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: Chuan Xiong  Chinese: 川芎
Pharmaceutical: Rhizoma Ligusticum
Taxonomy: Ligusticum chuanxiong syn. striatum syn. wallichii
English: Sichuan Lovage root / Cnidium root

Tastes: Pungent, warm
Meridians Entered: Liver and Pericardium

Actions & Indications:

1. Invigorates the Blood and promotes the movement of Qi
   Blood Stasis, especially in gynecology with dysmenorrhea, amenorrhea, difficult labor or retained lochia
   Qi and Blood Stagnation with pain and soreness in the chest, flanks and hypochondria
2. Expels Wind and alleviates pain
   Externally contracted Wind with headache, dizziness or painful obstruction (Bi Syndrome) - especially useful for headaches due to Wind-Heat, Wind-Cold or Blood Deficiency (depending on the combination)
   Wind skin disorders
3. Relieves the symptoms of Gu Syndrome while suppressing parasites (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for headache due to Liver Yang rising or Yin deficiency with effulgent Fire because of its warm and dry properties.
Use with caution during pregnancy or in those who bruise or bleed easily.
May have synergistic effects in those taking anticoagulant drugs.

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: Wei Ling Xian  Chinese: 威靈仙
Pharmaceutical: Radix Clematidis Chinensis
Taxonomy: Clematis chinensis Osbeck
English: Chinese Clematis Root

Tastes: Pungent, salty, warm
Meridians Entered: Bladder and all 12 Channels

Actions & Indications:

1. Dispels Wind-Dampness, unblocks the channels and alleviates pain
   Wind-Damp painful obstruction (Bi Syndrome), especially useful for the whole body
   Intractable Bi blockage of Qi and Blood
2. Softens and transforms fish bones
   Fish bones lodged in the throat
3. Reduces Phlegm and pathogenic water (regulates urination)
   Accumulation and distention in the Middle Jiao
   Cold Phlegm digestive problems

Standard Dosage: 6-9g in decoction.
Cautions: Contraindicated during pregnancy. Caution with Qi and Blood Deficiency and in the debilitated. Some sources say not to take it with tea or noodle soup. Long term use or normal use in high dosages may cause a toxic reaction.

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.