) and Ren Mai (conception vessel), and stabilizes the Dai Mai (girdle vessel).

• Kidney Yang deficiency: intolerance to cold, cold extremities, impotence, seminal emission, infertility, frequent, clear urination, dizziness, sore and weak lumbar region and knees, fatigue, lightheadedness, tinnitus.
• Jing and blood deficiency: mental and physical retardation or deformity, weak tendons and bones, failure to thrive, learning disabilities, insufficient growth, Down's syndrome, rickets - especially in children.
• Kidney Yang deficiency with cold in the Chong, Ren, and Dai Mai: copious leukorrhea, uterine bleeding, infertility with a cold womb.
• Qi and blood deficiency: chronic ulcerations or Yin-type boils (those that are concave, ooze a clear fluid, and do not heal).
• Diuretic.
• Doctrine of signatures: the antler is an extension of the deer's Du Mai.
• It is important to start with a low dose and slowly increase it. If too much is taken at the beginning, the Yang can rise, leading to internal wind with dizziness and red eyes, or it can injure the Yin, leading to deficiency fire and even hemorrhage.
• Antler products are generally too valuable to cook. Take as powder or in wine.
• All antler products are contraindicated in cases of Yin deficiency heat.
• Contains pantocrinum: can regulate arrhythmias, improve poor circulation, increase work capacity, improve sleep and appetite, decrease rate of muscle fatigue.
MW: Lyme disease is caused by the same spirochete which lives on deer and stimulates their antlers to grow.
Hsu: Raises RBC count and hemoglobin, promotes growth and development, cardiotonic, increases uterine tonicity.
1-3g (take directly, divided into two or three doses over the course of the day)

Lu Jiao: 2-3 year old antler
• Salty, warm; enters liver and kidney.
• Weaker than Lu rong to tonify, but also promotes blood circulation, reduces swelling.
• Good for kidney Yang deficiency with blood stagnation.
• Non-healing fractures.
• Toxic sores and swellings.
• Breast abscesses.
• Pain from blood stasis and deep pain in the lower back.
5-10g
Rou Cong Rong
Cistanche stem
Broomrape
sweet
salty
warm
K
LI
Tonifies kidney Yang; moistens the large intestine, promotes bowel movement; warms the womb.

• Kidney Yang deficiency: impotence, infertility, weakness and cold pains in the lumbar region and knees, urinary incontinence, posturinary dripping, spermatorrhea.
• Large intestine dryness: constipation .
• Deficiency cold womb: infertility, excessive uterine bleeding, vaginal discharge.
• Stronger than Ba ji tian to tonify Jing and blood and to moisten the large intestine.
• Sticky, but not greasy - a large dose will not hurt the spleen.
• Tonifies the Yang yet is not drying; its effects are moderate.
• Treated with salt for frequent urination or spermatorrhea.
• Increases secretion of saliva.
• Currently in protected status. Becoming increasingly difficult to find in U.S.
Jin: Tonifies both the kidneys and spleen. Not drying like some other Yang tonics.
Hsu: Laxative, hypotensive.
9-21g
Sha Yuan Ji Li
(Sha Yuan Zi,
Sha Ji Li)
Astragalus seed
sweet
warm
Lv
K
Tonifies kidney Yang; controls Jing; nourishes liver Yin to improve vision.

• Kidney Yang deficiency: lumbar pain, impotence, seminal emission, frequent urination, urinary incontinence, copious leukorrhea, premature ejaculation.
• Liver Yin (and kidney) deficiency: poor or blurry vision.
• Compared to Tu si zi, Sha yuan ji li focuses more on improving the vision, whereas Tu si zi focuses more on tonification.
Hsu: Antidiuretic, stimulates uterine contraction.
DY: Astringing (secures the essence); harmoniously supplements Yin and Yang.
• With Bai ji li to regulate upbearing and downbearing and the liver and kidneys. Together, they course the liver and rectify Qi, resolve depression and calm the liver. They harmoniously supplement the liver and kidneys - they enrich the kidneys and secure the essence, nourish the liver and brighten the eyes. For such indications as:
- 1. Vertigo, unclear vision due to liver and kidney deficiency. (Use salt mix-fried Bai ji li.)
- 2. Lumbar pain, seminal emission, premature ejaculation, frequent urination due to kidney deficiency. (Use salt mix-fried or stir-fried Sha yuan zi.)
- 3. Abnormal vaginal discharge due to kidney deficiency.
6-15g
Suo Yang
Cynomorium stem

"Lock Yang"



sweet
warm
Lv
K
LI
Tonifies kidney Yang; moistens the large intestine, promotes bowel movement; nourishes blood and Jing; strengthens the sinews.

• Kidney Yang and Jing deficiency: infertility, impotence, spermatorrhea, weakness of the lumbar region and knees, weakness of the tendons and bones, frequent urination.
• Large intestine dryness (Qi and blood deficiency): constipation.
• Jing and blood deficiency: weakness of the sinews, motor impairment, paralysis, muscular atrophy.
• Doctrine of signatures: for impotence - see morphology of the stem.
• Stronger than Rou cong rong at tonifying kidney Yang, but weaker at moistening the large intestine and promoting bowel movement.
4.5-15g
Tu Si Zi
Cuscuta seed
Chinese Dodder
sweet
acrid
neutral
Lv
K
Tonifies kidney Yang; mildly nourishes kidney Yin; controls Jing and urine; improves vision; tonifies spleen Qi to stop diarrhea; calms the fetus.

• Kidney Yang deficiency: impotence, frequent urination, tinnitus, copious leukorrhea, weak and sore lumbar region and knees, nocturnal emission without dreams.
• Liver and kidney Yin deficiency: blurry vision, seeing spots, dizziness, tinnitus.
• Habitual or threatened miscarriage.
• Spleen Qi deficiency (with concurrent kidney deficiency): diarrhea or loose stools, poor appetite.
• Do not count on this herb for tonification of spleen Qi - use it when there is also kidney Yang/Qi deficiency.
• Compared to Sha yuan ji li, Tu si zi focuses more on tonification, whereas Sha yuan ji li focuses more on improving the vision.
• Because this herb is a parasite of some agricultural crops, it must usually be sterilized before entry into the United States.
MLT: A tonic specific for low sperm count and inactivity of sperm.
Hsu: Cardiotonic, hypotensive, stimulates the uterus, decreases the size of the spleen, inhibits intestinal activity.
9-15g
Xian Mao
Curculigo rhizome
Golden eye-grass

"Immortal Grass"
acrid
sl toxic
hot
K
Lv
Tonifies kidney Yang - can reach and tonify the Ming Men; eliminates cold and damp.

• Kidney Yang deficiency: impotence, nocturnal emission, urinary incontinence, cold in the chest and abdomen, infertility from cold Jing or cold womb.
• Cold-damp Bi: cold and pain in the lumbar region, knees, abdomen, a sense of weakness in the bones and sinews.
• Especially useful for cold abdominal or lower back pain.
• Often taken soaked in wine by itself.
• Compared to Ba ji tian and Yin yang huo, Xian mao is stronger and harsher. It should not be taken long term.
• Toxic reactions, such as swelling of the tongue, can occur. This can be alleviated with a decoction of Da huang, Huang lian, and Huang qin.
MLT: For menopausal symptoms from deficiency of both Yin and Yang.
• Use as an alternative to Fu zi and Rou gui when they would be too heating and stimulating.
3-10g (10g for impotence)
Xu Duan
Dipsacus
Teasel root

"Restore What is Broken"

bitter
sweet
acrid
sl warm
Lv
K
Promotes tendon and bone regeneration, generates flesh; tonifies the liver and kidneys; promotes blood circulation, alleviates pain; stops uterine bleeding; calms the fetus.

• Liver and kidney deficiency: weak lumbar region, knees and legs, stiff joints, seminal emission, uterine bleeding, threatened miscarriage with bleeding, restless fetus.
• Topical or internal: for trauma, sores, pain, swelling, Bi syndrome (especially of the lumbar region and limbs).
• Given its ability to control excessive menstrual bleeding, its Yang nature, and its ability to support a fetus, Kou believe this herb has a progesterone-supporting effect and in high doses (30-60g), he says it effectively treats estrogen dominance.
• Tonifies without causing stagnation.
• Much milder than Du zhong at tonifying the liver and kidneys.
• Compared to Du zhong, Xu duan is used more to treat lower back pain with significant aspects of both wind-damp and kidney deficiency, while Du zhong is more effective when the problem is due primarily to deficiency.
• Fry in vinegar to enhance its ability to promote blood circulation and alleviate pain.
• Roasting with salt facilitates its entry into the kidney channel.
• Dry-fry or char for excessive uterine bleeding.
• Powder for topical application.
Hsu: Induces eruption of pus, stops bleeding, promotes tissue regeneration, analgesic effect on patients with carbuncle dermatosis.
DY: Stops metrorrhagia during pregnancy.
• With Du zhong for mutual reinforcement, to supplement the liver and kidneys, strengthen the sinews and bones, stop metrorrhagia during pregnancy, and quiet the fetus. For specific indications and notes, See Du zhong in this category.
MW: For torn, stretched or wrenched joints, especially in large people who throw joints out with force. Chronic muscle inflammation, limitation of movement, great pain. Widespread arthritis, stiffness, incapacitation.
• Nerve irritation, sciatica.
• Intermittent fever.
• Regarding its literal translation, "restore what is broken," it can be used for anything "broken" in one's life, so that a part of one's path cannot become manifest. "For people who had a use but lost it." Helplessness, loss of purpose.
• Powerful remedy for Lyme disease ("deer syphilis") and Lyme-like diseases. Deer appreciate this plant for relieving a disease they carry the vector for.
• MW dosing: 1-3 drops tincture 1-3 times daily. If this produces an aggravation, the dose may be lessened. Caution: may cause a healing crisis first (perhaps syphilis-like, genital rash, etc.).
• Doctrine of signatures: The thorny stalks are a signature for tension and nerve irritation. The tall, hard stalks which remain strong through the winter seem to indicate an affinity for the bones. At intervals along the stem the opposite leaves merge to form a cup which holds water after a rain - a remedy for joints and the kidney essence.
6-30g
Yang Qi Shi
Actinolite

"Stone for Raising the Yang"
salty
sl warm
K Tonifies kidney Yang; warms the womb.

• Kidney Yang deficiency: impotence, infertility, spermatorrhea, premature ejaculation, cold, soreness, weakness and pain in the lumbar region and knees.
• Cold womb: infertility, uterine bleeding.
• Increases female libido.
• Not for long term use.
• Contains oxides of iron, calcium, and magnesium, plus about 50% silica.
• Usually calcined.
3-9g
Yi Zhi Ren
Black Cardamom
Alpinia oxyphylla
Bitter-seeded Cardamom

"Benefit Intelligence Nut"
acrid
warm
Sp
K
Warms the spleen, stops diarrhea, promotes food intake for the stomach; controls saliva (spleen and kidney Qi); warms the kidneys to control urine and Jing.

• Spleen and kidney cold and Yang deficiency: vomiting, diarrhea, abdominal pain.
• Middle Jiao Qi deficiency: poor appetite, copious saliva (not for excess salivation due to heat forcing out fluid).
• Kidney Yang deficiency: seminal emission, frequent and copious urination, urinary incontinence, dribbling.
• Cold entering the spleen and kidneys: abdominal pain, vomiting, diarrhea.
• Excessive saliva and thick, unpleasant taste in the mouth: Yi zhi ren is better for cold conditions while Pei lan is better for hot conditions.
Yi zhi ren's spleen-warming properties are more pronounced than its kidney-tonifying qualities. The opposite is the case with Bu gu zhi.
• Crush before use.
Hsu: Stomachic, antidiuretic, inhibits salivation.
DY: With Fu ling to fortify the spleen, secure the kidneys, reduce urination, and stop diarrhea. For indications such as:
- 1. Strangury with chyluria, milky, turbid urine, and dysuria due to deficiency cold in the kidneys or kidney Qi not securing with imbalance in the function of transformation of the bladder. (Use salt mix-fried Yi zhi ren)
- 2. Diarrhea due to deficiency cold of the spleen and kidneys. Particularly watery diarrhea. Use Yi zhi ren which has been stir-fried until scorched.
3-9g
Yin Yang Huo
(Xian Ling Pi)
Epimedium

"Horny Goat Weed"
acrid
sweet
warm
Lv
K
(Sp)
Tonifies kidney Yang; eliminates wind-damp; tonifies Yin and Yang to harness rising liver Yang.

• Kidney Yang deficiency: impotence, seminal emission, frequent urination, forgetfulness, withdrawal, weak, painful, cold lumbar region and knees.
• Wind-cold-damp: pain or numbness in the limbs, spasms or cramps in the hands and feet, joint pain.
• Liver/kidney deficiency with subsequent liver Yang rising: low back pain, dizziness, menstrual irregularity.
• Sexual effects: increases sexual activity, sperm production, desire; androgen-like effects on testes, prostate and levator ani.
• May possess expectorant and antitussive qualities.
• Watch out for arisal of heat symptoms from use of this herb - contraindicated with Yin deficiency heat. Very drying.
• Particularly useful for Bi syndrome in patients with waning Ming Men fire.
• Often steeped in wine for kidney Yang deficiency or painful obstruction.
Jin: Also warms spleen Yang.
Hsu: Aphrodisiac (stimulates secretion of semen, indirectly promoting sexual desire).
• Hypotensive - dilates peripheral blood vessels, inhibits vasomotor center in the brain.
• Antitussive, expectorant, anti-asthmatic effects.
• Small doses are diuretic, large doses are antidiuretic.
6-15g
Zi He Che
Human Placenta

"Purple River Vehicle"

sweet
salty
warm
Lu
Lv
K
Nourishes blood; tonifies Qi; tonifies the kidneys and liver, nourishes Jing; promotes lactation.

• Kidney Qi and Jing deficiency: infertility, impotence, seminal emission, soreness in the lumber region, dizziness, tinnitus, lightheadedness.
• Qi and blood deficiency (especially postpartum): thin muscles, pallor, scanty lactation.
• Lung and kidney Qi deficiency: asthma/wheezing (especially useful between acute attacks); consumption with night sweats, emaciation, debility, chronic wheezing and cough.
• Unremitting seizure disorders.
• Cancer with severe anemia: use fresh placenta with Huang qi and Dang gui.
• May enhance immune function: HIV, TB.
• Used for bleeding from factor XIII deficiency.
• Enhances wound healing.
• May be of benefit in COPD.
• Cooler and weaker at nourishing Jing than Lu rong, but stronger at nourishing blood.
• Placenta from China is usually from animals. Also is usually bleached. Dried placenta is normally dark red, since it's full of blood. If collected from women, should be sure any potential blood-borne pathogens are killed.
Hsu: Anti-infectious: increases the body's immune resistance, anti-allergic actions, contains a substance which acts as an antibody against measles, influenza.
• Inhibits precipitation of fat in the liver.
• Stimulates the testes, stimulates production of chorionic hormones, stimulates production of female sex hormones, including for pregnancy.
1.5-4.5g



Yin Tonics

• These herbs are used to nourish Yin, produce body fluids, and moisten dryness.
• They are often combined with herbs that clear deficiency heat.
• Since many of these herbs are moist and cool, caution should be taken in cases of spleen Qi deficiency or accumulation of dampness in the middle Jiao.
Wei Li: Yin tonics are an important component in herbal formulas for lowering diastolic blood pressure and controlling hyperthyroidism.
Bai He
Lily bulb

"Hundred Meetings"
sweet
sl cold
Lu Ht Moistens the Lungs, generates body fluids, stops coughing; clears heat from the Lungs and heart; calms the Shen.

• Lung heat and/or dryness: cough, including with bleeding, sore throat.
• Heart heat with Shen disturbance: palpitations, insomnia with lots of dreams, restlessness, irritability, intractable low-grade fever.
• Can be used alone for insomnia due to Lung Yin deficiency.
• Not as strong as Mai men dong at nourishing Lung Yin.
DY: Nourishes heart Yin.
• Sweet and cold, but moistens without being slimy.
• With Zhi mu to moisten the Lungs and clear heat, nourish the heart and quiet the spirit. For such indications as:
- 1. Vexation and agitation, insomnia, vertigo, thirst related to a warm disease which has damaged Yin or due to Yin deficiency with deficiency heat.
- 2. Dry cough, vexation and agitation after a warm disease.
- 3. Lily disease.
Bai He Syndrome - "Lily disease," named for the major herb that treats it, is a form of mental depression with depressed emotions, anxiety, taciturnity, a desire to sleep without being able to, a desire to walk without being able to, and a subjective feeling of cold or hot. It follows either a warm disease, in which case it is of sudden and recent onset, or emotional problems which have damaged heart Yin, in which case it is enduring and progressive in nature.
Bai he is also effective for numerous psychological and cardiac imbalances related to heart Yin deficiency: palpitations, deep cardiac pain with a feeling of emptiness in the cardiac region, insomnia, profuse dreams, vexation, agitation, neurasthenia.
• When dry cough is predominant, honey mix-fried Bai he should be used.
• If vexation and agitation or insomnia is predominant, uncooked Bai he should be prescribed.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
9-30g
Bai Mu Er
Wood Ear mushroom
Tremella

"White Wood Ear"
sweet
bland
neutral
Lu
St
Nourishes stomach Yin; moistens the Lungs; generates body fluids; nourishes Lung Yin.

• Yin deficiency with Yang rising, especially with emaciation, heat in the five centers (five hearts hot).
• Lung consumption.
• Lung heat: dry, nonproductive cough or blood-streaked sputum.
Li: Useful for chronic hepatitis with Yin deficiency; boosts the immune system.
3-9g
Bie Jia
Turtle Shell
(salt-water, soft-shelled, dorsal aspect)





















Bie Jia Jiao
Turtle Shell Gelatin
salty
cold
Lv
Sp
Subdues liver Yang; nourishes liver Yin; softens and resolves masses; promotes blood circulation; promotes menstruation.

• Liver Yin deficiency leading to liver wind stirring: trembling, convulsions.
• Yin deficiency: low grade fever or fever in leukemia after chemotherapy, steaming bone disorder, night sweats, consumption.
• Masses or lumps in chronic malaria.
• Chest and flank accumulations causing pain and amenorrhea.
• Heat in the blood: excessive menstruation.
• Cirrhosis: Bie jia softens hardness (of the liver).
• Not as strong a tonic as Gui ban, and unlike Gui ban, Bei jia does not tonify the kidneys. However, Bie jia is more effective at treating palpable abdominal masses, and is less apt (than Gui ban is) to cause stagnation.
• Cook 30 minutes longer than other herbs.
• Liu: stronger than Gui ban at subduing rising liver Yang (but see below)
DY: Clears heat from the Yin division; dispels stasis and scatters nodulation.
• Better than Gui Ban at clearing deficiency heat, but inferior at subduing Yang.
With Gui ban to make Yin and Yang interact, to enrich Yin, clear deficiency heat, subdue Yang, extinguish wind, and stop tremors. For such indications as:
- 1. Tidal fever, steaming bones, and night sweats due to Yin deficiency heat. (Use vinegar dip-calcined Gui ban.)
- 2. Weakness of the limbs, involuntary trembling of the hands and feet, and a red tongue with little or no fur due to a warm disease which has damaged the fluids and which causes internal wind of the deficiency type.
- 3. Headaches, vertigo, head distention and tinnitus due to ascendant hyperactivity of liver Yang.
- 4. Hypertension due to Yin deficiency which causes Yang to rise.
- 5. Abdominal conglomeration, such as hepatomegaly and splenomegaly. (Use vinegar dip-calcined Bie jia.)
Bie jia is incompatible with peach and amaranth.
9-30g

Bie Jia Jiao: Bie jia gelatin
• Compared to Bie jia, this is richer, more cloying, a strong Yin and blood tonic.
• Commonly used for consumption from deficiency, or exhausted Yin and blood with tidal fever and internal movement of liver wind.
• Dissolve in hot water or a strained decoction.
3-9g
Gou Qi Zi
Lycium fruit
Wolfberry



sweet
neutral
Lv K
Lu
Nourishes kidney and liver Yin; brightens the eyes; mildly moistens the Lungs, nourishes Lung Yin; mildly supports Jing; mildly tonifies Yang.

• Kidney and liver Yin or blood deficiency: dizziness, vertigo, poor vision, weakness in the lumbar region and knees, sore back and legs, seminal emission, low-grade abdominal pain, wasting and thirsting disorder, consumption.
• Kidney and liver deficiency where Jing and blood fail to nourish the eyes: blurred vision, poor visual acuity, dizziness.
• Lung Yin deficiency: cough (including consumptive patterns).
• Beneficial in male sterility.
• May protect liver cells and hasten recovery from damage by chemicals.
• Contains extremely potent anti-oxidant pigments.
• Bensky/Gamble classifies this herb as a blood tonic.
Li: Important herb for sedating liver Yang.
Hsu: May help promote regeneration of liver cells and inhibit precipitation of fat in liver cells.
• Hypoglycemiant; hypotensive.
DY: With Ju hua to effectively nourish and supplement the liver and kidneys, clear heat, calm the liver, and brighten the eyes. For indications such as blurred vision, diminished visual acuity, "moving black spots in front of the eyes," fire sparks in the eyes, photophobia, dry eyes with distention and headache, and pain in the lower back and knees due to liver-kidney deficiency. For these indications, the combination is present in Qi Ju Di Huang Wan. Bai ju hua should be used. Ju hua carries the action of Gou qi zi toward the eyes.
• In cases of loose stools or diarrhea due to Qi deficiency or spleen Yang deficiency, it is worthwhile to prescribe stir-fried Gou qi zi in order to lessen its slightly cold and moistening nature, which tends to damage the spleen. However, when prepared this way, the herb tends to be weaker at nourishing the liver and kidneys, blood and Jing.
6-18g
Gui Ban
Turtle Shell
Testudinis

(freshwater / land, hard shelled, mainly ventral aspect)


















Gui Ban Jiao
Turtle Shell Gelatin
sweet
salty
cold
Lv K Ht Nourishes liver and kidney Yin; subdues liver Yang rising; tonifies the kidneys to strengthen the bones; mildly nourishes heart blood; cools the blood, stops uterine bleeding; softens hardness; expels stasis; aids in difficult births.

• Stirring of wind due to liver Yang rising as a result of Yin deficiency: facial spasms, hand and foot tremors.
• Yin deficiency heat: fever.
• Kidney deficiency: weakness of the lumbar region and feet, retardation in children, poor skeletal development, failure of fontanel to close.
• Heart blood deficiency: palpitations, insomnia, anxiety, poor memory.
• Heat in the blood: uterine bleeding or excessive menstruation.
• Non-healing sores and ulcers.
• Hypertension due to Yin deficiency.
• First choice for Wei syndrome due to kidney and liver Yin deficiency
• Some ancient sources say Gui ban is contraindicated in pregnancy since it softens hardness, expels stasis, and aids in difficult births - but can be used appropriately when baby is due.
• Doctrine of signatures: the turtle is so Yin it hardly moves; regarding its ability to aid in childbirth, it helps coax the turtle (baby) out of its shell (mother).
• Crush before use.
• Frying in vinegar focuses its effects on the liver and makes it easier to crush.
• Cook 30 minutes longer than other herbs.
DY: Makes the heart and kidneys and the Ren Mai and Du Mai communicate.
• Better than Bie Jia at subduing Yang, but less effective at clearing deficiency heat.
• With Bie jia: See Bie jia in this category for properties and indications of the combination.
Hsu: Antipyretic, analgesic.
9-30g

Gui Ban Jiao: Gui ban gelatin
• Same functions as Gui ban, but is richer, more cloying, stronger to nourish Yin, and stops bleeding.
• Beneficial for uterine bleeding due to kidney Qi deficiency.
• Dissolve in wine or a strained decoction.
3-9g
Mo Han Lian
(Han Lian Cao)
Eclipta
sweet
sour
cold
Lv K Cools the blood; stops bleeding; mildly nourishes kidney and liver Yin; sharpens the senses.

• Kidney and liver Yin deficiency: dizziness, early greying of the hair, blurry vision, vertigo.
• Yin deficiency heat: hematemesis, hemafecia, epistaxis, uterine bleeding, coughing up blood, and especially hematuria.
• Beneficial for diphtheria.
• Topical: for hemorrhage.
• Similar in actions to Sheng di, but not greasy - a better choice when the patient has a digestive disorder.
Han lian cao's function to nourish Yin is quite limited.
Hsu: Antibacterial, hemostatic, blood cooling, possibly anti-inflammatory.
DY: Nourishes the lower and upper parts; enriches Yin and blackens the hair.
• With Nu zhen zi to effectively supplement the liver and kidneys, cool the blood and stop bleeding, and blacken the hair. For the following indications, this combination, Er Zhi Wan, should be prepared with wine-steamed Nu zhen zi.
- 1. Liver-kidney deficiency heat.
- 2. Vertigo, dizziness, insomnia, and loss of memory due to liver-kidney deficiency with Yin and blood not nourishing the upper part of the body.
- 3. Premature greying of the hair and beard due to kidney essence deficiency.
- 4. Nosebleed, bleeding gums, hemoptysis, hematemesis, hematuria, and metrorrhagia due to Yin deficiency heat which forces the blood out of the vessels. Han lian cao's action of cooling the blood and stopping bleeding is not very strong. The combination can be strengthened for these purposes by adding Sheng di, Mu dan pi, Ce bai ye, and Qian cao gen.
9-15g (to 30g when fresh)
Hei Zhi Ma
Black Sesame seed








sweet
neutral
Lv K Nourishes blood; supports Jing; moistens the large intestine, promotes bowel movement; extinguishes wind (due to blood deficiency).

• Blood deficiency, body fluid deficiency, or Yin deficiency: constipation (good for the elderly).
• Blood and Jing deficiency: early greying of the hair, dizziness.
• Internal wind due to blood deficiency: headache, dizziness, numbness.
• This herb is only a weak tonic, but it has no side effects.
• Very rich in calcium.
• Sesame oil: excellent for massage, non-comedogenic, bacteriostatic.
Yoga: Tila: V-; P, K, or Ama + (in excess)
• Rejuvenative tonic for Vata.
Sattvic.
Hsu: Purgative, lowers blood sugar.
9-30g
Huang Jing
Polygonatum sibiricum rhizome
Siberian Solomon's Seal

"Yellow Essence"
sweet
neutral
Sp Lu K Nourishes Lung Yin; tonifies spleen Qi, nourishes spleen Yin; mildly nourishes kidney Yin and Jing.

• Lung Yin (and Qi) deficiency: dry cough.
• Kidney Jing deficiency: weakness and soreness in the lumbar region and knees, dizziness, weakness in the lower extremities, lightheadedness.
• Spleen and stomach Qi deficiency: poor appetite, fatigue, weak pulse, lassitude.
• Spleen and stomach Yin deficiency: dry mouth, poor appetite, loss of taste, dry stool, dry, red tongue.
• Lung, stomach, and kidney Yin deficiency: diabetes/wasting and thirsting disorder.
• Very safe, will not trap an EPI in the body, not greasy. Liu: "Typical Taoist herb."
• Can be taken long-term.
• May lower blood pressure.
• Beneficial in tuberculosis.
• The raw form (less used) is more of a Yin tonic than a Qi tonic.
• The prepared form (common), which is wine-steamed, is more of a Qi tonic than a Yin tonic.
• Bensky/Gamble classify this herb as a Qi tonic.
• Michael Tierra compares this herb, rather than Yu zhu, to American Solomon's Seal (an error?), and considers American Polygonatum to be as good or better than the Chinese variety.
Li: Good non-warming immune tonic.
Hsu: Antifungal, antibacterial, hypotensive, hypoglycemiant.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
6-18g
Luo Han Guo
Momordica fruit

"Arhat Fruit"




Luo Han Ye
Momordica leaf
sweet
neutral
Lu
Sp
Moistens and cool the Lungs; dissipate nodules.

• Hot coughs, especially in cases of Lung Yin deficiency.
• Phlegm nodules in the neck, such as scrofula.
• Recently used as the source of a low-calorie sweeter.
Hsu: Diuretic, vasodilator - coronary and renal; strengthens capillaries, anti-inflammatory.
9-15g (½ to 2 pieces of fruit)

Luo Han Ye: leaf
• Similar to the fruit.
• Chronic throat problems, chronic bronchitis.
Mai Men Dong
Ophiopogon tuber

"Lush Winter Wheat"







sweet
sl. bitter
sl. cold
Lu Ht St Nourishes Yin; moistens the Lungs, stops coughing; generates Yin and body fluids for the stomach; clears heat from the heart to ease restlessness; moistens the intestines.

• Lung heat and Yin deficiency: dry cough, thick, difficult to expectorate sputum, coughing up blood.
• Stomach Yin deficiency: dry mouth, thirst.
• Heart heat and Yin deficiency or ying-level febrile disease: restlessness, insomnia, irritability, worse at night.
• Yin deficiency or aftermath of a febrile disease: constipation, dry mouth, irritability.
• Can reach the upper and middle Jiaos.
• May lower blood sugar.
• For Lung heat and dryness, compared to Tian hua fen and Tian men dong, Mai men dong is best when the origin is heart fire (Tian hua fen is best when the origin is stomach heat and Tian men dong is best when the origin is kidney Yin deficiency)
• Frying the herb in wine reduces its cold properties, which is indicated when the herb is used in tonic formulas.
DY: Compared to Tian men dong, Mai men dong is better for Lung/stomach Yin deficiency, and better for nourishing the heart and quieting the spirit.
Hsu: Antipyretic, antitussive, expectorant, cardiotonic, diuretic, hypoglycemiant, antibacterial, may have anti-inflammatory properties.
6-15g
Nu Zhen Zi
Ligustrum
Privet fruit

"Female Chastity Seed"
sweet
bitter
cool
Lv K Nourishes kidney and liver Yin; clears liver heat; improves vision; clears Yin deficiency heat.

• Kidney and liver Yin deficiency: dizziness, weak lumbar region and knees, premature aging, early greying of the hair, diminished visual acuity, blurry vision, tinnitus.
• Yin deficiency heat: fever.
• No greasy side effects - good for Yin deficient patients with poor digestion.
• This herb is not a powerful Yin tonic.
• Doctrine of signatures: black and shaped like a kidney - nourishes the kidneys.
JTCM: Lowers serum cholesterol; improves blood supply to the heart.
• Acne: may help by regulating endocrine function.
• Lowers blood sugar.
• Treats cirrhosis of the liver.
• Hyperthyroidism.
• Brown spots on the skin.
MLT: Immune tonic to counter effects of radiation and chemotherapy.
Hsu: Cardiotonic, purgative, nutritive, may inhibit tumor growth.
DY: With Han lian cao to effectively supplement the liver and kidneys, cool the blood and stop bleeding, and blacken the hair. See Han lian cao in this category for specific indications and notes on this combination.
4.5-15g
Sang Ji Sheng
Mistletoe (parasitizing Morus)
Viscum/Taxillus
or Loranthus

"Mulberry Parasite"
bitter
neutral
K
Lv
Tonifies the liver and kidneys; strengthens the tendons and bones; expels wind and dampness; nourishes blood; calms the fetus/womb; benefits the skin.

• Liver and kidney Yin deficiency (with or without wind-damp): soreness and pain in the lower back and knees, joint problems, numbness, weakness and atrophy of the sinews and bones.
• Wind-dampness: Bi syndrome with some lumbar region and knees.
• Restless fetus, uterine bleeding, threatened miscarriage in pregnancy.
• Blood deficiency: dry, scaly skin.
• Hypertension.
• Diuretic component.
• Wine-fry the herb to strengthen its ability to expel wind-dampness.
Li: Drunk alone as tea by elderly in China, "Tonifies everything."
MLT: Versatile for back and joint pains, stiffness from various causes, especially for those who develop gradual stiffness and aching pain of the lower back with difficulty bending at waist.
Hsu: Lowers serum cholesterol, diuretic, antibacterial, pronounced antiviral.
RW: (host not specified)
• Hypertension: parasympathetic stimulant, vasodilator.
Definite benefit in hypertension, however, "oral use cannot provide effective treatment for arterial hypertension, nor can too much be expected as regards reduction in blood pressure, and certainly no lasting effect... yet practitioners and patients repeatedly find it has excellent subjective effects on headaches, dizziness, loss of energy, irritability and other symptoms connected with hypertension..." No unpleasant side effects, non-toxic in usual dosage, gentle, good for extended treatment of slightly or moderately raised blood pressure, which will go down in the course of treatment. Ideal treatment for blood pressure of about 160/100. Best prepared as a cold water extract: pour 1/4 liter cold water over 2-4 teaspoons chopped herb, let stand overnight and drink in morning. prepare another cup to be drunk at night.
Patients are very fond of this three herb blend: equal parts mistletoe, (Western) hawthorn flowers and leaves (to improve coronary circulation), melissa (lemon balm) leaves (as a cardiac sedative). Take 1 cup morning and night, prepared by infusing 2 teaspoons of the mixture for 5-10 minutes, taken in sips while still warm. May be sweetened with honey.
• Cancer: extensive literature available on commercial extracts (e.g. Iscador). Unlike cytostatic drugs, mistletoe extracts are non-toxic, well tolerated. Reported to reduce tumor size and improve patients' general condition. Used mainly after surgery and radiation.
• Arthritis: mistletoe preparations (e.g. Plenosol) are injected into the joint.
PCBDP: Cardiac tonic; antineoplastic (binds to DNA, inhibits protein synthesis).
For various cancers (including lung, ovary).
JC: Nervine, antispasmodic, tonic, slight narcotic, diuretic, emmenagogue, emetic.
• Used in all problems caused by weakness of or a disordered state of the nervous system. Quiets, soothes, and tones the nerves, lessens cerebral excitement, helps febrile conditions.
• Useful in weakness of female generative organs, incites uterine contractions.
• Gives tone in cardiac affections. possesses non-injurious properties.
• For hysteria, epilepsy, uterine hemorrhages, amenorrhea, dysmenorrhea, heart troubles (especially in typhoid fever), hypertension, convulsions, delirium, nervous debility, fits, nervousness, chorea (St. Vitus' Dance), cardiac edema, cholera.
9-60g
Sang Shen
Morus fruit
Mulberry


sweet
cold
Ht Lv K Nourishes blood and Yin; generates body fluids; moistens the large intestine.

• Heart, liver, and kidney Yin/blood deficiency: dizziness, diminished vision, tinnitus, insomnia, premature greying of hair.
• Injury of body fluids: thirst.
• Yin and blood deficiency: constipation with dry stool (good for the elderly).
• Yin deficiency: wasting and thirsting disorder.
• Use prepared form for blood deficiency.
• Bensky/Gamble categorize this herb as a blood tonic.
6-15g
Sha Shen
(Bei Sha Shen)
Glehnia root

"Sand Root"








Nan Sha Shen

Adenophora
sweet
bland
sl. cold
Lu St Clears heat; nourishes Lung Yin; produces body fluids for the stomach; moistens the Lung and stops coughing; moistens the exterior.

• Lung heat with Yin deficiency: dry, nonproductive or bloody cough, hoarseness.
• Stomach body fluid injury due to heat in febrile disease: poor appetite, dry mouth and throat, thirst, accompanying constipation.
• Dry itchy skin, especially when worse with cold, dry weather.
• A key herb for Lung and stomach Yin deficiency.
Sha shen usually implies Bei sha shen.
Li: Good for depression. Nourishes spleen Yin so it can fight off attack by the liver.
Hsu: Antipyretic, analgesic (ethanol extract), slight expectorant.
MLT: Nearly the same as Xi yang shen, but cheaper.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
9-15g

Nan sha shen (Adenophora) is weaker at nourishing Yin and Qi and does not generate fluids, but is better than Bei sha shen at stopping coughs.
Shi Hu
Dendrobium

"Bushel of Stone"

(usually the cheaper Ephemerantha is substituted)
sweet
sl. cold
St
K
Generates body fluids for the stomach; nourishes stomach Yin, mildly nourishes kidney Yin; clears heat; brightens the vision; strengthens the lower back.

• Stomach Yin deficiency or injury of stomach body fluids by heat: dry mouth, thirst, stomach ache, dry heaves, shiny tongue, intractable fever, wasting and thirsting disorder.
• Kidney Yin deficiency: prolonged low grade fever (do not count on Shi hu alone in cases of kidney Yin deficiency).
• Can trap an EPI in the body and prolong the sickness. If there is a chance of EPI, Mai men dong or Yu zhu is a better choice.
• Premier herb for stomach Yin deficiency: stronger than Mai men dong at nourishing stomach Yin.
• The true herb is effective at lowering blood pressure, even in small doses.
• The true herb is quite difficult to obtain in the U.S., and is very expensive, though it is also very popular with some practitioners.
Hsu: Stimulates smooth muscle contraction of the small intestine, increases its tonicity, promotes peristalsis and gastric secretion.
• Slightly antipyretic and analgesic.
6-15g
Tian Men Dong
Asparagus tuber

"Lush Winter Aerial Plant"


sweet
bitter
very
cold
Lu K Clears heat and reduces fire from the Lungs; nourishes Lung and kidney Yin; moistens dryness.

• Lung heat or fire and Yin deficiency: dry cough with small amount of sticky sputum or cough with bleeding.
• Injury of Yin by heat: dry mouth and thirst.
• Lung and kidney Yin deficiency: wasting and thirsting disorder, consumption, low-grade afternoon fever.
• Large intestine dryness: constipation.
• Reaches the upper and lower Jiaos.
• Often used with Mai men dong to treat both the mother and son.
• Has a viscous, cloying nature - can easily produce stagnation.
• Antibiotic effects.
• May help leukemia.
• Said to engender love and compassion.
• For Lung heat and dryness, compared to Tian hua fen and Mai men dong, Tian men dong is superior when the origin is kidney Yin deficiency (Tian hua fen is best when the origin in stomach heat and Mai men dong is best when the origin is heart fire)
DY: Compared to Mai men dong, Tian men dong is better for Lung/kidney Yin deficiency, and better for clearing and moistening.
Yoga: Shatavari: "who possesses 100 husbands" - named such because it is so tonic and rejuvenative to the female reproductive organs.
• P, V-; K and ama+ (in excess); Sattvic.
• Sexual debility, especially of the female organs, infertility, impotence, menopause, diarrhea, dysentery, stomach ulcers, hyperacidity, dehydration, lung abscess, hematemesis, cough, convalescence, cancer, herpes, leukorrhea, chronic fevers.
• A rasayan for Pitta, for the female reproductive system, and for the blood.
• Demulcent for dry and inflamed membranes.
• Topical: emollient for stiff joints, neck, muscle spasm.
• Contains many female hormones.
PCBMP: Diuretic, laxative, cardiac tonic and sedative.
• Also for neuritis and rheumatism.
Hsu: Antibacterial, antitussive, diuretic, laxative.
6-15g
Xi Yang Shen
American Ginseng
Panax quinquefolium

"Western Seas Root"
bitter
sweet
cold
Ht Lu K Nourishes Yin; tonifies Qi; clears heat/fire; generates body fluids.

• Lung Yin deficiency fire: difficulty breathing, cough with sputum and blood, loss of voice, wheezing.
• Injury of Lung and stomach Yin and Qi: fatigue, thirst.
• Yin deficiency: dry mouth and tongue, chronic unabating fever.
• Aftermath of febrile disease: weakness, irritability, thirst.
• Good for tuberculosis.
• Good for patients with heat and Qi/yin deficiency.
• Much weaker than Ren shen at nourishing Qi.
• Not to be combined with Li lu.
• Do not cook this herb in an iron pot. Often cooked separately from other herbs in a double boiler.
HF: An An Shen (spirit calming) herb, important in Gu Zheng (Gu parasite) formulas (because of emotional disturbance common in patients with Gu).
2.4-9g
Yu Zhu
Polygonatum odoratum or
P. officinale rhizome
Solomon's Seal

"Jade Bamboo"











sweet
neutral
Lu St Nourishes Yin; moistens dryness; produces body fluids for the stomach; extinguishes wind; softens and moistens the sinews.

• Lung and stomach Yin deficiency: dry cough, dry mouth, thirst, irritability, steaming bone disorder, wasting and thirsting with intense hunger and constipation.
• Wind-heat attack with a Yin deficient constitution: fever, sore throat, cough, thirst.
• Insufficient fluids leading to wind: pain and spasm of the sinews.
• Yin deficiency plus internal wind: dizziness.
• Not cloying, will not trap EPIs in the body.
• Use raw to clear heat.
• Steam until it turns black (more like Huang jing) to nourish Yin and tonify the middle Qi.
• Useful in treatment of second- or third-degree heart failure.
• Weaker than Shi hu at nourishing stomach Yin. Yu zhu is a better choice when there is stomach Yin xu with an EPI.
• Weaker than Tian men dong at clearing heat, but does not have the disadvantage of Tian men dong's severely cloying nature which can easily produce stagnation.
Hsu: Laxative, diuretic, lowers blood sugar, may have adrenocortical hormone-like effects.
Yoga: Meda, Mahmeda: VPK=; K or ama+ (in excess)
• Nutritive tonic, rejuvenative, aphrodisiac, demulcent, expectorant, hemostatic.
• Tonic to Vata and Pitta and to semen and reproductive tissue.
• For debility, infertility, impotence, chronic bleeding, diabetes, consumption, dry cough, dehydration, malnutrition, burning sensation, broken bones, inflamed mucus membranes.
MW: Muscular and skeletal problems: loosens or tightens ligaments as necessary, keeps adjustments in place, corrects tension, feeds and lubricates ligaments, tendons, muscles, and attachments, joins and seals broken bones, decalcifies unhealthy deposits and spurs, strengthens and harmonizes.
• Also for bruises, burns, sores.
• Wolf medicine: wolves eat this for indigestion.
• Helps build up intestinal bacteria; soothes and coats mucosa.
• Gentle regulator of heart muscle, mild cardiac tonic.
• Its berries are poisonous.
PCBDP: Astringent, demulcent, tonic.
9-15g



Astringent Herbs

• These herbs are used to control sweating, diarrhea, coughing, bleeding, leukorrhea, and urination; and to retain Qi, blood, body fluids, Yin, Yang, and Jing.
• These herbs treat only the branch of diseases. The root - usually deficiency of Qi, blood, Yin, or Yang - should be treated concurrently. Most of the herbs in this category are contraindicated in cases of leakage due to excess - e.g., heat, accumulation of dampness, exterior syndromes.
Chi Shi Zhi
Red Kaolin (clay)
Halloysite

"Crimson Stone Resin"
sour
sweet
astrngnt
warm
LI
St
Sp
Astringes the large intestine; stops diarrhea; stops bleeding; promotes wound healing.

• Yang deficiency cold: chronic diarrhea, dysentery, especially with blood and mucus (not for damp-heat) or chronic uterine bleeding, excessive menstruation, leukorrhea, bleeding prolapsed rectum.
• Topical: for bleeding from trauma, chronic non-healing sores, weeping damp sores.
• Usually calcined before use.
Hsu: Anti-diarrheal, absorbs abnormally fermented food in the intestines and protects intestinal mucosa; hemostatic.
SD: May help antidote mercury poisoning.
9-30g
Chun Gen Pi
(Chun Pi)
Ailanthus bark or root bark
bitter
astrngnt
cold
LI
St
Clears heat; dries dampness; stops leukorrhea; astringes the intestines; stops bleeding; kills parasites.

• Chronic diarrhea or dysenteric disorders (research shows very effective for acute bacillary dysentery), especially those due to damp-heat. Particularly useful when there is blood in the stool.
• Damp-heat: chronic vaginal discharge.
• Menorrhagia or uterine bleeding.
• Roundworms.
• Topical: for itchy, tinea-like rashes.
3-15g
Fu Pen Zi
Rubus
Raspberry
(unripe)

"Overturned Basin"
sweet
sour
sl warm
Lv
K
Tonifies and stabilizes the kidneys, controls Jing and urine; assists Yang, improves vision.

• Kidney Yang deficiency: seminal emission, frequent urination, urinary incontinence, enuresis.
• Kidney and liver deficiency: blurry vision, impotence, soreness of the lower back.
• Estrogen-like effects: may be useful in hormonal imbalance (e.g. acne) - as in Hong Jin's acne formula.
• Astringes without trapping pathological factors.
• The name "overturned basin" may refer to this herb's efficacy at treating urinary incontinence. After this herb cures the incontinence, the basin (bedpan or toilet) can be turned over because it is empty or is no longer needed.
4.5-9g
Fu Xiao Mai
"Floating" Wheat
(light grains)

"Floating Little Wheat"
sweet
cool
Ht Tonifies Qi; clears heat; nourishes the heart, calms the Shen; stops sweating.

• Yin, Yang, or Qi deficiency: night sweats or spontaneous sweating.
• Yin deficiency: tidal fever.
• Palpitations, insomnia, irritability, emotional instability, disorientation associated with restless organ disorder.
• Enuresis in children.
• Can be used raw or dry-fried until aromatic.
• Very safe herb.
Fu xiao mai may antagonize a wheat/gluten sensitivity - keep this in mind with sensitive patients.
DY: With Huang qi to supplement Qi, nourish the heart, clear heat, secure the exterior, and stop perspiration. For indications such as spontaneous sweating due to exterior deficiency. (Mu Li San) Use stir-fried Fu xiao mai.
• With Ma huang gen to supplement the Qi, nourish the heart, secure the exterior, clear heat, and stop perspiration. The combination is found in Mu Li San for indications such as:
- 1. Spontaneous or profuse perspiration due to Qi deficiency.
- 2. Night sweats due to Yin deficiency.
• These are under-developed grains of ripe wheat which float when the wheat is washed.
• Xiao mai (Huai xiao mai) is the heavy, full grains which sink when washed. Xiao mai is better than Fu xiao mai for nourishing the heart and quieting the Shen for visceral agitation, vexation, sadness.
Fu xiao mai is the blighted grains which, when dried, float on the surface of the water when washed. Fu xiao mai is superior to Xiao mai for stopping perspiration by astringing, eliminating heat (deficiency), and treating spontaneous perspiration, night sweats, or the feeling of heat in the bones.
• Stir-fried Fu xiao mai is more powerful than uncooked Fu xiao mai at stopping sweating.
• Wheat from southern China is reputed to be warm, while that from the north is believed to be cool.
Chen xiao mai is wheat which has been stored and aged. This is preferred by some practitioners, since the more recent wheat, freshly harvested, is too warm in nature. This warmth is lost when aged.
Bai mian is wheat flour. When stir-fried (Chao mian) it supplements the spleen and stops diarrhea.
9-15g (DY: to 30g)
Hai Piao Xiao
Cuttlefish bone



salty
astrngnt
sl warm
Lv
K
St
Stops bleeding and leukorrhea; controls Jing; neutralizes acid, relieves pain; promotes tissue regeneration; resolves dampness; stops diarrhea.

• Bleeding: uterine bleeding, hematemesis, hemoptysis, bleeding from trauma; especially useful for bleeding from deficiency patterns.
• Kidney deficiency: nocturnal emission, leukorrhea, spermatorrhea.
• Acid reflux, epigastric pain, peptic ulcer, foul burps (take uncooked powder).
• Deficiency: chronic diarrhea or dysentery with pain around the navel.
• With rice wine for malaria.
• Topical: chronic, non-healing skin ulcers, damp rashes of long duration, eczema.
• Topical: for bleeding (may be mixed with starch). In tooth extraction, epistaxis, and surgery - is a more effective hemostatic than either plain sponges or gelatin sponges.
4.5-12g
He Zi
Chebulic Myrobalan fruit
Terminalia
Chebula
Haritaki
bitter
sour
astrngnt
neutral
Lu
LI
St
Astringes the Lungs and large intestine; descends Lung and large intestine Qi; eases the throat; stops coughing.

• Chronic diarrhea or chronic dysentery due to deficiency (can be used for both hot and cold patterns when combined appropriately).
• Lung deficiency: chronic cough, asthma, wheezing, hoarse voice or loss of voice (can be used for cough due to phlegm-fire obstructing the Lungs, when appropriately combined).
Yoga: Haritaki: means it carries away all diseases and is sacred to Shiva (also called Abhaya: promotes fearlessness).
• All tastes but salty; mainly astringent/heating/sweet; VPK=
• Rejuvenative, tonic, astringent, laxative, nervine, expectorant, anthelmintic.
• For cough, asthma, hoarse voice, hiccups, vomiting, hemorrhoids, diarrhea, malabsorption, abdominal distention, parasites, tumors, jaundice, spleen disease, heart disease, skin disease, itching, edema, nervous disorders.
• Caution with severe exhaustion, emaciation, or dehydration.
• One of most important Ayurvedic herbs.
• Rejuvenates Vata, regulates Kapha, only aggravates Pitta in excess.
• Feeds the brain and nerves, imparts the energy of Shiva (pure awareness).
• Heals ulcerated membranes.
• Regulates the colon: based on dosage, corrects either diarrhea or constipation; improves digestion and absorption.
• Promotes voice and vision.
• Aids longevity, increases wisdom and intelligence.
• Raises prolapsed organs, checks excess discharges: including spermatorrhea, menorrhagia, sweating, leukorrhea, etc.
• Reduces accumulated and congested Vata.
Triphala, 3 fruit formula: laxative and balancing bowel tonic: haritaki (rejuvenates Vata), amalaki (rejuvenates Pitta) and bibhitaki (rejuvenates Kapha).
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
Hsu: Antibacterial, antiviral, antispasmodic, protects ulcerations of mucosa caused by enteritis or dysentery bacteria.
3-9g
Jin Ying Zi
Rosehip

"Golden Cherry Fruit"

sour
astrngnt
neutral
K
BL
LI
Stabilizes the kidneys, controls Jing and urine; astringes the large intestine, stops diarrhea.

