Pinyin: Lao Guan Cao  Chinese: 老鸛草
Pharmaceutical: Herba Geranii
Taxonomy: Geranium wilfordii seu pratense seu nepalese seu sibrucum
English: Cranesbill

Tastes: Pungent, bitter, neutral
Meridians Entered: Liver, Kidney and Spleen

Actions & Indications:

1. Dispels Wind, eliminates Dampness, invigorates the Blood and dredges and unblocks the channels and collaterals
   Bi syndrome and other severe pain due to Wind-Dampness
   Spasms and numbness
2. Clears Heat, resolves toxicity, stops diarrhea, generates flesh and stops itching
   Sores, abscesses, burns and eczema
   Dysenteric disorders

Standard Dosage: 9-15g in decoction.

Pinyin: Hong Hua  Chinese: 红花
Pharmaceutical: Flos Carthami
English: Safflower

Tastes: Pungent, warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain
   Blood Stasis, especially in women for gynecological problems such as abdominal pain, amenorrhea, postpartum dizziness, retained lochia and abdominal masses
   Trauma, non suppurative sores, carbuncles and dark, purplish erythema
   Incomplete expression of rash of measles
   Chest Bi due to Blood Stasis

Standard Dosage: 3-10g in decoction.

Pinyin: Gui Zhi  Chinese: 桂枝
Pharmaceutical: Ramulus Cinnamomi
Taxonomy: Cinnamomum cassia
English: Cinnamon Twig

Tastes: Pungent, sweet, warm
Meridians Entered: Lung, Heart, Kidney, Liver

Actions & Indications:

1. Releases the Exterior, assists Yang, adjusts the Ying and Wei and releases the muscle layer
   Taiyang Wind Strike (Taiyang Zhongfeng, 太阳中风) - a weak person who catches cold easily with spontaneous sweating, aversion to drafts, fever and chills, nasal congestion, stiff and aching head and muscles
2. Warms the channels and collaterals to relieve pain
   Wind-Cold-Damp Bi
3. Unblocks Yang and transforms Qi and thin mucus
   Edema due to Cold-Phlegm or Yang Qi Deficiency with urinary dysfunction, dizziness and palpitations
4. Assists Heart Yang and warms and facilitates the flow of Yang Qi in the chest
   Palpitations due to Yang Obstruction in the chest due to Stagnation or Deficiency
   Listless chest Yang with upward movement of Phlegm and thin mucus and disorderly descent of Lung Qi with shortness of breath, chest and back pain and palpitations
   Heart and Spleen Yang Deficiency
5. Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels
   Wind-Cold-Damp Bi
   Blood Stasis due to Cold, causing amenorrhea or dysmenorrhea with or without abdominal masses
6. Warms the Middle and directs Turbid Yin downward
   Middle Jiao Yang Deficiency
   Heart and Spleen Yang Deficiency (patient usually craves sweets)
7. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, prevent forgetfulness, and render the face bright and efflorescent, thus forever looking charming, like a child's face. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).

Standard Dosage: 3-10g in decoction for exterior conditions, or up to 15g for Bi Syndromes.
Cautions: This herb induces heat, damages the yin and moves blood. It is prohibited for those with warm pathogens, yin deficiency with effulgent fire, or reckless movement of the blood due to heat in the blood. Use with caution in pregnant women.

Pinyin: Chuan Niu Xi  Chinese: 川牛膝
Pharmaceutical: Radix Cyathulae
Taxonomy: Cyathula officinalis
English: Hookweed Root / Cyathula Root

Tastes: Sweet, slightly bitter, neutral
Meridians Entered: Liver and Kidney

Actions & Indications:

1. Invigorates the Blood, dispels Blood Stasis and unblocks the menses
   Blood Stasis leading to dysmenorrhea or amenorrhea
   Pain due to traumatic injury
2. Expels Wind and drains Dampness
   Wind-Damp Bi pain (especially in the lower back) and atrophy and spasm of the lower extremities
3. Promotes urination and treats dysuria
   Painful urinary dysfunction
4. Descends Blood and Fire
   Abnormal bleeding due to Fire Flaring Upwards with hematemesis, epistaxis, toothache ulceration of the mouth and tongue, dizziness and headache
5. Tonifies the Kidneys and Liver and strengthens the tendons and bones
   Lower back and knee soreness, weakness and pain

Standard Dosage: 6-10g in decoction.
Cautions: It is contraindicated for menorrhagia, pregnancy and spermatorrhea.

Pinyin: Dang Gui  Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root

Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver

Actions & Indications:

1. Tonifies the Blood and regulates the menses
   Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
   Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
2. Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
   Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
   Postpartum menstruation
   Pregnancy (use with caution)
   Blood Deficiency with chronic Wind-Damp-Bi
3. Moistens the Intestines and unblocks the bowels
   Dry Intestines due to Blood Deficiency
4. Reduces swelling, expels pus, generates flesh and alleviates pain
   Sores and abscess (Chuang Yung), internally and topically
5. Stops coughing and treats dyspnea
   Used adjunctively for coughing
6. Tonifies the Blood while suppressing Parasites
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.

Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).

Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age.

Pinyin: Bing Tang  Chinese: 冰糖
Pharmaceutical: Crystalli Saccharo
English: Crystal Sugar / Rock Sugar

Tastes: Sweet, neutral
Meridians Entered: Lung and Spleen

Actions & Indications:

1. Strengthens the Spleen and harmonizes the Stomach
   Qi Deficiency in the Spleen and Stomach
2. Moistens the Lung to relieve coughing
   Cough due to Lung Dryness Blood-stained sputum

Standard Dosage: 10-15g in decoction.

Pinyin: Jiu  Chinese: 酒
Pharmaceutical: Alcohol
English: Rice Wine

Tastes: Hot, pungent, sweet, bitter, toxic
Meridians Entered: Stomach, Heart, Lung and Liver, but reaches every part of the body

Actions & Indications:

1. Nourishes and moves Blood and Qi, opens the Meridians
   Taken internally or applied topically as the medium for liniments in Blood stasis, especially from trauma or Bi syndromes in the elderly
2. Warms Yang and Expels Cold
   All Cold syndromes including Cold Bi, Interior Cold and Yang deficiency
   Often serves as the basis for longevity "elixirs" by soaking Yang tonifying herbs
3. Strengthens the Shen, dispels sorrow and promotes happiness
   Temporary low mood, celebration

Standard Dosage: 10-60ml, two to three times per day. Often combined with other herbs to bring out their Blood moving or warming aspects by washing them, or adding to a decoction, or soaking herbs in alcohol to make medicinal wines.
Cautions: Caution with Damp-Heat syndromes or long term consumption in the young and middle aged.

The Materia Dietetica (Shiwu Bencao 食物本草) by Lu He 卢和 from the Ming Dynasty says that excess drinking can hurt the spirit and consume blood, damage the stomach and deplete the body fluid, produce phlegm and induce fire.