Huang Lian
| 6g | |
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Pinyin: Huang Lian
Chinese: 黄连
Pharmaceutical: Rhizoma Coptidis
Taxonomy: Coptidis chinensis
English: Coptis Rhizome / Goldthread Rhizome
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Tastes: Bitter, cold
Meridians Entered: Heart, Stomach, Large Intestine and Liver
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Actions & Indications:
- Clears Heat and drains Dampness
Damp-Heat in the Stomach or Intestines with diarrhoea or dysenteric disorder
Stomach Heat with vomiting and/or acid regurgitation
- Drains Fire and resolves Fire toxicity
Heat with Blazing Fire (Toxic Heat) with high fever. irritability, disorientation, delirium, a red tongue and a rapid, full pulse
Heat from Excess with toxicity: painful, red eyes and a sore throat
Boils, carbuncles and abscesses (Chuang Yung)
- Clears Heat and stops bleeding
Blood Heat with epistaxis, hematuria, hemafecia and hemoptysis
- Clears Heat topically
Infected wounds, red and painful eyes, ulcerations of the tongue and mouth (topical)
- Clears Heart Fire (sedative)
Heart Fire
Lack of communication between the Heart and Kidneys
- Drains Stomach Fire
Stomach Fire
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Standard Dosage: 2-10g in decoction.
Cautions: It is contraindicated for deficiency-cold syndrome. Because its taste is extremly bitter and dryness, overdosage and long-time taking will impair spleen and stomach, yin and fluids. |
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Sheng Ma
| 9g | |
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Pinyin: Sheng Ma
Chinese: 升麻
Pharmaceutical: Rhizoma Cimicifugae foetidae
Taxonomy: Cimicifuga foetida
English: Chinese Black Cohosh
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Tastes: Pungent, slightly bitter, slightly cold
Meridians Entered: Lung, Spleen, Stomach and Large Intestine
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Actions & Indications:
- Releases the Exterior and vents measles
Headache due to Wind-Heat Early stages of measles
- Clears Heat and relieves toxicity
Fire toxins in the upper or superficial aspects of the body with sore teeth, swollen or painful gums, ulcerated lips or gums, canker sores, painful and swollen throat, sores or maculae from Warm-Heat pathogen diseases
- Raises Yang and lifts sunken Qi
Central Qi Sinking or Middle Qi Deficiency with shortness of breath, fatigue and prolapse
Dai channel spasms
Guides other herbs upwards
- Kills Gu Parasites and Scatters Toxins by Releasing the Exterior
Chronic inflammatory disease (Fruehauf, 1998; 2015)
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Standard Dosage: 3-10g in decoction.
Cautions: The patients whose measles have come out or have yin deficiency and heat excess, or yin deficiency and yang going upward adversely are forbidden to use this herb. |
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Mu Dan Pi
| 9g | |
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Pinyin: Mu Dan Pi
Chinese: 牡丹皮
Pharmaceutical: Cortex radicis Moutan
Taxonomy: Paeonia suffruticosa
English: Tree Peony Root Bark / Moutan Peony Root Bark
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Tastes: Bitter, pungent, light cold
Meridians Entered: Heart, Liver and Kidney
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Actions & Indications:
- Clears Heat and cools (and harmonizes) the Blood
Xue Stage Heat with epistaxis, hemoptysis, hematemesis or subcutaneous bleeding
Menorrhagia due to Blood Heat
- Clears Deficiency Fire
Yin Deficiency Heat signs especially in the aftermath of Warm Febrile Disease with fever at night and coolness in the morning (most appropriate when the is no sweating)
- Invigorates the Blood and dispels Blood Stasis
Blood Stasis with amenorrhea, abdominal masses, lumps or bruises due to trauma
Liver Blood Stagnation
- Clears Liver Fire
Liver Fire with headache, eye pain, flank pain, flushing and dysmenorrhea
- Drains pus and reduces swelling
Non-draining sores (topical)
Intestinal abscesses (internal)
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Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of profuse menstruation and pregnant women. |
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Sheng Di Huang
| 6-9g | |
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Pinyin: Sheng Di Huang
Chinese: 生地黃
Pharmaceutical: Radix Rehmanniae
Taxonomy: Rehmannia glutinosa
English: Chinese Foxglove Root / Rehmannia Root
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Tastes: Sweet, bitter, cold
Meridians Entered: Heart, Liver, Stomach and Kidney
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Actions & Indications:
- Clears Heat and cools the Blood
Ying Stage Heat with high fever, thirst and a scarlet tongue
Xue Stage Heat
Hemorrhage due to Blood Heat
- Nourishes Yin, generates fluids, increases saliva and treats wasting and thirsting
Yin Deficiency with Heat signs
Injury to fluids
Throat pain due to Yin Deficiency
Wasting and thirsting disorder (Xiao Ke - diabetes)
- Cools Heart Fire
Heart Fire
- Calms the Spirit agitated by Parasites damaging the Yin
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea, abdomen distention due to spleen deficiency. |
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Dang Gui Shen
| 9g | | |
Pinyin: Dang Gui
Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root
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Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver
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Actions & Indications:
- Tonifies the Blood and regulates the menses
Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
- Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
Postpartum menstruation
Pregnancy (use with caution)
Blood Deficiency with chronic Wind-Damp-Bi
- Moistens the Intestines and unblocks the bowels
Dry Intestines due to Blood Deficiency
- Reduces swelling, expels pus, generates flesh and alleviates pain
Sores and abscess (Chuang Yung), internally and topically
- Stops coughing and treats dyspnea
Used adjunctively for coughing
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.
Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).
Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age. |
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Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.