• Kidney deficiency: spermatorrhea, frequent urination, urinary incontinence, copious leukorrhea.
• Kidney and spleen deficiency: chronic diarrhea or dysentery, prolapsed rectum or uterus, excessive uterine bleeding.
• May lower cholesterol, may reduce atherosclerosis.
• Rich in vitamin C.
MLT: Acute postpartum uterine hemorrhage (take some of the stem and leaf along with the fruit).
BII: Beneficial for kidney stones.
Hsu: Antibacterial, antiviral, (extract) quite effective for treating uterine prolapse.
DY: Stops abnormal vaginal discharge.
• With Qian shi to effectively supplement the kidneys, secure the essence, reduce urination, fortify the spleen, and stop diarrhea and abnormal vaginal discharge. This combination, Shui Lu Er Xian Dan, is used for indications such as:
- 1. Chronic diarrhea due to spleen-kidney deficiency. (Use bran stir-fried Qian shi.)
- 2. Urinary incontinence, enuresis, frequent micturition, and nocturia due to kidney Qi deficiency.
- 3. Chronic white vaginal discharge due to spleen-kidney deficiency.
- 4. Seminal emission and premature ejaculation due to kidney Qi not securing.
4.5-9g
Lian Zi
Lotus seed














sweet
astrngnt
neutral
Sp
K
Ht
Tonifies spleen Qi; stops diarrhea; tonifies kidney Qi, controls Jing; nourishes the heart, calms the Shen.

• Spleen Qi deficiency: chronic diarrhea, poor appetite (caution when Qi deficiency has led to Qi stagnation).
• Kidney Qi deficiency: spermatorrhea, premature ejaculation, excessive uterine bleeding, vaginal discharge.
• Heart deficiency: restlessness, insomnia, palpitations, irritability.
• Especially useful for lack of communication between the heart and kidneys.
• Common dietary therapy (use up to 60g).
Lian zi should have its heart (Lian xin) removed.
• All parts of the lotus plant are medicinal. The lotus is the source of at least eight distinct herbs.
Yoga: (see also Ou jie, Lian xin, Lian fang) Padma, Kamala, Pushkara, more names (this is India's most sacred plant, the symbol of spiritual unfoldment).
• Sweet, astringent/cooling/sweet
• P, V-; K+ (in excess).
• Nutritive tonic, rejuvenative, aphrodisiac, astringent, hemostatic, nervine, cardiac and seminal tonic.
• Calms the mind, subdues restless thoughts and dreams.
• Helps open the heart [fourth] chakra: for heart chakra disorders [PLB: e.g., afraid to love, to feel with the heart, to connect with others, to listen to the heart, difficulty being compassionate, emotionally closed, no sense of boundaries around intimacy, impropriety, especially around intimacy "“ see also five element interpretations of fire imbalance].
• Good for devotion and aspiration, improves speech, helps stop stuttering and improves concentration.
• Diarrhea, bleeding disorders, menorrhagia, leukorrhea, impotence, spermatorrhea, venereal disease, heart weakness.
• As a food, 5g can be taken three times daily, with basmati rice or other tonics such as Shatavari and Ashwagandha, suitably spiced and sweetened.
• The lotus is sacred to Lakshmi, the goddess of prosperity, and brings spiritual and material abundance.
Hsu: Relaxes smooth muscle; dilates coronary artery.
6-15g
Ma Huang Gen
Ephedra root

"Hemp Yellow Root"
sweet
neutral
Lu Stops sweating.

• Yin, Yang, or Qi deficiency: night sweats, spontaneous sweating, post-partum sweating.
• Similar to Fu xiao mai but stronger (they are often combined).
Ma huang gen closes the pores.
• It can be used topically.
Hsu: Hypotensive, dilates peripheral blood vessels.
3-10g
Nuo Dao Gen Xu
Glutinous Rice root
sweet
neutral
K
Lv
Lu
Stops sweating due to deficiency.

• Qi or Yin deficiency: spontaneous sweating or night sweats.
• Yin deficiency: fever.
Hsu: Suppresses sweating; sedative; tonic.
15-60g
Qian Shi
Euryale seed
Foxnut
sweet
astrngnt
neutral
Sp
K
Tonifies spleen Qi, eliminates dampness; tonifies kidney Qi, controls Jing.

• Spleen Qi deficiency (and dampness): chronic diarrhea (especially good for children and often cooked in soup).
• Kidney deficiency: nocturnal emission, premature ejaculation, leukorrhea, spermatorrhea, urinary frequency or incontinence.
• Deficiency or damp-heat: vaginal discharge.
• Stronger than Lian zi to tonify kidney Qi and control Jing.
DY: Stops diarrhea and abnormal vaginal discharge, reduces urination.
• With Jin ying zi to effectively supplement the kidneys, secure the essence, reduce urination, fortify the spleen, and stop diarrhea and abnormal vaginal discharge. For specific indications of this combination, see Jin ying zi in this category.
9-15g (to 30g in severe cases)
Rou Dou Kou
Nutmeg
Myristica

"Fleshy Cardamom"




acrid
warm
Sp
St
LI
Warms the middle Jiao; promotes Qi circulation; alleviates pain; astringes the large intestine, stops diarrhea.

• Spleen and stomach or spleen and kidney Yang deficiency cold: chronic diarrhea, daybreak diarrhea (not for damp-heat patterns).
• Yang deficiency cold with Qi stagnation: distention and pain of the epigastrium and abdomen, poor appetite, vomiting.
• Preparation: smash on paper and allow the paper to soak up the oil (otherwise will exacerbate diarrhea); very small doses of the oil (0.03-0.2 mL) directly stimulate the gastrointestinal tract.
• Roast to increase its ability to warm the middle Jiao and stop diarrhea.
• One constituent, myristicin, is an MAO inhibitor and a hallucinogen in large doses.
Yoga: Jatiphala: V, K-; P+
• Pungent/heating/pungent.
• Astringent, carminative, sedative, nervine, aphrodisiac, stimulant.
• For poor absorption, abdominal pain and distention, diarrhea, dysentery, intestinal gas, insomnia, nervous disorders, impotence.
• Increases absorption in the small intestine.
• Reduces high Vata in the colon and nervous system.
• Calms the mind (500 mg in warm milk before sleep).
Tamasic: in excess it can dull the mind.
DY: Scatters cold; disperses distention.
• With Bu gu zhi to supplement spleen and kidney Yang, secure the intestines, and stop daybreak or "cock-crow" diarrhea. For indications such as:
- 1. Chronic diarrhea due to spleen-kidney Yang deficiency. (Si Shen Wan) Use salt mix-fried Bu gu zhi and roasted Rou dou kou.
- 2. Daybreak diarrhea with abdominal pain and rumbling noises due to spleen-kidney Yang deficiency. (Er Shen Wan)
PCBDP: Spasmolytic, anti-emetic, orexigenic, topical anti-inflammatory.
• Decreases prostaglandin levels in the colon, PGE2 inhibitor - has been used successfully in Crohn's disease.
1.5-9g
Sang Piao Xiao
Mantis egg case
sweet
salty
neutral
Lv
K
Mildly tonifies kidney Yang; controls Jing and urine.

• Kidney Yang deficiency (leading to failure of the kidneys to control the orifices): enuresis, spermatorrhea, frequent urination, urinary incontinence, copious leukorrhea (not for damp-heat), nocturnal emissions (especially when not accompanied by dreams).
• This is the herb of choice for bed wetting in children.
Hsu: Suppresses urination and sweating.
3-9g
Shan Zhu Yu
Cornus fruit
Asiatic Cornelian Cherry
Dogwood fruit

sour
sl warm
Lv
K
Ht
Tonifies kidney and liver Yin; astringes the lower Jiao; astringes sweat; slightly tonifies kidney Yang; stabilizes the kidneys, controls Jing; stops excessive sweating, supports what has collapsed; stabilizes the menses; stops bleeding (weak); may mildly nourish Jing.

• Kidney and liver deficiency: dizziness, vertigo, weakness of the lumbar region and knees, impotence.
• Yang collapse or Qi collapse: shock, excessive sweating.
• Kidney Qi deficiency: seminal emission, urinary incontinence, profuse sweating.
• Deficiency: excessive uterine bleeding, prolonged menstruation.
• Difficult to digest.
Li calls Shan zhu yu the "Ginseng for the Kidneys," and claims this herb is more of a tonic than an astringent.
PFGC: For alternating hot and cold (not Shaoyang) due to internal injury to the Jueyin liver system - e.g. extreme liver deficiency causing sudden sensation of heat and cold, and dangerous loss of sweat.
Hsu: Diuretic, antibacterial, antihistamine actions.
3-12g (30-200g in shock)
Shi Liu Pi
Pomegranate
rind









Shi Liu Gen Pi
Pomegranate root bark
sour
astrngnt
warm
sl toxic
St
LI
K
Astringes the large intestine, stops diarrhea; kills parasites; stabilizes the kidneys, controls Jing.

• Chronic diarrhea or chronic dysentery (not for acute), rectal prolapse.
• Abdominal pain due to rouundworms (only when worms give rise to chronic diarrhea) - not strong as Shi jun zi.
• Roundworms, tapeworms, topical for ringworm.
• Kidney instability: spermatorrhea, premature ejaculation, excessive uterine bleeding, vaginal discharge.
• Amebic dysentery.
• Not for early stages of diarrhea.
• Should not be taken with oils or fats, in order to prevent absorption of toxin into the system.
• Use charred to stop bleeding.
3-9g

Shi Liu Gen Pi: the root bark
• Much stronger at killing parasites, especially tapeworms and roundworms, than Shi liu pi.
JC: (various parts, especially the root bark) Anthelmintic (taeniafuge, vermifuge), astringent, refrigerant, antibilious, anticancerous.
• Use the rind for sore throat.
Yoga: Dadima: (rind, root bark, fruit)
• Sweet variety: VPK=
• The sour variety may aggravate Pitta. The sweet variety may increase Ama.
• The rind is anti-inflammatory to the mucus membranes.
• Use as a douche for leukorrhea.
• Topical (paste) for sores, ulcers, hemorrhoids.
• All parts are stomachic, anthelmintic, especially the root bark.
Hsu: Antibacterial, antiviral, antifungal.
1.5-9g
Wu Bei Zi
Gall of Chinese Sumac
(caused by the insect Melaphis)
















































sour
salty
cold
K
LI
Lu
Astringes Lung Qi; stops coughing; astringes the large intestine, stops diarrhea; controls leakage of fluids; absorbs moisture; reduces swelling; relives fire toxicity.

• Lung deficiency: chronic cough.
• Chronic diarrhea, dysenteric disorders, chronic blood in the stool, rectal prolapse.
• Leakage: nocturnal emission, spermatorrhea, excessive sweating, bleeding.
• Topical: as a powder or wash for sores, ringworm, toxic swellings, damp and ulcerated skin.
• Topical: for scar tissue.
• Topical: apply as a paste to the navel for night sweats (from tuberculosis in one study) or asthma.
• Antibiotic against a wide range of bacteria and some viruses.
Hsu: Hemostatic, antibacterial, antiviral, antifungal, stimulates the CNS, regulates the cardiovascular system - improves blood circulation, hypotensive.
JTCM: It was recorded in Ben Cao Gan Mu that Wu bei zi can astringe the Lungs, drain fire, transform phlegm, dissipate red swellings, eliminate toxicity, astringe non-healing ulcers, and lift prolapse of the anus, uterus and intestines. Modern scientific research shows that Wu bei zi contains tannic acid which has can coagulate proteins and blood locally, promoting the healing of ulcers.
• Mouth Ulcers:
Recurrent mouth ulcers are difficult to treat. Dry Wu bei zi powder often produces results within a week. Apply the powder 5 to 6 times a day. Usually the pain will be reduced and ulcers will heal in 7 days.
• Hemorrhoids and Prolapse of the Anus or Uterus:
Wu bei zi can astringe kidney Qi. The kidney opens to the external genital area. So, Wu bei zi can be used for kidney deficiency causing prolapse in the genital area.
For hemorrhoids, after the patient moves their bowels, clean the anus with warm water. Put 5g Wu bei zi powder on gauze and gently apply to the anus. Usually hemorrhoids will heal within a week.
For uterine prolapse mix Wu bei zi powder with sesame oil to make a paste. Apply the paste to gauze, insert into the vagina at night before bed, and remove it in the morning. Recovery will usually occur within 2 weeks.
For anal prolapse, break 60g Wu bei zi into small pieces. Cover with water, bring to a boil, and cook for 30 minutes. While the decoction is still steaming, let the steam bathe the anus. Then wash the anus with the decoction, or sit in a basin of the fluid for 30 minutes. The prolapse will usually be reduced after three washes, with total recovery in a week.
• Spontaneous Sweats and Night Sweats:
It was recorded in Ben Cao Bei Yao that Wu bei zi has a strong function to astringe the Lung. With its cool nature it can clear heat, transform phlegm and stop coughing, and it can also stop bleeding and sweating. Sweating is related to the Lungs. The umbilicus is the key point on the Ren Mai, and the Ren Mai can adjust all the Yin meridians in the body. When Wu bei zi enters this point, it can help the Ren Mai adjust all the Yin meridians in order to astringe sweating.
Traditional Chinese medical theory states that spontaneous sweats are a symptom of Yang deficiency and that night sweats indicate Yin deficiency, but in the clinic this is not always true - we still need to differentiate. However, either type can be treated with topical herbs. The combination known as Long Bei San is comprised of equal parts Wu bei zi powder and calcined Long gu. Mix Long Bei San with a small amount of water, apply to the umbilicus, and cover with an adhesive bandage. Change the application every other day. Usually it takes 2 to 6 applications to arrest the sweating.
 Eneursis and Seminal Emission:
Wu bei zi secures the essence of the kidney and the Qi of the bladder. Accordingly, it is a good herb for the treatment of enuresis and seminal emission caused by kidney deficiency.
For children's bed wetting, the use of Long Bei San provides good results. For patients with seminal emission, combining Long Bei San on the umbilicus while simultaneously administering an internal formula yields better results.
Modern research shows that Wu bei zi contains tannic acid which can coagulate protein and form a thin membrane to strengthen the filtration capacity of the nephron tubule and increase resorption from the nephron. As a result, it can prevent proteinuria.
• Chronic Diarrhea and Dysentery:
Wu bei zi powder and white pepper powder can be mixed with a few drops of white wine, applied to the umbilicus, and covered with an adhesive bandage. A hot water bottle can be used to warm the abdomen simultaneously. The powder should be changed every other day.
• Toothache:
Zhao Pin Su liked to use Wu bei zi as a topical herb to treat all kinds of toothaches including those caused by wind-heat, stomach fire, tooth decay, etc. Dosage ranged from 10 to 30g. He said Wu bei zi was the best herb for the treatment of toothache, especially when caused by tooth decay. Wu bei zi powder can be applied to the painful spot or it can be decocted and gargled with. Sometimes the toothache stops immediately. Afterwards, the decayed area can be filled with Ru xiang to prevent inflammation.
• Chronic Cough due to Lung and Kidney Qi Deficiency Caused by Excessive Dispersion of the Lung:
(Because Wu bei zi has very strong astringent action, it is not indicated for acute cough caused by an EPI.) Prepare a formula of 100g each of Wu bei zi, Hu tao rou, Mai men dong, and Wu wei zi, grind to a powder, and give 6g twice a day, morning and night. Two to eight weeks of treatment with the above combination produces good results in every case.
4.5-9g
Wu Mei
Mume fruit
Black Plum

"Dark Plum"

















sour
neutral
Lv
Sp
Lu
LI
Astringes Lung Qi; astringes the large intestine; stops coughing and diarrhea; generates body fluids, eases thirst; calms roundworms; stops bleeding.

• Lung Qi deficiency: chronic cough.
• Chronic diarrhea, chronic dysentery, blood in the stool.
• Yin deficiency (or Qi deficiency) heat: thirst, wasting and thirsting disorder.
• Roundworms (also for hookworms): epigastric and abdominal pain, vomiting (must purge the patient after calming the worms with Wu mei).
• Occasionally used for abdominal pain and vomiting without parasites.
• Bleeding: uterine, fecal (especially when there are accompanying symptoms of blood deficiency including dryness, thirst, parched mouth).
• Topical (as a paste made by powdering and mixing with vinegar, or in plaster form): protruding lumps on the skin - warts, corns, etc.
• Bensky/Gamble: soften the growth in hot water, remove it, then apply the herb, cover with gauze, and change every 24 hours.
• Bacillary dysentery.
• Stimulates production of bile and contraction of bile duct.
• Partially char when using to stop bleeding.
Wei Li gives in large dose for recalcitrant skin disease, such as eczema (20-100g).
Hsu: Pronounced antibacterial effect, antifungal, anti-allergic effect.
BF: Mume is a plum picked green in the fifth month. It is then preserved by drying over a slow-baking fire for several days. In Japan, umeboshi is made from this same plum which is pickled with salt and Perilla leaves (called chiso in Japanese). According to Michio Kushi, a leading proponent of Japanese macrobiotics, umeboshi plums "neutralize an acidic condition and relive intestinal problems, including those caused by microorganisms." Another Macrobiotic teacher, Naburo Muramoto, says: "As medicine the umeboshi plum works miracles. Stomach aches, stomach cramps, migraines, certain types of headaches, and acidity are some of the minor pains these plums can relieve. They also counteract fatigue and act as a preventive against dysentery."
Wu Mei Wan with additions and subtractions can be used for women with severe dysmenorrhea in turn due to endometriosis with a pattern of damp heat stasis and stagnation, spleen qi deficiency, and even a bit of yang deficiency.
In modern Chinese medicine, Mume has three main uses. First, it astringes the intestines and stops diarrhea. Secondly, it expels worms or parasites. And third, it engenders fluids. However, the Shen Nong Ben Cao says that Mume "precipitates or descends the qi, eliminates heat and vexatious fullness, quiets the heart, relieves pain in the limbs, treats hemilateral withering, insensitivity, and dead muscles, and removes green-blue and black moles and malign diseases." Likewise, the Ri Hua Zi Ben Cao says Mume "eliminates taxation [read: deficiency]...and treats one-sided withering of the skin with numbness and impediment." Pain in the limbs, one-sided withering, insensitivity, and dead muscles might certainly be describing an autoimmune condition like MS or amyotrophic lateral sclerosis (ALS). And the Ben Cao Tu Jing says Mume "rules ... vacuity taxation emaciation and skinniness" which might also describe certain autoimmune and immune deficiency diseases. Vexatious fullness suggests liver depression qi stagnation, the necessity of precipitating the qi suggests upward counterflow, eliminating heat suggests depressive heat, and quieting the heart, when read together with the other symptoms, suggests yin fire disturbing the heart spirit. Li Dong-yuan did sometimes use Mume in his yin fire formulas. Green-blue and black moles suggest blood stasis, while malign diseases means both injurious diseases and also suggests blood stasis, since static blood is also called malign blood.
Heiner Fruehauf says that a number of medicinals are specifically quieting to the spirit in gu zheng cases. He then goes on to list a number of yin-enriching, fluid-engendering medicinals, such as Radix Glehniae Littoralis (Bei Sha Shen), Bulbus Lilii (Bai He), and Rhizoma Polygonati (Huang Jing). Fructus Pruni Mume likewise engenders fluids. It is also the best known of the commonly used Chinese medicinals for treating worms or parasites. Although Fruehauf does not mention Mume being described in the Chinese gu zheng literature as a typical anti-gu medicinal. I believe it should be. In addition, I think the combination of Mume and Perilla is a very effective one in clinical practice. One can add Mume to anti-gu formulas containing Perilla and/or eat Japanese umeboshi plums as a condiment in their diet. (Perilla, by the way, can also be grown as a self-reseeding garden herb and eaten as a salad green.)
See also BF's commentary on Zi su ye, where he discusses the use of Mume in combination with dispersing herbs to prevent depletion.
3-9g
Wu Wei Zi
Schizandra fruit

"Five Flavor Seed"




























































































sour
warm
Lu
K
Ht
Strongly astringes Lung Qi, stops coughing; mildly nourishes kidney Yin; generates body fluids; stops sweating; controls Jing; stops diarrhea; quiets the Shen and calms the heart.

• Lung deficiency or Lung/kidney deficiency: asthma and cough, especially chronic (inhibits leakage of Lung Qi above, nourishes kidney Yin below).
• Yin deficiency: night sweats.
• Yang deficiency: spontaneous sweating.
• Body fluid injury: thirst.
• Kidney deficiency: seminal emission, including nocturnal, vaginal discharge, frequent urination.
• Kidney and spleen deficiency: chronic/daybreak diarrhea, seminal emission.
• Kidney and heart Yin deficiency with blood deficiency: insomnia, dream-disturbed sleep, palpitations, irritability.
• Skin disorders.
• May improve liver function in hepatitis: reduces liver enzyme levels (particularly SGPT).
• Stimulatory effects: improves reflexes, stimulates respiration through a direct effect on the CNS: helps resistance of respiratory depression from morphine.
• Can induce/promote labor.
• Increases visual acuity and visual field.
• Raises acuity of tactile discrimination.
• Adaptogenic.
• Beneficial in neurasthenia.
• Soak in 80-proof alcohol as a medicinal wine for itchiness and irritation of the skin associated with a wind rash.
• Crush before using.
• Use dry for deficiency heat.
• Use wine-prepared for tonification.
MLT: Inhibits loss of physical and mental energy. Its spirit calming effects lie in its ability to heal and prevent loss of psycho-physiological energy.
• Useful for those who tend to feel agitated or scattered.
• Can be taken in wine to calm the heart/Shen.
Hsu: Excites the CNS, increases brain efficiency, regulates the cardiovascular system to improve circulation, antitussive, expectorant, stimulates uterine smooth muscle, strongly antibacterial, cardiotonic, analgesic, cholagogue.
JTCM:
• Insomnia and Memory Loss:
Wu wei zi can nourish Yin and harmonize Yang, astringe Yang into the Yin, balance the zang-fu organs, calm the shen and strengthen the will. Li Pei Shen has an extensively used formula called Wu Wei An Mian Tang, containing Wu wei zi, Fu shen, He huan hua, and Fa ban xia. It is very effective at treating stubborn insomnia.
Typical daily doses: Wu wei zi 50g, Fu shen 50g, He huan hua 15g, Fa ban xia 15g
• Chronic Fatigue and Menopausal Symptoms:
Liu Zhen Ji often used a large dose of Wu wei zi to treat chronic fatigue with difficult recovery after extreme physical labor, and menopausal symptoms.
Typical dose for menopausal symptoms or extreme physical exhaustion: 100g/day.
It is recorded in Yong Yao Fa Xiang that Wu wei zi has the function to tonify the source Qi and astringe dispersed Qi. Modern pharmacological research shows that Wu wei zi can improve human intelligence and efficiency. At concentrations of 5 to 10 mg in the bloodstream, Wu wei zi can improve the attention and balance movement by affecting muscle chemistry. (It also works through enhancement of the cortex.) Wu wei zi can stimulate the smooth muscle of the uterus, so it is not recommended for pregnant women.
• Prevention of Asthmatic Bronchitis:
blockage and rebellion of Qi in the bronchi: recurrent bronchial spasm, shortness of breath, coughing, expectoration of mucus and wheezing
Li Zhen Lin used a method which had been passed on in his family for the treatment of night sweats - application of Wu wei zi to the navel - for a patient who also had asthmatic bronchitis. When the night sweats were gone he found that the asthmatic bronchitis was cured as well. (Overall efficacy rate is about 85%.)
Method of application: grind raw Wu wei zi to a powder and add 70% ethanol. Mix to form a paste and save in a bottle. Take an egg-sized amount of paste, put on the umbilicus, cover with plastic wrap and use tape to fix it in place. It is usually applied before bed and removed the following morning. Re-evaluate the patient after 3 20-day courses.
Pharmacological research shows that Wu wei zi can enhance the body's defenses against irritants and improve function of the adrenal cortex and the immune system. Shen Que [CV-8] has a biao-ne relationship with the Du Mai, connects with the twelve meridians, five zang and six fu organs, and joins the upper and lower body. Medical research shows the umbilicus is the last place to close during the development of the embryo. Beneath it, there is no adipose tissue, but a number of large blood and lymph vessels and nerves. From an anatomical perspective, the umbilicus is thus an excellent passage for absorption of topical herbs. The properties of Wu wei zi penetrate this passage to act on the human body.
• Treatment of Viral Hepatitis:
Research has shown that Wu wei zi can decrease glutamine- alanine transaminase, the enzyme which converts glutamic acid to alanine - necessary for propagation of the hepatitis virus. The key components in Wu wei zi that can decrease glutamine-alanine transaminase are in the seed of the Wu wei zi fruit. So the correct way to prepare Wu wei zi is to bake it and then grind it into a powder. Take the powder, 3g at a time, three times a day. It also can be made into pills with honey. If cooked in a decoction, it must be ground first.
When using Wu wei zi to lower glutamine-alanine transaminase, we need to be cautious. After glutamine-alanine transaminase is back to normal, we should decrease the dosage of the Wu wei zi. If we use only Wu wei zi to lower the glutamine-alanine transaminase level, it is easy for the patient to relapse. When jaundice appears we should move the blood and dispel blood stasis. It is better to disperse the pathogen than to astringe it. Sometimes only using Wu wei zi can trap the pathogen inside and the disease will progress to severe jaundice or cirrhosis of the liver. Therefore, the best way to treat hepatitis is to combine Wu wei zi with some herbs to move Qi and blood and dispel blood stasis.
• Diabetes:
Wu wei zi is very effective at treating Type II diabetes mellitus (non-insulin dependent). The source of the disease is related to deficiency of the prenatal yuan Qi and postnatal imbalance, causing kidney deficiency and leakage of the Jing, blood, and body fluids. Wu wei zi's sweet taste can strengthen the spleen, and the sour can astringe. In this case, astringing means storage. The kidney is in charge of the storage of Jing, so Wu wei zi is a key herb to tonify the kidney and treat diabetes. Use a large dosage of Wu wei zi and make it into pills. If the patient has hypertension, add Yi mu cao, and Huai niu xi. If the patient has high cholesterol and atherosclerosis, add Jue ming zi, He shou wu, Dan shen, and Shan zha. If the patient has coronary artery disease, add San qi, Jiang xiang, and Tian hua fen.
The Lung is the upper water passage and the kidney is the lower water passage. Insufficiency of the upper water passage and leakage from the lower water passage are the key causes of polydipsia and glucosuria in diabetes. Wu wei zi enters the Lung and kidney, and it can astringe the Lung and tonify the kidney - this is how it can ease thirst and prevent the leakage of Jing.
• Itchiness and Dryness of the Throat:
When treating dryness and itchiness of the throat, the first herb to consider is Wu wei zi. Wu wei zi nourishes body fluids, eases dryness, and also works for itchiness caused by allergies. When Wu wei zi is added to Shao Yao Gan Cao Tang, Zhen Yue Tang, and Yang Ying Qin Fei Tang, the sour flavor combined with the sweet can produce Yin and body fluids, ease dryness and benefit the throat. This method is widely used in chronic pharyngitis caused by Lung and kidney Yin xu or dryness and itchiness of the throat after chemotherapy. It follows the idea that sour and sweet can produce Yin, as recorded in the Nei Jing.
When Wu wei zi is added to formulas such as Yu Ping Feng San, Jin Fang Bai Du San, Qing Fei San, etc., the sour flavor of Wu wei zi can balance the acrid herbs such as Fang feng, Jing jie, Bo he, etc. In this way, we can disperse pathogenic factors and at the same time astringe the Qi and body fluids to stop the itchiness of the throat. Clinically we use these combinations to treat cough with itchiness and dryness of the throat due to allergic pharyngitis.
Wu Wei Zi Can Constrict the Pupils and Stop Tearing:
It was written in Yong Yao Fa Xiang that Wu wei zi can astringe dispersed Qi and constrict enlarged pupils. It was explained in Yi Xue Zhong Zhong Chan Xi Lu that the sour flavor of Wu wei zi can enter the liver, and the liver opens to the eyes, so Wu wei zi can "astringe" dilated pupils. Because tears are the fluid of the liver, and Wu wei zi enters the liver, it can astringe tears also. However, it cannot treat all forms of pupil dilation and tearing. Due to its warm nature and sour taste, it can treat symptoms caused by liver and kidney deficiency or liver Qi consumption. It was recorded in Yan Ke Liu Jin Fa Yao that Wu wei zi is good for treatment of eye problems caused by liver Qi stagnation, excess heat in the Lung, or spleen Qi xu with dampness.
Three additional guidelines to consider when using:
1. Large doses, from 10 to 20g, can be used with no side effects from long-term use.
2. It can be combined with a small dose of Gan cao, so as to blend sweet and sour and produce Yin. This combination will strengthen Wu wei zi's nourishing function, and it can be taken for a long time.
3. When cooking Wu wei zi in a decoction we must grind it into a powder first, just as Zhang Xi Chun said. Wu wei zi's skin is sour and its seed is acrid. So as a whole (when ground to release the contents of the entire fruit and seed) its astringing and dispersing functions are balanced.
• Topical Use for (Non-Healing) Ulcers:
After cleaning the surface of the ulcer, apply a small amount of Wu wei zi powder and cover with sterile gauze. Change the gauze every other day.
When applied in the clinic, we need to wait until all the toxins and unhealthy tissue on the surface are gone. Be cautious not to apply too much powder, because too much will form a scab and cover the surface, which prolongs healing time. Apply a thin enough layer of Wu wei zi powder so that the tissue beneath is still visible.
DY: With Gan jiang to effectively warm the Lungs, transform phlegm, stop cough, and calm asthma. For indications such as cough and/or asthma with profuse, clear, and white phlegm due to cold in the Lungs, Lung Yang deficiency, or phlegm-cold. For these indications, the combination is used in Xiao Qing Long Tang accompanied by Xi xin. For more details on the mechanisms of the combination of Wu wei zi and Gan jiang, see Gan jiang.
1.5-9 (6-9g as tonic, 1.5-3g for chronic cough)
Ying Su Ke
Opium poppy seed capsule
Papaver somniferum






sour
astrngnt
sl toxic
neutral
Lu
LI
K
Astringes Lung Qi; astringes the large intestine; relieves pain; stabilizes the lower Jiao.

• Lung Qi or Yin deficiency: chronic cough.
• Spleen Yin, Qi, or Yang deficiency: chronic diarrhea or dysentery.
• Pain: chest, abdomen, tendons, bones, epigastrium (temporary use).
• Instability of the lower Jiao: polyuria, spermatorrhea, vaginal discharge.
• Use raw or vinegar-fried to stop diarrhea and pain.
• Use honey-fried to benefit the Lungs and stop coughing.
• This herb cannot be legally prescribed in the United States.
1.5-6g

Of the many narcotic constituents of the opium poppy, perhaps the best known are morphine and codeine. Morphine is a strong analgesic, hypnotic, strong and selective respiratory depressant (may cause respiratory arrest), antitussive, causes peripheral vasodilation and histamine release, very low doses cause constipation by various means. Morphine is the analgesic standard against which all other analgesics are judged. In all respects, codeine is much weaker. It has about one-fourth the analgesic strength of morphine and is a weaker anti-tussive, but it is more commonly used because it has fewer side effects. All narcotic poppy derivatives have significant abuse potential.



Herbs That Stop Bleeding (Hemostatics)

• These herbs stop bleeding by any of four actions:
1. Cooling the blood 2. Astringing 3. Dispelling blood stasis 4. Warming the channels
• Herbs in this category are commonly combined with:
A. Herbs that tonify the spleen when bleeding is caused by spleen Qi deficiency.
B. Herbs that clear heat and cool the blood when blooding is caused by heat in the blood.
C. Herbs that promote blood circulation when bleeding results from blood stagnation.
D. Herbs that warm the Yang when bleeding is due to Yang deficiency cold.
• Qi should only be strongly tonified (in cases of bleeding) when heavy bleeding has led to Qi collapse.
Other Herbs to Consider for Stopping Bleeding, When Appropriate:
Bai ji li, Chi shi zhi, Chun gen pi, Da huang, Dai zhe shi, Dong chong xia cao, E jiao, Gan jiang, Gu sui bu, Guan zhong, Gui ban, Hai piao xiao, Han lian cao, Huang lian, Huang qin, Huang yao zi, Jiang huang, Jiang xiang, Jing jie, Lian xin, Lu jiao jiao, Ma bo, Ming fan, Mu dan pi, Mu zei, Qing hao, Ren shen, Sang ye, Shan zhu yu, Shi liu pi, Shi wei, Su mu, Wu bei zi, Wu ling zhi, Wu mei, Xi jiao, Xu duan, Xue jie, Yin chai hu, Zhi zi, Zhu ru.
Ai Ye
Mugwort leaf
Artemisia argyi or A. vulgaris or A. lavandulaefolia


































































bitter
acrid
warm
Lv
Sp
K
Stops bleeding; warms the channels; disperses cold, relieves pain; warms the womb; pacifies the fetus.

• Yang deficiency cold: bleeding, including prolonged menstrual bleeding, uterine bleeding.
• Cold and Yang deficiency of the liver and kidneys: cold and pain in the abdomen, irregular menstruation, dysmenorrhea, leukorrhea, restlessness of the fetus, threatened miscarriage, vaginal bleeding.
• Cold in the womb: infertility.
• Compared to Rou gui: both can alleviate abdominal pain due to cold. Ai ye is most effective when the pain is due to damp-cold. Rou gui is most appropriate for abdominal pain due to cold from deficiency where the extremities are cold, as in Yang deficiency or Yin and Yang deficiency. Also, while Ai ye calms a fetus, Rou gui will stimulate it.
• The fresh, crushed herb can be applied to warts. When used several times a day in one study of 12 patients, warts fell off within 3-10 days.
• Antibiotic (in vitro) against such pathogens as staphylococcus, streptococcus, shigella, and salmonella.
• Malaria: large doses given for two days to malaria patients two hours before onset of symptoms showed control of symptoms in 89% of cases, plus negative blood examinations for the parasite in over half of those cases.
• In its raw form, the herb is relatively neutral and may be used for bleeding due to heat patterns (e.g. heat in the blood) when combined appropriately.
• Char the herb to enhance both its warming and hemostatic properties.
MLT: The ashes from moxibustion are even more effective than the unburnt herb to stop bleeding. They can be effectively applied to the feet for non-healing sores from diabetes.
K&R: Emmenagogue, slight tonic, stimulates secretion of pituitary gonadotropins (FSH and LH).
• Wood yin, earth yin, metal yin.
Wood: stimulates bile secretion, increases appetite, facilitates digestion, abortifacient (not without danger)
• Hypotension, syncope, epilepsy, hypo-estrogenic amenorrhea, functional uterine bleeding, menstrual cramps, neurological and psychiatric syndromes which originate with the liver, dyspepsia.
Earth: antimicrobial, estrogenic and luteotropic.
• Insufficient menses, amenorrhea, insufficiency of corpus luteum due to anemia.
• In Russia, the herb has been used as sedative for convulsions, epilepsy, neurasthenia, dysmenorrhea, labor pain.
• In Japan, the herb is used in mochi for stamina and by new mothers to stop postpartum blood loss, to treat anemia, and to stimulate lactation.
• Amenorrhea from general causes, especially for women with a wood deficiency or metal deficiency constitution.
• Long reputation as a spring tonic.
Yoga: Nagadamani: V, K-; P+ (in excess)
• Bitter, pungent/heating/pungent.
• Emmenagogue, antispasmodic, hemostatic, diaphoretic, anthelmintic, antiseptic.
• Good for sama Vata conditions (arthritis, nervous conditions with obstructed Vata).
• Strengthens the fetus; opens and purifies the channels (circulatory and nervous), relieves pain; warms the lower abdomen, fortifies the uterus.
• Good for menstrual cramps, headache.
PCBDP: Emmenagogue, diaphoretic, choleretic, anthelmintic, diuretic, stomachic, orexigenic.
• Amenorrhea, anorexia, dyspepsia.
• Threadworm, roundworm.
MW: Good for perimenopausal women.
Hsu: Antifungal.
Cpep: Mugwort is an herb of the planet Venus. "Its tops, leaves, and flowers are full or virtue; they are aromatic, and most safe and excellent in female disorders. For this purpose the flowers and buds should be put into a teapot and boiling water poured over them, and when just cool, be drunk with a little sugar and milk; this may be repeated twice a day, of oftener, as occasions require. It is boiled among other herbs for drawing down the courses, by sitting over it, and for hastening the delivery, and helps to expel the afterbirth, and is good for the obstructions and inflammations of the mother. It breaks the stone and provokes water. The juice made up with myrrh, and put under as a pessary, works the same effects, and so does the root. Made up with hog's-grease into an ointment, it takes away wens, hard knots and kernels that grow about the neck, more effectually if some daisies be put with it. the herb itself being fresh, or the juice, is a special remedy upon the over-much taking of opium. The drams of the powder of the dried leaves taken in wine, is a speedy and certain help for the sciatica. A decoction made with camomile and agrimony, and the place bathed therewith while it is warm, takes away the pains of the sinews, and the cramp. The moxa, so famous in eastern countries for curing the gout by burning the part affected, is the down which grows upon the under side of this herb."
PJE: As this plant is so frequently used as a charm, and is held in a measure of superstitious veneration by the people, it is a little difficult to determine just where its remedial use in native therapeutics begins. At the time of the Dragon Festival (fifth day of the fifth moon) the artemisia is hung up to ward off noxious influences. This is done either together with a Taoist charm, in which case it is called Ai Fu, and is hung at the head of the principal room of the house, or together with the Shi Chang Pu at the door; the leaves of the latter being formed in the shape of a sword (called Pu Chien) and placed over the door, while a stalk of the artemisia is hung on each door post. That this was efficacious in at least one instance is attested by the fact that the famous rebel, Huan Chao, gave orders to his soldiers to spare any family that had artemisia hung up at the door. The moxa is employed by buddhist priests in initiating neophytes; three rows of three, four, or five scars each being burned on the crown of the head with this substance. Many also use the moxa on a 3 day-old, burning one or more scars on the face; this being supposed to insure the child's living through infancy. The places for burning are yintang, St-1, St-2, or St-3, and GV-26.
Place artemisia in the shoes to gain strength during long walks or runs. For this purpose, pick it before sunrise saying ...Tollam te artemesia, ne lassus sim in via.
a pillow stuffed with mugwort will produce prophetic dreams. when carrying mugwort, you cannot be harmed by poison, wild beasts, or sunstroke.
In a building, mugwort prevents elves and 'evil thynges' from entering.
bunches of mugwort are used in Japan by the ainus (who are they?) to exorcise spirits of disease who are thought to hate the odor.
mugwort is carried to increase lust and fertility, to prevent backache, and to cure disease and madness.
Eschwey: You know how you forget about the waking world when you're dreaming and you forget about the dreaming world when you're awake? Mugwort provides the bridge of memory between the two worlds.
Holmes: Asian mugwort (Artemisia argyi) is not the same botanical species as the Western mugwort, which is Artemisia vulgaris. The latter was once confused with the former. Moreover, the two herbs cannot be substituted across the board. With its astringent, decongestant, and relaxant actions, Asian mugwort leaf is used primarily to stop uterine bleeding, relieve pain, disinfect and relieve cold and Qi constraint conditions of the uterus. Western mugwort herb, conversely, mainly stimulates the uterus and generally disinfects. Like most remedies in this subsection, Asian mugwort leaf can be seen to activate the Dai and Yang Wei extra meridians in its blood decongestant, astringent and hemostatic action on the pelvic/uterine area. This herb, moreover has the distinction of entering the Ren channel. This is suggested by its historical use for dysmenorrhea, irregular cycles and infertility, as well as in its use for asthmatic and eczematous conditions. Two strongly anticomplimentary polysaccharides have been recently found in Asian mugwort leaf, providing theoretical support for its immune stimulating and interferon producing activities. The use of this remedy for a range of type I or immediate allergic conditions is today well documented.
CHA: (Karen Vaughan, 2-24-01):
Mugwort, harvested in late October after flowering rather than in Summer
as in TCM, is traditionally used for dream pillows in Western herbalism.
It is smoked as a euphoriant (for which lesser quality with high stem
content is best and the effect is stronger with repeated use). A teaspoon
or two is eaten to induce sleep.
3-9g
Bai Ji
Bletilla rhizome

bitter
sweet
astrngt sl cold
Lu
Lv
St
Relieves swelling; promotes tissue regeneration; stops bleeding by astringing.

• Mainly used for bleeding from the Lungs or stomach: hemoptysis, hematemesis, epistaxis.
• Heat and toxicity: carbuncles, cracks on hands and feet; also sores, ulcers, chapped skin. Reduces the swelling of sores, helps speed resolution of ulcers. Especially useful for chronic, non-healing ulcers. For these indications, and for bleeding from traumatic injury, it is usually applied topically.
• Pulmonary tuberculosis: in 60 chronic cases which had not responded to normal therapy, 42 were clinically cured and 13 were significantly improved after taking Bai ji for three months. Also successful in bronchiectasis.
• Useful as a powder for stopping bleeding in surgery.
• Bleeding ulcers, carefully selected cases of gastric or duodenal perforation: Stopped bleeding in all 69 cases of bleeding ulcers in one study. Successful in 23 of 29 cases of perforated ulcers in another study. Contraindicated for patients who (1) do not have a definite diagnosis; (2) have recently eaten; (3) the physical exam reveals marked abdominal distention, reduced bowel sounds, or a painful rectal examination; or (4) are in unstable condition for any reason. Some clinicians feel Bai ji should not be used for perforation for the following reasons: (1) the powdered herb can increase peristalsis and therefore enlarge the perforation; (2) the above, together with an increase in nausea and vomiting, can increase leakage into the abdominal cavity; and (3) because powdered Bai ji is adhesive, it can cause a serious problem if it enters the abdominal cavity.
• Topical, as a sterile ointment: for burns.
MLT: In powder with sesame oil for chapped, bleeding hands and feet, wind/sunburn.
• Not for Lung/stomach bleeding when there are true excess heat signs, external pathogens, or with Lung abscess.
DY: With San qi, the two herbs act to mutually reinforce one another, and together they effectively dispel stasis, stop bleeding, promote granulation and engender muscle (flesh) without producing blood stasis. For such indications as hemoptysis, hematemesis, and bleeding caused by trauma. For internal use, take 3-6g of each herb, powdered, 2-3 times per day. Most bleeding can be stopped within two days. For gastric hemorrhages, it is advised to mix this powder with cool water in order to increase its vasoconstricting mechanism within the stomach.
3-15g
Bai Mao Gen
Imperata rhizome
Woolly grass
White grass






Mao Hua
Imperata flower
sweet
cold
Lu
St
BL
SI
Cools the blood; stops bleeding; clears heat; promotes urination.

• Damp-heat: painful urination, edema, jaundice, urinary difficulty.
• Heat in the blood: hemoptysis, hematuria, hemafecia, epistaxis, uterine bleeding.
• Stomach heat: nausea, thirst.
• Lung heat: wheezing.
• Acute nephritis: found to reduce edema, lower blood pressure, normalize examination of urine, shorten duration of the disease.
Li: Beneficial for prostate cancer.
9-24g (to 60g when used alone)

Mao Hua: the flower
• Sweet, cold.
• Cools the blood, stops bleeding.
• Heat in the blood: epistaxis, hematemesis.
• Less effective than Bai mao gen for painful urinary dysfunction.
Ce Bai Ye
Biota leaf
Thuja orientalis
(synonyms include Platycladus
and Biota)
Leafy twig of Chinese Arborvitae

"Flat Fir Leaves"
bitter
astrngt
sl cold
Lu
Lv
LI
Ht
Eliminates phlegm; stops coughing; clears Lung heat; cools the blood; stops bleeding; promotes healing of burns.

• Bleeding: hemoptysis, epistaxis, hematemesis, hematuria, hemafecia, uterine bleeding, bleeding gums, bloody dysentery disorders. Mainly for bleeding due to heat in the blood, but, appropriately combined, this herb can be used for cold disorders as well.
• Lung heat: cough, copious phlegm. Especially important in cases of difficult-to-expectorate sputum streaked with blood.
• Topical, as a powder or ointment: psoriasis or early stages of burns over a small to moderate surface area. For psoriasis, the herb can be applied topically and taken as a decoction. It is especially effective for acute conditions.
• Dysentery: powdered Ce bai ye effectively treated 100 of 114 cases of dysentery in one study.
• Hemorrhage due to gastric or duodenal ulcer. One study showed quicker results with Ce bai ye than standard therapy.
• Alopecia: (use tincture) generates new hair, density proportional to frequency of application.
• Use the herb raw or charred.
6-15g
Da Ji
Japanese Thistle
Circinum

"Big Thistle"
sweet
cool
Lv
Sp
Cools the blood; stops bleeding; reduces swelling; generates flesh at sores.

• Heat in the blood: epistaxis, hematemesis, hematuria, hemafecia, uterine bleeding.
• Especially effective for vomiting or coughing of blood.
• Topical: for carbuncles, sores, swellings.
• Lowers blood pressure (usually 10-20 mm Hg diastolic).
4.5-15g
Di Yu
Sanguisorba root
Burnet-bloodwort root
bitter
sour
sl cold
Lv
St
LI
Stops bleeding; cools the blood; reduces fire; eliminates toxicity; promotes healing of non-healing skin ulcers; clears heat, generates flesh, reduces oozing.

• Heat in the blood: hemoptysis, hemafecia, hematuria, epistaxis, hematemesis, bleeding hemorrhoids, uterine bleeding, bloody dysenteric disorders.
• Topically (sometimes calcined): burns, sores, ulcers, injuries, eczema. May be powdered and mixed with sesame oil.
• Especially good for bleeding in the lower Jiao due to damp-heat.
• Broad spectrum antimicrobial.
• Reduces seepage, infection rate, mortality, and healing time of burns.
• One study showed significant benefit in eczema (using 30% roasted herb in petroleum jelly).
• Use charred to stop bleeding.
6-12g
Huai Hua (Mi)
Sophora flower bud
Pagoda Tree flower bud











Huai Jiao
Sophora fruit
bitter
sl cold
Lv
LI
Cools the blood; stops bleeding; clears liver heat.

• Damp-heat: bleeding hemorrhoids, hemafecia, dysentery
• Heat in the blood: many forms of bleeding, especially of the lower body/large intestine; also for coughing blood, epistaxis, uterine bleeding.
• Liver heat: headache, red eyes, hypertension, dizziness.
• Topical: tongue bleeding.
• Lowers blood pressure.
• Use charred to stop bleeding.
• Contains rutin and quercetin (anti-inflammatory, reduce capillary permeability, reduce tension in bronchial and intestinal smooth muscle, relieve intestinal spasms, anti-allergic effects, improve coronary circulation by dilating coronary blood vessels, may protect against development of atherosclerosis, more).
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas
6-15g

Huai Jiao: the fruit
• Weaker effect on bleeding than the flower bud, but more effective at draining heat.
• Often used for inflamed hemorrhoids.
• Directs Qi downward (therefore contraindicated in pregnancy).
9-15g
Lian Fang
Mature Lotus receptacle
Lotus peduncle
bitter
astrngt
warm
Lv
K
Sp
Dispels blood stasis; stops bleeding; calms the fetus; dispels summer-heat and dampness.

• Uterine bleeding, hematuria.
• Restless fetus, threatened miscarriage.
• Summer-heat with dampness: diarrhea in children.
• Recent use: for cervical cancer and pemphigus.
• Use fresh for summer-heat.
Jin: To promote blood circulation, best prepared with vinegar or wine.
3-9g
Ou Jie
Node of Lotus rhizome















sweet
astrngt
neutral
Lv
Lu
St
Stops bleeding by astringing; dispels blood stasis

• Many forms of bleeding, especially heat in the Lungs or stomach: hemoptysis, hematemesis. Also for chronic bleeding when combined appropriately.
• Heat in the blood: prolonged menstruation.
• Can be cooked as a food
• Use raw for bleeding due to heat in the blood (the fresh herb crushed into juice is even better).
• Partially char the herb for bleeding due to cold from deficiency.
• Ping-Qi Kang includes this herb in his headache/migraine formula.
Jin: To promote blood circulation, best prepared with vinegar or wine.
Yoga: Padma, Kamala, Pushkara, more names
• The lotus is India's most sacred plant, the symbol of spiritual unfoldment. (See also Lian zi, Lian xin, Lian fang, etc.)
• Sweet, astringent/cooling/sweet.
• P, V-; K+ (in excess)
• Nutritive tonic, rejuvenative, aphrodisiac, astringent, hemostatic, nervine.
• Diarrhea, bleeding disorders, menorrhagia, leukorrhea, impotence, spermatorrhea, venereal disease, heart weakness.
• Opens the first chakra (muladhara) - the root center: for first chakra disorders. (PLB: e.g., self-indulgence, self-centeredness, insecurity, instability, rootlessness, ungroundedness, etc.)
• Calms the mind, subdues restless thoughts and dreams.
• The lotus is sacred to Lakshmi, the goddess of prosperity, and brings spiritual and material abundance.
9-15g
Pu Huang
Cattail pollen
Typha
Bulrush




sweet
astrngt
neutral
Lv
PC
Sp
Ht
Promotes blood circulation, dispels blood stasis; stops bleeding by astringing; slightly promotes urination.

