Pinyin: Fang Ji  Chinese: 防己
Pharmaceutical: Radix Stephaniae Tetrandrae
Taxonomy: Stephania Tetrandra
English: Stephania Root

Tastes: Bitter, pungent, cold
Meridians Entered: Liver, Kidney and Bladder

Actions & Indications:

1. Promotes urination and reduces oedema especially in the lower body
   Edema due to Dampness accumulating in the Lower Jiao with damp leg Qi, borborygmus, abdominal distention, ascites
2. Expels Wind-Dampness and alleviates pain (purges Damp-Heat)
   Wind-Damp-Heat collecting in the channels with fever, red, hot, swollen, painful joints (Wind-Damp-Heat Bi) Painful contractions of the hands and feet

Standard Dosage: 5-10g in decoction.
Cautions: Being bitter and cold, it can easily damage stomach qi, so it should be used cautiously to treat patients with anorexia and weak constitution due to yin deficiency.

This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA because it can also refer to certain Aristolochia species which contain toxic aristolochic acid. In some European countries with statutory testing of imports the species can be identified but the UK has chosen to ban all species to avoid regulation. It us generally substituted with Yi Yi Ren and Hai Tong Pi.

Pinyin: Da Huang  Chinese: 大黄
Pharmaceutical: Radix et Rhizoma Rhei
Taxonomy: Rheum palmatum
English: Chinese Rhubarb Root

Tastes: Bitter, cold
Meridians Entered: Large Intestine, Spleen, Stomach, Liver and Heart

Actions & Indications:

1. Drains Heat and purges accumulations
   Intestinal Heat Excess, with high fever, profuse sweating, thirst, constipation, abdominal distention and pain, delirium, a yellow tongue coat and a full pulse
   Yang-Ming Fu Stage
   Qi Level Heat in the Intestines
2. Drains Fire
   Fire from Excess with intense fever, sore throat, and painful eyes and constipation
   Fire toxin sores due to Xue Level Heat, especially with constipation
3. Clears Heat, transforms Dampness and promotes urination
   Damp-Heat with oedema, jaundice, painful urinary dysfunction and acute, hot dysenteric disorders
4. Drains Heat from the Blood
   Bloody stool either from hemorrhoids or Heat in the Intestines
   Chaotic movement of hot Blood with hemoptysis or epistaxis with constipation
   It can be powdered and administered orally for bleeding in the upper digestive tract
5. Invigorates the Blood and dispels Blood Stasis
   Blood Stasis with amenorrhea, fixed abdominal masses or fixed pain
   Blood Stasis due to traumatic injury
   Intestinal abscess
6. Clears Heat and reduces Fire toxicity
   Topically or internally for burns or skin lesions (Chuang Yung) due to Heat
7. Clears Heat and eliminates Phlegm
   Chronic Accumulation of Phlegm-Heat with cough, dyspnea, mania, disorientation and other symptoms of Phlegm Misting the Heart

Standard Dosage: 10-15g in decoction. Excessive decoction will reduce the purgative action. Therefore it should be added at end to achieve this purpose and over-decocted to eliminate this action.
Cautions: It should be used with caution in case of spleen and stomach deficiency for its bitter and cold property which is easily to damage stomach qi. It is contraindicated to women during pregnancy, menstruation or lactation for it has actions of activating blood and resolving stasis, and can make the purged substances follow lactating out.