• Blood stasis pain: chest, abdominal, menstrual , including postpartum abdominal pain. Recently for angina pectoris.
• Bleeding: hemoptysis, hematemesis, hemafecia, hematuria, epistaxis, uterine bleeding, subcutaneous bleeding, external trauma.
• Can contract the uterus: for postpartum abdominal pain.
• Lowers cholesterol.
• Probably decreases thrombin time and increases platelet count.
• Use the herb raw to dispel blood stasis and relieve pain.
• Use the herb toasted to stop bleeding.
• If the herb is to be decocted, it should be placed in a tea bag.
Chen: Useful for peptic ulcer.
Hsu: Strong anti-tubercular effect; diuretic.
4.5-12g
Qian Cao (Gen)
Madder root
Rubia
bitter
cold
Lv
Ht
Promotes blood circulation, dispels blood stasis; cools the blood; stops bleeding.

• Blood stasis: pain in the flanks, chest, joints in Bi syndrome, trauma.
• Blood stasis: amenorrhea, lochioschesis, early stages of carbuncles.
• Heat in the blood: any form of bleeding, including hematemesis, hemafecia, hematuria, hemoptysis, uterine bleeding, etc.
• Stimulant effect on uteri of post-partum women.
Yoga: Manjishta: bitter, sweet/cooling/pungent; P, K-; V+
• Alterative, hemostatic, emmenagogue, astringent, diuretic, lithotriptic, antitumor effect.
• Best blood purifier in Ayurveda. Detoxifies the blood, removes obstruction (including in the kidneys and liver).
• Amenorrhea, dysmenorrhea, menorrhagia, menopause, bleeding, kidney, bladder, or gall stones, jaundice, hepatitis, diarrhea, dysentery, trauma, cancer, heart disease, obstinate skin problems, dropsy, rickets, paralysis, herpes.
• For all inflammatory conditions.
• Helps knit broken bones.
• Topical: as a paste for skin discoloration, inflammation, burns, damaged tissue
• Major anti-Pitta herb.
Hsu: Antibacterial, antitussive.
6-9g
San Qi
(Tian Qi)
Panax pseudoginseng
or P. notoginseng

"Three Seven"


































San Qi Hua
Notoginseng flower
sweet
sl bitter
warm
Lv
St
LI
Stops bleeding; promotes blood circulation, dispels blood stasis, relieves pain, reduces swelling; commonly thought of as a tonic, similar to ren shen.

• Bleeding: any form, internal or external, including hematemesis, epistaxis, hematuria, hemafecia, etc. A particularly important herb because it stops bleeding without causing stasis.
• Traumatic injury: the herb of choice for swelling and pain due to falls, fractures, contusions, sprains.
• Blood stasis: pain, including of the chest, abdomen, joints.
• Yin deficiency heat: bleeding (combine with Yin tonics).
• Coronary heart disease, angina pectoris: may replace nitroglycerin.
• May lower blood pressure.
• May reduce serum lipids, cholesterol.
• Effective for Crohn's disease.
• The liver seems to play an important role in San qi's ability to stop bleeding internally, since its effectiveness is lost if the portal vein is ligated. Also shortens thrombin time.
Li: May be beneficial in obesity for weight loss.
MLT: For internal or external hemorrhages.
• Powerfully dissolves clots, normalizes circulation.
• Increases coronary artery flow.
HF: An important herb in anti-Gu therapy to move Qi (xing Qi) and break accumulation (po ji).
Hsu: Cardiotonic: increases coronary blood flow, decreases oxygen consumption by cardiac muscle, thereby diminishing the load on the heart.
• Lessens lipid and cholesterol levels in the blood.
• Possesses an anti-tumor effect.
• Enhances the immune system.
SD: Has been successfully employed as an adjunct to radiation therapy of nasal cancer, greatly improving the success of the treatments. Improves immune system functions and promotes blood circulation.
DY: With Bai ji, the two herbs act to mutually reinforce one another, and together they effectively dispel stasis, stop bleeding, promote granulation and engender muscle (flesh) without producing blood stasis. For such indications as hemoptysis, hematemesis, and bleeding caused by trauma. For internal use, take 3-6g of each herb, powdered, 2-3 times per day. Most bleeding can be stopped within two days. For gastric hemorrhages, it is advised to mix this powder with cool water in order to increase its vasoconstricting mechanism within the stomach.
• With Dan shen to quicken the blood, dispel stasis, nourish the heart, open the network vessels, stop pain, and settle palpitations. For indications such as chest Bi or impediment, i.e. cardiac problems with pain and severe palpitations. For these indications, wine mix-fried Dan shen should be used. This combination treats heart pain no matter what the cause. This action may be reinforced by adding Shi chang pu, Xie bai, Gua lou pi, Gui zhi, and Tan xiang.
• There are two methods of preparation of San qi:
- Uncooked San qi quickens the blood, dispels stasis, and stops bleeding.
- Steamed San qi nourishes the blood, and is not effective for either quickening the blood or stopping bleeding. If San qi is cooked by adding it together with other decocting medicinals, its ability to quicken the blood and stop bleeding is lost. Therefore, for these indications, San qi is more efficient when administered [directly] in its powdered form.
• Modern research has clearly demonstrated that San qi has a definite effect on coronary heart disease, angina pectoris, and hypercholesterolemia.
3-9g (1-3g direct as powder)

San Qi Hua: the flower
• Sweet, cool.
• Pacifies the liver; lowers blood pressure.
• Hypertension: dizziness, vertigo, tinnitus.
• Acute sore throat.
Xian He Cao
Agrimony

"Immortal Crane Herb"



































bitter
astrngt
neutral
Lu
Lv
Sp
Stops bleeding and diarrhea by astringing; kills parasites.

• Treats many forms of bleeding: hemoptysis, hematemesis, hemafecia, hematuria, epistaxis, uterine bleeding, bleeding gums. When combined appropriately, this herb can be used for heat or cold, in excess or deficient patterns.
• Chronic diarrhea or dysentery due to deficiency. Can be used as a suppository for diarrhea.
• Tapeworms.
• Trauma: Xian he cao powder is commonly used in surgery as a hemostatic: hemorrhage or seepage usually stops within 1-2 minutes.
• Topical: use the decoction as a wash for trichomonas vaginitis.
MLT: The calcined ashes of Xian he cao are most effective to stop bleeding.
• For vaginitis due to trichomonas vaginalis, soak a cotton ball in a strong decoction, and insert overnight. Next morning, douche with a decoction of agrimony and yellow dock.
• Can be used to relieve pain and coalesce and strengthen the good cells of the body to resist all kinds of pathogenic influences.
• Recent: valuable for cancer (as in the formula Ping Xiao Dan).
MW: For liver Qi stagnation: irritability, suppressed emotions (similar to bupleurum).
• Nearly the same as Cinquefoil: Cinquefoil has characteristic leaves made up of five leaflets, like a hand. It (and agrimony) has a magic function to ease problems associated with labor (work with the hands, one's calling, spiritual work) and the work environment (coworkers, boss, or other facets of the situation). Taking it or keeping some around changes a person's environment (e.g. for an oppressive or dysfunctional work environment).
• The characteristic mental state of the agrimony patient: tension, frustration, anger, inner torment, feels "caught in a bind," unable to do the right thing, they constrict their breathing from tension, may hold exhalation back, try to hold back pain and not complain - tension and pain hidden behind a facade - act stoic or jovial.
• Female problems: dysuria, dysmenorrhea.
• The "bad hair day" remedy: tension manifests in the hair - poor growth, frazzled, breaks, patchy, nails break also.
• Intermittent fever, chills, influenza, Shaoyang symptoms.
• Sharp, shooting pain in the kidney region.
• Helps passage of gallstones and kidney stones.
• Also for ulcers on the lower body; skin eruptions; alopecia; toxemia; hypertension; colitis, enteritis.
• Tension related to bed wetting.
• This is wolf medicine.
• Matt Wood usually gives agrimony in low-potency homeopathic doses (12x-30x) or 3 drops of the tincture daily.
K&R: Hypoglycemiant, astringent, diuretic, anti-inflammatory, cytophylactic.
• Earth yang, metal yang.
• For diabetes; asthma; jaundice.
Earth: obesity, intestinal mycosis, gout, headache, cataracts, tonsilitis, stomatitis, pharyngitis, aphthous ulcer, infected wounds, contusions, neuritis, cholecystitis with hyperacidity.
Metal: acute bronchopneumopathy with lots of sputum, hemoptysis, headache, tonsilitis, dysentery, hoarseness, EPI with fever, diarrhea, atonic bowel.
Hsu: Hypotensive, anti-inflammatory, antibacterial, inhibits proliferation of some types of cancer cells, regulates heart rate.
IBIS: Qualities: bitter, cool, dry
Affinities: liver
Actions: mild astringent, tonic, diuretic, vulnerary
Dosage: tincture: 2 - 4 mL
There is no remedy which is better suited to the treatment of tension, especially that tension to which traditional Chinese medicine refers as Constricted Liver Qi. The patient feels extreme mental tension, torment, as if caught in a bind (see Dr. Bach's use of Agrimony). There is corresponding physical tension, as if the part were caught in a bind; constricted respiration, harassing cough; sharp pains in the kidneys (Scudder), kidney-stones, bladder and menstrual problems (Ellingwood). This is a traditional remedy for gall-stone passage. The tongue is clear, but sometimes there are longitudinal, oval ulcers. During passage of a gall- or kidney-stone, the tongue is usually dark blue or purple, due to the congestion of blood. The wiry pulse is the great indicator, in combination with the tormented mental state (Wood).
AHPA Botanical Safety Rating: 1
Toxicity: 0
9-15g
Xiao Ji
Small Thistle
Cephalanoplos
sweet
cool
Ht
Lv
Sp
Cools the blood; stops bleeding; eliminates toxicity; slightly promotes urination.

• Heat and toxicity: boils, carbuncles.
• Heat in the blood: epistaxis, hematemesis, hemoptysis, uterine bleeding, and especially hematuria.
• Not as strong as Da ji.
Hsu: Hypotensive, antibacterial.
4.5-15g
Xue Yu Tan
Charred Human Hair

"Charred Excess of the Blood"
bitter
astrngt
neutral
Lv
St
Ht
K
Stops bleeding; promotes blood circulation; promotes urination; mildly nourishes Yin.

• Many forms of bleeding, including hemoptysis, hematuria, hemafecia, and especially uterine bleeding and epistaxis.
• Dysuria, hematuria.
• Usually taken as powder.
• For epistaxis, a small amount of the powder may be blown into the nasal cavity.
1.5-9g
Zong Lu Tan
Charred Stiple Palm Fiber
Trachycarpus

"Palm Stipule"
bitter
astrngt
neutral
Lv
LI
Lu
Sp
Stops bleeding by powerfully astringing.

• Hemoptysis, hemafecia, epistaxis, uterine bleeding without blood stasis.
• Can cause blood stasis - use with a blood mover if there is a risk of stasis.
• Charring increases the herb's astringent and stabilizing properties.
• The uncharred herb (rarely used) is called Zong lu pi.
9-15g (1-1.5g as powder)




Herbs For Topical Use

• Before using an herb on the face, test for sensitivity by applying under the arm.
• Most herbs in this category have some internal uses, but (most) are generally not taken internally for a prolonged period.
• Doses given are for internal use.
• Note: Several herbs were not included here because they are quite toxic (Qing fen contains mercury, Mi tuo seng contains lead, Qian dan contains lead, etc.), and will never be used in the West (except with great liability). However, this does not mean that all the substances that were included are safe. Some very toxic herbs are listed below because of their unique (albeit limited) usefulness (e.g., Ma qian zi) or because they are still quite commonly used in China (e.g., Xiong huang).
Da Suan
Garlic bulb












































































































acrid
warm
Sp St Lu Topical: Kills parasites; eliminates toxicity; relieves swelling.

• Fungal infections: ringworm on scalp; trichomonas vaginalis.
• Carbuncles and other toxic swellings.
• Pinworms - apply to perianal area or use as an enema.
• Can be mixed with sesame oil for topical application.
• Apply as poultice for acute intestinal abscess (with Mang xiao, Da huang).
• Can be made into a paste and rubbed on exposed areas of the body to prevent parasitic infection.
• Garlic can be irritating to the skin and may cause blistering.
• Appendicitis: in paste with Mang xiao on McBurney's point (use gauze between the skin and the paste) for 2 hours, then follow with a paste of Da huang and vinegar

Internal: Kills parasites; eliminates toxicity; relieves swelling; prevents influenza; treats food poisoning from shellfish.

• Parasites: hookworms, roundworms, pinworms, amoebae, other intestinal parasites (in appropriate combination) and for diarrhea due to parasites.
• Toxicity: carbuncles, diarrhea, dysentery (especially amebic), consumption, sudden coughing.
• Food poisoning.
• Garlic with purple skin is stronger against toxicity and parasites than other forms.
• Antimicrobial, antifungal (including candida).
• Its oil inhibits the development of atherosclerosis.
• Antineoplastic effects.
• May be taken in decoctions, raw, dry-fried, or as a paste
• Bensky and Gamble classify Da suan with herbs that expel parasites.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
Yoga: Rashona: "Lacking One Taste" - said to contain all tastes but sour.
• Mainly pungent/heating/pungent; V, K-; P+
• Stimulant, carminative, expectorant, alterative, antispasmodic, disinfectant, anthelmintic, rejuvenative, detoxifier.
• Colds, coughs, asthma, heart disease, hypertension, high cholesterol, arteriosclerosis, palpitations, skin diseases, parasites, rheumatism, hemorrhoids, edema, impotence, hysteria.
• A rasayana for Vata (and, to a lesser degree, for Kapha).
• Cleanses Ama and Kapha from the blood and lymphatics.
Tamasic - can dull the mind but can also impart groundedness.
• Increases semen but can also irritate the reproductive organs.
• Not for heat in the blood.
BII: Lowers cholesterol (probably at least 9%), may raise HDL, inhibits platelet aggregation by blocking thromboxane synthesis, may increase fibrinolytic activity, may reduce LDL oxidation (part of the development of atherosclerosis).
• Significant anti-infective and immune enhancing properties: HIV, cancer, infections: may enhance T cell and macrophage function, increase interleukin-1 levels, increase NK cell activity, and enhance phagocytic cell function.
JC: Alterative, stimulant, diaphoretic, sudorific, diuretic, expectorant, antiseptic, antispasmodic, disinfectant, tonic, nervine, laxative, emmenagogue, carminative, anthelmintic (vermicide - roundworms and pinworms), rubefacient, vulnerary, antivenemous, antisyphilitic, anti-catarrhal, digestant,
hypotensive.
• Has an affinity for the respiratory tract.
IBIS: Affinities: Lungs, circulation and blood, liver, intestines.
• Internal: antibacterial, antifungal, anti-inflammatory, antimicrobial, anthelmintic, antiseptic, antiviral, hypotensive-vasodilator, cholagogue, antispasmodic, decreases blood cholesterol, increases HDL, anti-atheromatic, PAF antagonist, increases fibrinolytic activity, hypoglycemic, expectorant, diaphoretic, antioxidant, antitumour, antineoplastic, antimutagenic, diuretic, carminative, emmenagogue.
• External: antimicrobial, antifungal, expectorant (topically via feet or pleural surfaces).
• Dosage:
Fresh: 2 to 5 cloves q.d., equivalent to approximately 5000mg fresh daily. Up to 30 gms per day may be taken in acute conditions.
Dried: The wide therapeutic dose range is hard to translate into the many forms of garlic that are commercially available. In general, 1000mg fresh equates to 1000mcg allicin potential or 10 mg alliin. 5000mcg allicin is a good general therapeutic dose.
• Internal: treatment and prophylaxis of infections especially respiratory infections (bronchitis, respiratory catarrh, colds, influenza; pneumonia) hypertension, hypercholesterolemia, hypertriglyceridemia, atherosclerotic changes, peripheral vascular disease (including intyermittent claudication), diabetes, candidiasis, gastro-intestinal infections (dysentery, diptheria, cholera, typhus, intestinal parasites incl Ascaris).
• External: dermatophyte fungal infections, ear infections, vaginal candidiasis, respiratory infections (topically).
• Specific indications: moderate hypertension with moderate hyperlipidemia, upper respiratory infections.
• Constituents:
Volatile oil (0.1-0.4%) containing sulfur compounds:including allicin, diallyl disulfide, diallyl trisulfide, ajoene and others.
Other sulfur compounds: including allyl cysteine sulfoxide, methyl allyl thiosulfinate and related compounds.
Enzymes: including alliinase, myrosinase, peroxidase.
Other: proteins (~16%), vitamins, glucosilinates.
• Pharmacology:
The enzyme allinase is released when the fresh bulb is damaged, and catalyses the formation of allicin from alliin. Allicin is responsible for the odour of garlic and together with its numerous degradation products is considered to be the primary active principle of garlic.
• Antimicrobial activity: Garlic extracts have long been established to exhibit wide spectrum antimicrobial activity. They are active against several genera of bacteria, (Staphylococcus, Streptococcus, Brucella, Vibrio spp); viruses (Herpes simplex type 1 and type 2, Parainfluenza virus type 3, Vaccinia virus, Vesicular stomatitis virus and Human rhinovirus type 3), fungi (Candida albicans, Cryptococcus neoformans) and worms (Ascaris lumbricoides, various hookworms). (Reviewed in Pizzorno and Murray, 1995: Bergner, 1996)
• Cardiovascular activity: Garlic extracts have well established activity against various aspects of cardiovascular disease. These are reviewed under clinical trials below.
• Anti-cancer activity: Epidemiological studies have shown an inverse relationship between garlic consumption and the incidence of cancer. (Dorant 1993, Sumiyoshi, 1997). Experimental studies with animals and some human cell lines in vitro have shown garlic extracts to have potent chemopreventative and anticancer effects. The effects are not dependent on any single constituent nor limited to a single tissue or tumour type or specific carcinogen (Milner, 1996). The constituents investigated include the actions of various organo-sulphur compounds (OSC) including the diallyl sulfides and ajoene, as well as selenium. OSC's have been shown to induce apoptosis in human promyelolekemic cells (Dirsch, 1998) to increase reduced glutathione and reduce polyamine formation in human prostate cancer lines (Pinto et al, 1997). The well established chemopreventative activity of garlic extracts in reducing hepatocyte nitrosamine formation is probably be due to Cyt P450 activation (Reicks, 1996) and effects on glutathione metabolism (Fukishma, 1997). Selenium is known to be protective against tumourogenesis, and "high-selenium" garlic extracts show inhibitory activity in animal mammary carcinogenesis (Ip, 1996), Schaffer, 1996).
• Anti-inflammatory and immunomodulating activity: Garlic has established anti-inflammatory action in experimental models, and anti-oxidant activities particularly related to reduced glutathione (GSH) enhancement. Garlic extracts have been shown to be capable of immune modulation, increasing macropahge oxidative burst and stimulating T-lymphcyte blastogenesis in vitro. The active compound was a protein fraction (Lau,1991).
• Miscellaneous activities: Garlic possess diuretic, diaphoretic, emmenagogue and expectorant actions, as well as carminative and anti-spasmodic actions on the digestive system (Leung, 1980). Garlic is also moderately hypoglycemic; the mechanism suggested is competitive binding of OSC's to hepatocyte insulin receptors resulting in a sparing of insulin and potentiation of its peripheral actions. (Bever, 1979).
• Cholesterol lowering action: Garlic supplementation at doses of at least 10mg alliin or a total allicin potential of ~4000mcg lowers total serum cholesterol between 10-12%. Specifically, garlic both increases HDL and lowers LDL cholesterol, thus its effect on the LDL/HDL ratio is more significant than its effect on total cholesterol. It also a moderate effect on elevated triglycerides. These actions have been demonstrated in several placebo controlled double blind studies using various commercial preparations. (Adler, 1997, Steiner, 1996, Jain, 1993 - others reviwed in Pizzorno 1995, Bergner, 1996).
• Atherosclerosis and LDL oxidation: Doses of 600mg/day significantly decreased susceptibility of apolipoprotein B to oxidative damage in only two weeks in a double blind placebo controlled trial (Phelps, 1990). A longer term study (10months) of hypercholesterolemic males also found decreased susceptibility of lipopoteins to oxidation compared to placebo (Steiner, 1998).
• Hypertension: Garlic has established hypotensive effects in vitro and in human studies. Of these a meta analysis of 8 clinical trials concluded that on average garlic lowered systolic pressure by ~11mmHg, and diastolic by 5.0mmHg, at doses between 600-900mg daily standardised at 1.3% alliin. (Silagy, 1994, Warshafsky1993). The hypotensive effects are multifactorial, and include the ability of garlic extracts to inhibit, PAF, increase fibronolysis and directly reduce the rheological viscosity of blood (Jung, 1991). Recently, an in vivo study has implicated an effect of garlic on nitric oxide metabolism as a hypotensive mechanism (Pedraza-Chaverri, 1998).
• Coagualability: Clinical trials show garlic extracts inhibit platelet aggregation and platelet thromboxane formation and increase fibrinlytic activity (Bordia, 1998; Steiner, 1998). Garlic reduces blood viscosity by several mechanisms, one trial suggested a contribution to rheoregulation by vasodilation of precapillary arterioles which allows interstitial fluid inflow (Jung, 1991).
• The long history of garlic as a common food establishes that consumption of reasonable quantities is generally safe. Caution may be indicated in children and while breastfeeding. These cautions may not apply to processed garlic products. (McGuffin, 1997). Use with caution during pregnancy; potential emmenagogue, abortifacient (Keeler and Tu, p. 750). Despite reports that garlic is uteroactive, however, there is no experimental or clinical evidence of adverse effects of garlic consumption during pregnancy and lactation. Suggestions that garlic is contraindicated during pregnancy are speculative. Clinical herbalists consider garlic a safe and useful treatment for upper respiratory infection during pregnancy. May cause changes in lactation, especially nutritional quality and flavor (Muenscher, 1951).
• Local irritant: capable of forming burns, blisters, and ulcers with poor tendency to heal (Parish, 1987).
• Garlic oil may harbor Clostridium botulinum (Scientific American, March 1985).
• Gastrointestinal flora may be significantly altered by garlic consumption.
• Excessive doses contraindicated in acute or chronic stomach inflammation - may cause gastroenteritis.
• Due to anti platelet, blood thinning, and fibrinolytic activity garlic exctracts will decrease PT times and interact with anticoagulant prescription drugs such as warfarin. Concurrent use of other PAF interacting herbs (eg Ginkgo biloba) will enhance this interaction. Vigilance in monitoring PT times is essential with any patient concurrently using coumadin class drugs and garlic. Prospective surgical patients should inform their physicians if they are using garlic, to avoid unexpected and potentially dangerous prolonged bleeds during or post surgical procedure (Burnham, 1995).
• Steam distilled oils: although rich in OSC's, contain no allicin. In addition, while usually dissolved in vegetable oil and contained in gel caps, some manufacturers bind the oil to other compounds that may affects absorption (eg betacyclodextrin). Kyolic deodorized garlic contains no allicin, sulfides, ajeones or dithiins. Generally, a 100% deodorized garlic preparation would be ineffective, since OSC's are excreted through the lungs and skin - there will always be some residual odor. Various techniques are used commercially to stabilise allicin, or neutralize alliinase in order to optimise release of OSC's in the GI tract. Commercial claims and counterclaims about product efficacy tend to be misleading and unsubstantiated by studies.
• Clinical herbalists recommend that whenever possible garlic be consumed fresh, in its food form, to optimise benefits. This is particularly the case for the antimicrobial activities. Dried preparations retain cardiovascular activities to a greater extent than antibiotic activities.
6-15g or 3-5 cloves
Liu Huang
Sulfur

"Sulfur Yellow"

sour
toxic
warm
K
LI
Topical: Kills parasites; eases itching; relieves toxicity.

• Scabies, eczema, ringworm, Yin furuncles, damp festering sores, ulcers, carbuncles, itching, acne.
• Used as powder or paste. Also available in soap form (e.g., Thylox) for acne.
Hsu: Dissolves corneous skin, can cause hair to fall out.
         
Internal: Tonifies kidney Yang (strengthens Ming Men fire); promotes bowel movement.

• Yang deficiency, internal cold: asthma, impotence, painful lower back and knees
• Cold: constipation, especially in the elderly (works by helping the Yang to pass the stool and also by irritating the wall of the gut by forming sulfides - more pronounced effect when there is an abundance of fatty substances in the gut).
Hsu: Antifungal, purgative.
1-6g (pills and powders)
Lu Feng Fang
Hornet nest
sweet
toxic
neutral
Lu
St
Topical: Relieves toxicity, expels wind, alleviates pain

As an ointment or wash for rashes, itching, scabies, ringworm, sores, carbuncles, swollen glands.
As a gargle: use warm for a severe toothache that feels "as if a worm is burrowing in the tooth."


Internal: Expels wind, dries dampness.

• Wind-damp Bi.
• Wind rashes.
• Recent use in the treatment of a variety of tumors.
• Shortens blood coagulation time.
• Mastitis: In one study, 3g of dry-fried Lu feng fang was given with wine every 4 hours for 3 days. 23 of 26 cases were cured (in an average of 2 days) and 1 was improved. No side effects or toxic effects were noted. This form of therapy is not effective for suppurative mastitis.
• Toxic: large doses cause nephritis.
6-12g (1.5-3g directly as powder)
Ma Qian Zi
Strychnos nux-vomica seeds
Nux-vomica

"Horse Money Seeds"
bitter
toxic
cold
Lv
Sp
Unblocks the channels, disperses clumps, reduces swelling, alleviates pain.

• Internal or external for abscesses, sores, yin-type ulcers, and swelling and pain due to trauma.
• Wind-damp Bi, paresthesias, spasms.
• Recently used in the treatment of various types of tumors.
• Facial paralysis: the herb was applied locally as a paste in over 15,000 cases, with effective results in 80% of the cases.
• Contains strychnine. Overdoses in humans have been recorded with as little as 50mg of the herb. Overdosage presents with a crawling sensation in the cervical area, difficulty in swallowing, and irritability. The progresses to convulsions of great force.
• Used externally in powders for local application, including insufflation into the throat.
RW: In small doses, the herb is a bitter tonic. This herb is the leading nervous system stimulant. Indispensable as a major nerve tonic. The drug of choice when one needs powerful and lasting stimulation of the nervous system. Often used for the elderly, and for pale children lacking an appetite (good with galanga). For nervous stomach conditions, it also reduces sensitivity to pain.
• According to Weiss, this herb is safer than stated. "Really good results are achieved only with relatively large doses: 10-20 drops of the tincture in a glass of water three times daily."
[Other sources (PCBDP) are much more cautionary - strychnine can be fatal.]
Hsu: Promotes blood circulation and breathing; can induce muscular tetany; increases intestinal peristalsis.
0.3-0.9g internally in pills and powders
Ming Fan
(Bai Fan)
Alum
(basic potassium aluminum sulfate)

Ku Fan: prepared form
sour
cold
Lu
Lv
Sp
St
LI
Topical: Eliminates toxicity; kills parasites; dries dampness; eases itching; stops bleeding.

• As a wash for scabies, ringworm, carbuncles, damp/damp-heat rashes - eczema.
• Bleeding: epistaxis, hemorrhoidal bleeding, bleeding gums, bleeding due to external injury.
• Swollen and painful throat or eyes.
• Ear drops for chronic otitis media.
• For external use, Ku fan (the prepared form) is preferred for sores and abscesses, oral sores, eye problems.

Internal: Stops bleeding and diarrhea; clears heat and phlegm; dried dampness.

• Hematemesis, epistaxis, hemafecia, chronic diarrhea, uterine bleeding, vaginal discharge. Ulcerative colitis.
• Jaundice.
• Wind-phlegm/phlegm-heat: epilepsy, irritability, delirium, depression, mania, cough with difficult-to-expectorate sputum.
• Ming fan has a strong stimulatory effect on the body's tissues. Overdose can cause ulceration, vomiting, diarrhea, shock.
• The cumulative effect of long term ingestion of aluminum may not be healthy (Alzheimer's?).
• Crush before using.
0.6-3g (15-30g commonly used topically)
Peng Sha
Borax

sweet
salty
cool
Lu
St
Relieves toxicity, prevents putrefaction.
• Used internally or externally for pain and swelling in the throat, open sores in the mouth, white draining vaginal lesions (e.g. severe candidiasis).

Topical: Dries dampness.
• Blisters between toes caused by damp-toxicity.
• Sores, including nasal, pharyngeal, vaginal sores.

Internal: Clears heat; dissolves phlegm; transforms stones.
• Phlegm-heat obstruction with difficult-to-expectorate sputum.
• Painful urinary dysfunction with stones.
1.5-3g
She Chuang Zi
Cnidium seed

"Snake's Bed Seeds"
acrid
bitter
warm
K Topical: Dries dampness; kills parasites; stops itching.

• Dampness: eczema, any itching, weeping skin lesion especially of the external genitalia region.
• Scabies.
• Ringworm.
• Use as a wash, powder, or ointment.
15-30g commonly used topically
     
Internal: Tonifies kidney Yang; disperses wind, cold; dries dampness.

• Kidney deficiency or cold womb: impotence, male or female infertility.
• Cold and dampness: leukorrhea, trichomonal vaginitis.
• Dampness (especially wind-cold-damp): lumbar pain.
Hsu: Antifungal; antiviral; anthelmintic; sex-hormone-like action - prolongs sexual intercourse in mice and can induce copulation in castrated mice.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
3-10g
Wa Leng Zi
Ark shell
Cockle shell
salty
neutral
Lu St Lv Topical: Regenerates tissue for ulcers.

Internal: Resolves phlegm; promotes blood circulation and dispels blood stasis; softens and resolves masses and lumps; neutralizes stomach acid; alleviates pain.

• Stagnation of blood, Qi, and/or phlegm: fibroids, cirrhosis of the liver, immobile or mobile abdominal masses.
• Chronic pain in the pit of the stomach (such as ulcer pain) or blood stasis pain accompanied by vomiting with acid reflux.
• Ulcers: In one clinical trial, 124 patients with gastric and duodenal ulcers were treated with a powder of 5 parts Wa leng zi and 1 part Gan cao. Treatment periods ranged from 29 to 56 days. 59 cases were cured and another 48 showed significant improvement.
• The raw herb should be used for promotion of blood circulation and dissolution of phlegm, while the calcined form is preferred for the neutralization of stomach acid, acid reflux (GERD), heartburn.
• Requires precooking. The herb should be broken into pieces or ground into powder before cooking.
• Bensky and Gamble classify this herb as a blood mover. The herb is also commonly classified among herbs that resolve phlegm (a categorization Guohui Liu also agrees with).
9-15g
Xiong Huang
Realgar
Arsenic Sulfide

"Male Yellow"



acrid
bitter
warm
toxic
Ht Lv St Topical: Eliminates toxicity; kills parasites.

• Carbuncles, snake bites, scabies, ringworm, damp rashes, abscesses, suppurative inflammation of the soft tissue, ulcerations.
• Very commonly used in soaks for any skin itching.
• As a paste for neurodermatitis/shingles.
• Because it is absorbed through the skin, the herb should not be applied to large areas.

Internal: Kills worms; dries dampness; expels phlegm; checks malarial conditions.

• Worm parasitism in the intestines: pain - especially for roundworms, and particularly with signs of accumulation.
• Dampness/phlegm accumulation: wheezing; seizures; malarial conditions.
• Do not calcine. Calcination produces the extremely toxic As2O3.
0.15-0.6g in pills and powders
Xue Jie
Dragon's Blood
Resinous secretion of Daemonorops draco or Dracaena cambodiana

"Exhausted Blood"
sweet
salty
neutral
Ht Lv Topical: Promotes regeneration of tissue; stops bleeding.

• Bleeding due to external trauma.
• Non-healing skin ulcers: protects the surface of the ulcer, prevents decay, and generates flesh.
6-9g commonly used topically

Internal: Promotes blood circulation, dispels blood stasis, alleviates pain.

• Blood stasis: trauma, swelling, pain, symptoms related to injury from falls, fractures, contusions, sprains, endometriosis.
• Similar to San qi, but weaker than San qi at promoting blood circulation or stopping bleeding.
• Contraindicated in patients without blood stasis.
• Bensky and Gamble classify this herb as a blood mover.
Hsu: Antibacterial, hemostatic.
0.3-1.5g
Zhang Nao
Camphor




































acrid
hot
toxic
Ht
Sp
Topical: Expels wind and dampness; kills parasites; promotes blood circulation, alleviates pain.

• Scabies, ringworm, itching sores
• Blood stasis: injuries, pain and swelling.
• Used topically as a powder or paste.
• Warming, irritative, and antiseptic effect on the skin. Mildly locally anaesthetic.
Hsu: Irritant effect - promotes blood circulation, increases mucosa secretion.

Internal: Opens the orifices of the heart; expels turbidity.

• Delirium, sudden unconsciousness due to hot disorders.
• When taken orally, it irritates the gastric mucosa. In small doses, this causes a comfortably warm feeling. In large doses it causes nausea and vomiting.
Zhang nao stimulates the central nervous system, particularly the higher centers. Normal doses have no effect on respiration, but large doses can stimulate respiration.
• Oral doses of 0.5-1g can cause dizziness, headache, a feeling of warmth and restlessness. Over 2g leads to transient tranquilization followed by stimulation of the cerebral cortex with tonic-clonic spasms. Respiratory arrest can occur. 7-15g is fatal.
Yoga: Karpura: pungent, bitter/slightly heating/pungent; Sattvic.
• K, V-; P+(in excess)
• Expectorant, decongestant, stimulant, antispasmodic, bronchodilator, nervine, analgesic, antiseptic.
• Bronchitis, asthma, pertussis, pulmonary congestion, hysteria, epilepsy, delirium, insomnia, dysmenorrhea, gout, rheumatism, nasal congestion, sinus headache, eye problems, tooth decay.
• This herb is poisonous in excess: aggravates Pitta and Vata
• Increases prana, opens the senses, clears the mind.
• Applied to the eyes (in small amounts): initially burning, but promotes tears and cools and clears the eyes.
• Nasally: for congestion, headache, and to awaken perception.
• Burn as incense during devotional worship to purify the atmosphere and promote meditation.
• Use ONLY genuine, raw camphor internally.
Hsu: Stimulates the CNS; antifungal.
SD: Camphor oil is obtained from a tree (Cinnamomum camphora), and like cardamom, the essential oil of the tree contains a large number of terpenoids (mostly, the same ones as in cardamon, but in different proportions). Camphor was collected at least as early as the 9th Century. In 1676, the trees were brought to Europe for cultivation. In the following century, it was also introduced to several other countries, including the U.S. Prior to World War II, the world use of camphor was about 5,000 tons per year; 80% of this came from Taiwan (the Taiwan camphor tree yields 44% camphor from its leaves, a particularly high level). During the U.S. Civil War, the demand for camphor (used primarily as a medicinal) was so high that the U.S. contracted for the entire Taiwan supply. It was even proposed that an effort be made to purchase Taiwan (then called Formosa) in order to monopolize the camphor trade. It is perhaps for this reason that Japan acquired Formosa in 1895.
Camphor oil was a popular medicinal in the U.S. until about twenty years ago when several instances occurred in which children were fed camphor oil by parents who failed to distinguish it from castor oil. The pure camphor oil is toxic in the doses for which castor oil is used. Also, the U.S. Food and Drug Administration worried that topically applied camphor oil would penetrate the skin in sufficient amounts that it could cause trouble for persons with cardiac disorders who were taking various medications. As a result, it is no longer possible to purchase camphor oil for household use in the U.S.
Like borneol, camphor has been used as an antiseptic, antispasmodic, carminative, cardiac stimulant, respiratory aid, and anthelmintic. It is often used in treating congestive problems such as bronchitis and emphysema. Camphor is also used in preparation of foods, being an ingredient of vanilla and peppermint flavors, and incorporated into formulations of soft drinks, baked goods, and condiments. In modern Chinese medicine, camphor is most often reserved for external application, while borneol is used both internally and externally. Synthetic camphor, often made from by chemically modifying pine tree resins (turpentine), is now widely used as a substitute for the natural product.
Camphor and the chemically related compound camphene are found in: cardamom, saussurea, ginger, magnolia, curcuma, cinnamon, nutmeg, and cyperus.
0.1-0.2g in pills or dissolved in wine


Herbs That Kill Parasites

• These herbs should be taken on an empty stomach so the parasites are hungry.
• Temporarily discontinue herbs if a patient develops a fever or severe abdominal pain.
• The non-purgative herbs in this category are usually combined with a purgative to discharge the dead parasites.
• Other anti-parasitic herbs to consider: da suan, chuan lian zi, hua jiao, lu hui, ku shen, bai bu, wu me, shi liu pi, xiong huang, xian he cao, bian xu, more... Also see Heiner Freuhauf's list of herbs for Gu formulas.
Bing Lang
Betel nut
Areca seed






acrid
warm
bitter
St
LI
Kills parasites (particularly tapeworms [pig], and also hookworms, pinworms, roundworms, flukes, Fasciolopsis); reduces accumulation, eliminates food retention; regulates Qi, promotes Qi circulation; promotes urination; slightly promotes bowel movement.

• Parasitic infection. This does not kill tapeworms, but paralyzes the head and upper body. It is often combined with Nan gua zi, which paralyzes the rear end of the tapeworm. Since this herb has a slight action to promote bowel movement, it does not need to be combined with a purgative to expel the parasites.
• Food retention and Qi stagnation in the stomach and large intestine: distention, constipation.
• Retention of harmful fluid: edema, swollen and painful legs.
• Malarial disorders.
• This herb can be drunk at a cool temperature to reduce the possibility of side effects.
• For best results against parasites, soak the herb in water for a few hours before decocting.
• This herb is an enormously popular recreational drug in India (mixed with burnt lime, areca leaf, and other additives and flavorings which may alter its effect): stimulates cholinergic receptors, especially those causing salivation; possible aphrodisiac; stimulates peristalsis, bronchoconstriction, bradycardia. Habitual use increases the appetite, diminishes the sense of taste, may cause diarrhea, increases risk of periodontal disease, and stains the oral cavity red.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
DY: Breaks and downbears the Qi.
• With Mu xiang to move the Qi, disperse food stagnation, and stop pain. For such indications as:
- 1. Lack of appetite, abdominal and epigastric distention and pain aggravated by pressure, difficult defecation or dry stools due to food stagnation in the stomach and intestines. (Bing lang should be stir-fried until scorched.)
- 2. Dysentery or diarrhea with tenesmus and abdominal pain due to Qi stagnation. (Use scorched Bing lang and roasted Mu xiang.)
- 3. Constipation or difficult defecation due to Qi stagnation. (Use scorched Bing lang.)
• With Nan gua zi to expel tapeworms (and other intestinal parasites). For this indication, 15-100g Bing lang and 30-120g Nan gua zi are used. Two hours after drinking a decoction of these two herbs for tapeworm, a decoction of 10-20g Da huang is taken.
Hsu: Antiviral, antifungal; antimydriatic effect; stimulates parasympathetic nervous system; stimulates intestinal peristalsis.
6-12g (60-120g alone for tapeworms)
Fei Zi
Torreya seed
sweet
astringent
neutral
LI
Lu
St
Kills parasites (various intestinal, including tapeworm, hookworm, pinworm, roundworm); moistens the Lungs, stops coughing; mild laxative.

• Hookworms: with Bai bu.
• Roundworms: with Shi jun zi.
• Pinworms: with Bian xu.
• Tapeworms: with Bing lang.
• Lung dryness: mild cough.
• This is a safe, non-toxic herb, and it does not harm the stomach Qi.
• Most effective when dry-fried and taken directly (rather than in decoction).
9-15g (up to 30g or more)
Guan Zhong
Dryopteris root and rhizome or Woodwardia or Osmunda or Matteuccia (or other plants)
Shield-fern

"Link the Multitude"
bitter
sl cold
Lv
Sp
Kills parasites (lice and various intestinal parasites, including hookworms, roundworms, tapeworms, pinworms); clears heat; eliminates toxicity; cools the blood; stops bleeding (charred).

• Heat in the blood: rashes, eruptions, epistaxis, hematemesis, hemafecia, and especially uterine bleeding. The herb should be charred when used to stop bleeding.
• Heat and toxicity: mumps, epidemic disease, sores.
• Wind-heat EPI.
• Also for alopecia, head sores.
• Antiviral: influenza. Dryopteris (Dong bei guan zhong) has been taken as a preventive measure during flu epidemics.
• Stimulates contraction of uterus. Used in post-partum, post-miscarriage, and post-surgical uterine bleeding.
• Do not take with fatty food: one toxic component (filmarone) is usually not absorbed from the GI tract unless the herb is taken with a very fatty meal.
JC: Anthelmintic (taeniafuge, vermifuge), astringent, tonic, vulnerary.
• Tapeworms, roundworms, seat worms, pinworms.
• Wounds, rickets.
6-15g
Ku Lian (Gen) Pi
Melia root bark
China Tree


bitter
sl toxic
cold
Lv
Sp
Strongly kills parasites and fungi (particularly roundworms, hookworms, pinworms, vaginal trichomonas, scalp fungus, scabies).

• Scabies: mix with vinegar and apply topically.
• Pinworms: use as enema and anal wash with Bai bu, Wu mei.
• Roundworms, hookworms: combine with Bing lang.
• Use as a wash for fungal infections. Alcohol extractions of the herb are much more effective against dermatomycoses than are water extractions.
• Contraindicated with hepatic disease. Caution with weak constitution, with a history of gastric or peptic ulcers, or in any patient in whom vomiting would be disastrous (e.g. when there are esophageal varices).
• The bark of the stem of this plant (Ku lian mu pi) has similar effects, but is weaker.
1-15g (up to 60g when used alone)
Lei Wan
Omphalia sclerotium
(also known as Polyporus mylittae)

"Thunder Ball"
bitter
cold
sl toxic
LI
St
Kills parasites (primarily tapeworms, but also hookworms, roundworms).

• For tapeworms, the herb can be taken alone, at a dose of 12-18g powder, 3 times daily with water, after meals.
• The herb must be crushed.
• The herb is less effective when cooked, and is therefore usually taken in pills and powders.
HF: A Sha Chong (kill worms or parasites) herb, important in Gu Zheng (Gu parasites) formulas.
6-9g (or 12-18g taken alone as powder)
Nan Gua Zi
Pumpkin seed and husk

"Southern Melon Seeds"
sweet
neutral
St
LI
Kills parasites (tapeworms [paralyzes the mid-section and tail], roundworms, schistosomes); benefits postpartum fluid metabolism.

• Tapeworms: take 60g (to 120g) powdered pumpkin seed with water. 2 hours later, take a decoction of 60-120g Bing lang. 30 minutes later, take 15g Mang xiao (uncooked) with water.
• Postpartum fluid metabolism dysfunction: swelling of hands and feet, also insufficient lactation.
MLT: Effective for benign prostatic hypertrophy.
JC: Anthelmintic (taeniafuge, vermifuge) [roundworms and tapeworms], diuretic, nutritive; also for renal problems (urinary).
IBIS: Vermifuge, diuretic, nutritive.
• Dosage of raw seeds: 200-400 g (Weiss, p. 120).
• Therapy: parasites, nausea, motion sickness, benign prostatic hypertrophy.
30-60g
Shi Jun Zi
Rangoon Creeper fruit with seeds
Quisqualis

"Envoy Seeds"
sweet
warm
Sp
St
Kills parasites (particularly roundworms); eliminates food retention; strengthens the spleen; dissolves accumulations.

• Roundworms or malnutrition in children due to improper diet, weak constitution: abdominal distention, poor appetite. If roundworms are severe, this herb can be combined with Bing lang.
• Common side effects: nausea, vomiting, belching
• To reduce the herb's toxicity, dry fry it until it is aromatic.
• Traditionally, this herb is not to be taken with hot tea (may lead to diarrhea and belching).
• Sources differ on dosage guidelines:
Liu: One piece per day for no more than 20 days (may discontinue for a week and then resume administration).
Bensky and Gamble: 1 piece per year of age, per day, not to exceed 20 pieces per day.
Li: No more than 12 pieces per day.
4.5-12g
The "old school" American naturopath, John Christopher, on worms affecting Westerners:
JC: The three most common types of worms found in the body are: the thread or seat worms (Oxyuris vermicularis), the round worms (Ascaris lumbricoides-lumbrici), and the tape worms (Taeince-Taenia solium, bothriocephalus latus). There are also other less-common worm types that enter the body, such as hook worms for which thymol [from essential oil of Thyme] and oil of Chenopodium duodenale (American Wormseed) are specifics, and those of unclean pork, etc., which thrive on toxic conditions in the body.
The thread or seat worm is rather easily destroyed or expelled because it is usually found in the lower bowel and does not adhere to the intestinal wall. Herbs such as cathartics, astringents, Aloes, Quassia, Calumba, apple cider vinegar, etc., are effective against these intestinal vermin.
The roundworm is most likely to be found in and often clinging to the intestinal wall, and can cause considerable harm and physical discomfort, especially to children. If roundworms are not checked, they may increase to the point that they enter the stomach, and even travel up the esophagus to the pharynx, with most unpleasant and upsetting results. You can see roundworms in the stools, and you can also know you have them because they greatly disturb the balance of the stomach. The anthelmintic herbs are particularly useful and beneficial to eliminate roundworms and tapeworms. The anthelmintic agents are classed as to their action against the worm parasites: Vermifuges cause the expulsion of worms from the body. Vermicides kill worms in the body. Taeniafuges cause the expulsion of tapeworms from the body. Taeniacides kill tapeworms in the body.
The difference in the action of a worm medicine often depends on the medicinal dosage and how soon after administration the bowels are moved - thus a large dose of an anthelmintic, if it remains in the intestine, will destroy, while a smaller dose will merely expel the worm. Almost all althelmintics are potent and must be respected as such; and concentrated preparations must always be used in wisdom. Generally, in the case of thread or seat worms, an enema is sufficient; and, in the case of round worms, follow the following procedure:
1. Go on a three day cleanse/fast drinking only one type of juice and distilled water and take the anthelmintic morning and night, preferably with Wormwood.
2. On the morning of the fourth day, drink 6-8 ounces of Senna [Fan xie ye] tea alone to cleanse and purge the bowel of the parasites (other suitable cathartics are also acceptable).
The tapeworm is somewhat more obstinate, but the foregoing procedure will also work, using Male Fern [Guan zhong] or Pomegranate [Shi Liu Pi, Shi Liu Gen Pi] as the anthelmintic. Continue taking the remedy a few days after the worm sections have ceased to pass, and use Lobelia along with an antibilious cathartic.
[Dr. Shook:] Doctors generally have the patient fast for a day or two before taking tapeworm remedies, but this is unnecessary, because the worm, being a parasite, cannot be starved. This only makes the patient feel weak and nauseated, and when he finally takes the medicine on a starved stomach, he may throw it up. A far better way, from our experience, is to advise the patient to eat, for a day or so, foods the tapeworm dislikes, such as onions, garlic, pickles, and salted fish. This weakens the worm and tends to loosen its grip, so that when the medicine is taken, the tapeworm can be expelled more easily.




Herbs That Free Contrained Liver Qi


Bai Ji Li / Tribulus seed
Bai Shao Yao / White Peony root
Bo He / Chinese Mint
Chai Hu / Bupleurum root
Chuan Lian Zi / Melia fruit
Fang Feng / Siler root (? According to Guohui Liu)
Fu Shou (Fo Shou) / Finger Citron fruit
He Huan Hua / Albizzia flower
Ju Hua / Chrysanthemum flower
Mei Gui Hua / Red Rose bud
Mai Ya / Barley sprout
Qing Pi / Immature Tangerine peel
Wu Zhu Yu / Evodia fruit
Xian He Cao / Agrimony herb
Xiang Fu / Cyperus rhizome
Xuan Fu Hua / Inula flower
Yin Chen Hao / Artemisia capillaris herb
Yu Jin / Curcuma tuber
Ze Lan / Lycopus herb



Herbs That Calm and Secure The Fetus to Prevent Miscarriage

Ai Ye / Artemisia leaf
Bai Zhu / White Atractylodes root
Du Zhong / Eucommia bark
E Jiao / Donkey Hide Gelatin
Huang Qin / Scutellaria baicalensis root
Huang Qi / Astragalus root
Lian Fang / Lotus receptacle
Sang Ji Sheng / Mistletoe (from Mulberry tree)
Sha Ren / Amomum villosum/xanthioides seed
Tu Si Zi / Cuscuta seed
Xu Duan / Dipsacus root
Zhu Ma Gen  / Boehmeria root
Zi Su Ye & Geng / Perilla leaf and stem



Herbs That Nourish or Support Jing

(Excluding astringents which merely restrain the escape of Jing)
Bu Gu Zhi / Psoralea seed
Che Qian Zi / Plantago seed
Ge Jie / Gecko
Gou Qi Zi / Lycium fruit
He Shou Wu / Polygonum multiflorum root
Hei Zhi Ma / Black Sesame seed
Huang Jing / Polygonatum sibiricum root
Ji Nei Jin / Chicken Gizzard lining
Jiu Zi (Jiu Cai Zi) / Allium seed
Lu Rong & Lu Jiao / Deer Antler
Lu Jiao Jiao / Deer Antler Gelatin
Rou Cong Rong / Cistanche stem
Sha Yuan Ji Li / Astragalus seed
Shan Zhu Yu / Cornus fruit
Shu Di Huang / Prepared Rehmannia root
Suo Yang / Cynomorium stem
Tu Si Zi / Cuscuta seed
Yi Zhi Ren / Alpinia oxyphylla seed
Yuan Zhi / Polygala root
Zi He Che / Placenta
 


Herbs That Generate Body Fluids And Moisten The Lungs

(Excluding Yin Tonics)

Ge Gen / Pueraria root
Sheng Di  Huang / Raw Rehmannia root
Lu Gen / Phragmites rhizome
Tian Hua Fen / Trichosanthes root
Ren Shen / Ginseng root
Dang Shen / Codonopsis root
Tai Zi Shen / Pseudostellaria root
Wu Wei Zi / Schizandra fruit
Wu Mei / Mume fruit
Sang Ye (Zhi) / Honey-fried Morus leaf
Gua Lou / Trichosanthes fruit
Chuan Bei Mu / Fritillaria bulb
Bai Bu / Stemona root
Kuan Dong Hua / Tussilago flower
Zhi Mu / Anemarrhena root
Gan Cao / Licorice root
Yi Tang / Maltose 

Feng Mi / Honey
E Jiao / Donkey hide Gelatin 
Xing RenApricot kernel






Herbs With An Affinity For The Sinews, 

That Relax Spasms, Tightness or Obstruction

(General categories to consider include herbs that promote blood circulation, herbs that release the exterior, Qi, Blood, Yin, and Yang tonics,
herbs that dispel wind-dampness, and
herbs that extinguish liver wind, depending on the etiology.)

Ba ji tian / Morinda root
Bai fu zi / Typhonium rhizome
Bai hua she / Agkistrodon/Bungarus snake
Bai shao yao / White Peony root
Bei xie / Tokoro rhizome
Cang er cao / Plantago herb
Chan tui / Cicada molt
Chuan shan jia / Pangolin scale
Ci wu jia / Eleutherococcus root
Dang gui / Angelica sinensis root
Di long / Earthworm
Fang feng / Siler root
Feng mi / Honey
Fu shen xin / Poria heart
Gan cao / Licorice root
Ge gen / Peuraria root
Gou ji / Cibotium rhizome
Gou teng / Uncaria vine
Gu sui bu / Drynaria rhizome
Gui ban / Turtle shell
Gui zhi / Cinnamon twig
Hai feng teng / Kadsura stem
Hai tong pi / Erythrina bark
Jiang can / Silkworm
Ling yang jiao / Antelope horn
Long dan cao / Gentian root
Luo shi teng / Trachelospermum vine
Ma huang / Ephedra stem
Ma qian zi / Nux Vomica seed
Mu gua / Chaenomelis fruit
Niu huang / Cow/Buffalo Gallstone/bezoar
Niu xi / Achyranthes root
Qian nian jian / Homalomena rhizome
Qin jiao / Gentiana macrophylla root
Quan xie / Scorpion
Ru xiang / Frankincense
Sang ji sheng / Mistletoe on Mulberry
Sang zhi / Mulberry twig
Shen jin cao / Lycopodium
Sheng jiang / Ginger (raw)
Shi chang pu / Acorus rhizome
Si gua lou / Luffa skeleton
Suo yang / Cynomorium stem
Tian ma / Gastrodia rhizome
Tian men dong / Asparagus root
Tian zhu huang / Bamboo siliceous secretions
Tu fu ling / Smilax rhizome
Wu ling zhi / Flying Squirrel feces
Wu gong / Centipede
Wu jia pi / Eleutherococcus grac. root bark
Xi xian cao / Seigesbeckia
Xian mao / Curculigo rhizome
Xu duan / Dipsacus root
Yi mu cao / Leonurus
Yi tang / Maltose
Yi yi ren / Coix seed
Yin yang huo / Epimedium leaf
Yu zhu / Polygonatum root
Zhu li / Bamboo sap
Zi cao / Arnebia/Lithospermum root
Zi ran tong / Pyrite



Herbs That Benefit The Eyes

Herbs to consider for eye disorders as appropriate for the presenting pattern(s).
 These herbs have an affinity for the eyes, relieving eye discomfort and/or improving vision, predominantly by

A) Removing obstruction / clearing heat / wind-heat / fire  and/or  B) nourishing Yin or blood.

Bai ji li / Tribulus seed
Bai shao yao / White Peony Root
Bai tou weng / Pulsatilla
Ban xia / Pinellia root
Bing pian / Borneol
Bo he / Chinese Mint
Cang zhu / Red Atractylodes root
Chan tui / Cicada molt
Che qian zi / Plantago seed
Chi shao / Red Peony root
Chong wei zi / Leonurus seed
Ci shi / Magnetite
Da huang / Rhubarb root/rhizome
Dai zhe shi / Hematite
Dang gui / Angelica sinensis root
Fu pen zi / Raspberry
Gan cao / Licorice root
Gou teng / Uncaria vine
Gou qi zi / Lycium berry
Han lian cao (Mo Han Lian) / Eclipta
He shou wu / Polygonum multiflorum root
He zi / Terminalia fruit
Huai hua / Sophora flower
Huang lian / Coptis root
Huang qin / Scutellaria root
Jiang can / Silkworm
Jin qian cao / Lysimachia (and other herbs)
Jin yin hua / Honeysuckle bud
Ju hua / Chrysanthemum
Jue ming zi / Cassia seed
Ling yang jiao / Antelope horn
Long dan cao / Gentian root
Long gu / Dragon Bone
Man jing zi / Vitex seed
Mang xiao / Mirabilite
Mi meng hua / Buddleia flower
Ming fan / Alum
Mu dan pi / Moutan Peony root bark
Mu zei / Equisetum
Niu xi / Achyranthes root
Nu zhen zi / Ligustrum seed
Pang da hai / Sterculia seed
Pu gong ying / Taraxacum (Dandelion)
Qin pi / Fraxinus
Qing xiang zi / Celosia seed
Quan xie / Scorpion
Sang ye / Morus leaf
Sang shen / Mulberry
Sha yuan ji li / Astragalus seed
Sheng di / Rehmannia root (raw)
Shi chang pu / Acorus rhizome
Shi hu / Dendrobium (Ephemerantha)
Shi jue ming / Abalone shell (Halyotis)
Shu di / Rehmannia root (prepared)
Shui zhi / Leech
Tan xiang / Sandalwood
Tu si zi / Cuscuta seed
Wu wei zi / Schizandra fruit
Xia ku cao / Prunella flower
Xuan shen / Scrophularia root
Ye ju hua / Wild Chrysanthemum flower
Ye ming sha / Bat feces
Yi yi ren / Coix seed
Zhang nao / Camphor
Zhen zhu mu / Mother of Pearl
Zhen zhu / Pearl
Zhi zi / Gardenia fruit
Zi cao / Arnebia/Lithospermum root
Zi hua di ding / Viola



Herbs That Enter The Eight Extraordinary Vessels

Part 1: 

Herbs Ascribed to the Extraordinary Vessels by Eric Brand. From Eric Brand's Blog. Posted September 16th, 2010. Accessed October 1, 2010. 
The source material for this blog comes from the Qing dynasty text "De Pei Ben Cao", found in Chinese @ http://www.zysj.com.cn/lilunshuji/depeibencao/689-16-0.html#m0-0


Bai shao: Governs yang wei (yang linking vessel) [aversion to] cold and heat [effusion] and dai mai (girdling vessel) abdominal pain

Lu hui: Governs disease in the chong mai (thoroughfare vessel), counterflow qi and abdominal urgency

Ba ji tian: Enters the chong mai (thoroughfare vessel)

Bing lang: Governs chong mai (thoroughfare vessel) counterflow qi and abdominal urgency

Wu zhu yu: Governs chong mai (thoroughfare vessel) counterflow qi and abdominal urgency

Dang gui: Governs chong mai (thoroughfare vessel) disease with counterflow qi and abdominal urgency; dai mai (girdling vessel) disease with abdominal fullness; broad lumbus as if sitting in water

Huang bai: Governs chong mai (thoroughfare vessel) counterflow qi

Bai zhu: Governs chong mai (thoroughfare vessel) disease, counterflow qi and abdominal urgency, umbilical and abdominal disease

Xiang fu: Enters the chong mai (thoroughfare vessel)

Chuan xiong: Moves in the chong mai (thoroughfare vessel)

Huang qin: Moves in the chong mai (thoroughfare vessel)

Bie jia: Moves in the chong mai (thoroughfare vessel)

Mu xiang: Governs chong mai (thoroughfare vessel) disease, counterflow qi and abdominal urgency

Gou qi zi: Supplements essence-blood of the chong mai (thoroughfare vessel) and du mai (governing vessel)

Huang qi: Governs yang wei (yang linking vessel) disease with [aversion to] cold and heat [effusion], and du mai (governing vessel) disease with counterflow qi and abdominal urgency

Cang er zi: Moves in the du mai (governing vessel)

Xi xin: Governs du mai (governing vessel) disease, stiffness of the spine and reversal

Fu zi: Governs du mai (governing vessel) disease, stiffness of the spine and reversal

Goat (or sheep) spine: Frees the du mai (governing vessel)

Bai guo: Frees the du mai (governing vessel)

Lu jiao shuang: Frees qi abiding in the du mai (governing vessel)

Lu rong: Frees the essence chamber of the du mai (governing vessel)

Lu jiao jiao: Warms the blood of the du mai (governing vessel)

Gui ban: Frees the ren mai (controlling vessel)

Gao ben: Governs du mai (governing vessel) stiffness of the spine and reversal

Gui zhi: Moves in the yang wei (yang linking vessel)

Fang ji (Stephania): Enters the yang qiao mai (yang springing vessel)

Rou gui: Frees the yang qiao mai (yang springing vessel) and du mai (governing vessel)

Chuan shan jia: Enters the yang qiao mai (yang springing vessel) and yin qiao mai (yin springing vessel)

Xu duan: Governs dai mai (girdling vessel) disease

Ai ye: Governs dai mai (girdling vessel) disease with abdominal fullness, and broad lumbus as if sitting in water

Long gu: Treats dai mai (girdling vessel) disease

Wang bu liu xing: Frees the chong mai (thoroughfare vessel) and ren mai (controlling vessel)

Ze lan: Regulates disease damaging the eight [extraordinary] vessels

Sheng ma: Relaxes retraction and tension in the dai mai (girdling vessel)

Gan cao: Harmonizes counterflow of the chong mai (thoroughfare vessel), and relaxes tension in the dai mai (girdling vessel)

Dan shen: Boosts the chong mai (thoroughfare vessel) and ren mai (controlling vessel)


Part 2: Translated by Dr. Tian De Yang, From Acupuncture.com


Liver, Kidney and All 8 Extras

Gou Qi Zi

Sha Ren Zi

Du Zhong

Niu Xi

Xu Duan

Sheng Di Huang

Hei Zhi Ma

Sang Shen

Tu Si Zi

Shan Zhu Yu

Nu Zhen Zi

Hao Ren Zao

Suo Yang

Fu Pen Zi

Ling Ci Shi

Long Gu


Yang Wei Mai

Gui Zhi

Bai Shao

Huang Qi






Yin Wei Mai

Gui Zhi

Bai Shao

Huang Qi

Dang Gui

Chuan Xiong


Ren/Du

Lu Rong

Gui Ban

Bie Jia

E Jiao

Zi He Che


Du Mai

Lu Rong, Lu Jiao

Yang Gou (sheep vertebra)

Lou Shen Cao (deer teeth herb)

Fu Zi

Rou Gui

Cang Er Zi

Gao Ben

Gou Qi Zi

Huang Qi



Chong/Ren Mai

Gui Ban

Wang Bu Liu Xing

Bie Jia

Ba Ji Tian

Xiang Fu

Chuan Xiong

Mu Xiang

Dang Gui

Cang Zhu

Bai Zhu

Wu Zhu Yu

Gou Qi Zi

Dang Shen


Regulate and Strengthen

Chong Mai Qi and Blood

Chuan Lian Zi

Xiang Fu

Yi Mu Cao

Jiang Xiang







Stomach and Chong Mai

Dang Gui

Dan Shen

Chuan Xiong

Cang Zhu

Wu Zhu Yu

Ban Xia

Hou Po


Dai Mai

Wu Wei Zi

Qian Shi

Lian Zi

Jing Ying Zi

Dang Gui

Bai Shao

Xu Duan

Ai Ye

Sheng Ma

Wu Wei Zi


Yin/Yang Qiao Mai

Rou Gui

Fang Ji

Chuan Shan Jia

Hu Gu


Part 3: Herbs that Enter the Chong and Ren

From The Chong and Ren Channels in Gynecology, Selected Writings from Zhu Xiao Nan's Gynecological Experience, People's Medical Publication House, Beijing, 2005, Pages 165 "“ 172

Translation by: Diana Hester, Laura Camus, Ryan Kirkby


Herbs that Enter the Chong Mai



Tonify Qi of the Chong Mai

Wu Zhu Yu

Ba Ji Tian

Gou Qi Zi

Gan Cao

Lu Xian

Lu Rong

Zi He Che

Rou Cong Rong

Zi Shi Ying

Du Zhong


Tonify Blood of Chong Mai

Dang Gui

Bie Jia

Dan Shen

Chuan Xiong


Descend Counterflow of Chong Mai

Mu Xiang

Bing Lang


Consolidate Chong Mai

Shan Yao

Lian Zi




Herbs that Enter Ren Mai


Tonify Qi of Ren Mai

Lu Rong

Fu Pen Zi

Zi He Che


Tonify Blood of Ren Mai

Gui Jia

Dan Shen


Consolidate Ren Mai

Bai Guo
















Herbs that Enter the Extraordinary Vessels, Part 4

The following is excerpted from Ye Tian-shi's Medicinals Entering the Extraordinary Vessels

by By Bob Flaws, Dipl. Ac. & C.H., FNAAOM Retrieved from: http://bluepoppy.com/cfwebstore/index.cfm?fuseaction=feature.display&feature_ID=91&ParentCat=182


Governing vessel (Du mai)

 

The governing vessel is the sea of yang and mainly treats diseases located in the shao yin. Ye's choice of medicinals entering the governing vessel were Cornu Parvuum Cervi (Lu Rong), Gelatinum Cornu Cervi (Lu Jiao Jiao), and Cornu Degelatinum Cervi (Lu Jiao Shuang). According to Ye, Lu Rong strengthens governing vessel yang, Lu Jiao Jiao supplements kidney vessel blood, and Lu Jiao Shuang frees the flow of governing vessel qi. Because the governing vessel and the foot tai yang are mutually connected, these can be combined with Radix Lateralis Praeparatus Aconiti Carmichaeli (Fu Zi), Cortex Cinnamomi Cassiae (Rou Gui), dry Rhizoma Zingiberis (Gan Jiang), Fructus Zanthoxyli Bungeani (Chuan Jiao), Ramulus Cinnamomi Cassiae (Gui Zhi), Herba Asari Cum Radice (Xi Xin), and Radix Et Rhizoma Ligustici Chinensis (Gao Ben).

 

Conception vessel (Ren mai)

 

The conception vessel is the sea of yin and mainly treats disease located in the jue yin. Ye's choice of medicinals entering the conception vessel were Gelatinum Corii Asini (E Jiao), Carapax Amydae Sinensis (Bei Jia), Placenta Hominis (Zi He Che), Flouritum (Zi Shi Ying), Folium Artemisiae Argyii (Ai Ye), Radix Salviae Miltiorrhizae (Dan Shen), and Fructus Rubi Chingii (Fu Pen Zi). Because the conception vessel and the liver and kidneys are mutually connected, these can be combined with Rhizoma Anemarrhenae Aspheloidis (Zhi Mu), Cortex Phellodendri (Huang Bai), Radix Scrophulariae Ningpoensis (Xuan Shen), and uncooked Radix Rehmanniae (Sheng Di) to downbear kidney fire.

 

Penetrating vessel (Chong mai)

 

The penetrating vessel is the sea of blood and mainly treats the jue yin and yang ming. Ye's choice of medicinal entering the penetrating vessel was mainly Flouritum (Zi Shi Ying). Other medicinals which can be added are cooked Radix Rehmanniae (Shu Di), Fructus Lycii Chinensis (Gou Qi Zi), Semen Astragali Complanati (Sha Yuan Zi), Placenta Hominis (Zi He Che), Fructus Schisandrae Chinensis (Wu Wei Zi), Haemitium (Dai Zhe Shi), Semen Juglandis Regiae (Hu Tao Ren), Radix Angelicae Sinensis (Dang Gui), Carapax Amydae Sinensis (Bei Jia), Herba Cistanchis Deserticolae (Rou Cong Rong), Cortex Eucommiae Ulmoidis (Du Zhong), Radix Dioscoreae Oppositae (Shan Yao), and Radix Morindae Officinalis (Ba Ji Tian). Because the penetrating vessel and the liver and kidneys are mutually connected, these can be combined with Fructus Meliae Toosendan (Chuan Lian Zi), Lignum Dalbergiae Odoriferae (Jiang Xiang), Fructus Evodiae Rutecarpae (Wu Zhu Yu), Fructus Foeniculi Vulgaris (Xiao Hui Xiang), Sclerotium Poriae Cocos (Fu Ling), Semen Biotae Orientalis (Bai Zi Ren), Rhizoma Cyperi Rotundi (Xiang Fu), and Cortex Phellodendri (Huang Bai)

 

Girdling vessel (Dai mai)

 

Ye's choice of medicinals entering the girdling vessel were Radix Angelicae Sinensis (Dang Gui), Flouritum (Zi Shi Ying), Semen Astragali Complanati (Sha Yuan Zi), Os Sepiae Seu Sepiellae (Wu Zei Gu), Radix Albus Paeoniae Lactiflorae (Bai Shao), cooked Radix Rehmanniae (Shu Di), and Fructus Lycii Chinensis (Gou Qi Zi). These may be combined with the following medicinals for the purposes of securing and gathering: Radix Dioscoreae Oppositae (Shan Yao), Semen Euryalis Ferocis (Qian Shi), Fructus Rosae Laevigatae (Jin Ying Zi), Fructus Rubi Chingii (Fu Pen Zi), Ootheca Mantidis (Sang Piao Xiao), Os Draconis (Long Gu), Concha Ostreae (Mu Li).

 

Linking vessels (Wei mai)

 

Yang linking vessel disease mostly involves cold and heat. Yin linking vessel disease mostly involves heart pain. Treatment resides in the middle burner. For linking vessel diseases, Ye commonly used Dang Gui Gui Zhi Tang (Dang Gui & Cinnamon Twig Decoction) plus Cornu Degaltinum Cervi (Lu Jiao Shuang), Semen Astragali Complanati (Sha Yuan Zi), and Fructus Lycii Chinensis (Gou Qi Zi). He commonly combined these with Fructus Foeniculi Vulgaris (Xiao Hui Xiang), Semen Biotae Orientalis (Bai Zi Ren), and Sclerotium Poriae Cocos (Fu Ling) to free the flow of the network vessels.

 

Springing vessels (Qiao mai)

 

Yang springing vessel disease mostly involves slack yin (i.e., the medial side of the body) and tense or cramped yang (the lateral side of the body), while yin springing vessel disease usually involves slack yang and tense or contracted yin. Treatment resides in the liver and kidneys. For springing vessel diseases, Ye commonly used Radix Albus Paeoniae Lactiflorae (Bai Shao), Fructus Corni Officinalis (Shan Zhu Yu), cooked Radix Rehmanniae (Shu Di), Plastrum Testudinis (Gui Ban), Fructus Tritici Aestivi (Huai Xiao Mai), Fructus Zizyphi Jujubae (Da Zao), mix-fried Radix Glycrrhizae (Gan Cao), Fructus Schisandrae Chinensis (Wu Wei Zi). For yang springing vessel emptiness (kong), Ye commonly used Plastrum Testudinis (Gui Ban), cooked Radix Rehmanniae (Shu Di), Cortex Phellodendri (Huang Bai), Sclerotium Poriae Cocos (Fu Ling), Fructus Corni Officinalis (Shan Zhu Yu), Fructus Schisandrae Chinensis (Wu Wei Zi), and Radix Polygalae Tenuifoliae (Yuan Zhi). For yin springing vessel emptiness (kong), Ye commonly used Radix Albus Paeoniae Lactiflorae (Bai Shao), Fructus Corni Officinalis (Shan Zhu Yu), Hallyositum Album (Bai Shi Ying), Fructus Tritici Aestivi (Huai Xiao Mai), Fructus Zizyphi Jujubae (Da Zao), and mix-fried Radix Glycyrrhizae (Gan Cao).


Herbs Important in Gu Zheng Formulas from Heiner Fruehauf


Herbs that Scatter Toxins

(San Du):

Zi Su Ye

Bai Zhi

Bo He

Gao Ben

Sheng Ma

Ju Hua

Lian Qiao


Qi and Blood Tonics with Anti-Gu Natures:

Dang Gui

Bai Shao

He Shou Wu

Huang Qi

Gan Cao

Wu Jia Pi


Herbs that Calm the Spirit

(An Shen):

Huang Jing

Bai He

Sha Shen

Sheng Di

Xi Yang Shen

Fu Shen

Jiang Xiang

Xuan Shen





Herbs that Kill Worms or Parasites (Sha Chong):

Yu Jin

Ku Shen

She Chuang Zi

Shi Chang Pu

Jin Yin Hua

He Zi

Lei Wan

Qing Hao

Da Suan

Bing Lang

Ku Gua

Ding Xiang

Huai Hua

Chuan Shan Jia


Herbs that Move the Qi and Break Accumulation (Xing Qi and Po Ji):

Chuan Xiong

Chai Hu

E Zhu

San Leng

Chen Pi

Ze Lan

Mu Xiang

San Qi








Fruehauf often utilizes a formula composed of usually 2 or 3 herbs from each category for cases where gu is suspected. He interprets gu broadly to encompass a wide range of conditions including those with obvious parasitic causes, and other difficult, multi-system cases such as those in which diagnoses such as Epstein-Barr, systemic candida, chronic fatigue, fibromyalgia, leaky gut syndrome, and Lyme disease are offered. Fruehauf's methodology is outlined in his article, "Driving Out Demons and Snakes: Gu Syndrome, A Forgotten Clinical Approach to Chronic Parasitism." Fruehauf recommends changing the formula every one to six weeks, similar to the concept of food rotation for patients with sensitivities, and also so that the parasites don't become acclimated to the formula.


Herbs that Soften Hardness and/or Resolve Masses, Lumps, or Nodules

(While blood movers and phlegm-resolving herbs in general are thought to have this action,

the following herbs are among those which sources have specifically indicated for masses, lumps, nodules.

Also see the following category.)


Ba yue zha (see Mu tong)
Bai jie zi
Bai fu zi
Ban xia
Bei Mu
Bie jia
Bing pian
Chi shao
Chuan shan jia
Chuan niu xi
Da huang
Da ji
Dan shen
E zhu
Fu hai shi
Fu zi
Gan sui
Gui zhi
Gui ban

Hai zao
He shou wu
Hong hua
Hu po
Huang yao zi
Ji nei jin
Jiang can
Kun bu
Lian qiao
Luo han guo
Ma huang
Mang xiao
Meng chong
Mo yao
Mu li
Mu dan pi
Pu gong ying
Qing pi

Quan xie
San leng
Shan zha
Shang lu
She xiang
Shui zhi
Tao ren
Tu bie chong
Wa leng zi
Wu gong
Wu me
Xia ku cao
Xuan shen
Yi mu cao
Yu jin
Zao jiao
Ze lan
Zi hua di ding

Herbs With Specific Reference to Treatment of Tumors, Including Cancer

(Also see the previous category. Cancer treatment, as with all treatment, should follow the diagnosis. While these herbs may be of some benefit in eliminating cancer, tonic herbs or herbs which otherwise address

the rest of the picture, may be at least as useful.)


Mu zei

Niu bang zi

Long dan cao

Bai hua she she cao

Ban bian lian

Ban zhi lian

Shan dou gen

Tu fu ling

Yi yi ren

Gua lou pi

Ze qi

Lu hui

Hua jiao

Gao liang jiang

E zhu

Jiang huang

Ling zhi

Gan cao

Bu gu zhi

Hu lu ba

Sang ji sheng

Shi liu gen pi

Bai mao gen

Lian fang

Qian cao gen

Xian he cao

Da suan

Dan dou chi

Pu gong ying

Tu fu ling

Yin chai hu

Ci wu jia

Ba yue zha

Yi yi ren

Dan nan xing

Hai zao

Huang yao zi

Lu hui

Bi ba

Wu ling zhi

Quan xie

Wu gong

Dang gui

Da zao

Nu zhen zi

He zi

San qi

Lu feng fang

Ma qian zi






Though not to be taken as law, The Eighteen Incompatibilities


Eighteen Incompatibilities:

• Gan cao is incompatible with Gan sui, Da ji, Yuan hua, Hai zao

• Wu tou/Fu zi is incompatible with Bei mu, Gua lou, Ban xia, Bai lian, Bai ji

• Li lu is incompatible with Xi xin, Bai shao, and ALL shen herbs (Ren shen, Dan shen, Ku shen, Xuan shen, Tai zi shen, Dang shen, Sha shen, Sang shen, Xi Yang Shen. . .)


Four of the most common Nineteen Antagonisms 

(the ones a Westerner is likely to encounter)

• Ding xiang antagonizes Yu jin

• Wu tou antagonizes Xi jiao

• Ren shen antagonizes Wu ling zhi

• Rou gui antagonizes Chi shi zhi



Channel Guiding Herbs

(from Dui Yao by Philippe Sionneau)


Lung

Jie geng, Sheng ma, Cong bai, Bai zhi

Bladder

Ge gen, Qiang huo

Liu: Gao ben

Large Intestine

Da huang, Bai zhi, Sheng ma, Shi gao

Kidney

Du huo, Rou gui, Zhi mu, Xi xin

Stomach

Bai zhi, Sheng ma, Shi gao, Ge gen

Pericardium

Chai hu, Mu dan pi

Spleen

Bai zhu, Ge gen, Cang zhu, Sheng ma, Bai shao

Li: also Gan/Sheng jiang, Da zao, Gan cao

San Jiao

Upper Jiao: Zhi zi, Gui zhi, Wan qian, Di gu pi

Middle Jiao: Qing pi

Lower Jiao: Fu zi Li: Chen xiang, Niu xi

Heart

Huang lian, Xi xin

Gallbladder

Chai hu, Qing pi

Small Intestine

Mu tong, Deng xin cao, Gao ben, Huang bai

Liver

Wu zhu yu, Chai hu, Chuan xiong, Qing pi




Herbs That Guide To Particular Regions of the Body

Exterior/Skin - Ma huang

Extremities - Sang zhi, Gui zhi, Chuan wu

Upper body - Chai hu

Lower body - Niu xi

Head - Feng feng, Tian ma, Chuan xiong

Vertex of Head - Gao ben

Back of Head - Qiang huo

Sinuses - Cang er zi, Xin yi hua

Forehead - Bai zhi

Temples - Man jing zi

Throat - Jie geng, Niu bang zi, Chan tui

Neck & Shoulders - Qiang huo, Gou teng, Ge gen

Shoulders - Jiang huang (also upper extremity)

Right Shoulder (Chronic) - Huang qi

Left Shoulder (Chronic) - Dang gui

Chest - Chai hu, Xiang fu, Yu jin, Gua lou pi

Upper Back - Chuan xiong, Ma huang (indirectly, use chest herbs)

Spine - Gou ji

Flanks - Chuan lian zi

Lower Back - Du zhong, Du huo

Lower Abdomen - Wu yao, Chuan lian zi

Urethra - Gan cao shao (tips)

Testes - Li zhi he

Legs - Niu xi, Mu gua

Knees - Niu xi, Gu sui bu, Xu duan

Heels - Bu gu zhi

Channels, Network Vessels, Muscles and Sinews: Di long, Chuang shan jia, Luo shi teng


Also from Dui Yao: Combining Natures and Flavors (with famous examples):


acrid + sweet = drain

ma huang + zhi gan cao

acrid + sweet = supplement and engender Yang

gui zhi+yi tang

acrid + sweet + warm = upbear Yang

huang qi+sheng ma

acrid + sweet + warm = arouse Sp and transform phlegm

gan jiang+fu ling

acrid + bland + warm = stimulate BL's Qi mechanism and disinhibit pee

gui zhi+fu ling

acrid + astringent = drain and secure simultaneously

xi xin+wu wei zi

acrid + warm = dispel W-C

gui zhi+ma huang

acrid + cool = clear heat and dispel W-H

dan dou chi+bo he

acrid + cold = clear heat and drain fire

shi gao+zhu ye

acrid + hot = warm center and return Yang

gan jiang+fu zi

acrid + hot = warm Yang, dissipate cold, eliminate obstruction, stop pain

gui zhi+fu zi

bitter + acrid = move, open, descend

zi su ye+huang lian

bitter + cold = clear H, drain fire, resolve toxins

huang qin+huang lian

bitter + cold = dry damp and clear heat

cang zhu+huang bai

bitter + cold = drain fire and harden Yin

huang bai+zhi mu

bitter + salty + cold = soften, emolliate, precipitate heat accumulation

da huang+mang xiao

bitter + salty = drain fire and soften hardness

xia ku cao+mu li

bitter + warm = dry cold-damp

cang zhu+hou po

bitter + hot = precipitate cold accumulations

da huang+fu zi

sweet + bland = drain damp, free pee

fu ling+yi yi ren

sweet + warm = supplement the center, boost Qi

dang shen+huang qi

sweet + warm = abate heat due to Qi xu

huang qi+ren shen

sweet + cold = nourish Yin, moisten dryness, clear heat

mai men dong+tian men dong

sour + sweet = engender Yin

bai shao+zhi gan cao

sour + sweet = relieve spasms and contractions

bai shao+zhi gan cao

salty + cold = calm Lv and subdue Yang

mu li+shi jue ming





Zi hua di ding








Appendix II: Herbs that Promote Lactation

Some herbs in this category promote milk production while others unblock lactation or promote flow of milk. See information on each herb for specifics.


Dong Kui Zi

Chuan Shan Jia

Si Gua Lou

Lou Lu

Bai Ji Li

Lu Lu Tong

Wang Bu Liu Xing (best dry fried and crushed)

E Guan Shi

Zi He Che

Ai Ye

Nan Gua Zi (must be eaten, doesn't work in tea)


Ju Hua (accoring to The Yoga of Herbs)

Vitex agnus-castus (Western Species)

Pu Gong Ying

Mu Tong

Tong Cao

Hu Lu Ba

Mai Ya (small dose; large dose can inhibit lactation)

Xiao Hui Xiang

Jie Geng


Foods: Celery, almond milk, beer, pig feet / pork




Zhenbo Li of Oregon College of Oriental Medicine

on Herbs for Cancer


SPECIFIC HERBS RELEVANT TO CANCER:


Herbs That Build Qi

Ren shen

Xi yang shen

Dang shen

Huang qi

Fu ling

Huang jing

Bai Zhu

Yi Yi Ren

Shan yao

Shan Zhu Yu


Herbs That Build Blood

Shu di

Dang gui

Ji xue teng

Bao shao

Gou qi zi

E jiao

Dan shen

Da zao

Zhi he shou wu

Long yan rou


Herbs That Nourish Yin and Blood

Shu di huang

Dang gui

Bao shao

Nu zhen zi

Zhe he shou wu

Long yan rou

Da zao

Jie xue teng

Zi he che

Gou qi zi

Gui ban jiao



Herbs That Nourish Yin and Body Fluids

Sha shen

Tian men dong

Mai men dong


Tian hua fen

Shi hu

Yu zhu

Sheng di huang

Xuan shen

Gou qi zi

Bie jia

Wu mei

Wu wei zi


Herbs That Warm the Kidneys and Strengthening Yang

Fu zi

Rou gui

Yin yang huo

Xian mao

Ba ji tian

Bu gu zhi

Rou cong rong

Du zhong

Xu duan


Herbs That Strengthen the Spleen and Harmonize the Stomach

Dang shen

Ren shen

Tai zi shen

Huang qi

Bai zhu

Shan yao

Bai bian dou

Fu ling

Yi yi ren

Chen pi

Da zao

Zhi gan cao


Herbs That Strengthen the Spleen and Kidneys

Ren shen

Dang shen

Bai zhu

Fu ling


Huang jing

Shan yao

Gan cao

Rou gui

Rou cong rong

Yin yang huo

Tu si zi

Bu gu zhi

Ba ji tian

Gou qi zi

Nu zhen zi

He shou wu

Shu di huang

Huang jing

Zi he che

Shan zhu yu

Sheng di huang


Herbs That Dredge the Liver and Regulate Qi

Chen pi

Ju ye

Zhi ke

Fo shou

Chuan lian zi

Xiang fu

Xiang yuan

Qing pi

Zhi shi

Mu xiang

Yan hu suo

Da fu pi

Yu jin

Ba yue zha

Da hui xiang

Chen xiang

Hou po

Ding xiang

Bai dou kou

*Mei gui hua






Herbs That Eliminate Phlegm and Dampness


Ma dou ling

Tian nan xing

*Huang yao zi: bitter, acrid, cold, slightly toxic, enters heart and liver, relieve toxicity, reduce swelling, transforms phlegm, dissipate lumps

Gua Lou

Zao Jia Ci

Zhu Ling

Mu Gua

Mu Tong

Ze Xie

Zhu Ye

*Shi Da Chuan: acrid, bitter, neutral; enters stomach & bladder; transforms phlegm, dissipate lumps, clears heat, and benefits the movement of water

*Ban Bian Lian: acrid, cold; enters heart, small intestine, and lungs; clears heat, relieves toxicity, drains water and relieves swelling

*Ze Qi: acrid, slightly cold, mild toxic; enters the lungs, large intestine and small intestine; drains water, relieves edema, transforms phlegm, and dissipates lumps

Ban xia

Bai jie zi

Dan nan xing

*Shan ci gu: sweet, slightly acrid, cold, mildly toxic; enters lungs and spleen; softens hardness, dissipates lumps, transforms phlegm, and relieves toxicity

Zhe bei mu

Qian hu

Xing ren

Cang zhu

Fu ling

Huo xiang

Pei lan

Yi yi ren

Che qian zi

Jin qian cao

Bi xie

Tong cao

Zhu ling


Mu gua

Du huo


Herbs That Invigorate Blood and Transform Blood Stasis

*Shi Jian Chuan: bitter, acrid, neutral; enters liver and stomach; descends qi, clears heat, relieves toxicity, dissipates lumps, invigorates blood and eliminates blood stasis, alleviates pain, and stops vaginal discharge

*Ma bian cao: bitter, cold; enters liver and spleen; clears heat, relieves toxicity, drains water, disperses swelling, invigorates blood, eliminates blood stasis, and kills parasites

Hu zhang

*Zhong jie feng: bitter, slightly warm, acrid; enters liver and large intestine; clears heat, relieves toxicity, expels wind, eliminates dampness, invigorates blood, and alleviates pain

*Xi shu: bitter, cold, toxic; enters stomach and liver; clears heat, breaks up blood, kills parasites and has anticancer properties

*Shui hong hua zi: salty, slightly cold; enters liver and stomach; breaks up blood, promotes urination, strengthens spleen and dissipates lumps

Liu ji nu

Tu bie cong

Shui zhi

Meng chong

Wei ling xian

Chi shao yao

Dan shen

E zhu

Ban mao

Wu gong

Dang gui

Chuan xiong

Yi mu cao

Yue ji hua


Ling xiao hua

Tao ren

Hong hua

Ji xue teng

San qi

Xue jie

Ru xiang

Mo yao

San leng

Pu huang

Wu ling zhi

Niu xi

Zao jiao ci

*Gui jian yu: bitter, cold; enters liver; breaks up blood stasis, expels wind, and kills parasites

Chuan shan jia

*Ji xing zi: slight bitter,acrid, warm, slightly toxic; enters lungs, liver and kidneys; invigorates blood, eliminates blood stasis, softens hardness, and dissipates lumps


Herbs That Soften Hardness and Dissipate Lumps

*Shan ci gu: sweet, slightly acrid, cold, mild toxic; enters lungs and spleen; softens hardness, dissipates lumps, transforms phlegm and relieves toxicity

*Mao zhao cao: bitter, cold; enters liver and spleen; relieves toxicity, disperse swelling, softens hardness, and dissipates lumps

Kun bu

Hai zao

Fu hai shi

Hai ge ke

Mu li

Xia ku cao

Shi jian chuan

E zhu

Gua lou

Tu bie chong





Bai jiang can


Herbs That Clear Heat and Eliminate Toxicity

*Bai hua she she cao

*Teng li gen: sweet, acrid, cold; enters stomach and kidneys; relieves heat, stops thirst, and frees lin syndrome

Jin yin hua

Ye ju hua

Lian qiao

*Ban bian lian

*Ban zhi lian

*Chong lou: bitter, slightly cold, mild toxic; enters liver; clears heat, relieves toxicity, disperses swelling, alleviates pain, extinguishes wind, and calms spirit

Pu gong ying

Zi hua di jing

Yu xing cao

Ban lan gen

Bai jiang cao

Huang qin

Huang bai

Huang lian

Ku shen

Shan dou gen

Long dan cao


*Shi shang bai: bitter, acrid, cold; enters liver and lungs; expels wind, clears heat, drains dampness, and has anticancer properties

*Tu fu ling

Bi xie

Zhi mu

Da qing ye

Ma chi xian

Bai tou weng

Ya dan zi

Tian hua fen

*Long kui: bitter, cold, mild toxic; enters liver and stomach; clears heat, relieves toxicity; dissipates lumps, disperses swelling, promotes urination, and has anticancer properties

*Ma bian cao: bitter, cold; enters liver and spleen; clears heat, relieves toxicity, drain dampness, disperse swelling, invigorates blood, eliminates blood stasis, and kills parasites

*Shan hai luo: sweet, neutral; enters lungs and spleen; nourishes yin, moistens lungs, supplements deficiency, promotes lactation, drain pus, and relieves toxicity

*She mei: sweet, bitter, cold, slightly toxic; enters liver, stomach and lungs; clears heat, relieves toxicity, and dissipates lumps

Tu bei mu: bitter, slightly cold; enters lungs and spleen; clears heat, relieves toxicity, dissipates lumps, and disperses swelling

Wu zhao long: bitter, acrid, cool; enters lung; clears heat and relieves toxicity





Basic Formula for the Side Effects of Chemotherapy:

Huang qi 15

Dang shen 10g

Bai zhu 10g

Fu ling 15g

Fa ban xia 10g

Chen pi 10g

Ji nei jin 10g

Chao shen qu 15g

Nu zhen zi 15g

Gou qi zi 15g

Tu si zi 30g


If vomiting, omit huang qi, add huang lian, zhu ru, pi pa ye, su geng; or Xuan Fu Dai Zhe Shi Tang modification

To increase hematopoiesis: add he shou wu, shu di huang, dang gui, rou chong rong, bu gu zhi, lu jiao jiao, e jiao, gui ban jiao.


Basic Formula for Side Effects of Radiation:

Huang qi 15g

Sheng di huang 15g

Jin yin hua 15g

Huang lian 10g

Mai dong 10g

Shi hu 10g

Qing ban xia 10g

Bai zhu 10g

Fu ling 15g

Zhu ru 10g

Ji nei jin 10g

Nu zhen zi 15g


Commonly Used Herbs for Raising Blood Cell Counts "“ Herbs with * Have Some Research Validating this Effect:

*Huang qi

Dang shen

*Ren shen

Huang jing

*Shu di huang

*Dang gui


Bai shao

Long yan rou

*E jiao

Lu jiao jiao

Gui ban jiao

Jie xue teng


Gou qi zi

Tu si zi

Zi he che

*Nu zhen zi

He shou wu

Bu gu zhi




Most chemo drugs cause liver damage. As a matter of course, we should protect/repair the liver.

Liver repairing herbs / herbs which lower liver enzymes:


Dang gui

Dan shen

Bai shao

Huang jing

Sheng di huang


Huang qi

Ji nei jin

*Wu wei zi

Chai hu

Huang qin


*Yin chen hao

*Hu zhang

*Chui pen cao

Yu jin




Other principles of herbal treatment to complement biomedical cancer treatment:

- Protect the kidneys (anatomical) during chemotherapy. While Li has not seen severe kidney damage from chemo drugs, it is possible. Yi mu cao is an important herb for this.

                  - Ji Sheng Shen Qi Wan: Jin Gui Shen Qi Wan + che qian zi + niu xi "“ good to protect/repair kidneys

- Some drugs exhibit cardiotoxicity, damage the heart, cause EKG changes, SOB, palps, arrhythmia

                  - Zhi Gan Cao Tang is very important and commonly used formula for this

                  - Sheng Mai San also commonly used

- Radiation damage:

                  - If there is green/yellow sputum, Yu xing cao is ideal herb. IV extract is used in China.

                  - Also for lungs: Qian Jin Wei Jing Tang




Yao Yao- "Essential Medicinals" by Eric Brand. From Eric Brand's Blog. Posted September 22nd, 2010. Accessed October 1, 2010.


The Ben Cao Bei Yao ("Essential Materia Medica"), written in 1694 by Wang Ang, has a number of items that are listed as "yao yao." This text was an important materia medica from the Qing dynasty and it remains the licensing exam standard for Chinese medical doctors in Taiwan. Below is a partial list of items that are described as yao yao (essential medicinals) according to the Ben Cao Bei Yao (as always, my translations are based on the terminology of the Practical Dictionary of Chinese Medicine by Wiseman and Feng):


Dan Shen- "essential medicinal" for gynecology


Cang Zhu- "essential medicinal" for wilting (wei)


Niu Xi- "essential medicinal" for strangury (lin)


Kuan Dong Hua- "essential medicinal" for cough


Gua Lou Ren- "essential medicinal" for cough


Fang Feng- "essential medicinal" for dispelling wind and overcoming dampness (i.e., wind-dampness)


Ze Lan- "essential medicinal" for gynecology


Ai Ye- "essential medicinal" for vaginal discharge


San Qi- "essential medicinal" for knife and club wounds


Huang Lian- "essential medicinal" for dysentery


Qu Mai- "essential medicinal" for strangury (lin)


Fu Zi- "essential medicinal" for yin patterns


Shi Jun Zi- "essential medicinal" for childhood illnesses


She Gan-"essential medicinal" for throat impediment and sore throat


Huang Bai- "essential medicinal" for wilting


Ku Lian Zi- "essential medicinal" for mounting qi (shan qi)


Tan Xiang- "essential medicinal" for rectifying qi


Zhu Li- "essential medicinal" for wind strike (stroke)




Medicinal Properties and Actions


absorbent=used to produce absorption of exudates or diseased tissues

adaptogen=increases overall resistance & vitality

alterative=used to alter existing nutritive and excretory processes and gradually restore normal body functions

anaphrodisiac=used to lessen sexual functions and desires

anodyne=used to relieve pain when applied externally

antacid=used to neutralize acid in the GI tract

antibilious=used to eliminate a biliary or jaundice condition in the body

antigalactic=inhibits secretion of breast milk

antihelminitic=used to expel or destroy intestinal worms

antihydropic=used to eliminate excess body fluids or dropsy

antilithiatic=opposes the formation of biliary or urinary calculi

antilithic=used to prevent formation of calculi in excretory passages

antiperiodic=used to relieve malarial-type fevers & chills

antiphlogistic=used to reduce inflammation or swelling

antipruritic=relieves itching

antipyretic=used to reduce temperature in fevers

antirheumatic=used to prevent, relieve, and cure rheumatism

antiscorbutic=used to prevent/cure scurvy

antiscrofulous=used to heal scrofula (tubercular condition of lymph nodes)

antiseptic=used to prevent, resist, and counteract putrefaction (decay of cells and formation of pus)

antispasmodic=used to relieve nervous irritability & reduce or prevent excessive involuntary muscular contractions (spasms)

antisudoral=diminishes perspiration

antitussive=inhibits or relieves cough

antivenemous=used to antidote animal, vegetable, and mineral poisons

antizymotic=used to destroy or arrest the action of bacterial organisms

aperient (laxative)=used as mild evacuant to the bowels

aperitif=stimulates appetite & gastric function

aromatic=odoriferous, having a fragrant, pungent and spicy taste, and stimulating the gastrointestinal mucous membrane

astringent=influencing the vital contractility of cell walls, condensing the tissues, making them denser and firmer, arresting improper discharges; often having anti-diarrheal or hemostatic properties, sometimes antisudoral

azoturic=diuretic, eliminates urea; also is antiseptic

balsamic=used to mitigate, soothe, and heal inflamed parts

balsamic=soothes mucus membranes of the bronchial tubes and respiratory tree

bechic=soothes irritations of the pharynx

bitter=having bitter taste and serving as stimulant tonic to gastrointestinal mucous membranes

blister=causing inflammatory exudation (blistering) or serum from skin when applied locally

calefacient=used as diffusive stimulant and causing increased capillary circulation, giving an external sense of warmth (cayenne)

cardiac depressant=used to lessen/sedate heart's action

cardiac stimulant=used to increase & strengthen the heart's action

cardiotonic=reinforces, strengthens, and regulates cardiac function

carminative=containing a volatile oil that excites intestinal peristalsis and relieves and promotes the expulsion of flatus or gas from the gastrointestinal tract

cathartic=active purgative to the intestinal tract, exciting peristalsis and stimulating glandular secretions, producing semi-fluid bowel movements with some irritation and griping

caustic=burning or destroying living tissues

cell proliferant=promoting rapid healing and restoration

cephalic=particularly healing to cerebral conditions and diseases

cholagogue=used to promote flow and discharge of bile into the duodenum by contracting the bile ducts, and to produce purgation of the bowels

choleretic=stimulates secretion & production of bile

cholinergic=activated or transmitted by acetylcholine; parasympathomimetic

cicatrisant=(vulnerary) promotes healing of wounds & resorption of contusions

cordial=combining properties of a warm stomachic and a cardiac stimulant

corrective=used to alter or lessen the severity of action of other herbs, especially cathartics or purgatives

cosmetic=used as skin tonic, improve the complexion & beautify the skin

counter-irritant=causes irritation by local application in one part & therapeutically relieves pain in a more deep-seated part

cytophylactic=protects the cells

demulcent=having mucilaginous properties that are soothing and protective internally to irritated and inflamed surfaces and tissues

dental anodyne=used locally to relieve pain from an exposed nerve filament in a tooth

deobstruent=remove alimentary and other bodily obstructions

depresso-motor=used to diminish muscular movement by action on the spinal centers

depurative=purifies the blood by means of diuretic, laxative, sudorific action or by improving liver function; often used in cutaneous afflictions

desiccant=able to dry surfaces by absorbing moisture

detergent=cleansing to wounds, ulcers, etc. or the skin itself

diaphoretic=producing insensible perspiration and increased elimination through the skin

digestant=containing ferments and acids that aid in the solution and digestion of food

diluent=used to dilute secretions and excretions

discutient=dispels or resolves (dissolves tumors and abnormal growths

disinfectant=used to eliminate or destroy the noxious properties of decaying organic matter and thereby prevent the spreading or transfer of toxic matter or infection

diuretic=increase the secretion and flow of urine

drastic=hyperactive cathartic, producing violent peristalsis, watery stools, and much griping pain

emetic=induce vomiting and cause evacuation of stomach contents

emmenagogue=female corrective to reproductive organs, promoting normal menstrual function, flow, and discharge

emollient=softening, soothing, and protective to external surfaces

emollient=soothes inflamed mucus membranes, tissues, or skin

epitheliogenic=stimulates growth of epithelial tissue (cicatrisant)

errhine=increasing nasal secretions from the sinuses

eupeptic=promotes digestion, improves peristalsis (stomachic)

exanthematous=healing to skin eruptions/ skin diseases of an eruptive nature

excito-motor=used to increase motor reflex and spinal activity

expectorant=used to promote and facilitate discharge of mucus secretions from broncho-pulmonary passages

febrifuge=used to reduce fever

fluidifiant=liquefies bronchial secretions to assist expectoration

galactagogue=used to increase secretion of milk

galactophyga=for diminishing or arresting the secretion of milk

hemetic=rich in iron & manganese which augment and enrich the red corpuscles of the blood (blood-builder)

hemostatic=generally astringent, arresting hemorrhaging or internal bleeding (by vasoconstriction or delivery of clotting factors - vit K, etc)

hepatic=used to strengthen, tone, and stimulate the secretive functions of the liver, causing an increased flow of bile

herpatic=healing to skin eruptions and scaling diseases (ringworm, etc)

hyperfolliculine=pertaining to an excessive amount of estrogen

hypertensive=increases arterial tension

hypnotic=powerful nervine relaxant & sedative, inducing sleep

hypoglycemiant=lowers blood sugar (antidiabetic)

hypotensive=lowers arterial tension

irritant=producing a greater or lesser degree of vascular excitement when applied to the epidermis

lithotriptic=used to dissolve or discharge urinary and biliary concretions (gravel or stones) when formed in excretory passages

luteotropic=stimulates the formation of the corpus luteum, stimulates progesterone secretion

maturating=promoting the maturation or ripening of tumors, boils, ulcers, etc

mucilage=having mucilaginous properties

mycostatic=prevents the growth or reproduction of fungi

mydriatic=causing dilation of the pupil

myotic=causing contraction of the ciliary muscles of the pupil

narcotic=powerful anodyne-hypnotic

nephritic=influencing kidneys & healing in kidney complaints

nervine=tonic & healing to nerves

nutritive=nourishing and building to body tissues

ophthalmic=healing to disorders/diseases of the eyes

ophthalmic=used for afflictions of the eyes and eyelids

oxalic=diuretic, eliminates salts of oxalic acid (stone formation)

oxytocic=an agent that produces evacuation of the uterus by stimulating myometrial contraction

parasympatholytic (vagolytic)=inhibits activity of the parasympathetic nervous system

parasympathomimetic=stimulates activity of the parasympathetic nervous system and the vagus nerve

parturient=used to stimulate uterine contractions, which induce and assist labor, and promote and hasten childbirth

pectoral=healing to complaints or affections of the broncho-pulmonary area

peristaltic=stimulating and increasing peristalsis or muscular contraction (as in the bowels)

phosphatic=diuretic, eliminates salts of phosphoric acid (stone formation)

protective=serving as protective covering to abraded, inflamed, or injured parts when applied locally to a surface

pungent=causing a sharply pricking, acrid, and penetrating sensation to the sensory organs

refrigerant=cooling properties, lower body temperature, relieve thirst

refrigerant=lowers body temperature

remineralizer=brings mineral salts and trace elements to correct the balance of electrolytes and normalize the supply of nutrient minerals

resolvent=promoting dispersion of inflammatory deposits & their absorption into excretory channels

rubefacient=upon local application, stimulate capillary dilation and action, causing skin redness (drawing blood from deeper tissues and organs, and thereby relieving congestion and inflammation)

salidiuretic=eliminates chloride, used in cases of edema

sedative=used to lower the functional activity of an organ or part of the body, thereby tending to calm, moderate, or tranquilize

sialagogue=promoting secretion and flow of saliva & buccal mucus

soporific=inducing a relaxing sleep

sternutatory=irritate mucus membranes in nasal passages, cause sneezing

stimulant=increasing functional activity and energy in the body

stomachic=stimulative tonic to the stomach

stomachic=eupeptic

styptic=used to astringe the blood vessels when applied to an external surface, thereby arresting local bleeding or hemorrhaging

sudorific=stimulating the sudoriferous glands, producing visible perspiration (when taken hot, and acting as a tonic when taken cold)

sympatholytic=inhibits activity of the sympathetic nervous system

sympathomimetic=stimulates activity of sympathetic nervous sys.

taeniafuge/taeniacide=expels/kills tapeworms in intestinal tract

tonic=stimulates nutrition and permanently increases system tone, energy, vigor, and strength

uricosuric=diuretic, eliminates uric acid (pain & gout)

uterolytic=agent that relaxes the uterine tonus

uterotonic=agent that increases the tonus of the uterus

vagolytic=(parasympatholytic) having an effect resembling inhibition of activity of the vagus nerve

vasoconstrictor=contracts blood vessels

vasodilator=dilates blood vessels

vermifuge=antiparasitic (worms)

vulnerary=promotes healing of fresh cuts, wounds, etc.





Herbal Formulas

 

Table of Contents

 

e Page 334 f

Exterior Disorders

Dr Jin's Basic Formula

Release Early-Stage Exterior Disorders

Cong Chi Tang

Gan Mao Ling

Release Exterior Wind-Cold

Ma Huang Tang

San Ao Tang

Gui Zhi Tang

Xiao Qing Long Tang

She Gan Ma Huang Tang

e Page 335 f

Jiu Wei Qiang Huo Tang

Jia Wei Xiang Su San

Xiang Ru San

Xin Jia Xiang Ru Yin

Release Exterior Wind-Heat

Sang Ju Yin

Yin Qiao San

Chai Ge Jie Ji Tang

Sheng Ma Ge Gen Tang

e Page 336 f

Release Exterior Disorders with Head and Neck Symptoms

Chuan Xiong Cha Tiao San

Cang Er Zi San

Ge Gen Tang

Release Exterior Disorders With Interior Deficiency

Ren Shen Bai Du San

Jing Fang Bai Du San

Ma Huang Xi Xin Fu Zi Tang

Zai Zao San

e Page 337 f

Cong Bai Qi Wei Yin

Jia Jian Wei Rui Tang

Release Interior-Exterior Excess

Fang Feng Tong Sheng San

Ge Gen Huang Lian Huang Qin Tang

Shi Gao Tang

Wu Ji San

e Page 338 f

Clear Heat From the Qi Level

Bai Hu Tang

Zhu Ye Shi Gao Tang

Zhi Zi Dou Chi Tang

Clear Heat From Nutritive Level and Cool Blood

Qing Ying Tang

Clear Heat & Relieve Toxicity

Huang Lian Jie Du Tang

Xie Xin Tang

e Page 339 f

Pu Ji Xiao Du Yin

Qing Wen Bai Du Yin

Xian Fang Huo Ming Yin

Wu Wei Xiao Du Yin

Si Miao Yong An Tang

Clear Heat From the Organs

Yin Qiao Ma Bo San

Ma Xing Shi Gan Tang

e Page 340 f

Xie Bai San

Wei Jing Tang

Xie Huang San

Qing Wei San

Yu Nu Jian

Dao Chi San

Long Dan Xie Gan Tang

Zuo Jin Wan

e Page 341 f

Bai Tou Weng Tang

Clear Heat From Deficiency

Qing Hao Bie Jia Tang

Qing Gu San

Relieve Summerheat

Qing Luo Yin

Liu Yi San

Qing Shu Yi Qi Tang

e Page 342 f

Dry Damp & Expel Phlegm

Er Chen Tang

Dao Tan Tang

Di Tan Tang

Xiang Fu Xuan Fu Hua Tang

Clear Heat & Transform Phlegm

Wen Dan Tang

Qing Qi Hua Tan Wan

e Page 343 f

Xiao Xian Xiong Tang

Moisten Dryness & Transform Phlegm

Bei Mu Gua Lou San

Transform Phlegm & Dissipate Nodules

Xiao Luo Wan

Hai Zao Yu Hu Tang

Warm & Transform Cold-Phlegm

Ling Gui Zhu Gan Tang

Ling Gan Wu Wei Jiang Xin Tang

San Zi Yang Qin Tang

e Page 344 f

Transform Phlegm & Extinguish Wind

Zhi Sou San

Ban Xia Bai Zhu Tian Ma Tang

Ding Xian Wan

Reduce Food Stagnation

Bao He Wan

Mu Xiang Bing Lang Wan

Jian Pi Wan

Zhi Zhu Wan

e Page 345 f

Zhi Shi Xiao Pi Tang

Purge Heat Accumulation

Da Cheng Qi Tang

Xiao Cheng Qi Tang

Tiao Wei Cheng Qi Tang

Zeng Ye Cheng Qi Tang

Da Huang Mu Dan Tang

Liang Ge San

e Page 346 f

Huang Long Tang

Xin Jia Huang Long Tang

Moisten Intestines & Unblock Bowels

Ma Zi Ren Wan

Run Chang Wan

Moisten the Intestines

Ji Chuan Jian

Warm the Yang and Purge Accumulation

Da Huang Fu Zi Tang

Wen Pi Tang

e Page 347 f

Harmonize Shaoyang-Stage Disorders

Xiao Chai Hu Tang

Da Chai Hu Tang

Hao Qin Qing Dan Tang

Da Yuan Yin

Chai Hu Da Yuan Yin

e Page 348 f

Regulate and Harmonize the Liver and Spleen

Si Ni San

Chai Hu Shu Gan San

Xiao Yao San

Jia Wei Xiao Yao San

Tong Xie Yao Fang

Ban Xia Xie Xin Tang

Gently Disperse & Moisten Dryness

Xing Su San

Sang Xing Tang

e Page 349 f

Qing Zao Jiu Fei Tang

Enrich Yin & Moisten Dryness

Bai He Gu Jin Tang

Bu Fei E Jiao Tang

Yang Yin Qing Fei Tang

Mai Men Dong Tang

Zeng Ye Tang

Yu Ye Tang

e Page 350 f

Promote Urination and Drain Dampness

Wu Ling San

Zhu Ling Tang

Wu Pi San

Fang Ji Huang Qi Tang

Transform Damp Turbidity

Ping Wei San

Huo Xiang Zheng Qi San

e Page 351 f

Clear Damp Heat

San Ren Tang

Huo Po Xia Ling Tang

Gan Lu Xiao Du Dan

Lian Po Yin

Yin Chen Hao Tang

Yin Chen Si Ni Tang

Zhong Man Fen Xiao Wan

e Page 352 f

Ba Zheng San

Shao Yao Tang

Er Miao San, San Miao San, Si Miao San

Warm and Transform Water and Dampness

Zhen Wu Tang

Shi Pi Yin

Bei Xie Fen Qing Yin

e Page 353 f

Ji Ming San

Expel Wind-Dampness

Qiang Huo Sheng Shi Tang

Juan Bi Tang (2 forms)

Gui Zhi Shao Yao Zhi Mu Tang

Xuan Bi Tang

Du Huo Ji Sheng Tang

e Page 354 f

Warm the Channels & Disperse Cold

Dang Gui Si Ni Tang

Yang He Tang

Warm the Middle & Dispel Cold

Li Zhong Wan

Wu Zhu Yu Tang

Xiao Jian Zhong Tang

Da Jian Zhong Tang

e Page 355 f

Gan Cao Gan Jiang Tang

Rescue Devastated Yang

Si Ni Tang

Shen Fu Tang

Tonify the Qi

Si Jun Zi Tang

Liu Jun Zi Tang

Xiang Sha Liu Jun Zi Tang

Shen Ling Bai Zhu San

e Page 356 f

Bu Zhong Yi Qi Tang

Sheng Mai San

Bu Fei Tang

Ren Shen Ge Jie San

Tonify the Blood

Si Wu Tang

Tao Hong Si Wu Tang

Dang Gui Shao Yao San

e Page 357 f

Shao Yao Gan Cao Tang

Dang Gui Sheng Jiang Yang Rou Tang

 

Tonify Qi & Blood

Dang Gui Bu Xue Tang

Gui Pi Tang

Zhi Gan Cao Tang

Ba Zhen Tang

Shi Chuan Da Bu Tang

e Page 358 f

He Ren Yin

Nourish & Tonify Yin

Liu Wei Di Huang Wan

Qi Ju Di Huang Wan

Zhi Bai Di huang Wan

Zuo Gui Yin

Zuo Gui Wan

Da Bu Yin Wan

Hu Qian Wan

e Page 359 f

Da Zao San

Yi Guan Jian

Zhu Jing Wan

Qi Bao Mei Ran Dan

Er Zhi Wan

Warm & Tonify Yang

Jin Gui Shen Qi Wan

You Gui Wan

e Page 360 f

Tu Si Zi Wan

Zan Yu Dan

Er Xian Tang

Promote Qi Circulation

Yue Ju Wan

Ban Xia Hou Po Tang

Gua Lou Xie Bai Bai Jiu Tang

Zhi Shi Gua Lou Gui Zhi Tang

e Page 361 f

Hou Po Wen Zhong Tang

Liang Fu Wan

Jin Ling Zi San

Tian Tai Wu Yao San

Nuan Gan Jiang

Ju He Wan

Descend Rebellious Qi

Su Zi Jiang Qi Tang

Ding Chuan Tang

e Page 362 f

Si Mo Tang

Xuan Fu Dai Zhe Tang

Ju Pi Zhu Ru Tang

Ding xiang Shi Di Tang

Invigorate the Blood & Dispel Blood Stasis

Tao He Cheng Qi Tang

Xue Fu Zhu Yu Tang

Tong Qiao Huo Xue Tang

e Page 363 f

Ge Xia Zhu Yu Tang

Shao Fu Zhu Yu Tang

Shen Tong Zhu Yu Tang

Shi Xiao San

Dan Shen Yin

Da Huang Zhe Chong Wan

Bu Yang Huan Wu Tang

e Page 364 f

Warm the Menses & Dispel Blood Stasis

Gui Zhi Fu Ling Wan

Sheng Hua Tang

Wen Jing Tang

Invigorate the Blood to Treat Traumatic Injury

Fu Yuan Huo Xue Tang

Qi Li San

Die Da Wan

Huo Luo Xiao Ling Dan

e Page 365 f

Clear Heat & Stop Bleeding

Shi Hui San

Si Sheng Wan

Ke Xue Fang

Huai Hua San

Xiao Ji Yin Zi

Qing Re Zhi Beng Tang

e Page 366 f

Tonify & Stop Bleeding

Bai Ye Tang

Huang Tu Tang

Jiao Ai Tang

Stabilize Exterior & Lungs

Yu Ping Feng San

Mu Li San

Dang Gui Liu Huang Tang

e Page 367 f

Restrain Leakage From the Intestines

Zhen Ren Yang Zang Tang

Tao Hua Tang

Si Shen Wan

Stabilize the Kidneys

Jing Suo Gu Jing Wan

Sang Piao Xiao San

Suo Quan Wan

Gui Zhi Jia Long Gu Mu Li Tang

Shou Tai Wan

e Page 368 f

Stabilize the Womb

Gu Chong Tang

Gu Jing Wan

Wan Dai Tang

Yi Huang Tang

Nourish Heart & Calm Shen

Tian Wang Bu Xin Dan

Suan Zao Ren Tang

Ding Zhi Wan

e Page 369 f

Huang Lian E Jiao Tang

Gan Mai Da Zao Tang

Sedate & Calm Shen

Zhu Sha An Shen Wan

Release Wind From Skin & Channels

Xiao Feng San

Xiao Xu Ming Tang

Xiao Huo Luo Dan

Qian Zheng San

Yu Zhen San

e Page 370 f

Zhi Jing San

Extinguish Internal Wind

Zhen Gan Xi Feng Tang

Ling Jiao Gou Teng Tang

Tian Ma Gou Teng Yin

San Jia Fu Mai Tang

E Jiao Ji Zi Huang Tang

e Page 371 f

Da Ding Feng Zhu

Di Huang Yin Zi

Expel Parasites

Wu Mei Wan

Fei Er Wan

Qu Chong Feng

Miscellaneous and Empirical Formulas

e Page 373 f

Tables of Patterns and Formulas for Ob/Gyn Conditions

e Page 376 f

Common Formulas for Ob/Gyn Conditions


Exterior Disorders

Dr Jin's Basic EPI Formula

cang er zi, xin yi hua, bo he, bai zhi, jie geng, ma huang, huang qin, dong gua ren, huang qi, bai zhu, fang feng

 

plus, for W-H: sang ye, ju hua; for Sp Qi xu: dang shen, fu ling; for K Qi xu: bu gu zhi; for phlegm-heat: dan nan xing, xing ren, ban xia; for Qi & blood stagnation: dang gui, chi shao, chuan xiong, (gan) di long


Release Early-Stage Exterior Disorders (see also Sang Ju Yin & Yin Qiao San in the wind-heat section)

Cong Chi Tang

cong bai, dan dou chi

unblock Yang Qi in exterior, induce sweating

early W-C (or W-H): mild fever, sl chills without sweats, headache, stuffy nose, thin white coat, floating

Gan Mao Ling

mao dong qing, ban lan gen, ju hua, man jing zi, jin yin hua, bo he (some add wu zhu yu)

dispel W, sedate heat, detoxify pathogens (viruses)

W-H or W-C: common cold & flu - chills, high fever, swollen nodes, sore throat, stiff upper back & neck


Release Exterior Wind-Cold

Ma Huang Tang

ma huang, gui zhi, xing ren, zhi gan cao

release exterior C, arrest wheeze

W-C shi-type (taiyang) severe case: fever, chills (predominant), no sweats, headache, gen'l body ache, wheeze, thin white coat, floating & tight

San Ao Tang

Three Unbinding

ma huang, xing ren, gan cao

disp Lu Qi, release exterior

exterior W-C, head & body ache, nasal congest, cough, wheeze, copious white thin sputum, fullness in chest; or cough & loss of voice from W-C; take & get in bed to sl sweat

Gui Zhi Tang

gui zhi, shao yao, sheng jiang, da zao, zhi gan cao

release path infl from musc layer, reg ying & wei Qi

W-C xu-type (ying & wei disharmony): fever & chills unrelieved by sweats, headache, av to W, stiff neck, nasal congest, dry heave, no particular thirst, thin white moist coat, floating, moderate or frail; also for similar presentation after bad sick or childbirth

Xiao Qing Long Tang

Minor Bluegreen Dragon

ma huang, gui zhi, gan jiang, xi xin, wu wei zi, bai shao, ban xia, zhi gan cao

release exterior, transform congested fluids, warm Lu, descend rebellious Qi

W-C w/ underlying water metabolism problems: chronic bronchitis, chills (predominant), fever, no sweats, cough, wheeze, copious, white, stringy, difficult to expectorate sputum, stifling sens in chest, gen'lized heaviness, body aches, no particular thirst, moist tongue coat, floating, tight pulse; maybe edema, difficult breathing when lying

She Gan Ma Huang Tang

she gan, ma huang, zi wan, kuan dong hua, ban xia, xi xin, wu wei zi, sheng jiang, da zao

warm Lu, transform cold & congested fluids lingering in chest, redirect rebel Qi, stop cough

pronounced cough & wheeze w/ rattling sound, mild or no exterior sx

Jiu Wei Qiang Huo Tang

qiang huo, fang feng, cang zhu, xi xin, chuan xiong, bai zhi, huang qin, sheng di, gan cao

release exterior damp, clear interior heat

exterior W-C-D (w/ int heat): chills (predominant), fever, no sweats, headache, stiff neck, gen'lized aches & pains, sl. thirst, bitter taste, floating pulse

Jia Wei Xiang Su San

zi su ye, xiang fu, chen pi, zhi gan cao, jing jie, fang geng, qin jiao, man jing zi, chuan xiong, sheng jiang

regulate Qi, release exterior W-C

exterior W-C w/ int Qi constraint: nasal congestion & dripping, fever, chills, no sweats, headache, focal distention & stifling sens in chest & epig, poor app, burps, thin white coat, floating pulse

Xiang Ru San

xiang ru, bai bian dou, hou po

release exterior, disperse cold, transform damp, harmonize middle jiao

exterior cold w/ int damp (summer): aversion to C, skin warm to touch, no sweats, heavy head, headache, abd pain, vomit, diarrh, stifling sens in chest, fatigued extrems, white greasy coat, floating pulse

Xin Jia Xiang Ru Yin

Newly Augmented Xiang Ru Yin

above + jin yin hua, lian qiao

release exterior S-H conditions, clear heat, dry damp

early stage S-H w/ exterior C: fever & chills, no sweats, thirst, flushed face, headache, tight sens in chest, greasy white coat, superficial rapid pulse; common in summer due to changes in weather & diet; cooling, can also be used for interior heat & exterior cold; bensky says take ½ dose & then another ½ dose if sweating does not occur, repeat the procedure if this still fails to induce sweating


Release Exterior Wind-Heat

Sang Ju Yin

sang ye, ju hua, lian qiao, bo he, jie geng, xing ren, lu gen, gan cao

release exterior W-H, stop cough by facilitating flow of Lu Qi

early stage: slight fever, scratchy dry throat causes cough, sl. thirst, thin white coat, floating, rapid pulse

Yin Qiao San

jin yin hua, lian qiao, jie geng, niu bang zi, bo he, dan dou chi, jing jie, dan zhu ye, lu gen, gan cao

disp W-H, clear H, relieve toxicity

early stage: fever, slight or no chills, headache, thirst, sore throat, red-tip, thin white or yellow coat, floating, rapid pulse

Chai Ge Jie Ji Tang Bupleurum & Kudzu to Release the Muscle Layer

chai hu, ge gen, qiang huo, bai zhi, huang qin, shi gao, jie geng, bai shao, gan cao, sheng jiang, da zao

release pathogenic infl from muscle layer, clear int heat

clears first three stages; good for when pt feels getting over cold & develops ear clog or eye pain; unresolved W-C turning to W-H (taiyang + yangming): more fever than chills, headache, stiff extrems, orbital & eye pain, dry nasal, irritability, insomnia, thin yellow coat, floating slightly flooding pulse

Sheng Ma Ge Gen Tang

sheng ma, ge gen, zhi gan cao, chi shao

release muscle layer, vent rashes

early measles or rashes that don't surface evenly, fever & chills, headache, gen'lized body aches, sneezing, coughing, red eyes, tearing, thirst, red & dry tongue, floating rapid pulse





Release Exterior Disorders With Head and Neck Symptoms

Chuan Xiong Cha Tiao San Ligusticum Powder to Be Taken with Green Tea

bo he, chuan xiong, bai zhi, qiang huo, xi xin, jing jie, fang feng, gan cao

disperse W, alleviate pain

headache in any part of head, fever, chills, dizziness, nasal congest, thin white coat, floating pulse

take w/ green tea NOT for: hypertension or Lv Yang rising, or Headache from deficiency

Cang Er Zi San

cang er zi. xin yi hua, bai zhi, bo he

disperse W, alleviate pain, unblock nose

nasal/sinus congestion, allergic rhinitis, copious, purulent, foul-smelling nasal discharge, dizziness, frontal headache, normal or yellow coat, floating rapid pulse

â–º for congestion, add more herbs to eliminate wind - fang feng, jing jie

â–º for dripping, add ban xia, fu ling, yi yi ren, chuan xiong, chen pi, lu lu tong, shan yao, lian zi

â–º for heat signs, add zhi mu, mu tong, xuan shen, huang herbs

Ge Gen Tang

ge gen, ma huang, gui zhi, bai shao, sheng jiang, da zao, gan cao

release exterior & muscle layer, generate fluids

fever & chills, no sweats, stiff & rigid neck & upper back, thin white coat, floating tight pulse




Release Exterior Disorders With Interior Deficiency

Ren Shen Bai Du San

Ginseng Powder to Overcome Pathogen-ic Influences

qiang huo, du huo, chuan xiong, chai hu, jie geng, zhi ke, qian hu, ren shen, fu ling, gan cao

release exterior, dispel W & D, augment Qi

exterior W-C (-D) w/ Qi xu: high fever, severe chills, shivering, no sweats, pain & stiffness of head and neck, soreness & pain of extremities, focal distention & fullness of chest, nasal congestion w/ sonorous breathing, productive cough, greasy white coat, floating soggy pulse

Jing Fang Bai Du San

jing jie, fang feng, chai hu, qian hu, chuan xiong, qiang huo, du huo, fu ling, jie geng, zhi ke, gan cao, sheng jiang (may add bo he)

induce sweats, release exterior, dispel wind, alleviate pain

Li: W-C excess, any type, basic formula; exterior W-C-D, more severe presentation than the above, no underlying Qi xu: fever, chills, no sweats, pain & stiff neck & head, gen'lized body aches & pain, thin, moist, white, greasy coat, superficial pulse; also for exterior conditions w/ red & swollen eyes, epidemic parotitis, early-stage abscesses & sores

Ma Huang Xi Xin Fu Zi Tang

ma huang, fu zi, xi xin

assist yang, release exterior

exterior C w/ pre-existing Yang xu: extreme cold, severe chills (better w/ more clothes/covers), sl fever, no sweats, exhaustion, white slippery coat, submerged faint pulse

Zai Zao San

Renewal Powder

huang qi, ren shen, fu zi, gui zhi, xi xin, qiang huo, chuan xiong, fang feng, chi shao, gan cao, sheng jiang, da zao

tonify yang, augment Qi, induce sweats, release exterior

exterior W-C w/ Qi & Yang xu: sl fever, strong chills, no sweats, headache, cold extrems, fatigue, constant desire to lie down, pallid complexion, weak voice, pale tongue, white coat, submerged, forceless, or floating, big, and forceless pulse

Cong Bai Qi Wei Yin

cong bai, ge gen, dan dou chi, sheng jiang, mai men dong, sheng di

nourish blood, release exterior

W-C w/ blood or yin xu (from long term illness or blood loss): headache, fever, slight chills, no sweats

must be careful about inducing sweating - very gentle formula

Jia Jian Wei Rui Tang

yu zhu, cong bai, jie geng, dan dou chi, bo he, bai wei, zhi gan cao, da zao

nourish yin, clear heat, induce sweats, release exterior

W-H w/ underlying yin xu: fever, sl. chills, little or no sweats, headache, dry throat, cough, difficult to expectorate sputum, thirst, irritability, dark red tongue, rapid pulse

Bi Qiu Tang Jian Jian

Blue Poppy's AllerEase

huang qi, yi yi ren, shan yao, dang shen, bai zhu, fang feng, jing jie, jie geng, he zi, xin yi hua, bo he, ze xie, wu wei zi, gan cao, chan tui, xi xin (they now substitute gan jiang for xi xin due to restrictions on the use of xi xin, but xi xin is the original herb in this formula)

secures exterior and lungs while gently dispelling wind, supplements spleen and kidneys, eliminates dampness, transforms phlegm, stops itching, opens nasal orifices

acute episodes of allergic rhinitis characterized by clear, runny, itchy nose, itchy eyes, and sneezing due to wind evils taking advantage of defensive qi not securing in turn due spleen (and possibly kidney) vacuity with deeplying phlegm rheum



Release Interior-Exterior Excess

Fang Feng Tong Sheng San

Ledebouriella Powder that Sagely Unblocks

fang feng, ma huang, da huang, mang xiao, bo he, zhi zi, hua shi, shi gao, lian qiao, huang qin, jie geng, chuan xiong, dang gui, bai shao, bai zhu, gan cao + sheng jiang

disperse W, release exterior, drain heat, unblock bowels

exterior & int heat (from exterior heat penetrating internally or pre-existing interior heat): strong fever, chills, light-headed, dizziness, red & sore eyes, difficulty swallowing, nasal congest w/ thick & sticky discharge & saliva, bitter taste, dry mouth, focal distention w/ stifling sens in chest & diaphragm, constipation, dark, rough urination, yellow greasy coat, flooding, rapid or wiry, slippery pulse; skin diseases - eczema

Ge Gen Huang Lian Huang Qin Tang

ge gen, huang qin, huang lian, zhi gan cao

release exterior, clear heat

interior heat + exterior not completely released: fever, sweats, thirst, dysenteric diarrhea w/ very foul odor & burning sens, irritability & heat in chest & epig, maybe wheezing, red tongue, yellow coat, rapid pulse; good for D-H diarrhea - "stomach flu"

Shi Gao Tang

shi gao, ma huang, dan dou chi, huang lian, huang qin, huang bai, zhi zi

clear heat, relieve toxicity, release exterior

injury from cold in which heat blazes in interior while exterior condition persists: strong fever & chills, no sweats, headache, gen'lized sens of heaviness & tightness, red face & eyes, dry nasal passages, thirst, irritability, insomnia, maybe delirium, maybe nosebleed, coughing blood, skin blotches, rapid, slippery/flooding pulse

Wu Ji San

Five Accumulations

ma huang, bai zhi, gan jiang, rou gui, cang zhu, hou po, chen pi, ban xia, fu ling, jie geng, zhi ke, dang gui, bai shao, chuan xiong, zhi gan cao

release exterior, warm interior, smooth flow of Qi, transform phlegm, invigorate blood, reduce accumulation

exterior W-C w/ internal injury due to cold (usually from improper diet): fever & chills, no sweats, headache, body aches, stiff neck & back, sensation of fullness in chest & abd, nausea, aversion to food, vomiting, abd pain & cold, diarrhea, borborygmus; good for Sp Qi xu pts who wander outside & catch cold; many Sp Qi xu pts are easily stagnated, many are too weak to tonify - must move



Clear Heat From the Qi Level

Bai Hu Tang

White Tiger

shi gao, zhi mu, zhi gan cao, geng mi

clear Qi-level heat, drain St fire, generate fluids, alleviate thirst

Qi level heat/Yangming stage: BIG fever, sweats, thirst, & pulse, aversion to heat, red face, irritability, flooding, forceful or slippery, rapid pulse; maybe headache, toothache, bleeding gums & nose

Zhu Ye Shi Gao Tang

dan zhu ye, shi gao, ren shen, mai men dong, ban xia, zhi gan cao, geng mi

clear heat, generate fluid, augment Qi, harmonize St

Qi level heat lingering in Lu & St where it injures Qi & fluids: lingering fever, vomiting, irritability, thirst, parched mouth, lips, & throat, choking cough, stifling sens in chest, sweating, red tongue w/ little coat, deficient, rapid pulse; maybe restlessness, insomnia

Zhi Zi Dou Chi Tang

zhi zi, dan dou chi

clear heat, alleviate restlessness & irritability

Qi level heat lingering in superficial aspects of yangming stage (muscles & chest): fever, irritability, insomnia w/ tossing & turning, stifling sens in chest, soft epigastrium, sl yellow tongue coat, sl rapid pulse or strong, floating pulse at distal position


Clear Heat From Nutritive Level and Cool Blood

Qing Ying Tang

Clear the Nutritive Qi

xi jiao (or cow), xuan shen, sheng di, mai men dong, jin yin hua, lian qiao, huang lian, dan zhu ye, dan shen

clear nutritive level, relieve fire toxin, drain heat, nourish yin

heat entering ying level (and xue level): high fever worse at night, severe irritability, restlessness, scarlet, dry tongue, thin rapid pulse; maybe thirsty, delirious, maybe faint and indistinct erythema and purpurea - bleeding


Clear Heat and Relieve Toxicity

Huang Lian Jie Du Tang

Coptis Decoction to Relieve Toxicity

huang lian, huang qin, huang bai, zhi zi

drain fire, relieve toxicity

severe obstruction of all 3 jiao by heat toxin, which pervades both the interior & exterior: high fever, irritability, dry mouth & throat, incoherent speech, insom, dark urine, red tongue, yellow coat, rapid, forceful pulse; also for nosebleed or hematemesis from excess heat; carbuncles, deep-rooted boils, other toxic swelling; D-H: jaundice, dysenteric disorders

Xie Xin Tang

Drain the Epigastrium

da huang, huang lian, huang qin

drain fire, relieve toxicity, dry dampness

D-H excess w/ interior clumping: fever, irritability, restlessness, flushed face, red eyes, dark urine, constipation, greasy yellow coat, maybe delirious speech; epigastric focal distention, jaundice, diarrhea, dysenteric disorders; hematemesis, nosebleed; red swollen eyes & ears; ulcerations of tongue & mouth; abscesses

Pu Ji Xiao Du Yin

Universal Benefit Decoction to Eliminate Toxin

huang qin, huang lian (both wine-fried, large doses), niu bang zi, lian qiao, bo he, jiang can, xuan shen, ma bo, ban lan gen, jie geng, gan cao, chen pi, chai hu, sheng ma

clear heat, elim fire-toxin, disperse W-H

face swollen, red - mumps, facial erysipelas; acute massive febrile disorder of the head (seasonal epidemic toxin assoc w/ W-H and damp-phlegm): strong fever & chills, redness, swell, and burning pain of head & face, dysfcn of throat, dryness & thirst, red tongue w/ powdery-white or yellow coat, floating, rapid, forceful pulse

Qing Wen Bai Du Yin

Clear Epidemics and Overcome Toxin

shi gao, zhi mu, gan cao, dan zhu ye, xi jiao (or cow), sheng di, mu dan pi, chi shao, xuan shen, huang lian, huang qin, zhi zi, lian qiao, jie geng

clear heat, relieve toxicity, cool blood, drain fire

svr fire in Qi & bld lvls: intense fever, strong thirst, dry heaves, svr, stabbing Headache, extreme irritability, maybe delirious speech, rash, nosebleed; dark red tongue, dark scorched lips, rapid pulse, either submerged and thin or floating & large; Dr. Li says Ying & Xue levels, some use to treat meningitis

Xian Fang Huo Ming Yin

Sublime Formula for Sustaining Life

jin yin hua, gan cao, zhe bei mu, tian hua fen, dang gui, chi shao, ru xiang, mo yao, fang feng, bai zhi, chuan shan jia, zao jiao ci, chen pi

clear heat, relieve fire-toxin, reduce swell, promote discharge of pus, invigorate blood, alleviate pain

fire-toxin or phlegm-fire of various origins including transformation of a pathogenic influence in the channels, overindulgence in rich/greasy foods, or trauma w/ transmission of toxic Qi: early-stage sores & carbuncles w/ red, swollen, hot, painful lesions, usu. w/ fever, mild chills, headache, thin coat (white or sl yellow), rapid forceful pulse; skin infections, can use for gangrene

Wu Wei Xiao Du Yin

Five Ingredient D. to Eliminate Toxin

jin yin hua, pu gong ying, zi hua di ding, ye ju hua, zi bei tian kuei

clear heat, relieve toxicity, cool blood, reduce swelling

fire-toxin from externally-contracted heat accumulating in organs or channels: all boils, carbuncles (esp deep-rooted, hard) w/ local erythema, swelling, heat, pain, w/ fever, chills, red tongue, yellow coat, rapid pulse

Si Miao Yong An Tang

Four Valiant Decoction for Well-Being

jin yin hua, xuan shen, dang gui, gan cao (all huge doses)

clear heat, relieve toxicity, nourish yin, invigorate blood, allev pain

sloughing ulcer due to obstruction by fire-toxin leading to stasis of bld in sinews & bld vessels (maybe from chron K xu or exterior damp-cold painful obstruction or rich, greasy, spicy food, or misuse of yang tonics): ulcerated sores won't heal, on limb that is dark-red, sl swollen, warm to touch, very painful; maybe rotten smell, copious discharge, w/ fever, thirst, red tongue, rapid pulse; gangrene


Clear Heat From the Organs

Yin Qiao Ma Bo San

jin yin hua, lian qiao, niu bang zi, she gan, ma bo, lu gen

clear heat, relieve toxicity, drain heat from Lu to improve fcn of throat

painful obstruction of throat due to Lu D-H: severe sore throat, great difficulty swallowing, red tongue, thick white or yellow coat, rapid slippery, maybe floating pulse

Ma Xing Shi Gan Tang

ma huang, shi gao, xing ren, zhi gan cao

facilitate flow of Lu Qi, clear heat, calm wheeze by desc. rebellious Qi

heat lodged in Lu obstructing flow of Qi: fever w/ or without sweats, thirst, wheezing, coughing, labored breathing, nasal flaring & pain, yellow coat, slippery rapid pulse

Xie Bai San

Drain the White

sang bai pi, di gu pi, zhi gan cao, geng mi

drain Lu heat, calm wheezing

smoldering fire due to constrained H in Lu: cough, wheeze, fever w/ skin that feels hot to touch, all worse in late afternoon, also dry mouth, little or diff-to-expectorate sputum, thin rapid pulse, red tongue, yellow coat

Wei Jing Tang

Reed Decoction

lu gen, yi yi ren, don gua ren, tao ren

clear Lu H, transform phlegm, drive out bld stasis, discharge pus

Lu abscess due to H-T obstructing Lu, w/ phlegm & bld stasis: cough w/ foul smelling sputum (maybe streaked w/ bld), sl fever, mild chest pain, dry scaly skin, red tongue, greasy yellow coat, slippery rapid pulse

Xie Huang San

Drain the Yellow

shi gao, zhi zi, fang feng, huo xiang ye, gan cao (large doses of fang feng & gan cao)

drains smoldering fire from Sp

smoldering fire in Sp: mouth ulcers, bad breath, thirst, frequent hunger, dry mouth & lips - dry cracked lips, always licking them, red tongue, rapid pulse; also for tongue thrusting in kids

Qing Wei San

Clear the Stomach

huang lian, sheng ma, mu dan pi, sheng di, dang gui

drain St fire, cool bld, nourish yin

St heat: toothache, mouth pain (esp when pain extends to head), facial swell, fever, bad breath, dry mouth, red tongue, little coat, slippery, large, rapid pulse; also for bleeding & sores on gums, swollen painful tongue, lips, jaw - pain responds well to cold, worse w/ heat; also for D-H pus

Yu Nu Jian

Jade Woman

shi gao, shu di, zhi mu, mai men dong, niu xi

drain St heat, nourish yin

St heat w/ yin xu from St fire injuring K yin: don't be limited by this list - broad range of presentations - incl. toothache, loose teeth, bleeding gums, frontal headache, irritability, fever, thirst for cold, dry red tongue, yellow coat, floating, slippery, deficient, large pulse

Dao Chi San

Guide out the Red

sheng di, mu tong, dan zhu ye, gan cao shao (tips)

clear heat, promote urination

Ht & SI channel heat: acute UTI, irritability, sens of H in chest, thirst for cold, red face, maybe sores around mouth, red tongue, rapid pulse; also for dark, scanty, rough, even painful urination, or w/ clearly visible blood

Long Dan Xie Gan Tang

Long Dan Cao Decoction to Drain the Liver

long dan cao, huang qin, zhi zi, mu tong, che qian zi, ze xie, chai hu, sheng di, dang gui, gan cao

drain fire excess from Lv & GB, clear & drain D-H from lower jiao

excess H in Lv &/or GB chs or organ: hypochondriac pain, headache, dizzy, red sore eyes, hearing loss, swelling in ears, bitter taste, irritability, short temper, wiry rapid forceful pulse, red tongue, yellow coat; also for difficult painful urination, w/ sens of H in urethra, swollen itchy exterior genitalia, foul-smelling leukorrhea, w/ short menstrual cycle & red-purple blood; shingles, herpes, acute cholecystitis, acute glaucoma, blepharitis, conjunctivitis, corneal ulcer, cystitis, dizziness, dysuria (burning), eczema, epididymitis, gallstone, genital herpes, genital mycosis, headache, herpes zoster, hyperthyroidism, hypoacusis, intercostal neuralgia, irritability, labial herpes, orchitis, hypochondriac pain, pyelonephritis, quick-tempered, retinitis, smelly leukorrhea, suppurative otitis, swollen and pruritic external genitalia, urethritis

Dang Gui Long Hui Wan

Huang Lian, Huang Qin, Huang Bai, Zhi Zi, Dang Gui, Lu Hui, Long Dan Cao, Da Huang, Mu Xiang, Qing Dai, She Xiang

drain fire from Lv and GB

Full-Heat and toxins or Fire collecting in the Lv & GB. Severe conditions. Cholecystitis, delirious speech, dizziness, headache, manic behavior, restlessness, constipation, dark urine. Scarlet red tongue with a dry-yellow coating.

Zuo Jin Wan

Assist (or Left) Gold Pill

huang lian, wu zhu yu 6:1

clear Lv heat, descend rebel Qi, stop vomiting

Lv ch H attacking St causing Lv/St disharmony: hypochondriac pain, indeterminate gnawing hunger, epigastric focal distention, vomiting, acid regurg, burps, bitter taste, dry mouth, red tongue, yellow coat, wiry, rapid pulse

Bai Tou Weng Tang

bai tou weng, huang lian, huang bai, qin pi

clear heat, relieve toxicity, cool bld, relieve dysenteric dis

hot dysenteric disorder due to H-T searing St & intestines: abd pain, tenesmus, burning anus, diarrhea w/ more blood than pus, thirst, red tongue, yellow coat, wiry rapid pulse

Jiao Tai Wan

Grand Communication Pill

huang lian, rou gui

clears Ht heat, guides Ht fire down to the K, harmonizes Ht & K, harmonizes Yin and Yang, drains the south (heart fire) and supplement the north (kidney Yang)

Insomnia, vexation, and agitation due to Ht and K not communicating (such as for kidney Yang deficiency which cannot move and upbear kidney water, which then becomes dead and stagnant, and fails to nourish heart Yin and control heart fire which rises upward); glossitis, oral ulcers, heart palpitations, together with fear of cold, copious clear urination, impotence, and seminal emission due to simultaneous heart fire and kidney Yang deficiency; fright and palpitations, restless sleep, agitation, excessive dreaming, inability to concentrate; nocturnal emissions, dreaming of sex; red tongue tip, thin rapid pulse, both cun pulses floating and rapid, both chi thin and deep




Clear Heat From Deficiency

Qing Hao Bie Jia Tang

bie jia, sheng di, zhi mu, mu dan pi, qing hao (add at end)

nourish yin, vent heat

yin xu due to heat; heat smoldering in yin regions of body: night fever, morning coolness, absence of sweats as fever recedes, emaciation without loss of appetite, red tongue, little coat, fine rapid pulse

Qing Gu San

Cool the Bones

yin chai hu, zhi mu, hu huang lian, di gu pi, qing hao, qin jiao, bie jia, gan cao

clear heat from xu, allev steaming bone disorder

focuses on branch - severe yin xu heat - steaming bone disorder due to Lv/K yin xu: afternoon tidal or unremitting chron low-grade fever, sens of heat in bones, but flesh not warm to touch, irritability, insom, emaciation, lethargy, red lips, dark red cheeks, night sweats, thirst, dry throat, red tongue, little coat, thin rapid pulse; yin xu night sweats


Relieve Summerheat

Qing Luo Yin

Clear the Collaterals

jin yin hua, bian dou hua, xi gua shuang, si gua pi, he ye, dan zhu ye (all best used fresh)

relieve summerheat, clear Lu

mild summerheat injuring Qi lvl or Lu ch, or when sweating nas not fully released, leaving remnants of path influence in wake: fever, mild thirst, unclear head & vision w/ light-headedness, sl distention of head, pink tongue, thin white coat; also for prevention of summerheat

Liu Yi San

6-to-1 Powder

hua shi, gan cao 6:1

clear summerheat, resolve damp, augment Qi

summerheat disturbs Ht: irritability, fever, sweats, thirst, urinary difficulty, thin yellow greasy coat, soggy rapid pulse; often added to other formulas, rarely used alone; for K stones w/ other herbs

Qing Shu Yi Qi Tang

Clear Summerheat & Augment the Qi

xi yang shen, xi gua pi, lian geng, shi hu, mai men dong, dan zhu ye, zhi mu, huang lian, gan cao, geng mi

clear summerheat, augment Qi, nourish yin, generate fluids

rescue yang Qi

summerheat injures Qi & fluids: fever, profuse sweats (exhausted Yang Qi), irritability, thirst, scanty dark urine, desire to curl up, SOB, apathy, deficient rapid pulse; Dr. Li: S-H shaoyin - could be shock, in which case patient may need ren shen




Dry Damp & Expel Phlegm

Er Chen Tang

Two Cured

ban xia, ju hong/chen pi (these first two cured long time), fu ling, zhi gan cao (source text says take w/ sheng jiang & 1 piece of wu mei)

dry dampness, transform phlegm, regulate Qi, harmonize middle jiao

damp-phlegm from Sp failing to transform fluids: coughing w/ copious white sputum that is easily expectorated, focal distention & stifling sens in chest & diaphragm, palps, nausea, vomiting, dizziness, swollen tongue, white thick greasy coat, slippery pulse; add clear-heat herbs as necessary

• for wind-phlegm: + dan nan xing, bai fu zi, zao jiao

• for heat-phlegm: + shi gao, qing dai

• for damp-phlegm: + cang zhu, bai zhu

• for dry-phlegm: + gua lou pi, xing ren

• for food-stagnation-phlegm: + shan zha, mai ya, shen qu

• for Qi stagnation-phlegm: + xiang fu, zhi ke

Dao Tan Tang

above + zhi shi/zhi ke, tian/dan nan xing. Taken with sheng jiang.

stronger to transform phlegm

copious phlegm accumulation in Lu, may have pre-stroke sx of numbness & weakness on one side. Related to Ban Xia Bai Zhu Tian Ma Tang, but for more phlegm, less wind. For collapse due to phlegm. Fainting due to phelgm, or vertigo with headache, or accumulation of congested fluids that will not dissipate. With sx such as stifling sensation and focal distention in chest and diaphragm, reduced appetite, distention and fullness in the hypochondria and flanks, restlessness when sitting or lying down, coughing and wheezing with copious sputum and difficult breathing, thick nasal discharge and saliva, white greasy tongue coat, slippery pulse.

Di Tan Tang

Scour Phlegm D.

Dao Tan Tang (ban xia, ju hong/chen pi, fu ling, zhi gan cao, zhi zhi, dan nan xing) + ren shen, shi chang pu, zhu ru

opens phlegm-blocked orifices

internal obstruction due to severe phlegm. Stroke, phlegm misting Ht, impaired/slurred speech, stiff tongue.

With appropriate presentation: cerebrovascular accident, seizure disorder, motor aphasia, bronchial asthma, COPD, acute and chronic bronchitis, brochiectasis.

Xiang Fu Xuan Fu Hua Tang

xiang fu, xuan fu hua, su zi, chen pi, fu ling, yi yi ren, ban xia

strengthen Sp, dispel damp, spread Lv Qi, unblock channels

dampness leads to congested fluids which stagnate in collaterals of Lv: hypochondriac pain w/ or without coughing, either afternoon fvrs without chills or alternating chills & fever, thickly coated tongue w/ swollen edges, wiry pulse, especially in middle position



Clear Heat & Transform Phlegm

Wen Dan Tang

Warm the Gall Bladder

zhu ru, zhi shi, ban xia, chen pi, fu ling, gan cao, sheng jiang (some add da zao)

(Dr. Li: F. is actually cooling, despite name)

Add huang lian (Huang Lian Wen Dan Tang) if more heat

regulate Qi, transform phlegm, clear the GB, harmonize St

GB/St disharmony w/ phlegm-heat: dizziness, vertigo, nausea or vomiting, insomnia, palps, anxiety, indeterminate gnawing hunger, or seizures accompanied by copious sputum, focal distention of chest, bitter taste, slight thirst, greasy yellow coat, rapid pulse, either slippery or wiry

Shi Wei Wen Dan Tang

zhi shi, ban xia, chen pi, fu ling, suan zao ren, yuan zhi, wu wei zi, shu di huang, ren shen, zhi gan cao, sheng jiang, da zao

calm the mind/Ht, transform phlegm, regulate Qi, harmonize St

Ht & GB deficiency: anxiety, apprehension, fear, irritability, mental fragility, oppression of the chest, palpitations, patient is easily frightened, stifling sensation, ageusia, edema of limbs, poor appetite, restlessness (difficulty sitting without fidgeting)

Shi Yi Wei Wen Dan Tang

ban xia, chen pi, fu ling, gan cao, zhi shi, zhu ru, huang lian, yuan zhi, shi chang pu, ye jiao teng, zhen zhu mu

calm the mind, transform phlegm, regulate Qi, clear heat, harmonize St

Phlegm-heat upsetting the harmony of the St: anxiety, insomnia, distension of the chest, dizziness, insomnia, palpitations, bitter taste, red tongue, greasy coating, slippery-rapid pulse

Qing Qi Hua Tan Wan

Clear the Qi and Transform Phlegm

dan nan xing, ban xia, gua lou ren, huang qin, chen pi, xing ren, zhi shi, fu ling (sheng jiang)

clear heat, transform phlegm, descend rebel Qi, stop coughing

phlegm-heat w/ Sp xu: coughing yellow viscous sputum that's difficult to expectorate, focal distention & feeling of fullness in chest & diaphragm, nausea, red tongue, greasy yellow coat, slippery rapid pulse, in severe cases may be difficulty in breathing; Dr. Li: this formula needs more heat-clearing and heat-toxin-clearing herbs in order to work

Xiao Xian Xiong Tang

Minor Sinking into the Chest

gua lou (crush), huang lian, ban xia (ginger fried)

clear heat, transform phlegm, expand chest, dissipate clumps

clumping in the chest caused by sinking of pathogenic heat into upper & middle jiaos where it mixes with phlegm: focal distention in chest & epigastrium, painful when pressed, w/ or without nodules, coughing up yellow viscous sputum, constipation, bitter taste in mouth, yellow greasy tongue coat, slippery pulse that is either floating or rapid; phlegm-heat in pleura

Gun Tan Wan

Vaporize Phlegm Pill

duan meng shi, da huang, huang qin, chen xiang

drains fire, drives out phlegm

mania-withdrawal and palpitations with anxiety; or severe, continuous palpitations which can lead to coma; or coughing and wheezing with thick viscous sputum; or focal distention and a stifling sensation in the chest and epigastrium; or dizziness, vertigo, and tinnitus. Accompanied by constipation, yellow, thick, greasy tongue coat, and slippery, rapid, forceful pulse. Maybe facial tics, insomnia, very strange dreams, sudden, deep pain in the joints that is difficult to describe, nodules in the neck, or a choking sensation.

With apropriate presentation: hysteria, anxiety neurosis, bipolar disorder, schizophrenia, pediatric seizure disorder, seizure disorder, Meniere's disease, benign paroxysmal positional vertigo, bronchial asthma, acute bronchitis, COPD.

Tong Guan San

Open the Gate Powder

equal portions zao jiao and xi xin. Powdered and very small amount blown into the nose.

Unblocks the gate (jaw), opens orifices

name is derived from its effect in inducing sneezing, and rather strong actions in opening the jaw and orifices. Comatose collapse - excessive (closed) pattern. Loss of consciousness, clenched jaw, extreme difficulty breathing, foaming at the mouth, pale, ashen complexion. Not for abandoned-type disorder. Not for loss of consciousness due to hypertensive crisis, cerebral hemorrhage, or traumatic cranial injury.


Moisten Dryness & Transform Phlegm

Bei Mu Gua Lou San

chuan bei mu, gua lou, tian hua fen, fu ling, ju hong, jie geng

moisten Lu, clear heat, regulate Qi, transform phlegm

heat congeals fluids into dry-phlegm: dryness in Lu injures fluids & causes phlegm: cough w/ deep-seated sputum difficult to expectorate, wheezing, dry sore throat, red dry tongue, little coat, rapid & thin but strong pulse


Transform Phlegm and Dissipate Nodules

Xiao Luo Wan

Reduce Scrofula

xuan shen, mu li, zhe bei mu

clear heat & transform phlegm to soften & dissipate nodules

firm rubbery nodules on neck, accompanied by dry mouth & throat, red tongue, rapid pulse that is slippery &/or wiry; includes tuberculosis; also Dr. Li uses (modified) for hyperthyroidism (caution, mu li may contain iodine) - can add xia ku cao, long gu

Hai Zao Yu Hu Tang

Sargassum Decoction for the Jade Flask

hai zao, kun bu, hai dai, zhe bei mu, ban xia, du huo, chuan xiong, dang gui, qing pi, chen pi, lian qiao, gan cao

transform phlegm, soften hard masses, reduce & dissipate goiter

stagnant damp, phlegm, qi, & blood in the area between skin & flesh on neck: masses in center of neck which are rock-like in hardness, immobile, cause no change in color of skin, & do not ulcerate; thin greasy coat, wiry & slippery pulse; enlarged prostate, goiter, fibroids, cysts, etc


Warm & Transform Cold-Phlegm

Ling Gui Zhu Gan Tang

fu ling, gui zhi, bai zhu, zhi gan cao

warm & transform phlegm & congested fluids, strengthen Sp, resolve dampness

cold-damp. congested fluids in epigastrium, weak Sp yang: fullness in chest & hypochondria, palps, SOB, coughing up clear watery sputum, dizziness, vertigo, pale swollen tongue, white slippery or greasy coat, pulse usually slippery & either wiry or soggy

Ling Gan Wu Wei Jiang Xin Tang

fu ling, gan cao, gan jiang, xi xin, wu wei

warm Lu, transform congested fluids

cold congested fluids due to yang xu & rising yin: coughing & profuse sputum that is thin, watery, white, w/ feeling of discomfort in chest & diaphragm, white slippery coat, wiry, slippery pulse

San Zi Yang Qin Tang

Three Seed Decoction to Nourish One's Parents

bai jie zi (very warm), su zi, lai fu zi (crush, decoct in bag)

descend Qi, relax diaphragm, transform phlegm, reduce food stag

cold in Lu w/ food stagnation (both cause & effect of Sp xu): cough & wheeze, copious sputum, focal distention in chest, loss of appetite, digestive difficulties, white greasy coat, slippery pulse


Transform Phlegm & Extinguish Wind

Zhi Sou San

Stop Coughing

jie geng, jing jie, zi wan, bai bu, bai qian, gan cao, chen pi

stop cough, transform phlegm, disperse exterior, disperse Lu Qi

W attacking Lu: coughing w/ or without slight chills & fever, itchy throat, thin white coat, moderate floating pulse; can modify for any kind of cough (zi su ye may work better than jing jie)

Ban Xia Bai Zhu Tian Ma Tang

ban xia, tian ma, bai zhu, ju hong, fu ling, gan cao, sheng jiang, da zao

strengthen Sp, dispel dampness, transform phlegm, extinguish wind

upward disturbance of wind-phlegm (cold): dizziness or vertigo (possibly severe), Headache, stifling sens in chest, nausea or vomiting, copious sputum, white greasy coat, wiry slippery pulse

Ding Xian Wan

Arrest Seizures

tian ma, chuan bei mu, ban xia (ginger fried), fu ling, fu shen, dan nan xing, shi chang pu, quan xie, jiang can, hu po, deng xin cao, chen pi, yuan zhi, dan shen, mai men dong, zhu sha + sheng jiang, zhu li, gan cao

scour out phlegm, open sensory orifices, extinguish wind

Lv W + phlegm: recurrent vertigo, weakness, stilfing sens in chest followed by sudden loss or clouding of consciousness together w/ falling down, upward-rolling of eyes, deviation of mouth, spitting up mucus w/ loud raspy sound, in severe cases, tonic-clonic convulsions, sudden shrieking, or incontinence of bowels or urine; white greasy coat, wiry or slippery pulse



Reduce Food Stagnation

Bao He Wan

Preserve Harmony

shan zha, shen qu, lai fu zi, chen pi, ban xia, fu ling, lian qiao (some add mai ya)

reduce food stagnation, harmonize St

focal distention & fullness in chest & epig, abd distention w/ occasional pain, rotten-smelling burps, acid regurg, nausea & vomit, aversion to food, yellow greasy coat, slippery pulse; maybe diarrhea

Mu Xiang Bing Lang Wan

mu xiang, bing lang, da huang, qian niu zi (morn glory - cathartic), qing pi, chen pi, xiang fu (dry fried), e zhu, huang lian, huang bai

promote movement of Qi, guide out stagnation, purge accumulation, drain heat

food stagnation clogs Qi mechanisms of digestive organs, leads to D-H: focal & gen'lized distention, fullness, & pain in epig & abd, w/ constipation, or red & white dysenteric diarrhea w/ tenesmus, yellow greasy coat, excessive pulse

Jian Pi Wan

Strengthen the Spleen

bai zhu, shen qu, & mai ya (first 3 dry fried), fu ling, ren shen, shan yao, rou dou kou, shan zha, mu xiang, chen pi, sha ren, huang lian (wine fried), gan cao

strengthen Sp, reduce food stagnation, stop diarrhea

Sp & St xu w/ food stagnation that is beginning to turn to heat: reduced appetite w/ difficult digestion, bloating & focal distention of epig & abd, loose & watery diarrhea, greasy slightly yellow coat, xu, frail pulse

Zhi Zhu Wan

bai zhu, zhi shi 2:1

tonify Sp, reduce focal distention

Sp & St xu w/ food stagnation: loss of appetite, focal distention in epig & abd, white coat, xu pulse

Zhi Shi Xiao Pi Tang

Zhi Shi Pill to Reduce Focal Distention

zhi shi, (zhi) hou po, huang lian, ban xia, ren shen, bai zhu, fu ling, mai ya, gan jiang, zhi gan cao

reduce focal distention, eliminate fullness, strengthen Sp, harmonize St

xu St & Sp lose ctrl over ascending & descending fcns of mid jiao, + combo of C & H clumps internally: focal distention, fullness in upper epig, lack of thirst or appetite, fatigue, weakness; maybe focal distention in chest & abd, wan complexion, poor digestion, irregular bowel mov'ts (some loose, some hard), wiry pulse at Sp position



Purge Heat Accumulation

Da Cheng Qi Tang

Major Order the Qi

da huang (short cook), mang xiao (dissolve at end), zhi shi, hou po

vigorously purge heat accumulation

(stop taking after diarrhea comes)

yangming organ shi heat: severe constipation, flatulence, focal distention, abdominal fullness, abd pain < w/ pressure, tense & firm abd, dry yellow or black coat w/ prickles, submerged excessive pulse; maybe tidal fever, delirious speech, much sweat - palms/soles; key sx assoc w/ herbs: zhi shi= tense firm abd; hou po=focal distention & fullness; mang xiao=severe constip, dryness; da huang =abd pain which increases w/ pressure (excess)

Xiao Cheng Qi Tang

zhi shi, hou po, da huang (standard cook)

moderately purge heat accumulation

see above, incl sx assoc w/ these 3 herbs; for less severe or for weak, old, or very young patients

Tiao Wei Cheng Qi Tang

Regulate the St & Order the Qi

mang xiao, da huang (standard cook)

mildly purge heat accumulation

see above, incl sx assoc w/ these two herbs; mild constip, thirst, irritability, warm feeling, shi T&P

Zeng Ye Cheng Qi Tang

Increase the Fluids & Order the Qi

xuan shen, mai men dong, sheng di, da huang, mang xiao

enrich yin, generate fluids, drain heat, unblock bowels

Yangming organ-stage disorders w/ Yin xu: severe constipation

Da Huang Mu Dan Tang

da huang, mang xiao (dissolve), mu dan pi, tao ren, dong gua ren

drain heat, break up bld stasis, disperse clumping, reduce swelling

early-stage intestinal abscess, excess interior clumping of heat & blood: low abd pain (usually on right), < w/ pressure, rebound tenderness, guarding of abd muscles, thin yellow greasy coat, slippery rapid pulse; maybe pain in groin, > w/ flexing hip & knee (usually right), < w/ extending hip; maybe mass in lower left quadrant, irreg intermittent fever, then chills, sweats

Liang Ge San

Cool the Diaphragm

da huang, mang xiao, gan cao, huang qin, zhi zi, lian qiao, bo he, dan zhu ye

drain fire & unblock bowels by clearing upper jiao & draining middle jiao

formed or accumulated heat in mid jiao & unformed or blazing heat in upper jiao: sens of heat & irritability in chest & abd, delirious speech (severe case), thirst, flushed face, red lips, mouth & tongue sores, sore throat, swollen tongue, red eyes, nosebleed, constip, dark scant urine, red tongue body or edges w/ dry yellow or white coat, rapid, maybe slippery pulse

Huang Long Tang

Yellow Dragon

da huang, mang xiao, zhi shi, hou po, ren shen, dang gui, jie geng, sheng jiang, da zao, gan cao

purge interior heat, support normal Qi

excess heat in interior w/ Qi & bld xu & fluid injury: green watery foul diarrhea, abd pain < w/ pressure, fever, thirst, dry tongue & mouth, SOB, lethargy, delirious speech, dry yellow or black coat, xu pulse; maybe constipation or firm, painful abd distention, in severe case - hallucinations, grabbing at air, frigid, contracted extremities

Xin Jia Huang Long Tang

Newly Augmented Yellow Dragon

sheng di, gan cao, ren shen, da huang, mang xiao, xuan shen, mai men dong, dang gui, hai shen

enrich yin, augment Qi, drain heat, purge

heat accumulation in interior w/ Qi & Yin xu: constipation, abdominal distention, hardness, fullness, fatigue, SOB, dry mouth & throat, cracked lips, dry yellow or black coat w/ cracks. weaker than above to purge, more focus on nourishing yin, Qi, & fluids.


Moisten Intestines & Unblock Bowels

Ma Zi Ren Wan

huo ma ren, xing ren, bai shao, zhi shi, hou po, da huang

moisten intestines, drain heat, promote movement of Qi, unblock bowels

heat-induced dryness in St & intestines: constipation w/ hard stool, difficult to expel, frequent urination, dry yellow coat, submerged, rapid or floating, choppy pulse; good for elderly, blood xu; St heat hinders Sp's fcn to distribute water properly - all is urinated out

Run Chang Wan

Moisten the Intestines

huo ma ren, tao ren, dang gui, sheng di, zhi ke

moisten intestines, unblock bowels

constipation due to dry intestines (common in elderly & debilitated): constip, lusterless skin & nails, dry mouth w/ unquenchable thirst, dry tongue, thin pulse

Ji Chuan Jian Benefit the River (Flow)

rou cong rong, dang gui, niu xi, ze xie, zhi ke, sheng ma

warm kidneys, moisten intestines, unblock bowels

constipation due to kidney yang & Qi xu: constipation, clear & copious urine, low back pain, cold sensation in back


Warm the Yang and Purge Accumulation

Da Huang Fu Zi Tang

fu zi (3 pcs), da huang, xi xin

warm interior, disperse cold, unblock bowels, allev pain

cold accum in interior (obstructs flow of Qi in yang organs): abd pain, constipation, hypochondriac pain, chills, low-grade fever, cold hands & feet, greasy tongue coat, submerged tight wiry pulse

Wen Pi Tang

Warm the Spleen

da huang (short cook), ren shen, gan cao, gan jiang, fu zi (9 g fu zi)

warm & tonify Sp yang, purge cold accumulation

Sp cold from Yang/Qi xu, w/ accum of cold: constipation, abdominal pain, cold extremities, submerged wiry pulse; also for chronic pus-and-blood dysenteric disorders assoc w/ this pattern



Harmonize Shaoyang-Stage Disorders

Xiao Chai Hu Tang

Minor Bupleurum

chai hu, huang qin, ban xia, sheng jiang, ren shen, zhi gan cao, da zao

harmonize and release shaoyang-stage disorders

shaoyang stage (i.e. half int/half exterior): alternating fever & chills, dry throat, bitter or sour taste, dizziness, irritability, sensation of fullness in chest & hypochondria (oft difficulty taking deep breath), heartburn, nausea, vomiting, reduced appetite, thin white coat, wiry pulse; Dr. Li: 3 NOs for shaoyang stage: don't diaphorese, purge, or induce vomiting. Major Kampo formula (Sho Saiko To) for hepatitis. Not to be combined with Interferon therapy

Da Chai Hu Tang

chai hu, huang qin, zhi shi, da huang, bai shao, ban xia, sheng jiang, da zao

above + purge interior clumping due to heat

shaoyang + yangming: alt fever & chills, fullness of chest & hypochondria (w/ or without pain), bitter taste, nausea, continuous vomiting, hard focal distention or fullness & pain in epigast, burning diarrhea or no bowel mov'ts, despondency, sl irritability, yellow coat, wiry forceful pulse; good for Lv Qi stag + overweight

Hao Qin Qing Dan Tang

qing hao, huang qin, zhu ru, zhi ke, chen pi, ban xia, chi fu ling, bi yu san (hua shi, gan cao, qing dai 6:1:1)


contains Er Chen Tang (ban xia, chen pi, fu ling, gan cao), which, with zhi shi (zhi ke here) and zhu ru comprises Wen Dan Tang

clear GB heat, harmonize St Qi, transform phlegm

shaoyang + more heat, (more heat than damp); D-H and turbid phlegm in shaoyang channels, battling ying & wei Qi to penetrate deeper into body: mild chills alternating w/ pronounced fever, bitter taste, stifling sens in chest, spitting up bitter or sour fluid (or vomiting yellow brackish fluid, or in svr case, dry heaving), thirst without desire to drink, distention & pain in hypochondria, red tongue, thick greasy coat (yellow or white), soggy, wiry, or slippery pulse on right, wiry on left

Da Yuan Yin

Reach the Membrane Source

cao guo, hou po, bing lang, huang qin, zhi mu, bai shao, gan cao

spread the Qi, penetrate to the membrane source

half int/half exterior disorder - pathogen in membrane source (mo yuan): strong alt fvr/chills 1-3x/day at irreg intervals, stifling sens in chest, naus or vomit, headache, irritability, deep red tongue edges, thick, foul, pasty coat, wiry, rapid pulse

Chai Hu Da Yuan Yin

Bupleurum Decoction to Reach the Membrane Source

chai hu, huang qin, jie geng, hou po, cao guo, qing pi, bing lang, gan cao, lian geng/he ye

transform phlegm & damp, vent conditions at the level of the membrane source

shaoyang + damp (damp more than heat); phlegm-damp obstructing the membrane source: focal distention & fullness in chest & epigastrium, irritability, dizziness, vertigo, pasty sens in mouth, cough w/ difficult to expectorate sputum, intermittent fever & chills, thick, foul, pasty coat, wiry, slippery pulse; like above formula + shaoyang sx; Dr. Li considers membrane source=shaoyang



Regulate and Harmonize the Liver and Spleen

Si Ni San

Frigid Extremities

chai hu, zhi shi, bai shao, zhi gan cao

vent pathogenic influences, release constraint, spread Lv Qi, regulate Sp

Lv invading Sp, both excess, usually hx of stress; yang- or hot-type collapse (usu. due to heat entering interior where it constrains yang Qi): cold fingers, toes (body is warm), maybe w/ sens of irritability & fullness in chest & epig, red tongue, yellow coat, wiry pulse; maybe abd pain &/or severe diarrhea

Chai Hu Shu Gan San

Bupleurum Powder to Spread the Liver

chen pi, chai hu, chuan xiong, zhi ke, bai shao, zhi gan cao, xiang fu

spread Lv Qi, harmonize blood, alleviate pain

Qi & blood stasis + Lv attacking Sp, without deficiency; constraint & clumping of Lv Qi w/ hypochondriac pain, alternating fever & chills; also for PMS or dysmenorrhea

Xiao Yao San

Rambling Powder

chai hu, dang gui, bai shao, bai zhu, fu ling, zhi gan cao

spread Lv Qi, strengthen Sp, nourish blood

Lv constraint with blood xu, Sp Qi xu, Lv/Sp disharmony (both xu): hypochondriac pain, headache, vertigo, bitter taste, dry mouth & throat, fatigue, reduced appetite, pale-red tongue, wiry xu pulse; maybe alt fvr/chills, irreg menstruation, distended breasts

Jia Wei Xiao Yao San

Augmented Rambling Powder

above + mu dan pi, zhi zi

above + clear heat

above + more heat: irritability, anger, spontaneous sweats, night sweats, headache, dry eyes & mouth, irregular periods, lower abdominal pain, perhaps a heavy sens (Qi stag), painful urination

Tong Xie Yao Fang Important Formula for Painful Diarrhea

bai zhu, bai shao, chen pi, fang feng (herbs are dry-fried to be easier on Sp)

spread Lv Qi, tonify Sp

painful diarrhea, cramping due to Lv/Sp disharmony: Sp xu w/ Lv shi, recurrent borborygmus, abd pain, pain starts w/ urge to defecate, stops after completion, thin white coat, wiry & moderate or thin pulse

Ban Xia Xie Xin Tang

Pinellia Decoction to Drain the Epigastrium

ban xia, gan jiang, huang qin, huang lian, ren shen, da zao, zhi gan cao

harmonize St, descend rebel Qi, disperse clumping, elim focal distention

N/V/D; often due to improper purging of an exterior or half-ext/half-int condition in patient w/ underlying St xu: epig focal distention, full & tight w/ slight or no pain, dry heaves or vomiting, borborygmus, diarrhea, low appetite, thin yellow greasy coat, wiry rapid pulse



Gently Disperse & Moisten Dryness

Xing Su San

zi su ye, qian hu, xing ren, jie geng, zhi ke, chen pi, fu ling, ban xia, sheng jiang, da zao, gan cao

gently disp cool-dryness, disseminate Lu Qi, transform congested fluids

externally-contracted cool-dryness interfering w/ D&D of Lu (Lu Qi stag): sl Headache, chills without sweats, cough w/ watery sputum, stuffy nose, dry throat, dry white coat, wiry pulse

Sang Xing Tang

sang ye, zhi zi, dan dou chi, xing ren, zhe bei mu, sha shen, li pi (pear peel)

clear & disperse warm-dryness

warm-dryness injuring the Lu Qi at a relatively superficial level: moderate fever, headache, thirst, dry hacking cough or one w/ scanty, thick & sticky sputum, red tongue, thin dry white coat, floating rapid pulse, esp on right side

Qing Zao Jiu Fei Tang

Eliminate Dryness & Rescue the Lungs

sang ye, shi gao, mai men dong, e jiao, hei zhi ma, xing ren, pi pa ye (honey fried), ren shen, gan cao

clear dryness, moisten Lu

warm-dryness attacks Lu (severe) causing rebellious Qi: headache, fever, hacking cough, wheezing, dry & parched throat, dry nasal passages, sens of fullness in chest, hypochondriac pain, irritability, thirst, dry tongue without coat, deficient, big, rapid pulse


Enrich Yin & Moisten Dryness

Bai He Gu Jin Tang

Lily Bulb Decoction to Preserve the Metal

bai he, sheng di, shu di, mai men dong, xuan shen, chuan bei mu, jie geng, dang gui, bai shao, gan cao

nourish yin, moisten Lu, transform phlegm, stop cough

internal dryness of Lu due to Lu/K yin xu: cough w/ or without blood-streaked sputum, wheezing, dry & sore throat, hot palms & soles, night sweats, red tongue w/ little coat, thin & rapid pulse (typical yin xu); includes tuberculosis

Bu Fei E Jiao Tang

Tonify the Lungs D. w/ Ass Hide Gelatin

e jiao, ma dou ling, xing ren, niu bang zi, geng mi, zhi gan cao

nourish yin, tonify Lu, control cough, stop bleeding

Lu yin xu w/ vigorous heat which disrupts flow of Lu Qi: coughing, wheezing, dry & parched throat, scanty or blood-streaked sputum, red tongue, little coat, floating, thin, rapid pulse

Yang Yin Qing Fei Tang

Nourish the Yin & Clear the Lungs

sheng di, xuan shen, mai men dong, bai shao (dry fried), mu dan pi, chuan bei mu, bo he, gan cao

nourish yin, clear Lu, relieve toxicity

any kind of yin xu sore throat (w/ yin xu T&P) including "white throat" or diphtherial disorder, usu. in patient w/ yin xu & interior clumping of heat who contracts epidemic toxin: white curd-like membrane in throat, difficult to scrape off, swollen & sore throat, fever, dry nasal passages, parched lips, raspy breathing like wheezing, red & dry tongue, rapid, usu thin pulse, maybe coughing

Mai Men Dong Tang

mai men dong, ren shen, geng mi, da zao, gan cao, ban xia

benefit St, generate fluids, descend rebellious Qi

"Lu atrophy" caused by yin xu heat from St which rises in rebellion & scorches Lu Yin: coughing & spitting of bubbly saliva, wheezing, SOB, dry & uncomfortable sensation in throat, dry mouth, dry red tongue with little coat, xu rapid pulse

Zeng Ye Tang

Increase the Fluids

xuan shen, mai men dong, sheng di

generate fluids, moisten dryness, unblock bowels

dry intestines due to fluid injury, from warm-febrile dis or yin xu: constipation, thirst, dry red tongue, thin & sl rapid or weak & forceless pulse

Yu Ye Tang

Jade Fluid

shan yao, huang qi, zhi mu, tian hua fen, ji nei jin, ge gen, wu wei zi

augment Qi, generate fluids, moisten dryness, alleviate thirst

Sp Qi xu leads to Sp yin xu and Sp is unable to transport fluids thru body: diabetes - thirst, hunger, copious frequent urination; every herb in formula can reduce blood sugar; wasting & thirsting due to yin xu - K xu, St dry, Qi too weak to spread the fluids: excessive thirst, not quenched by lots of fluids, freqnt, copious, or turbid urine, lassitude, SOB, xu thin weak pulse



Promote Urination and Drain Dampness

Wu Ling San

Five Ingredient Powder with Poria

ze xie, fu ling, zhu ling, bai zhu, gui zhi

promote urination, drain damp, strengthen Sp, warm yang, promote transforming fcns of Qi

1. water accum - taiyang stage penetrated to BL organ: Headache, fever, irritability, strong thirst but with vomiting after drinking, urinary difficulty, floating pulse 2. Sp xu - earth fails to transport water: edema, gen'lized sens of heaviness, diarrhea, urinary difficulty, possible vomit & diarrhea due to sudden turmoil disorder 3. retention of congested fluids in lower jiao: throbbing pulsations just below navel, vomiting frothy saliva, vertigo, SOB, coughing; cholera

Zhu Ling Tang

zhu ling, fu ling, ze xie, hua shi, e jiao

promote urination, clear heat, nourish yin

urinary difficulty with fever, thirst, maybe diarrhea, cough, nausea, irritability, insomnia "” injury from cold entering yangming or shaoyin stage where it transforms into heat

Wu Pi San

Five Peel Powder

sang bai pi, sheng jiang pi, fu ling pi, chen pi, da fu pi

resolve damp, reduce edema, regulate Qi, strengthen Sp

gen'lized edema with sens of heaviness, distention, & fullness in epigastrium & abd, labored & heavy breathing, urinary difficulty, white greasy coat, submerged & moderate pulse

Fang Ji Huang Qi Tang

huang qi, (han) fang ji, bai zhu, zhi gan cao, sheng jiang, da zao

augment Qi, strengthen Sp, promote urination, reduce edema

W-D or wind-edema caused by deficiency in exterior & invasion of W & D: sweating, heavy sens in body, superficial edema, urinary difficulty, pale tongue, white coat, floating pulse


Transform Damp Turbidity

Ping Wei San

Calm the Stomach

cang zhu, hou po, chen pi, zhi gan cao

dry damp, improve Sp's transporting fcn, promote Qi circulation, harmonize St

damp-cold stagnating in Sp & St: distention & fullness in epigastrium & abd, loss of taste & appetite, heavy sens in limbs, loose stool or diarrhea, easily fatigued, more desire ro sleep, nausea, vomiting, belching, acid regurg, swollen tongue, thick white greasy coat, moderate or slippery pulse

Huo Xiang Zheng Qi San

Agastache Pill to Rectify the Qi

huo xiang, hou po, chen pi, zi su ye, bai zhi, ban xia, da fu pi, bai zhu, fu ling, jie geng, zhi gan cao, sheng jiang, da zao

release exterior, transform damp, regulate Qi, harmonize middle jiao

Dr. Li: same indications as Ping Wei San + maybe exterior C; externally contracted W-C with concurrent internal injury due to stagnation: fever & chills, headache, sens of fullness & stifling oppression in chest, pain in epigastrium & abdomen, N/V/D, loss of taste, white greasy coat, moderate soggy pulse



Clear Damp Heat

San Ren Tang

Three Nut Decoction

xing ren, bai dou kou, yi yi ren, hou po, ban xia, tong cao, dan zhu ye, hua shi

disseminate Qi, facilitate the Qi mechanisms, clear D-H

whole body gen'lized dampness (damp more than heat); first 3 ingredients treat upper, middle, and lower jiao, respectively. early stage D-H or summerheat invasion with damp predominant, pathogenic influences lodged in Wei & Qi levels: headache, chills, afternoon fever, heavy sens in body, gen'lized pain, pale yellow face, stifling sens in chest, loss of appetite, no thirst, white coat, wiry thin & soggy pulse; pattern oft mistreated by releasing exterior or purging or tonifying yin

Hou Po Xia Ling Tang

huo xiang, hou po, ban xia, fu ling, xing ren, yi yi ren, bai dou kou, zhu ling, dan dou chi, ze xie

release exterior, transform dampness

compared to above formula, this one is stronger at resolving damp and releasing exterior, weaker at clearing heat; mainly for early stage damp-heat disorders with distinct exterior signs: fever, chills, lassitude, stifling sens in chest, pasty sens in mouth, thin white coat, moderate soggy pulse

Gan Lu Xiao Du Dan

Sweet Dew Special Pill to Eliminate Toxin

lian qiao, huang qin, bo he, she gan, chuan bei mu, hua shi, mu tong, yin chen hao, huo xiang, shi chang pu, bai dou kou

resolve damp, transform turbidity, clear heat, relieve toxicity

early stage D-H invasion or seasonal epidemic disorder: fever, achy limbs, lethargy, swollen throat, stifling sens in chest, abd distention, dark scanty urine, white greasy or yellow dry coat, soggy rapid pulse' maybe vomiting, diarrhea, jaundice, or unremitting fever

Lian Po Yin

huang lian, hou po, zhi zi, dan dou chi, shi chang pu, ban xia, lu gen

clear heat, transform damp, regulate Qi, harmonize middle jiao

aggregation of D-H smoldering in body - sudden turmoil disorder: simultaneous vomiting & diarrhea, focal distention & stifling sens in chest & epig, dark, scanty urine, yellow greasy coat

Yin Chen Hao Tang

yin chen hao, zhi zi, da huang

clear heat, resolve damp, reduce jaundice

yang-type/D-H jaundice due to damp & stagnant heat accumulating in interior: whole body jaundice - color like tangerine, slight abd distention, urinary difficulty, thirst (with ability to take only sips), yellow greasy coat, slippery rapid pulse

Yin Chen Si Ni Tang

Yin Chen for Frigid Extremities

yin chen hao, pao jiang (quick fried ginger), fu zi, gan cao

warm yang, resolve dampness, reduce jaundice

yin-type jaundice - dark yellow/green; C-D, more K Yang xu: dull complexion with dark yellow sheen, low appetite, lethargy, frigid extremities, submerged thin weak pulse, tongue usually purple; much more difficult to treat than yang-type. oft accompanied by stones, sometimes cancer

Zhong Man Fen Xiao Wan

Separate & Reduce Fullness in the Middle

hou po, zhi shi, huang qin, huang lian, zhi mu (last four dry fried), jiang huang, gan jiang, ban xia, ze xie, zhu ling, fu ling, bai zhu, ren shen, zhi gan cao, chen pi, sha ren

strengthen Sp, regulate Qi, drain heat, resolve dampness

drum-like abd distention due to heat, firmness with sens of fullness & burning pain in epigastrium & abdomen, irritability, fever, bitter taste, dark yellow urine, constipation or foul diarrhea, yellow greasy coat, wiry rapid pulse

Ba Zheng San Eight-Herb Powder for Rectification

mu tong, hua shi, che qian zi, qu mai, bian xu, zhi zi, da huang (treated), deng xin cao, gan cao

clear heat, promote urination, unblock painful urinary dysfcn

hot or bloody painful urinary dysfcn due to clumping of D-H in lower jiao: dark turbid scanty difficult & painful urination, dry mouth & throat, yellow greasy coat, slippery rapid pulse, maybe urinary retention & lower abdominal distention & pain; patient must drink lots water

Shao Yao Tang

bai shao, dang gui, gan cao, mu xiang, bing lang, huang lian, huang qin, da huang, rou gui

regulate & harmonize Qi & blood, clear heat, relieve toxicity

D--H in intestines causes Qi & blood stag: abd pain, cramping, tenesmus, difficulty defecating, diarrhea with equal amounts of pus & blood, burning anus, dark scanty urine, greasy yellow coat, rapid pulse

Er Miao San

Two Marvel

(San Miao San, Si Miao San - Three & Four Marvel)

huang bai, cang zhu

San Miao San: add niu xi

Si Miao San: add niu xi and yi yi ren

clear heat, dry damp

lower jiao D-H: scanty yellow urine, yellow greasy coat + wide variety of other complaints, such as pain in low back or extremities (especially sinews or bones); weakness or atrophy of lower extremities; red hot swollen painful feet or knees; thick yellow foul vaginal discharge; sores on lower extremities



Warm and Transform Water and Dampness

Zhen Wu Tang

True Warrior

fu zi, bai zhu, fu ling, sheng jiang, bai shao

warm the yang, promote urination

edema with pale tongue, weak pulse, Sp/K Yang xu, &/or taiyang disease with excess sweating exhausts Yang Qi; externally contracted disorder with sweating doesn't reduce the fever, palps in epig, dizziness, shivering/trembling with unsteady appearance, abd pain < with cold, urin difficulty, deep ache & heavy in extremities, maybe gen'lized edema, loose stools, heavy sens in head, cough, vomit, pale or dark swollen tongue with tooth marks, white slippery coat, deep thin forceless pulse; K yang xu (+ maybe Sp yang xu), retention of pathogenic water

Shi Pi Yin

Bolster the Spleen

fu zi, gan jiang, fu ling, bai zhu, mu gua, hou po, mu xiang, da fu pi, cao guo, zhi gan cao, sheng jiang, da zao

warm yang, strengthen Sp, promote Qi circulation , promote urination

yin-type edema due to Sp/K yang xu - more focus on Sp - : gen'lized edema, more severe below waist, cold extrems, chest & abd fullness & distention, body feels heavy, low appetite & no thirst, scant urine, semi-liquid unformed stool, thick greasy coat, deep slow or deep thin pulse

Bei Xie Fen Qing Yin

Bei Xie D. to Separate the Clear

bei xie, yi zhi ren, wu yao, shi chang pu (source text: take with small amt of salt)

warm kidneys, drain damp, trans-form & separate turbid from clear

cloudy painful urinary dysfcn due to cold from xu in lower jiao causing turbid dampness to pour downward: frequent urination with cloudy dense milky (like rice water) or greasy urine

Ji Ming San Powder to Take at Cock's Crow

bing lang, mu gua, wu zhu yu, chen pi, zi su ye, jie geng, sheng jiang

promote Qi circulation, descend turbidity, transform damp-cold

damp-cold settling in legs & feet where it obstructs channels & interrupts smooth flow of Qi & blood: heavy & weak feet & calves with difficulty walking; maybe numbness, cold, pain, or ascending spasms; in severe cases, may be stifling sens in chest & nausea



Expel Wind-Dampness

Qiang Huo Sheng Shi Tang Notopterygium Decoction to Overcome Dampness

qiang huo, du huo, gao ben, fang feng, chuan xiong, man jing zi, zhi gan cao

expel wind, overcome dampness

W-D in superficial aspects of body, exterior & muscle levels: heavy & painful head, gen'lize sens of heaviness, back or gen'lized pain, difficulty rotating or bending trunk, painful joints (shoulders, knees, elbows, etc) difficult to move, mild fever, chills, white coat, floating pulse

Juan Bi Tang Remove Painful Obstruction

qiang huo, jiang huang, dang gui, huang qi (honey fried), chi shao, fang feng, zhi gan cao

+ sheng jiang

tonify & harmonize Wei & Ying Qi, dispel wind, overcome dampness

painful obstruction due to W-C-D with concurrent Qi & blood xu; more focus on tonifying & on the upper body than /Qiang Huo Sheng Shi Tang. this one more for chronic, that one more for acute; gen'lized heaviness, stiff neck, shoulders, upper back, numb extrems, hard to move

Juan Bi Tang

Remove Painful Obstruction

qiang huo, du huo, qin jiao, sang zhi, hai feng teng, dang gui, chuan xiong, ru xiang, mu xiang, gui zhi, zhi gan cao

remove W-D, alleviate painful obstruction

local obstruction of Qi from W-C-D - chronic Qi & blood stagnation: joint pain < with cold, > with warmth, maybe with sens of heaviness & numbness in limbs, thick white coat, slow, possibly slippery pulse; good for: cold Bi, chronic arthritis, gout, shoulder pain, patient in cast

Gui Zhi Shao Yao Zhi Mu Tang

gui zhi, ma huang, fu zi, zhi mu, bai shao, bai zhu, fang feng, sheng jiang, gan cao

unblock flow of yang Qi, promote circulation (in areas with painful obstructn), dispel wind, overcome damp

recurrent W-C-D painful obstruction in which localized constraint generates heat: swollen painful joints (esp of lower extremities) that are warm to the touch & worsen at night, reduced ROM in affected joints, chills, no sweats, weight loss, Headache, dizziness, white greasy coat, wiry slippery pulse

Xuan Bi Tang Disband Painful Obstruction

fang ji (usu. guang), xing ren, yi yi ren, can sha,, ban xia, lian qiao, zhi zi, hua shi, chi xiao dou

clear & resolve D-H, unblock channels, disband painful obstruction

painful obstruction due to containment of D-H in channels: heat & pain in joints, reduced mobility, fever & shaking chills, lusterless yellow complexion, scanty dark urine, grey or yellow greasy tongue coat

Du Huo Ji Sheng Tang

du huo, xi xin, fang feng, qin jiao, sang ji sheng (xu duan oft substituted), du zhong, niu xi, rou gui, dang gui, chuan xiong, sheng di, bai shao, ren shen, fu ling, zhi gan cao

expel W-D, disperse painful obstruction, tonify deficiency

painful obstruction with Lv & K deficiency: heavy & painful sens at fixed locations in low back & lower extremities with weakness, stiffness, aversion to cold, attraction to warmth, palps, SOB, pale tongue, white coat, thin weak slow pulse, maybe paresthesias or numbness; focuses more on lower body; oft used for elderly



Warm the Channels & Disperse Cold

Dang Gui Si Ni Tang

Dang Gui Decoction for Frigid Extremities

dang gui, bai shao, gui zhi, xi xin, zhi gan cao, da zao, mu tong

warm channels, disperse cold, nourish blood, unblock blood vessels

cold in channels with underlying blood xu: long-standing cold hands & feet that are both cold to the touch & feel very cold to the patient, pale tongue with white coat, submerged thin pulse or one that is so thin that it is almost imperceptible

Yang He Tang Yang-Heartening Decoction

shu di, lu jiao jiao, rou gui or gui zhi, pao jiang (quick fried ginger), bai jie zi, ma huang, gan cao

warm yang, tonify blood, disperse cold, unblock areas of stagnation

yin-type localized swelling: localized painful swellings without heads that blend into surrounding tissue & do not affect texture or color of skin & are not hot to touch, no thirst, very pale tongue, submerged thin forceless pulse


Warm the Middle & Dispel Cold

Li Zhong Wan

Regulate the Middle

gan jiang, ren shen, bai zhu, zhi gan cao

warm middle burner, strengthen Sp & St

middle burner cold from xu (yang xu): diarrhea with watery stool, nausea, vomiting, no particular thirst, loss of appetite, abd pain, pale tongue, white coat, submerged thin pulse

Fu Zi Li Zhong Wan

Regulate the Middle (with Fu Zi)

fu zi, gan jiang, ren shen, bai zhu, zhi gan cao

warm middle burner, strengthen Sp & St, warm yang

above with more pronounced yang deficiency: cold body, diarrhea, fullness and pain of the abdomen and epigastrium - better w/ pressure, cold extremities, vomiting, chronic or recurrent mouth ulcers due to empty-cold of the spleen and stomach, slight sweating (rather cold), pale, swollen, tooth-marked tongue, moist white coating, hidden, slow, deep pulse. Farong Zhang's main formula for hypothyroidism.

Wu Zhu Yu Tang

wu zhu yu, sheng jiang, ren shen, da zao

warm & tonify Lv & St, direct rebel Qi downward, stop vomiting

1. cold from St xu: vomiting immediately after eating, indeterminate gnawing hunger, acid regurg with or without epigastric pain 2. thought to be cold from St & Lv xu: dry heaves or spitting of clear fluids with vertex Headache 3. cold attacking middle jiao: vomiting & diarrhea with cold hands & feet, agitation so severe that the patient wants to die ALL CASES: tongue not red, has white slippery coat, pulse thin & slow or thin & wiry

Xiao Jian Zhong Tang

Minor Construct the Middle

yi tang (add at end), gui zhi, bai shao, zhi gan cao, sheng jiang, da zao

warm & tonify middle jiao, moderate spasmodic abd pain

spasmodic abd pain due to consumptive deficiency: intermittent spasmodic abd pain, > with warmth & pressure, lusterless complexion, reduced appetite, pale tongue, white coat, thin, wiry, moderate pulse, maybe low-grade fever, palps, irritability, cold & sore extremities, with nonspecific discomfort, dry mouth & throat

Da Jian Zhong Tang

Major Construct the Middle

chuan jiao, gan jiang, ren shen, yi tang (add)

warm & tonify middle jiao xu, descend rebel Qi, alleviate pain

weakness & xu of middle jiao yang (the root), & yin or cold which is ascendant in the interior (the branch): excruciating epig & abd pain to point that patient can't be touched, strong sens of cold in epig, vomit to point of inability to eat, white slippery coat, thin & tight or slow & wiry (or, esp in severe cases, hidden) pulse, maybe borborygmus; ovarian cyst, appendicitis, twisted intestines

Gan Cao Gan Jiang Tang

zhi gan cao, gan jiang

warm Lungs, strengthen St

Lu atrophy due to cold from Lu & St xu, preventing yang from reaching limbs: cold extremities, absence of thirst, dry throat, excessive salivation, spitting up clear fluid, no cough, irritability, dizziness, frequent urination, pale moist tongue, no coat, slow, frail or submerged pulse


Rescue Devastated Yang

Si Ni Tang

Frigid Extremities

fu zi, gan jiang, zhi gan cao

sometimes ren shen included (esp. Korean white)

rescue devastated yang, warm middle jiao, stop diarrhea

shaoyin/kidney yang xu with internal cold: extremely cold extremities, aversion to cold, sleeping with knees drawn up, lethargic state with constant desire to sleep, vomiting, diarrhea with undigested food, abdominal pain & cold, no thirst, pale tongue with white slippery coat, submerged thin or faint pulse; may also result from excessive diaphoresis of a taiyang disorder; patient may be near death

Shen Fu Tang

ren shen 12g, fu zi 9g, da zao, sheng jiang

restore yang, strongly tonify source Qi, rescue Qi from collapse due to devastated yang

yang xu with severe deficiency of source Qi & sudden collapse of yang Qi: cold extremities, sweating, weak breathing, SOB, dizziness, extremely pale complexion, pale tongue, faint pulse that is almost imperceptible




Tonify the Qi

Si Jun Zi Tang

Four Gentlemen

ren shen, bai zhu, fu ling, zhi gan cao

tonify Qi, strengthen Sp

classic Sp Qi xu: pallid complexion, low & soft voice, reduced appetite, loose stools, weakness in limbs, pale tongue, thin &/or frail pulse

Liu Jun Zi Tang

Six Gentlemen

above + chen pi, ban xia

+ transform phlegm, stop vomiting

Sp Qi xu + phlegm

Xiang Sha Liu Jun Zi Tang

above + mu xiang, sha ren

+ regulate Qi, alleviate pain

Sp/St xu with damp-cold stagnating in middle jiao - poor appetite, full quickly, burps, abd pain/distn

Shen Ling Bai Zhu San

ren shen, bai zhu, fu ling, zhi gan cao, shan yao, bai bian dou, lian zi, yi yi ren, sha ren, jie geng (a variation adds chen pi)

augment Qi, strengthen Sp, leach out dampness, stop diarrhea

Sp (& Lu) xu leading to internally-generated dampness: loose stools or diarrhea, reduced appetite, weakness of extremities, weight loss, distention & stifling sensation in chest & epigastrium, pallid & wan complexion, pale tongue, white coat, thin, moderate, or xu, moderate pulse, maybe vomiting

Bu Zhong Yi Qi Tang

Tonify the Middle & Augment the Qi

huang qi, ren shen, bai zhu, zhi gan cao, dang gui, chen pi, sheng ma, chai hu

tonify Qi of middle jiao, raise sunken yang

Sp/St Qi xu leading to sunken yang: intermittent fever (< with exertion), spontaneous sweats, aversion to cold, thirst for warm, SOB, laconic speech, tendency to curl up, weak limbs, shiny pale face, loose watery stools, pale tongue with thin white coat, flooding xu pulse (at least at Sp position); very warm, may cause mouth sores (add niu bang zi, lian qiao) or constipation (add bai shao); also for chronic bleeding; for severe Headache & muscle cramping, shoulders (xu stagnation), add fang feng, xi xin

Yi Qi Cong Ming Tang

Augment the Qi and Increase Acuity

bai shao, huang bai, huang qi, ren shen, gan cao, sheng ma, ge gen, man jing zi

tonifies Spleen Qi, raises central Qi, improves hearing and vision

long-term deficiency of the middle burner Qi that results in obstructive visual disorders, tinnitus, cataract, chronic visual disorders, poor hearing, pterygium, diarrhea, pain of the abdomen, poor appetite

Sheng Mai San

Generate the Pulse

ren shen, mai men dong, wu wei zi

augment Qi, generate fluids, preserve Yin, stop excessive sweats

Qi & Yin xu, primarily of Lu: chronic cough with sparse sputum that's difficult to expectorate, SOB, spontaneous sweats, dry mouth & tongue, pale red tongue, dry thin coat, xu, rapid or thin pulse

Bu Fei Tang

Tonify the Lungs

ren shen, huang qi, shu di, wu wei zi, zi wan, sang bai pi

augment Qi, stabilize exterior

Lu Qi xu: SOB, spontaneous sweats, occasional chills & fvrishness, cough, wheezing, pale tongue, frail or xu & large pulse

Ren Shen Ge Jie San

ge jie (1 pair), ren shen, fu ling, sang bai pi, xing ren, chuan bei mu, zhi mu, zhi gan cao

tonify Qi, clear heat, transform phlegm, stop cough & wheezing

Lu Qi xu with heat in Lu: chronic cough & wheezing, thick yellow sputum, coughing of pus & blood, sens of heat & irritability in chest, facial edema, gradual emaciation, purple tongue, thin white or greasy thin yellow coat, floating xu pulse, esp at cun position



Nourish the Blood

Si Wu Tang

Four Substance

shu di, bai shao, dang gui, chuan xiong

nourish blood, regulate Lv

blood xu, primarily of Lv: dizziness, blurred vision, lusterless complexion & nails, gen'lized muscle tension, irreg menstruation with little flow or amenorrhea, periumbilical & lower abd pain, pale thin tongue, thin & wiry or thin & choppy pulse; also for menorrhagia, hard abd masses with recurrent pain, restless fetus disorder, lochioschesis with a firm & painful abdomen & sporadic fever & chills; during pregnancy, for bleeding, ass e jiao, ai ye, zhi gan cao, careful with movers

Tao Hong Si Wu Tang

above + tao ren, hong hua

+ invigorate blood, regulate menstruation

blood xu & blood stasis: shortened menstrual cycle with copious bleeding of dark purple, sticky blood with or without clots, also when menstruation accompanied by abd pain & distention

Dang Gui Shao Yao San

dang gui, bai shao, fu ling, bai zhu, ze xie, chuan xiong

nourish Lv blood, spread Lv Qi, strengthen Sp, resolve dampness

Lv/Sp disharmony: continuous cramping pain in abdomen that is not severe, urinary difficulty, slight edema (primarily of lower limbs); this pattern usually occurs during pregnancy

Shao Yao Gan Cao Tang

bai shao, zhi gan cao

soften Lv, moderate painful spasms, alleviate pain

irritability, chills, calf spasms, lack of tongue coat, maybe cramps in hands or abdominal pain. originally used for thin women with long-standing bld xu who develop problems during pregnancy

today used for any pain in calves with blood xu or injury to fluids

Dang Gui Sheng Jiang Yang Rou Tang

dang gui, sheng jiang, yang rou (mutton [48g])

warm interior, nourish blood, alleviate pain

interior xu with cold blood: postpartum abd pain, cold abd hernial pain, spasmodic pain in flanks; pain better with pressure and warmth; pulse submerged, wiry, forceless






Tonify Qi & Blood

Dang Gui Bu Xue Tang

Dang Gui Decoction to Nourish Blood

huang qi, dang gui (30g, 6g respectively)

tonify Qi, generate blood

consumptive fatigue - blood xu caused by injury to source Qi: hot sensation in muscles, red face, irritability, thirst for warm, pale tongue, flooding large & xu pulse, forceless when pressed hard; also for fever & headache due to loss of blood

Gui Pi Tang

Restore the Spleen

ren shen, huang qi, bai zhu, fu shen, suan zao ren, long yan rou, mu xiang, zhi gan cao, dang gui, (zhi) yuan zhi, sheng jiang, da zao

augment Qi, tonify blood, strengthen Sp, nourish Ht

excessive deliberation for long time or obsessive behavior injures Sp & Ht leading to this condition: forgetfulness, palpitations (with or without anxiety), insomnia, dream-disturbed sleep, anxiety & phobia, feverishness, withdrawal, reduced appetite, pallid & wan complexion, pale tongue, thin white coat, thin frail pulse; chronic bleeding syndromes may be part of presentation; women may experience early periods with copious pale blood or prolonged, almost continuous periods with little flow

Zhi Gan Cao Tang

zhi gan cao, ren shen, gui zhi, sheng di, mai men dong, e jiao (dissolve), huo ma ren, sheng jiang, da zao, add a little rice wine at end

augment Qi, nourish blood, enrich yin, restore pulse

Qi & bld xu w/malnourished Ht: palps with anxiety, irritability, insomnia, emaciation, SOB, constipation, dry mouth & throat, pale shiny tongue, pulse consistently irregular, slow-irreg, or thin, faint, and forceless

Ba Zhen Tang

Eight Treasure D.

ren shen, bai zhu, fu ling, zhi gan cao, shu di, bai shao, dang gui, chuan xiong, sheng jiang, da zao

tonify & augment Qi & blood

Qi & blood xu, usually due to imbalance caused by chronic disease or excessive blood loss: pallid or sallow complexion, palps with anxiety that may be continuous, reduced appetite, SOB, laconic speech, easily-fatigued extremities, light-headedness &/or vertigo, pale tongue, white coat, pulse either thin & frail or large, xu, & without strength; add yi mu cao for irreg menses, leukorrhea. . .

Shi Chuan Da Bu Tang

All Inclusive Great Tonifying Decoction

above plus rou gui, huang qi

tonify Yin, Yang, Qi, blood

coughing, reduced appetite, spermatorrhea, weak lower extrems, may include unhealing sores, continuous spotting from uterine bleeding; usually used for patient with tendency towards cold

He Ren Yin

he shou wu, ren shen, dang gui, chen pi, wei jiang (roasted ginger) take 2-3 hrs pre-attack

tonify blood & Qi, treat malarial disorder

chronic, unremitting malarial disorders with wan complexion, emaciation, pale tongue, moderate large deficient pulse; slightest amt of exertion leads to an exacerbation or intermittent fever & chills




Nourish & Tonify Yin

Liu Wei Di Huang Wan

Six Ingredient Pill with Rehmannia (Rehmannia Six)

shu di, shan zhu yu, shan yao, fu ling, mu dan pi, ze xie

enrich yin, nourish kidneys

classic K & Lv yin xu: sore & weak low back, light-headedness, vertigo, tinnitus, diminished hearing, night sweats, spontaneous & nocturnal emissions, red tongue, little coat, rapid thin pulse; maybe other sx, such as hot palms & soles, chron dry & sore throat, toothache, wasting & thirsting

â–º for Lu Yin xu due to K yin xu, wheezing disorder, add wu wei zi (Du Qi Wan)

â–º for hearing loss due to old age, add ci shi, wu wei zi, shi chang pu (Er Long Zuo Ci Wan)

Qi Ju Di Huang Wan

Liu Wei Di Huang Wan + gou qi zi, (bai) ju hua

 

all above + more Lv xu sx - dry eyes, poor vision, photophobia, tearing, painful eyes

Er Long Zuo Ci Wan

Liu Wei Di Huand Wan + chai hu, ci shi

 

tinnitus, deafness, or Meniere's against a background of K/Lv Yin deficiency / Liver Yang rising. Also for dizziness and blurry vision.

Zhi Bai Di huang Wan

Liu Wei... + zhi mu, huang bai

enrich Yin, nourish kidneys, clear deficiency heat

yin xu with vigorous fire, consumptive heat, or bone-steam: nitesweats, dry mouth & tongue, large pulse only at chi; for urinary difficulty, low back pain from low jiao D-H with underlying K yin xu

Dang Gui Liu Huang Wang

dang gui, sheng di, shu di, huang qin, huang lian, huang bai, huang qi. All equal doses except 2x as much huang qi.

Nourishes yin, drains fire, stabilizes the exterior, controls sweating

stronger heat clearing and Yin xu sweating

Zuo Gui Yin

Restore the Left (Kidney)

shu di, shan yao, gou qi zi, fu ling, shan zhu yu, zhi gan cao

nourish yin, enrich kidneys

true yin of K injured (thus essence & marrow depleted): low back soreness, spontaneous emissions, night sweats, dry mouth & throat, thirst, peeled shiny tongue, thin rapid pulse

Zuo Gui Wan

Restore the Left (Kidney)

shu di, shan yao, gou qi zi, shan zhu yu, chuan niu xi, tu si zi, lu jiao jiao, gui (ban) jiao

nourish yin, tonify kidneys, supplement jing, benefit marrow

more severe Yin xu; K xu, esp marrow & essence: light-headedness, vertigo, tinnitus, sore & weak low back & legs, spontaneous & nocturnal emissions, spontaneous & night sweats, dry mouth & throat, thin rapid pulse, for more severe cases than the above formula

Da Bu Yin Wan

Great Tonify the Yin

shu di, gui ban (deep fried), huang bai (dry fried), zhi mu (wine fried) + pig spine marrow

enrich yin, descend fire

fire rising due to Lv/K yin xu: steaming bone disorder, afternoon tidal fever, nitesweats, spontaneous emissions, irritability, sens of heat & pain in knees & legs, sometimes with weakness, red tongue, little coat, pulse rapid & forceful at chi position; maybe coughing blood, constant hunger

Hu Qian Wan

Hidden Tiger

huang bai, zhi mu (first two wine fried), shu di, gui ban (deep fried), bai shao, hu gu, suo yang, gan jiang, chen pi

enrich yin, descend fire, strengthen sinews & bones

atrophy disorder due to Lv & K xu (blood & jing): weakness of lower back & knees, deterioration of sinews & bones with gen'l reduction in fcn, wasting of muscles of legs & feet, difficulty walking, red tongue, little coat, thin frail pulse

Da Zao San

Great Creation

zi he che, gui ban (deep fried), huang bai, du zhong, niu xi, mai men dong, tian men dong, sheng di, ren shen

tonify kidneys, enrich yin, drain heat, anchor yang

kidney yin xu, xu fire causes steaming bones & burns Lu: steaming bone dis, cough with sticky sputum difficult to expectorate, emaciation, tinnitus, dizziness, tidal fever, dry mouth, parched throat, five hearts hot, night sweats

Yi Guan Jian

Linking Decoction

sheng di (enrich water to nourish wood), gou qi zi, sha shen (nourish earth to balance wood), mai men dong (clear metal - Lu H - to ctrl wood), dang gui, chuan lian zi

enrich yin, spread Lv Qi

Lv Yin xu with Lv Qi stag: depression, irritability, thin pulse; Lv/K yin xu with Qi stagnation: hypochondriac & chest pain, epig & abd distention, dry & parched throat & mouth, acid regurg, red & dry tongue, thin frail or deficient wiry pulse

Zhu Jing Wan Preserve Vistas

tu si zi, shu di, che qian zi

tonify & nourish Lv & K, enrich yin, improve vision

Lv & K xu with some dampness caused by reduction in fluid metabolism: diminished visual acuity & blurring, < with exertion, > with rest, soreness & weakness of low back & legs, thin frail pulse

Qi Bao Mei Ran Dan Seven Treasure Special Pill for Beautiful Whiskers

he shou wu (steam in hei zhi ma), fu ling, niu xi, dang gui, gou qi zi, tu si zi, bu gu zhi (dry fry with hei zhi ma)

enrich K yin, nourish Lv blood

Lv/K xu: premature greying of hair, hair loss, loose teeth, spontaneous & nocturnal emissions, sore-ness & weakness of low back & knees

Er Zhi Wan

Two Ultimate

nu zhen zi (picked at winter solstice), han lian cao (picked at summer solstice) equal doses

tonify & benefit Lv & K

Jin: also nourishes Jing

Lv/K yin xu: weak & sore low back & knees, weak & atrophy of lower extremities, dry & parched mouth & throat, dizziness, blurry vision, insomnia, dream-disturbed sleep, spontaneous emissions, premature greying or loss of hair, red dry tongue



Warm & Tonify Yang

Jin Gui Shen Qi Wan

Kidney Qi Pill from the Golden Cabinet

shu di, shan zhu yu, shan yao, fu zi, gui zhi, ze xie, fu ling, mu dan pi


yin tonics:yang tonics::8:1

warm & tonify K yang

classic K yang xu: low back pain, weak lower extremities, cold sens in lower half of body, tense lower abd, pale swollen tongue, thin white moist coat, empty or frail pulse which is submerged & faint at proximal position; may be irritable to point of having difficulty lying down, breathes most comfortably when leaned against something; either urin. difficulty with edema or excessive urination

You Gui Wan

Restore the Right (K)

fu zi, rou gui, lu jiao jiao, shu di huang, shan zhu yu, shan yao, gou qi zi, tu si zi, du zhong, dang gui

warm & tonify K yang, replenish essence, tonify blood

Jin: some say can regulate reproductive hormones

K yang xu & secondary cold & xu of middle jiao: exhaustion from long term illness, aversion to cold, coolness of extremities, impotence, spermatorrhea, ache & weakness of low back & knees; maybe infertility, loose stools (maybe with undigested food), incontinence, edema of lower extrems; more focus on Yang than the above formula

Tu Si Zi Wan

tu si zi, lu rong, rou cong rong, shan yao, fu zi, wu yao, wu wei zi, sang piao xiao, yi zhi ren, mu li (calcined), ji nei jin take with salted water

warm kidneys, prevent abnormal leakage

K Qi xu (also blood, jing) with inability to grasp essence: exhaustion, aversion to cold, frail physique, dizziness, low back pain, weakness of lower extremities, frequent scanty urination with continuous dripping, submerged thin pulse that is especially frail at the chi position

Zan Yu Dan

Special Pill to Aid Fertility

fu zi, rou gui, rou cong rong, ba ji tian, yin yang huo, she chuang zi, jiu zi, xian mao, shan zhu yu, du zhong, shu di, dang gui, gou qi zi, bai zhu

warm & tonify kidneys

waning of fire at ming men & cold & xu of essential Qi: impotence or infertility, listlessness, dispiritedness, aching & weakness of lower back, pale shiny complexion, submerged thin pulse

Er Xian Tang

Two Immortal

xian mao, yin yang huo, ba ji tian, huang bai, zhi mu, dang gui

warm K yang, tonify K jing, drain fire from K, regulate Chong & Ren

K yin & yang xu with xu fire flaring: sx of menopause including htn, menstrual disturbance - amen, hot flashes, sweating, nervousness, fatigue, lassitude, depression, irritability, insomnia, palps, urinary frequency; also for other chron disorders with sx of K yin & yang xu & xu fire flaring



Promote Movement of Qi

Yue Ju Wan

Escape Restraint

cang zhu, chuan xiong, xiang fu, zhi zi, shen qu

promote movement of Qi, release constraint

mild constraint due to stagnant Qi: focal distention & stifling sens in chest & abd, fixed pain in hypochondria, belching, vomiting, acid regurg, mild cough with much sputum, poor app, indigestion

Ban Xia Hou Po Tang

ban xia, hou po, fu ling, sheng jiang, zi su ye

promote movement of Qi, dissipate clumps, descend rebel Qi, transform phlegm

plum-pit sens (from emotional upset due to circumstances which the patient "cannot swallow"), stifling sens in chest & hypochondria, moist or greasy white coat, wiry slow or wiry slippery pulse, maybe coughing & vomiting; warm - NOT for plum pit with heat or yin xu

Used in Kampo for depression

Gua Lou Xie Bai Bai Jiu Tang

gua lou (ren), xie bai, bai jiu (white wine)

unblock yang, promote circulation of Qi, expel phlegm

painful obstruction of chest from failure of yang in upper burner to be aroused: chest pain which oft radiates to upper back, wheezing, cough with much sputum, SOB, thick greasy coat, pulse either submerged & wiry or tight

Zhi Shi Gua Lou Gui Zhi Tang

gua lou, xie bai, zhi shi, hou po, gui zhi

unblock yang, dissipate clumps, expel phlegm, descend Qi

(open chest, spread Yang Qi)

Yang trapped in chest - angina - pressure, short attacks; opens chest immediately (temporarily). for acute attacks, not long term use. painfl obstr of chest with fullness, pain, or stabbing pain from chest to back, wheezing, coughing, SOB, focal dist of chest that feels like a flow of energy proceeding from the hypochondrium to the area around the heart, white greasy coat, deep, wiry, or tight pulse

Hou Po Wen Zhong Tang

hou po, cao dou kou, chen pi, mu xiang, gan jiang, fu ling, zhi gan cao, sheng jiang (3 pcs)

warm middle jiao, promote circulation of Qi, dry damp, eliminate fullness

DAMP-C injuring Sp & St: epigastric & abd distention & fullness, loss of appetite, fatigue esp in extremities, loose diarrhea, white slippery coat, maybe abd pain & vomiting of clear fluid

Liang Fu Wan

gao liang jiang & xiang fu - equal amounts

take with ginger juice

warm middle jiao, dispel cold, promote circulation of Qi, alleviate pain

Lv Qi stag + cold congealing in St: epigastric pain that is better with warmth, stifling sens in chest, hypochondriac pain, painful menstruation, white tongue coat

Jin Ling Zi San

chuan lian zi, yan hu suo - equal amounts

spread Lv Qi, drain heat, regulate Qi, alleviate pain

Lv constraint with heat: intermittent hypochond & epig pain, hernial pain, menstrual pain aggravated by ingestion of hot food or beverages, with irritability, red tongue, yellow coat, wiry or rapid pulse

Tian Tai Wu Yao San

wu yao, mu xiang, xiao hui xiang, qing pi, gao liang jiang, bing lang, chuan lian zi

promote circulation of Qi, spread Lv Qi, scatter cold, alleviate pain

stag in Lv channel, usually from cold: hernial disorder, lower abd pain radiating to testicles, pale tongue, white coat, pulse either submerged & slow or wiry; especially for hernia that can be pushed back in & comes & goes *this formula will hurt a xu patient

Nuan Gan Jiang

Warm the Liver

dang gui, gou qi zi, xiao hui xiang, rou gui, wu yao, chen xiang or mu xiang, fu ling, sheng jiang

warm Lv & K, promote circulation of Qi, alleviate pain

cold-type hernial disorder in which cold from Lv/K xu causes Qi to stagnate: low abd pain that's sharp, localized, & worse with local application of cold, pale tongue, esp sides & root, submerged tight pulse; also for swelling, distention, & pain of scrotum

Ju He Wan

ju he (citrus seed), chuan lian zi, mu xiang, tao ren, yan hu suo, rou gui, mu tong, hou po, zhi shi, hai zao, kun bu, hai dai

promote circulation of Qi, alleviate pain, soften hardness, dissipate clumps

hernial disorder due to C-D invading Lv channel: unilateral testicular swelling, colicky pain reaching to navel, or a rock-like hardness & swelling of scrotum, or oozing of a yellow fluid from scrotum; severe cases: abscess & ulceration may also occur; Dr. Li: chronic case




Descend Rebellious Qi

Su Zi Jiang Qi Tang Su Zi Decoction for Descending Qi

su zi, ban xia, dang gui, zhi gan cao, hou po, qian hu, rou gui + sheng jiang, da zao, zi su ye (some add chen pi also)

descend rebel Qi, arrest wheezing, stop cough, warm & transform phlegm-cold

excess above (Lu phlegm-cold) & xu below (K): cough & wheezing with watery copious sputum, stifling sensation in chest & diaphragm, SOB with relatively labored inhale & smooth exhale, white slippery or greasy coat, maybe pain & weak low back & legs, edema of extremities, &/or fatigue

Ding Chuan Tang

Arrest Wheezing

bai guo, ma huang, su zi, gan cao, kuan dong hua, xing ren, sang bai pi, huang qin, ban xia

disperse & redirect Lu Qi, stop wheeze, clear heat, transfrm phlegm

W-C constrains exterior & phlegm-heat smolders in interior: cough & wheeze with copious thick yellow sputum, labored breathing, greasy yellow coat, slippery rapid pulse; maybe simultaneous fever/chills

Si Mo Tang

Four Milled Herbs

ren shen, bing lang, chen xiang, wu yao

promote circulation of Qi, descend rebel Qi, expand chest, dissipate clumps

constraint & clumping of Lv Qi due to injury from emotional upset: irritable, stifling sens in chest & diaphragm with labored breathing, wheezing, epigastric focal distention & fullness, loss of appetite

Xuan Fu Dai Zhe Tang

xuan fu hua, dai zhe shi, ban xia, sheng jiang, ren shen, zhi gan cao, da zao

descend rebel Qi, transform phlegm, augment Qi, harmonize St

middle jiao stasis & rebellion; phlegm turbidity obstructing interior + weak, xu St Qi: unremitting belching, hiccup, regurgitation, nausea or vomiting, hard epigastric focal distention, white slippery coat, wiry xu pulse

Ju Pi Zhu Ru Tang

chen pi, zhu ru, ren shen, sheng jiang, gan cao, da zao

descend rebellious Qi, stop hiccups, augment Qi, clear heat

middle jiao stag, some xu, but also heat; quiet but stinky hiccups; St pathology: hiccup, nausea, dry heaves or retching, tender red tongue, xu rapid pulse; also for vomiting due to debility after long illness, or heat from St xu; ok for pregnant women

Ding Xiang Shi Di Tang

ding xiang, shi di, ren shen, sheng jiang

augment Qi, warm middle jiao, descend rebel Qi, stop hiccups

cold from St xu: hiccups, belching, or vomiting with stifling sens in epig, focal distention in chest, pale tongue, white coat, submerged slow pulse



Invigorate the Blood & Dispel Blood Stasis

Tao He Cheng Qi Tang

Peach Pit Decoction to Order the Qi

tao ren, da huang (often wine-treated), gui zhi, mang xiao (add at end), zhi gan cao

drain heat, break up blood stasis

blood buildup (xu xue) in low jiao due to blood stasis & heat: acute lower abdominal pain, incontinence of urine, night fevers, delirious speech, irritability, restlessness, thirst, submerged, full, or choppy pulse, may be manic behavior, women usually experience amenorrhea or dysmenorrhea

Xue Fu Zhu Yu Tang

Drive Out Blood Stasis in the Mansion of Blood

tao ren, hong hua, dang gui, chuan xiong, chi shao, (chuan) niu xi, chai hu, jie geng, zhi ke, sheng di, gan cao

invigorate blood, dispel blood stasis, spread Lv Qi, unblock channels

blood stasis in chest with impairment of blood flow above diaphragm, plus Lv Qi stag: pain in chest & hypochond, chronic stubborn Headache with fixed piercing quality, chronic incessant hiccup, choking sens when drinking, dry heaves, depression or low spirits with sens of warmth in chest, palps, insomnia, restless sleep, irritability, extreme mood swings, evening tidal fever, dark red tongue with dark spots on sides, dark or purplish lips, complexion, or sclera, choppy or wiry, tight pulse; irritable, restless; some use for uterine fibroids

Tong Qiao Huo Xue Tang

Unblock the Orifices & Invigorate the Blood

chi shao, tao ren, she xiang, da zao

invigorate blood, dispel blood stasis, open the orifices

blood stasis in head, face, upper body: headache, vertigo, chronic tinnitus, hair loss, darkle purple complexion, darkness around eyes, "˜brandy' nose; also for childhood nutritional impairment with progressive emaciation, abd distention, purplish discoloration of sinews, tidal fever, other chronic disorders arising from accum of blood stasis internally, including exhaustion of blood in women

Ge Xia Zhu Yu Tang Drive Out Blood Stasis Below the Diaphragm

dang gui, chuan xiong, tao ren, mu dan pi, chi shao, wu yao, yan hu suo, gan cao, xiang fu, hong hua, zhi ke, wu ling zhi (dry fried)

invigorate blood, dispel blood stasis, promote Qi circulation, alleviate pain

Jin: slightly clears heat

blood stasis in abdomen/below diaphragm (also with Lv Qi/blood stagnation): abdominal masses with fixed pain or masses which are visible when lying down. can be used for menstrual cramping with normal flow

Shao Fu Zhu Yu Tang

Drive Out Blood Stasis in the Lower Abdomen

xiao hui xiang & gan jiang (both dry fried, very small doses), yan hu suo, dang gui, chuan xiong, mo yao, rou gui, chi shao, pu huang, wu ling zhi (dry fried)

invigorate blood, dispel blood stasis, warm menses, alleviate pain

blood stasis in lower abdomen: palpable masses, with or without pain, or lower abd pain without masses, or lower abd distention, or lower back pain and lower abd distention during menstruation, or frequent menstruation (3-5x/month) with dark or purple blood (usually clots), or abnormal uterine bleeding with lower abd soreness & pain; also used for cirrhosis of Lv with edema (add sheng di, xiang fu, wu yao)

Shen Tong Zhu Yu Tang

Drive Out Blood Stasis From a Painful Body

qin jiao, chuan xiong, tao ren, hong hua, gan cao, qiang huo, mo yao, dang gui, wu ling zhi, xiang fu, niu xi, di long

move blood & Qi, dispel blood stasis, unblock collaterals & painful obstruction, alleviate pain

blood stasis in channels & collaterals: muscle pain: shoulder, arm, low back, leg, other chronic aches & pains, especially of extremities & joints

Shi Xiao San

Sudden Smile

wu ling zhi, pu huang equal amounts

invigorate blood, dispel blood stasis, disperse accumulation, alleviate pain

retention of blood stasis which obstructs vessels that serve lower abdomen: irregular menstruation, dysmenorrhea, retention of lochia, postpartum abd pain, acute colicky pain in lower abd, severe pain in middle abd or epigastric pain

Dan Shen Yin

dan shen, tan xiang, sha ren

invigorate blood, dispel blood stasis, promote circulation of Qi, alleviate pain

blood stasis & Qi stag which has accumulated in middle jiao: abd or epigastric pain which may radiate upward, accompanied by signs & sx of blood stasis & Qi stag

Da Huang Zhe Chong Wan

da huang, tu bie chong, tao ren, gan qi, qi cao, shui zhi, meng chong, huang qin, xing ren, sheng di, bai shao, gan cao

break up & dispel blood stasis & generate new blood

accumulation of "dry" blood due to extreme weakness of the organs & xu of source Qi: emaciation, abd fullness, loss of appetite, rough, dry, scaly skin, dull & dark appearance of the eyes, amenorrhea, tidal fever

Bu Yang Huan Wu Tang

Tonify the Yang to Restore Five (Tenths)

huang qi (huge dose), dang gui (tails), chuan xiong, chi shao, tao ren, hong hua, di long

tonify Qi, invigorate blood, unblock channels

deficiency of normal & yang Qi with blood stasis obstructing channels: W-stroke sequelae - hemiplegia, paralysis, & atrophy of lower limbs, facial paralysis, slurred speech, drooling, dry stools, frequent urination or urinary incontinence, white coat, moderate pulse



Warm the Menses & Dispel Blood Stasis

Gui Zhi Fu Ling Wan

gui zhi, fu ling, chi shao (bai shao may be used instead), mu dan pi, tao ren

invigorate blood, transform blood stasis, reduce fixed abd masses

blood stasis in the womb: mild persistent uterine bleeding of purple or dark blood during pregnancy, accompanied by abd pain that is < with pressure; also for immobile lower abd masses with pain & tenderness, abd spasms & tension, amenorrhea with abd distention & pain, dysmenorrhea, retention of lochia; all with choppy pulse

Sheng Hua Tang

Generation & Transformation

dang gui (large dose), chuan xiong, tao ren, pao jiang (quick fried ginger), zhi gan cao

invig blood, transform & dispel blood stasis, warm menses, alleviate pain

cold which takes advantage of the xu of normal Qi & blood during the postpartum period to enter the abd: retention of lochia, cold & pain in low abd, pale-purple tongue or pale tongue with purple spots, thin, submerged, choppy pulse

Wen Jing Tang

Warm the Menses

wu zhu yu, gui zhi, dan gui, chuan xiong, bai shao, e jiao (at end), mai men dong, mu dan pi, ren shen, gan cao, sheng jiang, ban xia (key herb)

warm menses, dispel cold, nourish blood, dispel blood stasis

xu & cold of Chong & Ren with obstruction due to bld stasis (> with warmth & pressure): mild, persistent uterine bleeding, irreg menstruation (late or early), extended or continuous menstrual flow, bleeding between periods, pain, distention, & cold in lower abd, dry lips & mouth, low-grade fever at dusk, warm palms & soles; can be xu or shi; may present as endometriosis, infertility



Invigorate the Blood to Treat Traumatic Injury

Fu Yuan Huo Xue Tang

Revive Health by Invigorating the Blood

dang gui, tao ren, hong hua, chuan shan jia, da huang (wine-treated), tian hua fen, chai hu, gan cao

invigorate blood, dispel blood stasis, spread Lv Qi, unblock channels

traumatic physical injury which results in blood leaving the vessels: excruciating pain, especially in chest, hypochondria, or flanks

Qi Li San

7/1000 of a Tael

xue jie, hong hua, ru xiang, mo yao, she xiang, bing pian, er cha (catechu), zhu sha

invigorate blood, dispel bld stasis, promote circulation of Qi, reduce swelling, alleviate pain & bleeding

use internally or externally: traumatic injury causes blood stasis & stagnant Qi which obstructs free movement & produces swelling & pain: bruising, swelling, & pain accompanying traumatic injuries such as broken bones & torn sinews, & bleeding due to lacerations

Die Da Wan

Trauma Pill

dang gui, chuan xiong, ru xiang, mo yao, xue jie, tu bie chong, ma huang, zi ran tong

invigorate blood, transform bld stasis, harmonize Ying Qi, reduce swelling, alleviate pain

blood stasis after traumatic injury or sprain obstructs circulation of Qi & blood in area of trauma: bruising, swelling, distended ache & pain at fixed location

Huo Luo Xiao Ling Dan

Fantastically Effective Pill to Invigorate the Collaterals

dang gui, dan shen, ru xiang, mo yao

invigorate blood, dispel blood stasis, unblock collaterals, alleviate pain

Qi stag & blood stasis obstructing collaterals or vessels: pain in various locations, such as the heart, St, abd, back, leg, arm, bruising & swelling due to trauma, rheumatic pain, fixed abd masses, internal or external ulceration, dark tongue or one with static points, wiry pulse



Clear Heat & Stop Bleeding

Shi Hui San

Ten Partially-Charred Substances

da ji, xiao ji, he ye (lotus lf), ce bai ye, bai mao gen, qian cao, zhi zi, da huang, mu dan pi, zong lu pi (all partially charred)

cool blood, stop bleeding

bleeding very badly; fire blazing in middle & upper jiao (maybe lower too) that injures the blood vessels (most oft associated with Lv fire attacking St, with up-rushing of Qi & fire forcing the blood to ascend): vomiting, spitting, or coughing up blood. sx usually occur as acute bleeding disorders with sudden onset (take some Yunnan Paiyao while waiting for this)

Si Sheng Wan

Four Fresh Pill

ce bai ye, sheng di, he ye, ai ye - all should be fresh

cool blood, stop bleeding

upper jiao manifestations of heat in the blood: coughing spitting, or vomiting of blood or nosebleeds, particularly of bright red blood; accompanied by dry mouth & throat, red or deep-red tongue, wiry, rapid or forceful, wiry, rapid pulse

Ke Xue Fang

Coughing of Blood

qing dai, zhi zi, gua lou ren, fu hai shi, he zi

clear fire, transform phlegm, preserve Lungs, stop cough & bleeding

upper jiao bleeding; Lv fire attacks & scorches Lu: cough bloody sputum, thick sputum difficult to expectorate, bitter taste, irritability, easily provoked anger, constipation, red cheeks, red tongue with yellow coat, wiry rapid pulse; formula's focus is on the constitution, less on stopping bleeding; often for lumps in bronchi (incl cancer); if pt coughs lots blood, add bai ji (3g) + xian he cao (9g)

Huai Hua San

huai hua, ce bai ye, jing jie, zhi ke

cool intestines, stop bleeding, dispel wind, promote circulation of Qi

lower jiao; lodging of W-H or accum of D-H in intestines & St where it forms toxin, obstructing the blood level of these organs: bright red bleeding from rectum during defecation which typically precedes (but may also follow) the passage of stool, blood in stools, hemorrhoids with bright red or dark red bleeding, red tongue, wiry rapid or soggy rapid pulse; ulcerative colitis, acute stage

Xiao Ji Yin Zi

xiao ji, ou jie, pu huang (dry fried), sheng di, hua shi, mu tong, dan zhu ye, zhi zi, dang gui, zhi gan cao (or unprepared or tips)

cool blood, stop bleeding, promote urination, unblock painful urinary dysfunction

static heat accumulating in lower jiao where it injures blood collaterals & causes blood to seep down into BL: bloody, painful urinary dysfcn with bld in urine (urinary frequency, urgency, burning, pain), or simple blood in urine, thirst, irritability, red tongue, thin yellow coat, rapid forceful pulse; more of a branch formula - focus is on stopping bleeding

Qing Re Zhi Beng Tang

Clear Heat & Stop Excessive Uterine Bleeding

zhi zi, huang qin (stir fried), huang bai, sheng di, mu dan pi, di yu, ce bai ye (tan), chun gen bai pi, gui ban (calcined), bai shao

clear heat, stop bleeding

heat entering blood level of Lv channel: abnormal uterine bleeding with large quantity of bright red blood, dry mouth, parched lips, yellow coat, rapid pulse




Tonify & Stop Bleeding

Bai Ye Tang

ce bai ye, gan jiang (or quick fried ginger), ai ye

warm yang, stop bleeding

cold from xu affecting middle Qi, resulting in failure of Sp Qi to govern blood, plus Lv Yang rising: unremitting vomiting or spitting up of blood or nosebleeds with wan complexion, pale tongue, thin coat, & xu, rapid, forceless pulse

Huang Tu Tang

Yellow Earth

zao xin tu (or chi shi zhi) large dose, sheng di, e jiao, bai zhu, gan cao, fu zi, huang qin

warm yang, strengthen Sp, nourish blood, stop bleeding

bleeding, any jiao, from Sp yang xu (cold from xu of mid jiao), failure of Sp Qi to govern blood: blood in stool, vomiting or spitting blood, epistaxis, or abN uterine bleeding or pale red blood, with cold extremities, wan complexion, pale tongue, white coat, submerged thin forceless pulse

Jiao Ai Tang

e jiao (at end), ai ye, sheng di, dang gui, chuan xiong, bai shao, gan cao

nourish blood, stop bleeding, regulate menstruation, calm fetus

injury & xu of Ren & Ghong: abdominal pain with uterine bleeding, excessive menstruation, menstru with constant spotting, postpartum bleeding, bleeding during pregnancy; blood pale & thin without clots, with weakness & soreness of low back, dull complexion, pale tongue, thin white coat, thin frail pulse




Stabilize Exterior & Lungs

Yu Ping Feng San

Jade Wind Screen

huang qi, bai zhu, fang feng + sheng jiang

augment Qi, stabilize exterior, stop sweating

deficiency of exterior with weak & unstable Wei Qi: aversion to drafts, spontaneous sweats, recurrent colds, shiny pale complexion, pale tongue with white coat, floating, xu, soft pulse; usually stop if pt gets heat sx (sores, etc) unless this is normal for the pt, in which case add clear heat herbs

Mu Li San

mu li (for night sweats), huang qi (for day sweats), ma huang gen (for any sweats), fu xiao mai

inhibit sweats, stabilize exterior, nourish yin, strong astringent action for sweats

branch tx for sweats: Wei Qi xu leads to spontaneous sweats which injure Ht yin which leads to yin xu sweats as well: spontaneous sweats worse at night, palps, easily startled, SOB, irritability, gen'l debility, lethargy, pale red tongue, thin frail pulse; use for pt with weak body who sweats easily

Dang Gui Liu Huang Tang

Dang Gui & Six Yellow

dang gui, sheng di, shu di, huang lian, huang qin, huang bai, huang qi

enrich yin, clear heat, stabilize exterior, stop sweats

raging fire from K yin xu, with Wei Qi xu: fever, night sweats, red face, dry mouth, parched lips, irritability, dry stools, dark scanty urine, red dry tongue, rapid pulse



Restrain Leakage From the Intestines

Zhen Ren Yang Zang Tang

True Man's Decoction to Nourish the Organs

ren shen, bai zhu, rou gui, rou dou kou (dry fried), he zi, zhi ying su ke, bai shao, dang gui, mu xiang, zhi gan cao

warm the middle, tonify deficiency, restrain leakage from intestines, stop diarrhea

chronic diarrhea or dysenteric disorder with UNREMITTING diarrhea to point of incontinence, in severe cases prolapsed rectum; stool may contain pus & blood, may be tenesmus. accompanied by: mild persisten abd pain, > with pressure & warmth, lethargy, wan complexion, reduced appetite, sore low back, lack of strength in legs, pale tongue, white coat, slow thin pulse

Tao Hua Tang

Peach Blossom

chi shi zhi, gan jiang, geng mi "“ usually taken as powder

warm the middle, bind up bowels

chronic dysenteric disorders with dark blood & pus in stool, abd pain > with pressure & warmth, pale tongue, slow & frail or faint & thin pulse

Si Shen Wan

Four Miracle Pill

bu gu zhi, wu zhu yu, rou dou kou, wu wei zi + sheng jiang, da zao

warm & tonify Sp & K, bind up intestines, stop diarrhea

Sp/K yang xu: day break diarrhea - just before sunrise, lack of interest in food, inability to digest what is eaten, sore low back, cold limbs, fatigue, lethargy, pale tongue, thin white coat, submerged, slow, forceless pulse, maybe abdominal pain


Stabilize the Kidneys

Jing Suo Gu Jing Wan

Metal Lock Pill to Stabilize the Essence

sha yuan ji li, qian shi, lian xu (lotus stamen), long gu (crispy fried), mu li (calcined), lian zi

stabilize kidneys, bind up the semen

chronic spermatorrhea, impotence, fatigue, weakness, sore & weak limbs, low back pain, tinnitus, pale tongue, white coat, thin frail pulse (traditionally should be taken with salt water)

Sang Piao Xiao San

sang piao xiao, long gu, ren shen, fu shen, yuan zhi, shi chang pu, (zhi) gui ban, dang gui

regulate & tonify Ht & K, stabilize essence, stop leakage

K & Ht Qi xu: frequent urination, sometimes incontinence, urine the color of rice water, maybe spermatorrhea; also disorientation, forgetfulness, pale tongue, white coat, thin slow frail pulse

Suo Quan Wan

Shut the Sluice

yi zhi ren, wu yao, shan yao

warm kidneys, dispel cold, arrest urinary frequency, stop leakage

K Qi xu (cold), fails to transform BL Qi: frequent, clear, prolonged urination or enuresis, pale tongue, white coat, submerged frail pulse

Gui Zhi Jia Long Gu Mu Li Tang

gui zhi, bai shao, long gu, mu li, sheng jiang, da zao, gan cao

restrain essence, suppress rebellion, regulate & harmonize Yin & Yang

yin & yang xu, & lack of communication between Ht & K: spermatorrhea (in men) or dreaming of sex (in women), lower abd contractions & pain, cold sens at tip of penis, occasionally watery diarrhea, dizziness, palps, insomnia, dream-disturbed sleep, loss of hair, hollow slow pulse

Shou Tai Wan

Fetus Longevity Pill

tu si zi, sang ji sheng, xu duan, e jiao

stabilize kidneys, calm fetus

K xu: soreness & distention of low back, sensation of collapse in lower abd, & vaginal bleeding during pregnancy; also dizziness, tinnitus, weak legs, frequent urination to point of incontinence, pale tongue, white slippery coat, submerged frail pulse at chi position


Stabilize the Womb

Gu Chong Tang

Stabilize Gushing

bai zhu (dry fried), huang qi, shan zhu yu, bai shao, long gu & mu li (both calcined), hai piao xiao, zong lu tan, wu bei zi, qian cao gen

augment Qi, strengthen Sp, stabilize Chong, stop bleeding

uterine bleeding or profuse menstrual bleeding, blood is thin & pale & either gushes out or continuously trickles out, also palps, SOB, pale tongue, xu & big or thin & frail pulse. Long-term uterine bleeding can injure Sp Qi & it will no longer be able to govern blood, Chong is unstable

Gu Jing Wan

Stabilize the Menses

gui ban, bai shao, huang qin, chun gen pi, huang bai, xiang fu

enrich yin, clear heat, stop bleeding, stabilize menses

Lv constraint gives rise to heat, which disturbs the Chong & Ren: continuous menstruation or uterine bleeding that alternates between trickling & gushing, blood very red, maybe with dark purple clots; also sens of heat & irritability in chest, abd pain, dark urine, red tongue, rapid wiry pulse

Wan Dai Tang

End Discharge

bai zhu & shan yao (both dry fried), ren shen, cang zhu, chen pi, che qian zi & bai shao (both wine fried), chai hu, jing jie (charred), gan cao

transform middle jiao, strengthen Sp, transform damp, stop vaginal discharge

usually Dai mai dysfcn: profuse vaginal discharge, white or pale yellow, thin consistency, not particularly foul smelling, usually continuous; also fatigue, lethargy, shiny pale complexion, loose stools, pale tongue, white coat, soggy & frail or moderate pulse; more for Qi xu leukorrhea than damp

Yi Huang Tang

Change Yellow (Discharge)

chan yao & qian shi (both dry fried), huang bai, che qian zi, bai guo

strengthen Sp, dry dampness, clear heat, stop vaginal discharge

Sp Qi xu with constrained dampness which turns into D-H & pours downward: long-term unremitting vaginal discharge, yellowish-white, viscous, fishy smell; also pale yellow complexion, dizziness, sens of heaviness in head, reduced appetite, occasional loose stools, delayed menstruation with pale blood, pale tongue, thine white coat, soft slippery pulse, maybe submerged




Nourish Heart & Calm Shen

Tian Wang Bu Xin Dan

Emperor of Heaven's Special Pill to Tonify the Heart

sheng di, ren shen, tian men dong, mai men dong, xuan shen, dan shen, fu ling, yuan zhi, dang gui, wu wei zi, bai zi ren, suan zao ren, jie geng, zhu sha (pill coating)

enrich yin, nourish blood, tonify Ht, calm shen

Ht Yin & blood xu insomnia; Ht & K yin xu: irritability, palps with anxiety, fatigue, insomnia with very restless sleep, inability to think or concentrate for even short periods, nocturnal emissions, forgetfulness, dry stools, red tongue, little coat, thin rapid pulse, maybe mouth & tongue sores, low fever, night sweats

Suan Zao Ren Tang

suan zao ren, fu ling/shen, zhi mu, chuan xiong, gan cao

nourish blood, calm shen, clear heat, eliminate irritability

Lv blood xu with xu heat: irritability, inability to sleep, palps, night sweats, dizziness, vertigo, dry throat & mouth, dry red tongue, wiry or thin, rapid pulse; Dr. Li: Ht blood xu. not strong enough for severe insomnia

Ding Zhi Wan

Settle the Emotions

ren shen, fu ling, shi chang pu, yuan zhi

tonify Ht Qi, calm shen

Ht Qi xu after emotional shock or fright: apprehensiveness, easily frightened, or incessant laughter & glee; with palps with anxiety, forgetfulness

Huang Lian E Jiao Tang

huang lian, huang qin, e jiao (at end), bai shao, egg yolks (2, at end)

enrich yin, descend fire, eliminate irritability, calm shen

yin xu fire after febrile disease: irritability, sens of heat in chest, insomnia, palps with anxiety, red tongue, dry yellow coat, thin rapid pulse, maybe tongue or mouth sores

Gan Mai Da Zao Tang

gan cao, fu xiao mao, da zao

nourish Ht, calm shen, harmonize middle jiao

"restless organ disorder" - zang zao - excessive worry, anxiety, or pensiveness - injures Ht yin, disrupts flow of Lv Qi, affects Sp Qi: disorientation, frequent attacks of melancholy & crying spells, inability to control oneself, restless sleep, sometimes with night sweats, frequent bouts of yawning, red tongue, sparse coat, thin rapid pulse; in severe cases, behavior & speech become abnormal


Sedate & Calm Shen

Zhu Sha An Shen Wan

Cinnabar Pill to Calm Shen

zhu sha (works even without it, can use hu po instead), huang lian, dang gui, sheng di, zhi gan cao

sedate heart, calm shen, drain fire, nourish yin

heart fire injures blood & yin: insomnia, palps, sens of irritability & heat in chest, desire to vomit without result, dream-disturbed sleep, bright red tongue, thin rapid pulse, pt may be rancorous



Release Wind From Skin & Channels

Xiao Feng San

Eliminate Wind Powder

jing jie, fang feng, niu bang zi, chan tui, cang zhu, ku shen, mu tong, shi gao, zhi mu, sheng di, dang gui, hei zi ma, gan cao

disperse wind, eliminate dampness, clear heat, cool blood

W-H or W-D invades body & contends with pre-existing D-H & becomes trapped in surface flesh, transforms into wind-toxin: weepy, itchy, red skin lesions over large part of body, yellow or white coat, forceful, floating, rapid pulse may be used topically

Xiao Xu Ming Tang

Minor Prolong Life

ma huang, chuan xiong, guang fang ji, xing ren, fang feng, sheng jiang, ren shen, fu zi, rou gui, bai shao, huang qin, gan cao

warm channels, unblock yang qi, dispel wind, support normal qi

W-stroke: hemiplegia, asymmetry of face, slow slurred speech; usually with fever, chills, pale tongue, thin white coat, deficient, floating pulse, in severe cases, loss of consciousness

Xiao Huo Luo Dan

Minor Invigorate the Collaterals Special Pill

zhi cao wu & zhi chuan wu (2 aconites), tian nan xing, mo yao, ru xiang, di long

invigorate blood, unblock collaterals, dispel dampness, transform phlegm

after W-stroke, damp, phlegm, & lifeless blood obstruct channels & collaterals: chronic pain, weakness, & numbness (esp in lower extrems); also for fixed or migrating pain in bones & joints with reduced range of motion due to W-C-D painful obstruction; in both conditions, < with cold

Qian Zheng San

Lead to Symmetry

bai fu zi, jiang can, quan xie

dispel wind, transform phlegm, stop spasms

sequelae of channel-stroke with sx confined to head & face (Qi xu allowed wind to invade channels): sudden facial paralysis with deviation of eyes & mouth & facial muscle twitch

Yu Zhen San

True Jade

bai fu zi, tian nan xing, qiang huo, bai zhi, fang feng, tian ma

dispel W, transform phlegm, relieve muscular tetany, alleviate pain

wind & toxin invade body thru wound or ulceration: stiffness & spasms of jaw, closed mouth, lip spasms, deviation of eyes, rigidity of entire body to point of opisthotonos, wiry, tight pulse

Zhi Jing San

Stop Spasms

quan xie, wu gong

dispel wind, relieve spasms, alleviate pain

heat entering terminal yin channel, generates movement of Lv wind: muscle twitches of extremities, rigidity & spasms of body to point of opisthotonos, trismus, or convulsions, maybe unconsciousness


Extinguish Internal Wind

Zhen Gan Xi Feng Tang

Sedate the Liver & Extinguish Wind

huai niu xi, dai zhe shi, long gu, mu li, gui ban, xuan shen, tian men dong, bai shao, yin chen hao, chuan lian zi, mai ya, gan cao

sedate Lv, extinguish wind, nourish yin, anchor yang

Lv/K yin xu, with Lv yang rising, in severe cases leads to Lv wind with rebel Qi & bld (oft precursor to W-stroke): dizzy, vertigo, feeling distention in eyes, fvrish sens in head, Headache, irritable, flushed face (as if drunk), wiry, long, forceful pulse; maybe freq burps, progressive motor dysfcn or dev'mt of facial asymmetry that occurs over a period of a few hours to a few days, sudden unconsciousness, mental confusion with moments of lucidity, inability to fully recover after unconsciousness

Tian Ma Gou Teng Yin may be better for htn, but doesn't give any constitutional support

Ling Jiao Gou Teng Tang

ling yang jiao (subst: big dose zhen zhu mu), gou teng, sang ye, ju hua, bai shao, sheng di, chuan bei mu, zhu ru, fu shen, gan cao

cool Lv, extinguish wind, increase fluids, relax sinews

shi heat in Lv channel stirs up wind: persistent high fever, irritability, restlessness, dizziness, vertigo, twitching & spasms of extremities, deep-red, dry, or burnt tongue with prickles, wiry rapid pulse; in severe cases, may be impaired or actual loss of consciousness

Tian Ma Gou Teng Yin

tian ma, gou teng, shi jue ming, zhi zi, huang qin, yi mu cao, chuan niu xi, du zhong, sang ji sheng, ye jiao teng, fu shen

calm Lv, extinguish wind, clear heat, invigorate blood, tonify Lv & K

Lv/K yin xu leading to Lv yang rising with Lv wind: headache, dizziness, vertigo, tinnitus, blurred vision, sens of heat rushing to head, insomnia with dream-disturbed sleep, red tongue, wiry rapid pulse; in severe cases, may be numbness, twitching & spasms in extremities, or hemiplegia; hypertension

San Jia Fu Mai Tang

3 Shell Decoction to Restore the Pulse

zhi gan cao, sheng di, bai shao, mai men dong, huo ma ren, e jiao, mu li, bie jia, gui ban

nourish yin, restore pulse, clear heat, anchor yang, extinguish wind

later stage febrile disease when yin injured or various internally-generated disorders with yin xu & yang rising: (1) spasms, loss of consciousness, quivering fingers, feverish palms & soles, deep red,dry tongue, thin, rapid, forceless pulse or (2) dizzy, vertigo, tinnitus, dry throat, palpitations, bleeding symptoms, dry, glossy, peeled tongue, thin wiry pulse

E Jiao Ji Zi Huang Tang

e jiao, ji zi huang (2 egg yolks), sheng di, bai shao, zhi gan cao, gou teng, shi jue ming, mu li, fu shen, luo shi teng

enrich yin, nourish blood, soften Lv, extinguish wind

internal wind from blood & yin xu: rigid extremities, muscle spasms & twitches in extremities, dry mouth, parched lips, deep red tongue, slight coat, thin rapid pulse, maybe dizziness & vertigo

Da Ding Feng Zhu

Major Arrest Wind Pearl

ji zi huang (2 egg yolks), e jiao, bai shao, zhi gan cao, wu wei zi, sheng di, mai men dong, huo ma ren, gui ban, bie jia, mu li

nourish yin, extinguish wind

internal wind due to yin xu: weariness, muscle spasms with alternating flexion & extension of extremities, xu or frail pulse, deep-red tongue, scanty or peeled coating; often patient will appear as if he is about to go into shock

Di Huang Yin Zi

shu di, shan zhu yu, rou cong rong, ba ji tian, fu zi, rou gui, shi hu, mai men dong, shi chang pu, yuan zhi, fu ling, wu wei zi + sheng jiang, bo he, da zao

enrich kidney yin, tonify kidney yang, open orifices, transform phlegm

K yin & yang xu with xu fire flaring up, phlegm obstructs orifices: stiffness of tongue, inability to speak, disability or paralysis of lower extremities, dry mouth with absence of thirst, greasy yellow coat, submerged, slow, thin & frail pulse; important formula for w-stroke sequelae



Expel Parasites

Wu Mei Wan

wu mei, chuan jiao, xi xin, huang lian, huang bai, gan jiang, fu zi, gui zhi, ren shen, dang gui

good idea to add da huang or purge after this

warm the organs (intestines), calm roundworms

collapse from roundworms caused by heat in chest & epig, and cold in intestines: intermittent attacks of abd pain (between which, there is no pain), stifling sens, irritability, warmth in chest & epig, vomit after eating, cold hands/feet, maybe vomiting roundworms; roundworm in bile duct

Fei Er Wan

Fat Baby Pill

shen qu & mai ya (dry fried), huang lian, bing lang, rou dou kou, shi jun zi, mai ya, mu xiang

kill parasites, reduce accumulation, strengthen Sp, clear heat

childhood nutritional impairment from accumulation of parasites: parasitic infestations with intermit-tent attacks of abd pain, indigestion, emaciation, loose stools, feverishness, foul-smelling breath

Qu Chong Feng

shi jun zi, da huang 8:1 never exceed 12g/day

expel parasites

for roundworm, use (age + 0.6)g TID for 3 days; for threadworm, use [(age + 1)x0.3]g TID, for 7-10 days; take one hour before meals



Special Formulas

Dr. Hong Jin's Acne Formula

granule doses: ge gen 8, bai hua she she cao 16, pu gong ying 8, bu gu zhi 16, ze xie 8, yi yi ren 8, dan shen 8, shan zha 8, gan cao 3, fu pen zi 8, and yue ju ye or chen pi or ju hua 6 dosage: 4g tid

Dr. Jin (OCOM) probably modifies this formula slightly (especially dose ratios) depending on the patient's presentation. (The choice of which of the last 3 herbs to use definitely depends on the patient.)

Dr. Yan Lu's Anxiety & Withdrawal Formula

granule doses: long gu 6, mu li 6, shi jue ming 6, suan zao ren 9, ye jiao teng 5, fu shen 5, sheng di 5, bai shao 5, he huan pi 5, xiang fu 5, huang qin 5; dosage: 3g tid

Dr. Lu (OCOM) uses this formula for any kinds of "quitting" - quitting a substance, quitting a relationship, etc - any kind of loss. Also for anxiety, depression, stress, etc.

Never-fail Purgative

tao ren (4 parts), da huang (2 pts), gui zhi (1 pt), zhi gan cao (1 pt), he shou wu (2 pts)

4g granules before bed

Relayed to me by Marnie Freeman, LAc, supervisor at the Oregon College of Oriental Medicine clinic

Heiner Fruehauf's Prototypical Gu Zheng Formula:

Jia Jian Su He Tang

zi su ye, bo he, bai zhi, dang gui, chuan xiong, gan cao, huang qi, he shou wu, bai he, wu jia pi, ze lan, e zhu, san leng, chen pi, mu xiang, ding xiang

see also section on categories of Gu Zheng herbs

Dr. Yan Lu's Wash for Trauma

(bulk doses) hong hua 15, san leng 25, jiang huang 25, e zhu 25

soak affected body part in the liquid for 15-30 minutes at a time, a few times daily.

Michael Tierra's Tobacco Quitting Formula

yu xing cao, ren shen, sang bai pi, gua lou, and jie geng

take two 00 capsules every 1-2 hours. will lessen cravings, help detoxify. lower the dose after 3-4 days.

An Hao Poultice

hong hua, qian cao, zhang mu (camphor wood), su mu, zi cao, jin bu huan (lycopodium), qian nian jian, gui zhi, lu lu tong, mu gua, ru xiang, mo yao

promotes circulation of blood, aids in the relaxation of muscles, enhances regeneration of damaged tissues, aids in removal of clotted blood. for pain relief, faster healing, and less scarring.

Tendon and Liniment Salve

cao wu, chuan wu, ban xia, qiang huo, du huo, zhi zi, da huang, mu gua, lu lu tong, pu huang, zhang nao, su mu, chi shao, hong hua, nan xing (tian/dan not indicated)

 

Han Jing Tong Kou Fu Ye

Snore-Stilling Open the Mouth (Oral Liquid)

(approximate daily doses:) ma huang (8g), yi mu cao (15g), jie geng (9g), gan cao (6g). in study, these herbs were cooked for quite long (first cook of 60minutes, second cook of 40 minutes). to be taken twice daily.

for sleep apnea syndrome and snoring.

reduces periods of cessation of breathing during sleep.

97.5% amelioration rate in one clinical study.

(Zhang Ju, et al., in He Nan Zhong Yi, Jan 2001, page 59; translated by Bob Flaws)

Lu Yubin's Insomnia Formula

chai hu 9g, bai shao 9g, chuan xiong 9g, chao bai zhu 9g, fu ling 9g, huang lian 6g, chao zhi zi 9g, sheng di 15g, chao suan zao ren 30g, ye jiao teng 30g, gan cao 30g. these are three-day doses. Yes, three day doses. To be decocted and taken once daily over three days.

83.3% cure rate.

Not appropriate when there is spleen Yang deficiency.

Journal of Chinese Medicine, number 59, January 1999.

Wei Li's Basic Hyperthyroidism Formula

huang jing, sha shen, mai men dong, dan shen, mu dan pi, gou qi zi, xuan shen, huang lian, sheng di, di gu pi, huang bai, zhi mu

 

Andrew Gaeddert's Coronary / Dyslipidemia Formula

da suan, huang qi, he shou wu, ling zhi, shan zha, dang gui, dan shen, bai zhu

for degeneration of circulatory system, high cholesterol, heart disease

Refluxan

by Ashi Research

huang lian, zhu ru, yan hu suo, san qi, hai piao xiao, chen pi, hou po, zhi shi

for acid reflux

Heiner's Basic Insomnia & Anxiety Formula

chai hu, zhi shi, bai shao, zhi gan cao, he shou wu, yan hu suo (only if insomnia, use 30-40g/day), suan zao ren, wu wei zi, ye jiao teng

 

Heartburn Formula

wa leng zi 9g, da zao 6g, gan cao 3g, gan jiang 10g, hou po 3g, chen pi 3g, qing pi 3g

a commercial product for heartburn

ASHMI Asthma Formula

An extract of ling zhi, ku shen, gan cao. 3.6g of extract is equal to 20g ling zhi, 9g ku shen, 3g gan cao.

A well researched formula that performed comparably to prednisone for allergic asthma

FAHF-1 and FAHF-2 for Food Allergy (Anaphylaxis)

FAHF-1: ling zhi, wu mei, chuan jiao, huang lian, huang bai, gan jiang, gui zhi, ren shen, dang gui, zhi fu zi, xi xin.

FAHF-2 is the same formula, but without the zhi fu zi and xi xin. % composition is: ling zhi 28%, wu mei 28%, chuan jiao 1.5%, huang lian 8.5%, huang bai 5.5%, gan jiang 8.5%, gui zhi 3%, ren shen 8.5%, dang gui 8.5%

Shown to eliminate peanut allergy induced anaphylaxis in rats. FAHF-1 is the original formula. FAHF-2 was developed presumably because of concerns about fu zi and xi xin. It appears to be effective even without these two herbs.

Empirical Hypertension Formulas

Du Zhong Pian (AKA Fu Fang Du Zhong Pian): du zhong, gou teng, xia ku cao, huang qin

Luo Bu Ma Jiang Ya Wan: luo bu ma, xia ku cao, gou teng, jue ming zi, ju hua, ze xie, chuan niu xi, shan zha

Luo Bu Ma Jiang Ya Wan #2: luo bu ma, xia ku cao, gou teng, ze xie, zhen zhu mu, huai niu xi, shan zha, ju hua

Jiang Ya Wan: xia ku cao, huang qin, ju hua, bo he, huai hua

Qing Nao Jiang Ya Pian: huang qin, dang gui, huai hua, zhen zhu

Jiang Ya Wan #2: dan shen, mu dan pi, huang qi, zhi zi, zhi mu, long dan cao, di huang, niu xi, xia ku cao, huai hua

Jiang Ya Wan #3: fu shen, du zhong, zhen zhu mu, ju hua, di huang, niu xi, xia ku cao, ye jiao teng

These formulas don't necessarily take any particular pattern discrimination into account, though they all address heat to some extent.

TobacOff

for Smoking Cessation

By P. Q. Kang and Y. J. Liang

yu xing cao, ku shen, yuan zhi, ren shen (red)

A Pacific BioLogic formula. On bottle, 700 mg pills are taken 3-4 at a time, before bed and then one hour before meals.

Kamto Lee's Formula for Cravings, Depression, and Anxiety

ge gen 30g, ge hua 30, suan zao ren 30, ye jiao teng 30, jiang huang 20, yu jin 20, san leng 12, e zhu 12

+ modify as necessary for patient

Key herbs are ge gen & ge hua (pueraria flower)

Dr. Kang's Fertility Formula #1: PregnancyEggEmbryo

(to be taken from day 1 through ovulation)

(Note, I have not been able to track down the luteal phase formula)

Luo le (basil), chai hu, yi mu cao, tu si zi, dan shen, gou qi zi, shu di huang, ba ji tian, shan zhu yu, yin yang huo, fu pen zi, he shou wu, bai shao, gan cao

"TCM Indication: Stagnation of the Liver Qi with Blood and Yin deficiency marked by irregular menstruation, light back pain, lower abdominal pain, emotional changes due to depression or stress. It is possible that no diagnostic symptoms are present other than infertility. The goal of this formula is directed at the pre-ovulatory period of the menstrual cycle to enhance the ovarian follicle and egg development and to ensure ovulation within a normal, rhythmic menstrual cycle. Clinical TCM research in China shows that this formula enhances estrin, progestin and estradiol levels and also improves uterine cell receptor function for FSH and LH binding."

Dr. Kang's Acne Formula

huang lian, huang qin, huang bai, zhi zi, da huang, sheng di, mu li, chi shao, xia ku cao, zao jiao ci, pi pa ye, zhen zhu

"According to Chinese medicine with respect to these skin eruptions, the Lung has lost its cleaning action. It is the normal function of the Lung to Clear and to Descend. The following things can cause pathologic Qi to invade the Lung: external Wind Heat, eating a heavy fatty diet causing the formation of Stomach Heat, or menstrual irregularities leading to Blood stagnation which will create Blood Heat.

The TCM formula function is to clear Lung Heat and cool the Blood (clear Blood Heat.) It also eliminates Wind and increases Blood circulation. In addition it regulates the Liver and promotes detoxification."

Dr. Kang's Eczema Formula

ku shen, tu fu ling, huang bai, huang lian, ye ju hua, fang geng, chan tui, gan cao, di fu zi, bai xian pi

"According to Chinese medicine the various eczemas are an accumulation of Wind Heat with the pathogenic Wind factor coming from the exterior. The combination of Wind, Dampness and Heat attack the skin. The main cause of disease is the Dampness which is sticky, heavy and mutable. So diseases of the skin may take a long time to heal, and their presentations can go through many changes. The chronic forms of dermatitis are due to a deficiency of Blood nourishing the skin. The internal stasis of Dampness which is the main cause of this disease comes about due to Blood and Yin deficiency. The disease presentation then shifts to dryness. Wind, stagnation of Wind and dry and wet Heat all block the Blood from nourishing the skin. This leads to the chronic eczema presentations described above: skin thickening, scaling and so on."

Dr. Kang's Psoriasis Formula

huang qin, huanglian, sheng di, jin yin hua, qing dai, dang gui, dan shen, chi shao, da qing ye, san leng, ban lan gen, xuan shen, zao xiu, wu mei, mu dan pi

"From Traditional Chinese Medicine the pathologic etiology of psoriasis arises from Damp Heat in the Spleen and Lung. It also arises from the effects of external Wind causing Damp Heat to accumulate in the skin which blocks Qi and Blood movement in local areas, and this local Qi stagnation can increase Heat in the skin. In addition, an attack of Wind Cold can lead to disharmony between Yin (nutrients) and Wei (defense mechanism) which can create dryness. Another etiology arises from strong emotional reactions causing a Qi blockage, and if Qi stasis goes on for too long it can lead to Blood stagnation.

This formula is directed at reducing itching and inflammation during flare ups, reducing the length of flare ups, and preventing recurrences. This formula lengthens periods of remission and is directed at resolving lesions and scaling. In TCM terms this formula nourishes the Yin and Cold Blood, enriches the Blood and moistens the Dryness, clears the Heat and removes toxins, eliminates Qi and Blood stasis and activates Blood circulation."

Dr. Kang's Formula For Hair Loss, Baldness, Alopecia, and Greying

han lian cao, sheng di, shu di, he shou wu, tu si zi, dang gui, bai shao, zhu ling, ku shen, bai xian pi, di fu zi

"Traditional Chinese Medicine views hair loss as a Blood deficiency wherein the Blood can not nourish the skin. This leads to Cou Li ("between muscle and skin" - like reticulo-endothelial immune function) weakness which then allows external Wind attack. The excess Wind leads to Blood dryness, and hair is lost due to a lack of nutrition. Emotional stress can also injure the Spleen and Heart over time and negatively affect hair growth. Alopecias specifically belong to Kidney Essence deficiency. Other pathologies which contribute are mental anxiety negatively affecting Heart and Spleen functions, Yin deficiency with excess Heat, or accumulation of Dampness and Heat arising to the head.

Syndrome of Liver and Kidney deficiency leading to hair loss, itching scaly skin, weak eyesight, vertigo, and lassitude in the loin and legs."

Dr. Kang's Herpes Formula - Oral, Genital, Eye, Facial

huang lian, sheng di, gan cao, qing dai, ku shen, dang shen, huang bai, niu xi, bai shao

"Traditional Chinese Medicine views this disease as brought on by emotional reactions such as anxiety, worry, stress, and anger. It can also be brought on by over working to the point of exhaustion or not getting enough sleep all of which causes Lung deficiency, Spleen deficiency and Kidney Yin deficiency all of which then leads to internal heat. Also there can be an attack of Wind Heat and Damp Heat during the deficiency of the Vital Principle. This can lead to stagnation in skin and underlying tissues which blocks the Channels locally leading to stasis of Qi and Blood locally."

Dr. Kang's External Cream for Neurodermatitis / Psoriasis / Fungal Infection

ku shen

"Use this cream externally on the skin to treat rashes from a variety of causes. This formula is particularly effective for psoriasis, neurodermatitis, lichenoid dermatitis, and fungal infections that include tinea corpora (ringworm of the body), tinea pedis (ringworm of the feet / athlete's foot), fungal infections of the hand and tinea cruris (jock itch).

Fungal infections of the skin invade the dead tissues of the skin including hair and nails with scaling borders on the feet and crotch areas. Fungal infections of the body have annular lesions that tend to clear centrally. Psoriasis is characterized by dry, well-circumscribed, silvery, scaling papules and plaques. It involves a gradual onset with chronic remissions and recurrences. Neurodermatitis is a scratch dermatitis brought on by scratching and may involve underlying stress. When fully developed, it has an outer area of brownish papules and a central area of confluent papules covered with scales. Stress and tension tend to increase the itching. The patient is advised to resist scratching as this brings about the dermatitis. Lichenoid dermatitis may develop from this wherein the skin develops thickened areas of plaques.

Dr. Kang's Weight Loss Formula

jiao gu lan, da huang, lu hui, sha ji

"According to Traditional Chinese Medicine, the increase in percent body fat has to do with an unbalanced diet which causes an imbalance in the Spleen and Stomach with the pathogenic cause being an accumulation of Dampness and Phlegm. In most cases the obese individual has more Dampness, Phlegm and Deficiency. Therefore, the treatment principle is to eliminate Dampness which has caused the Spleen to lose its transporting functions. Spleen deficiency leads to Dampness. Then it is the accumulated Dampness which induces the Phlegm which becomes turbid Phlegm and this leads the body to become fat. The treatment principle must be to clean viscera for those who eat a heavy and fatty diet and also to eliminate gastrointestinal Excess Heat."



Major Patterns in OB/GYN Conditions (Based on Teachings of Hong Jin)


Antedated

(Short)

Periods

Blood Stagnation:

â–º Jia Wei Shi Xiao San - move blood, stop bleeding & pain (shi xiao + more movers)

â–º Xue Fu Zhu Yu Tang - move Qi & blood, focus=Ht, Lv, uterus

â–º Shao Fu Zhu Yu Tang - more warming, lower abdomen

Heat in Blood:

â–º Jing Qin Si Wu Tang - xu or shi heat, stop bleed

â–º Gu Jing Wan - clear Lv Qi stag heat, stop bleeding, tone yin, clear heat

â–º Qing Jing San - Yin xu heat in blood

â–º Jie Du Si Wu Tang - shi heat (febrile)

â–º Jia Wei Xiao Yao San - Lv Qi stagnation heat

Spleen Qi Xu:

large quantity blood, pale, thin, Qi xu sx, bearing-down, "empty" lower abd

â–º Gui Pi Tang - tone Sp Qi, Ht blood, calm shen (anxiety, palps...)

â–º Bu Zhong Yi Qi Tang - lift & tonify (good for depression)

 

Postdated

(Long)

Periods

Liver Qi/Blood Stagnation:

â–º Jia Wei Wu Yao Tang - move/free Qi (&blood)

â–º Xue Fu Zhu Yu Tang - move blood (mansions)

â–º Chai Hu Shu Gan Tang - free Lv Qi, hrmnz

â–º Xiao Yao San - free Lv Qi, nour blood & Sp Qi

 

Blood Xu:

scanty bleeding, pale, thin, sallow, dizzy, palps, blurry vision, dry skin

â–º Ba Zhen Yi Mu Wan - tone Qi, blood, move blood

â–º Si Wu Tang

Cold in Blood:

scanty bleeding, dark, sticky, cold sx, low abd cramps/colic - warm allevs

â–º Wen Jing Tang - shi or xu cold (if xu, add more Yang tonics)

â–º Ai Fu Nuan Gong Wan - tone Yang (& blood)

Irregular

(Both Short and Long)

Periods

Liver syndromes:

(including blood stagnation, xu, heat)

â–º Xiao Yao San

â–º Jia Wei Xiao Yao San

â–º Xue Fu Zhu Yu Tang

â–º Jia Wei Wu Yao

â–º Ba Zhen Yi Mu Wan

â–º Tao Hong Si Wu Tang

â–º etc . . .

Kidney Yin Xu (incl. Jing Xu):

â–º Liu Wei Di Huang Wan, Zhi Bai D H Wan

â–º Zuo Gui Wan - tone K yin, blood, harmonize Chong & Ren

â–º Er Zhi Wan - nourish Lv & K yin

â–º Yi Guan Jian - nourish Lv yin

â–º Gui Shao Di Huang Wan - nourish yin & blood

Spleen Qi Xu:

pale, thin blood, Qi xu sx

â–º Gui Pi Tang - antedated (Sp fails to ctrl)

â–º Ba Zhen Yi Mu Wan - postdated (Sp xu leading to blood xu)

Kidney Yang Xu (incl. Qi Xu):

pale, thin blood, Yang xu sx

â–º Ai Fu Nuan Gong Wan - tone Yang (& blood)

â–º You Gui Wan - strong tone K yang (& blood)

â–º Er Xian Tang - tone K yang, clear heat, regulate Chong & Ren

â–º Jin Gui Shen Qi Wan - tone K yang (Qi)

Dysmenor-rhea

Qi/Blood Stagnation:

â–º Xiao Yao San

â–º Chai Hu Shu Gan Tang

â–º Wu Yao Tang - move Qi (& bld)

â–º Jia Wei Xiao Yao San

â–º Shi Xiao San

â–º Ge Xia Zhu Yu Tang - move blood & Qi below the diaphragm, alleviate pain

â–º Tao Hong Si Wu Tang - milder

â–º Xue Fu Zhu Yu Tang - move blood

from Cold:

â–º Ai Fu Nuan Gong Wan - for xu

â–º Er Xian Tang - K yang xu, also clears heat

â–º Wen Jing Tang - xu or shi (add more herbs to disperse cold if shi), nourish blood, warm, disperse cold, (promote blood circulation)

â–º Shao Fu Zhu Yu Tang - move blood, warm, more for shi

from Damp-Heat:

â–º Si Miao San - lower jiao damp-heat

â–º Long Dan Xie Gan Tang (stronger than Si Miao San)

â–º Qing Re Tiao Xue Tang - Si Wu + more blood & Qi movers and heat-clearers

Qi/Blood Xu:

lingering dull pain at end of or after menses, > with pressure & warmth; copious or scanty thin pale blood; usually ante- or postdated; + standard Qi & blood xu sx

â–º Dang Gui Shao Yao San - move & nourish blood, resolve damp, tone Sp

â–º Ba Zhen Yi Mu Wan - tone Qi & blood, move blood

â–º Sheng Yu Tang - tone Qi & blood

â–º Shi Quan Da Bu Tang - Qi & blood xu + cold sx (Ba Zhen + huang qi, rou gui)

â–º Xiao Jian Zhong Tang (+ Dang Gui) - warm & tone middle jiao (& blood), alleviate pain

â–º Gui Shao Di Huang Tang - nourish blood & yin (Liu Wei + bai shao, dang gui)

â–º Tiao Gan Tang - tone blood, Qi, Lv yin, K yang & jing, move blood

PMS

Full:

Lv Qi Stagnation:

â–º Xiao Yao San

â–º Yue Ju Wan - move/free Qi

â–º Chai Hu Shu Gan Tang

Phlegm-Fire Harassing Upwards:

â–º Huang Lian Wen Dan Tang - phlegm-heat (GB/St)

Empty:

Liver Blood Xu:

â–º Xiao Yao San

â–º Ba Zhen Tang

â–º Gui Shao Di Huang Tang

Liver/K Yin Xu:

â–º Qi Ju Di Huang Wan

â–º Yi Guan Jian - nourish Lv yin, free Lv Qi

Spleen & Kidney Yang Xu:

â–º You Gui Wan - tone K yang, jing, blood




 

Sp Qi xu

Blood xu

Lv/K Yin xu

K Qi/Yang xu

Qi/Blood Stasis

Phlegm-Damp

Blood Heat

Damp-Heat

Amenorrhea

 

Ba Zhen Yi Mu Tang

Liu Wei Di Huang Wan

You Gui Wan

Xiao Yao San, Jia Wei Wu Yao Tang, Shao Fu Zhu Yu Tang,

Ge Xia Zhu Yu Tang

Cang Fu Dao Tan Wan

 

 

Fibroids

+ Blood Stasis:

Gui Zhi Fu Ling Wan,

Ba Zhen Yi Mu Tang

+Blood Stasis: Da Huang Zhe Cong Wan,

Qi Ju Di Huang Wan,

Zhi Bai Di Huang Wan

 

Shao Fu Zhu Yu Tang,

Da Huang Zhe Cong Wan, Gui Zhi Fu Ling Wan, Xiao Yao San

+ Blood Stasis: Qi Gong Wan

 

 

Uterine bleeding

Gu Ben Zhi Beng Tang

 

Zhi Bai Di Huang Wan, Zhi Dai Wan

You Gui Wan

Jia Wei Shi Xiao San (+move Qi before period, nourish blood after)

 

Qing Re Zhi Beng Tang,

Jin Gui Shen Qi Wan,

Qing Jing San

 

Leukorrhea

Wan Dai Tang

 

 

You Gui Wan, Er Zhi Wan

 

 

 

Si Miao Wan,

Long Dan Xie Gan Tang Bi Xie Shen Shi Tang,

Zhi Dai Wan,

Yi Huang

Infertility

 

 

Liu Wei Di Huang Wan, Zhi Bai Di Huang Wan,

Si Wu Tang, Er Zhi Wan,

Zhi Dai Wan

Zan Yu Dan, Ai Fu Nuan Gong Wan

Qi:

Xiao Yao San mod.


Blood:

Shao Fu Zhu Yu Tang

Cang Fu Dao Tan Wan

 

same as above

Threatened

Miscarriage

Ju Yuan Jian,

Bu Zhong Yi Qi Wan

Shou Tai Wan, Tai Shan Dan Shi San (+Sp Qi/Bld xu)

trauma: Sheng Yu Tang

 

Bao Yin Jian

 

Habitual

Miscarriage

Gu Ben Zhi Beng Tang

Si Wu Tang + Shi Xiao

Bao Yin Jian

Bu Shen Gu Chong Wan

Shao Fu Zhu Yu Tang

 

Qing Re Gu Jing Tang

 

Menopause

 

 

Zhi Bai Di Huang Wan, Qi Ju Di Huang Wan

You Gui Wan, Fu Zi Li Zhong Wan,

Jin Gui Shen Qi Wan,

Ba Zhen Yi Mu Tang

 

 

 

 







Commonly Used Formulas in Obstetrics and Gynecology

from Dr. Hong Jin


Ai Fu Nuan Gong Wan: xiang fu, ai ye, dang gui, huang qi, wu zhu yu, chuan xiong, bai shao, shu di, rou gui, xu duan (infertility due to K yang xu)

Ba Zhen Yi Mu Tang: Ba Zhen Tang + yi mu cao (amenorrhea due to blood xu, fibroids due to blood stasis + Qi/blood xu, infertility & habitual miscarriage due to Blood stasis)

Bao Yin Jian: "protect yin" sheng di, shu di, bai shao, shan yao, huang qin, huang bai, xu duan, gan cao: nourish yin, clear heat (threatened miscarriage due to blood-heat, habitual miscarriage due to K yin xu)

Bi Xie Shen Shi Tang: bi xie, yi yi ren, huang bai, fu ling, ze xie, mu dan pi, tong cao, hua shi: clear heat < dry damp (leukorrhea due to damp-heat, infertility due to damp-heat)

Bu Shen Gu Chong Wan: tu si zi, xu duan, ba ji tian, du zhong, lu jiao jiao, dang gui, shu di, gou qi zi, e jiao, dang shen, bai zhu, da zao, sha ren: tone/warm K yang, strengthen GV, nourish blood, tone/raise Qi, resolve damp (habitual miscarriage due to K yang xu)

Bu Zhong Yi Qi Wan: huang qi, ren shen, bai zhu, zhi gan cao, dang gui, chen pi, sheng ma, chai hu (threatened miscarriage due to Sp Qi/blood xu)

Cang Fu Dao Tan Wan: cang zhu, fu ling, ban xia, chen pi, gan cao, xiang fu, dan nan xing, zhi ke, sheng jiang, shen qu (amenorrhea & infertility due to phlegm-damp)

Da Huang Zhe Cong Wan: da huang, tu bie chong, tao ren, gan qi, qi cao, shui zhi, meng chong, huang qin, xing ren, sheng di, bai shao, gan cao: break up Blood stasis, NB (fibroids due to Blood stasis or Blood stasis + Qi/blood xu)

Er Zhi Wan: nu zhen zi, han lian cao (infertility due to K yin xu)

Fu Tu Dan: tu su zi, wu wei zi, shan yao, lian zi, fu ling: stabilize K Qi, stop leakages, strengthen Sp (leukorrhea due to K Qi/yang xu)

Fu Zi Li Zhong Wan: fu zi, gan jiang, ren shen, bai zhu, zhi gan cao: warm yang, dispel cold, tone Sp Qi (menopause due to K yang xu)

Ge Xia Zhu Yu Tang: dang gui, chuan xiong, tao ren, mu dan pi, chi shao, wu yao, yan hu suo, gan cao,xiang fu, hong hua, zhi ke, wu ling zhi (amenorrhea due to Qi/Blood stasis)

Gu Ben Zhi Beng Tang: "stabilize the root & stop excess uterine bleeding" shu di huang, bai zhu, ren shen, huang qi, dang gui, pao jiang: tone blood, augment Qi, stop bleeding (uterine bleeding & habitual miscarriage due to Sp Qi xu)

Gui Zhi Fu Ling Wan: gui zhi, fu ling, shan yao, mu dan pi, tao ren: invig blood, transform Blood stasis, reduce ab. masses (fibroids due to Blood stasis & Blood stasis + Q//Blood xu)

Jia Wei Shi Xiao San: sudden smile (pu huang, wu ling zhi) + dang gui, chi shao, yi mu cao, xiang fu (uterine bleeding due to Blood stasis)

Jia Wei Wu Yao Tang: wu yao, sha ren, mu xiang, yan hu suo, xiang fu, gan cao, bing lang (amenorrhea due to Qi/Blood stasis)

Jin Gui Shen Qi Wan: shu di, shan zhu yu, shan yao, ze xie, fu ling, mu dan pi, gui zhi, fu zi (menopause due to K yang xu)

Jing Qin Si Wu Tang: Si Wu + jing jie tan, huang qin: nourish Lv blood, clear heat (xu/shi), stop bleed (uterine bleeding due to blood heat)

Ju Yuan Jian: "raise yuan qi" ren shen, huang qi, bai zhu, zhi gan cao, sheng ma (threatened miscarriage due to Sp Qi/blood xu)

Liu Wei Di Huang Wan: (amenorrhea & infertility due to Lv/K yin xu)

Long Dan Xie Gan Tang: long dan cao, huang qin, zhi zi, mu tong, che qian zi, ze xie, chai hu, sheng di, dang gui, gan cao (leukorrhea & infertility due to damp-heat + Lv fire)

Qi Gong Wan: "open uterus" ban xia, xiang fu, cang zhu, shen qu, fu ling, chen pi, chuan xiong (fibroids due to Blood stasis + phlegm accumulation)

Qi Ju Di Huang Wan: (fibroids due to Blood stasis + Lv/K yin xu, menopause due to K yin xu)

Qing Jing San: mu dan pi, bai shao, shu di huang, di gu pi, qing hao, fu ling, huang bai (uterine bleeding due to blood heat)

Qing Re Gu Jing Tang: "˜clear heat & stabilize menses' huang qin, zhi zi, sheng di, di gu pi, di yu, e jiao, ou jie, zong lu zi, gui ban, mu li, gan cao (habitual miscarriage due to blood-heat)

Qing Re Zhi Beng Tang: "˜clear heat & stop excess uterine bleeding' zhi zi, huang qin, huang bai, sheng di huang, mu dan pi, di yu, ce bai ye tan, chun gen bai pi, gui ban, bai shao: clear heat, stop bleeding (uterine bleeding due to blood-heat)

Shao Fu Zhu Yu Tang: xiao hui xiang, gan jiang, yan hu suo, dang gui, chuan xiong, mo yao, rou gui, chi shao, pu huang, wu ling zhi: invigorate blood, dispel Blood stasis, warm menses, alleviate pain (amenorrhea, fibroids, infertility & habitual miscarriage due to blood stasis)

Sheng Yu Tang: "˜sage-like healing' ren shen, huang qi, dang gui, chuan xiong, shu di huang, bai shao (threatened miscarriage due to fall/trauma)

Shou Tai Wan: "˜fetus longevity' tu si zi, sang ji sheng, xu duan, e jiao (+huang qi) (threatened miscarriage due to K xu)

Si Miao Wan: cang zhu, huang bai, chuan niu xi, yi yi ren: drain Damp-heat from lower jiao & genitals (leukorrhea & infertility due to damp-heat, damp greater than heat)

Si Wu Tang: (infertility due to K yin xu, + Shi xiao san for habitual miscarriage due to blood xu)

Tai Shan Dan Shi San: dang gui, huang qi, shu di, xu duan, fu ling, chuan xiong, bai shao, bai zhu, sha ren, zhi gan cao (threatened miscarriage due to K xu + Sp Qi/blood xu)

Wan Dai Tang: bai zhu, shan yao, ren shen, bai shao, che qian zi, cang zhu, chen pi, jing jie tan, chai hu, gan cao (leukorrhea due to Sp xu + turbid phlegm)

Xiao Yao San: (amenorrhea due to Qi/blood stag, fibroids due to Blood stasis, infertility due to Lv Qi stag: + mu dan pi, xiang fu, tian hua fen)

Yi Huang Tang: "change yellow [discharge]" shan yao, qian shi, huang bai, bai guo, che qian zi (leukorrhea & infertility due to damp-heat + Sp/K xu)

You Gui Wan: fu zi, rou gui, lu jiao jiao, shu di huang, shan zhu yu, shan yao, gou qi zi, tu si zi, du zhong, dang gui: warm & tone K yang, nourish blood & jing (amenorrhea, uterine bleeding, leukorrhea & menopause due to K Qi/yang xu)

Yu Dai Wan: shu di, bai shao, dang gui, chuan xiong, chun gen pi, huang bai, gao liang jiang: strengthen kidneys, build blood, stop bleeding and vaginal discharge, clear damp-heat (recurrent yeast infections, leukorrhea)

Zan Yu Dan: "˜special pill to aid fertility' fu zi, rou gui, rou cong rong, ba ji tian, yin yang huo, she chuang zi, jiu zi, xian mao, shan zhu yu, du zhong, shu di, dang gui, gou qi zi, bai zhu (infertility due to K Yang xu)

Zhi Bai Di Huang Wan: (fibroids due to Blood stasis + Lv/Ki yin xu, uterine bleeding, infertility & menopause due to K yin xu)

Zhi Dai Wan: "˜stop vaginal discharge' zhu ling, fu ling, che qian zi, ze xie, yin chen hao, chi shao, mu dan pi, huang bai, zhi zi, niu xi

 (leukorrhea & infertility due to damp > -heat)

Zuo Gui Wan: shu di huang, shan yao, shan zhu yu, gou qi zi, chuan niu xi, tu si zi, lu jiao jiao, gui ban jiao: nourish K Yin and blood, strengthen Ren & Chong Mai (uterine bleeding & infertility due to K yin xu)


Bibliography


Bensky, D., R. Barolet. Chinese Herbal Medicine, Formulas and Strategies, Eastland Press, Seattle, 1990.


Bensky, D., A. Gamble. Chinese Herbal Medicine, Materia Medica, Revised Edition, Eastland Press, Seattle, 1993.


Chinese Herb Academy. (Email discussion group, featuring submissions from various licensed professionals of Chinese herbal medicine, annotated individually). Founded and maintained by Todd Luger, L.Ac. http://www.chineseherbacademy.org/


Christopher, J. R. School of Natural Healing, Christopher Publications, Springville, Utah, 1996.


Coletto, J. Lecture Notes: Western Clinical Diagnosis, Oregon College of Oriental Medicine, Portland, 1999-2000.


Culpeper, N. Culpeper's Complete Herbal, W. Foulsham & Co., Ltd., New York.


Dharmananda, S. Bidens, Institute for Traditional Medicine, Portland, 2000.


Dharmananda, S. Borneol, Artemisia, and Moxa, Institute for Traditional Medicine, Portland, 1998.


Dharmananda, S. Ephedrine: Actions and Dosage, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Gastrodia, Institute for Traditional Medicine, Portland, 1998.


Dharmananda, S. Ginkgo, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Ginseng, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Ho-Shou-Wu: What's in an Herb Name?, Institute for Traditional Medicine, Portland, 1998.


Dharmananda, S. Lycium Fruit, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. The Medicinal Use of Snakes in China, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Millettia, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Modern Study and Application of Materia Medica, Institute for Traditional Medicine, Portland


Dharmananda, S. Sophora, Institute for Traditional Medicine, Portland, 1998.


Dharmananda, S. Tortoise Shell, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Turmeric: What's in an Herb Name?, Institute for Traditional Medicine, Portland, 1999.


Dharmananda, S. Uncaria Tomentosa: Cat's Claw, Institute for Traditional Medicine, Portland, 1994.


Dharmananda, S. The Use of Aromatic Agents for Regulating Qi, Vitalizing Blood, and Relieving Pain, Institute for Traditional Medicine, Portland, 1997.


Dharmananda, S. Zizyphus, Institute for Traditional Medicine, Portland, 1998.


Flaws, R. A Brief Discussion of Mume and Perilla, Blue Poppy Press.


Flaws, R. Gu Parasites and Yin Fire Theory, Blue Poppy Press.


Frawley, D. Ayurvedic Healing, Passage Press, Salt Lake City, 1989.


Frawley, D., V. Lad. The Yoga of Herbs, Lotus Press, Twin Lakes, Wisconsin, 1988.


Fruehauf, H. Translation of Zhang Xichun's Chinese at Heart But Open to the West: An Integrated
Approach to Traditional and Modern Medicine
(Yixue Zhongzhong Canxi Lu, 1923), from lecture notes.


Fruehauf, H., S. Dharmananda. Pearls from the Golden Cabinet, Institute for Traditional Medicine and           Preventive Health Care, Portland, 1996.


Hall, D. Creating Your Herbal Profile, Keats Publishing, Inc., New Canaan, CT, 1988.


Hsu, H. Y. Oriental Materia Medica, Oriental Healing Arts Institute, Long Beach, CA, 1986.


Integrative Body/Mind Information System, Integrative Medical Arts Group, Beaverton, OR, 1999.


Jin, H. Lecture Notes: Traditional Chinese Medical Pathology and Therapeutics, Oregon College of Oriental Medicine, Portland, 1999-2000.


Kenner, D., Y. Requena. Botanical Medicine: A European Professional Perspective, Paradigm Publications, Brookline, MA, 1996.


Letchamo, W. Lecture Notes: Medicinal and Aromatic Plants, University of Massachusetts at Amherst, 1996.


Li, W. Lecture Notes: Chinese Herbal Medicine: Formulas, Oregon College of Oriental Medicine, Portland, 1999.


Liu, G. Lecture Notes: Chinese Herbal Medicine: The Pharmacopeia; Herbal Combinations; Traditional Chinese Medical Pathology and Therapeutics, Oregon College of Oriental Medicine, Portland, 1998-2000.


Liu, J. Chinese Dietary Therapy, Churchill Livingstone, London, 1995.


Mabey, R. The New Age Herbalist, Macmillan Publishing Co., New York, 1988.


Sionneau, P. Dui Yao: The Art of Combining Chinese Medicinals, Blue Poppy Press, Boulder, CO.


Svoboda, R., A. Lade. Tao and Dharma: Chinese Medicine and Ayurveda, Lotus Press, Twin Lakes, WI, 1995.


Tierra, M., L. Tierra. Chinese Traditional Herbal Medicine, Volume II: Materia Medica and Herbal Resource, Lotus Press, Twin Lakes, WI, 1998.


Weiss, R. F. Herbal Medicine, Beaconsfield Publishers, Ltd., Beaconsfield, England, 1988.


Werbach, M., M. Murray. Botanical Influences on Illness, Third Line Press, Tarzana, CA, 1994.


Wood, M. The Book of Herbal Wisdom, North Atlantic Books, Berkeley, CA, 1997.


Wood, M. Seven Herbs: Plants as Teachers, North Atlantic Books, Berkeley, CA, 1987.


Wood, M. Lecture Notes, National College of Naturopathic Medicine, Portland, 1998.


Wren, R. C., E. M. Williamson, F. J. Evans. Potter's New Cyclopaedia of Botanical Drugs and Preparations, C. W. Daniel Co., Ltd., England, 1988. 


Xu, L. & P. Borten. Chinese Research on Selected Herbs: translations from Journal of Traditional Chinese Medicine. Chinese Association of TCM and Pharmacology. vol. 37, nos. 3, 9, 10, 11, 12. 1996; vol. 39, nos. 1, 2, 6, 7. 1998.



Abbreviations of References

(see Bibliography for specifics)


The general information on each herb (before any citations) is from Guohui Liu, corroborated and supplemented by information from Bensky and Gamble's Chinese Herbal Medicine Materia Medica. Liu or Bensky/Gamble is cited only when their material differs significantly from other sources. Material cited from the following sources is paraphrased except where enclosed in quotation marks (it is then verbatim).

The origin or (predominant) perspective of each of the following sources is indicated as:

(C) Chinese, (A) Ayurvedic (Indian), (W) Western (Euro-American)

AH: Ayurvedic Healing, David Frawley (A)

Amato: William B. Stavinoha, Neera Satsangi, Ganoderma Lucidum as an Anti-inflammatory Agent. (University of Texas Health Science Center). Amato Reishi and Kyotan Group. www.kyoto.com (W, C)

B&G: Bensky and Gamble. Chinese Herbal Medicine Materia Medica. (C, W)

BF: Bob Flaws, various articles through Blue Poppy Press (C, W)

BII: Botanical Influences on Illness, Murray and Werbach (W)

CDT: Chinese Dietary Therapy, Jilin Liu (C)

CHA: submission from the Chinese Herb Academy (an email list for students and professional practitioners of Chinese herbal medicine) - chineseherbacademy.org (C, W)

Cpep: Culpeper, Culpeper's Complete Herbal (W)

GIRI: Ganoderma International Research Institute, proceedings from first internat'l symposium, 1997 (C, W)

Hall: Dorothy Hall, Creating Your Herbal Profile (W)

HF: Heiner Fruehauf (C)

HL: Heiko Lade, Man Jing Zi - The Tonic (C)

Hsu: Hong-Yen Hsu, Oriental Materia Medica (C)

IBIS: Integrative BodyMind Information System, Integrative Medical Arts Group (W)

JC: John Christopher, The School of Natural Healing (W)

Jin: Hong Jin, L.Ac. (lecture notes) (C)

Joe: Joe Coletto, N.D., L.Ac. (lecture notes) (W, C)

JTCM: Journal of Traditional Chinese Medicine (as translated by Li Xu and edited by Peter Borten for our paper, Chinese Research on Selected Herbs) (C)

K&R: Kenner and Requena, Botanical Medicine (W)

KAD: King's American Dispensatory, Harvey Wickes Felter, M.D., and John Uri Lloyd, Phr. M., Ph.D. (W)

Li: Wei Li, L.Ac. (lecture notes) (C)

Liu: Guohui Liu, L.Ac. (lecture notes) (C)

LL: Lei Liu, L.Ac. (internship supervisor) (C)

MLT: Michael and Lesley Tierra, Herbal Medicine Vol II (C)

MM: Michael Moore, Medicinal Plants of the Pacific West (W)

MW: Matthew Wood, The Book of Herbal Wisdom; Seven Herbs; lecture notes (W)

NAH: The New Age Herbalist, Richard Mabey (W)

PCBDP: Potters (New) Cyclopaedia of Botanical Drugs and Preparations, R.C. Wren (W)

PFGC: Pearls from the Golden Cabinet, Heiner Fruehauf with Subhuti Dharmananda (C)

PLB: Peter L. Borten, L.Ac.: Information acquired through my own research, discussions with field professionals, and limited clinical experience (C, W, A)

RW: Rudolf Weiss, Herbal Medicine (W)

SD: Subhuti Dharmananda, articles through the Institute for Traditional Medicine (C, W, A)

T&D: Tao and Dharma, Robert Svoboda and Arnie Lad (A, C)

WL: Wudeneh Letchamo, Ph.D. (lecture notes) (W)

Yoga: The Yoga of Herbs, Frawley and Lad (A, C)

Ayurvedic Terminology

(for general interest and as found throughout this guide in quotes

labeled "Yoga," from The Yoga of Herbs, and "AH" from Ayurvedic Healing)


Agni - biological fire governing metabolism; cosmic force of transformation

Agni dipana - substances that increase agni, digestive fire

Ahamkara - ego; sense of separate self

Ama - toxins; undigested food or uneliminated waste materials

Ama pachana - substances that promote digestion or destruction of Ama

Anjana - herbal medicines applied to the eyes

Anupana - substances that serve as mediums for herbs to be taken with

Apana vayu -the prana governing downward movement of feces, urine, semen, menstrual fluid and birthing

Atman - The True Self or pure consciousness

Basti - medicated enema

Bhakti yoga -the yoga of devotion

Brahman - Spiritual reality, the Absolute

Buddhi - individualized cosmic intelligence; the power of determination

Chitta - conditioned consciousness in its totality

Dhatus - the seven basic tissue-elements of the body

Doshas - the three basic types of biological humors, which determine individual constitution

Guna - attribute; quality

Kapha - ("Kahp-hah" not "Kaffa") the bodily water humor

Mahat - cosmic intelligence

Manas - conditioned mind

Mantra - special seed-syllables that transmit cosmic energy

Nasya - administration of medicines through the nose

Nirama - without ama

Ojas - the subtle essence of all vital fluids, responsible for health, harmony and spiritual growth

Pancha karma - five types of purification or detoxification therapy

Pancha kashaya - five main methods of herbal preparation

Pitta - the bodily fire humour

Prabhava - special potencies of herbs apart from general rules

Prakruti - great nature; principle of creativity; matter

Prana - life-force; downward movement which governs inhalation and swallowing

Puja - devotional worship

Purusha - primal spirit; principle of sentience

Rajas - principle of energy activity emotion and turbulence

Rasa - initial taste of a substance; essence

Rasayana - rejuvenative therapy which regenerates body-mind, prevents decay, postpones aging

Sama - with ama

Samana - Prana that governs digestive system

Sattva - principle of light, perception, intelligence and harmony

Shakti - The Divine Energy/Cosmic Feminine principle

Shiva - The Divine Being/Cosmic Masculine principle

Soma - the essence energy of the mind and nervous system

Srotas - bodily channels

Tamas - principle of inertia, dullness, darkness and resistance

Tejas - fire of the mind

Udana - Prana that governs speech, energy, will, memory and exhalation

Vajikarana - substances that improve sexual vitality and functioning

Vata - the bodily air humour

Vedas - ancient scriptures of India

Vikruti - disease; deviation from nature

Vipaka - post-digestive effect (sweet, sour and pungent)

Virya - the energy of a substance as heating or cooling

Vyana - Prana that governs the circulatory system and movement of joints and muscles

Yantra - mystic diagrams; geometrical designs that manifest cosmic law and channel cosmic energy

Yoga - a methodology of the practical and coordinated application of knowledge; spiritually, the science of self-realization




The Six Tastes of Ayurveda: Quotes from Charak Samhita XVI, 43, plus commentary

by Frawley and Lad, from The Yoga of Herbs


Sweet

The sweet taste (as it is of the same nature as the human body, whose tissues taste sweet), promotes the growth of all bodily tissues and Ojas. Aiding in longevity, it is soothing to the five sense organs and the mind, and gives strength and good complexion. Sweet taste alleviates Pitta, Vata and the effects of poison. It also relieves thirst and burning sensation and it promotes the health and growth of skin and hair; it is good for the voice and energy.

Sweet taste is nourishing, vitalizing, gives contentment, adds bulk to the body, creates firmness. It rebuilds weakness, emaciation, and helps those damaged by disease. It is refreshing to the nose, mouth, throat, lips and tongue, and relieves fits and fainting. The favorite of insects, particularly bees and ants, sweet taste is wet, cooling and heavy.

Yet when used too much by itself or in excess, sweet taste creates obesity flaccidity laziness, excessive sleep, heaviness, loss of appetite, weak digestion, abnormal growth of the muscles of the mouth and throat, difficult breathing, cough, difficult urination, intestinal torpor fever due to cold, abdominal distention, excessive salivation, loss of feeling, loss of voice, goiter, swelling of the lymph glands, legs and neck, accumulations in the bladder and blood vessels, mucoid accretions in the throat and eyes, and other such Kapha-caused diseases.

Sweet taste in terms of Western herbalism is nutritive, tonic and rejuvenative. It increases semen, milk and nerve tissue, and promotes tissue regeneration internally or externally It is demulcent and emollient, moistening, softening and soothing.


Sour

Sour taste improves the taste of food, enkindles the digestive fire, adds bulk to the body, invigorates, awakens the mind, gives firmness to the senses, increases strength, dispels intestinal gas and flatus, gives contentment to the heart, promotes salivation, aids swallowing, moistening and digestion of food, gives nourishment. It is light, hot and wet.

Yet when used too much by itself or in excess, sour taste makes the teeth sensitive causes thirst, blinking of the eyes, goosebumps, liquefies Kapha, aggravates Pitta and causes a build-up of toxins in the blood. It wastes away the muscles and causes looseness of the body, creates edema in those weak, injured or in convalescence. From its heating property it promotes the maturation and suppuration of sores, wounds, burns, fractures and other injuries. It causes a burning sensation in the throat, chest and heart.

Sour taste in terms of Western herbalism is stimulant, promotes digestion, increases appetite and is carminative (helps dispel flatus). It is nourishing to all tissue-elements except reproductive tissue (shukra dhatu). It promotes metabolism, circulation, along with sensory and brain functioning.


Salty

Salty taste promotes digestion, is moistening, enkindles digestive fire; it is cutting, biting, sharp, fluid. It works as a sedative, laxative deobstruent. Salty taste alleviates Vata, relieves stiffness, contractions, softens accumulations, and nullifies all other tastes. It promotes salivation, liquefies Kapha, cleanses the vessels, softens all the organs of the body, gives taste to food. It is heavy, oily and hot.

Yet when used too much by itself or in excess it aggravates Pitta, causes stagnation of blood, creates thirst, fainting and the sensation of burning, erosion and wasting of muscles. It aggravates infectious skin conditions, causes symptoms of poisoning, causes tumors to break open, makes the teeth fall, decreases virility obstructs the functioning of the senses, causes wrinkling of the skin, greying and falling of the hair. Salty taste promotes bleeding diseases, hyperacidity of digestion, inflammatory skin diseases, gout and other mainly Pitta diseases.

Salty taste in small doses promotes digestion and increases appetite; in moderate doses functions as a laxative or purgative; and in large doses is an emetic, promotes vomiting. It is demulcent, softening bodily tissues and it is calming, mildly sedative. It aids in tissue growth throughout the body and promotes water retention.

Salty taste is really not a plant but a mineral taste, so it is very rare in plants as a primary taste. Salty taste in herbs can be increased by adding salt to herbal preparations.


Pungent

The pungent taste is cleansing to the mouth, enkindles digestive fire, purifies food, promotes nasal secretions, causes tears and gives clarity to the senses. It helps cure diseases of intestinal torpor, obesity, abdominal swelling and excessive liquid in the body. It helps discharge oily sweaty and sticky waste products. It gives taste to food, stops itching, helps the resolution of skin growths, kills worms, is germicidal, corrodes the muscle tissues, moves blood clots and blood stagnation, breaks up obstructions, opens the vessels, alleviates Kapha. It is light, hot and dry.

Yet when used too much by itself or in excess causes a weakening of virility by its post-digestive effect. By its taste and hot potency it causes delusion, weariness, languor, emaciation. Pungent taste causes fainting, prostration, loss of consciousness and dizziness. It burns the throat, generates a burning sensation in the body, diminishes strength and causes thirst. By its predominance of fire and air pungent taste creates various burning sensations, tremors, and piercing and stabbing pains throughout the body.

Pungent taste is stimulating, promotes digestion, increases appetite, is diaphoretic (causes sweating) and expectorant (removes phlegm) and is vermicidal (kills parasites). It promotes circulation and generally increases all bodily functions, while reducing all foreign accretions in the body. Pungent taste arises mainly from various aromatic oils. It is more common than sweet but not abundant. Still, many herbs belong to this category and they are very useful and often become spices and condiments. Pungent taste includes acrid, spicy and aromatic.


Bitter

Bitter taste, though it does not taste good in itself restores the sense of taste. It is detoxifying, antibacterial, germicidal, and kills worms. It relieves fainting, burning sensation, itch, inflammatory skin conditions and thirst. Bitter taste creates tightness of the skin and muscles. It is antipyretic, febrifuge, it enkindles digestive fire, promotes digestion of toxins, purifies lactation, helps scrape away fat and remove toxic accumulations in fat, marrow, lymph, sweat, urine, excrement, Pitta and Kapha. It is dry, cold and light. Yet when used by itself or in excess, owing to its natural properties of dryness, roughness and clearness, it causes a wasting away of all the tissue elements of the body. Bitter taste produces roughness in the vessels, takes away strength, causes emaciation, weariness, delusion, dizziness, dryness of the mouth and other diseases of Vata.

Bitter taste reduces fevers, is anti-inflammatory, antibacterial, detoxifying and germicidal. It is cleansing to the blood and all tissues in general and helps reduce tumors. It has a reducing, depleting and sedating effect upon the body although in small amounts it is stimulating, particularly to digestion.

Bitter is a very common taste in herbs and plants. It arises from various bitter principles like berberine (Huang lian, Huang bai, etc. -PB). Bitters may be simple, like gentian. They may be aromatic (pungent secondarily), like wormwood. Or they may be astringent (secondarily) like golden seal.


Astringent

Astringent taste is a sedative, stops diarrhea, aids in healing of joints, promotes the closing and healing of sores and wounds. It is drying, firming, contracting. It alleviates Kapha, Pitta and stops bleeding. Astringent taste promotes absorption of bodily fluids; it is dry cooling and light.

Yet when used too much by itself or in excess, it causes drying of the mouth, produces pain in the heart, causes constipation, weakens the voice, obstructs channels of circulation, makes the skin dark, weakens vitality, causes premature aging. Astringent taste causes the retention of gas, urine and feces, creates emaciation, weariness, thirst and stiffness. Owing to its natural properties of roughness, dryness and clearness, it causes Vata-diseases like paralysis, spasms and convulsions.

Astringent taste is hemostatic (stops bleeding), stops sweating, stops diarrhea, as it promotes absorption of fluids and inhibits their elimination. It is anti-inflammatory, vulnerary (closes wounds and promotes healing by knitting the membranes back together). It constricts the muscles and helps raise prolapsed organs.

Astringent taste is also very common in herbs, but it is not of such therapeutic importance, as astringent action is used mainly symptomatically. Astringency derives mainly from the presence of various tannins.

Return to Top