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Hou Po
| 24g | |
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Pinyin: Hou Po
Chinese: 厚朴
Pharmaceutical: Cortex Magnoliae
Taxonomy: Magnolia officinalis
English: Magnolia Bark |
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Tastes: Bitter, pungent, warm
Meridians Entered: Spleen, Stomach, Lung and Large Intestine |
Actions & Indications:
- Promotes the movement of Qi in the Middle Jiao and resolves Stagnation
Abdominal, epigastric, and/or chest fullness, bloating, loss of appetite, poor digestion, constipation
Plum Pit Qi, a feeling of a lump in throat, usually considered psychosomatic today (globus hystericus). Hou Po has modern indications as neuroprotective and also features in formulas like Da/Xiao Cheng Qi Tang which deal with neuropsychiatric symptoms like delirium.
- Promotes the movement of Qi downward, dries Dampness and transforms Phlegm
Dampness or Phlegm Obstructing the Middle Jiao with distention, fullness, nausea and diarrhoea
- Descends Rebellious Qi, reduces Phlegm and calms wheezing
Cough and wheezing due to Phlegm congesting the Lungs
- Expels Wind, scatters Cold and regulates the Blood
The Shen Nong Ben Cao Jing places in the middle class of woods and says "It mainly treats Wind-stroke, Cold damage, headache, Cold and Heat, fright qi, blood Bi and dead muscles."
- Removes the Three Worms
The Shen Nong Ben Cao Jing also says that it "removes the Three Worms." These may refer to difficult to treat metabolic disorders caused by overindulgence and should be accompanied by fasting, meditation and exercise regimes.
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Standard Dosage: 3-10g in decoction.
Cautions: It should be used with cautions for the syndrome of qi deficiency and fluid consumption, and in pregnant women. Due to some of the anticoagulant effects of its constituents it should be used with caution in conjunction with blood thinners. |
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Sheng Jiang
| 24g | |
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Pinyin: Sheng Jiang
Chinese: 生姜
Pharmaceutical: Rhizoma Zingiberis Recens
Taxonomy: Zingiber officinale
English: Fresh Ginger |
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Tastes: Pungent, warm
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Releases the Exterior, induces perspiration and disperses Cold
Wind-Cold
- Warms the Middle and stops vomiting
Cold in the Stomach especially with vomiting
- Warms the Lungs and stops coughing
Cough due to Wind-Cold Cough due to Lung Deficiency with Phlegm
- Reduces the toxicity of other herbs and seafood
Herb toxicity or seafood poisoning
- Adjusts the Ying and Wei - normalizes the flow of Qi at the center
Taiyang Zhong Feng - Wind-Cold with Deficiency
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Standard Dosage: 3-10g in decoction.
Cautions: It should be used with caution for yin deficiency with internal heat and heat exuberance because it helps promote fire and injure yin. |
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Ban Xia
| 24g | |
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Pinyin: Ban Xia
Chinese: 半夏
Pharmaceutical: Rhizoma Pinelliae
Taxonomy: Pinellia ternata
English: Pinellia Rhizome |
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Tastes: Pungent, warm, toxic
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Dries Dampness and transforms Phlegm
Cold-Phlegm in the Lungs (cough with copious sputum)
Especially effective for Damp-Phlegm of the Spleen (Cold-Damp Stagnation)
- Descends Rebellious Qi and stops vomiting (harmonizes the Stomach)
Vomiting due to Phlegm-Damp in the Stomach (Tan Yin), Cold thin mucus, Stomach Deficiency, Stomach Heat or pregnancy
- Dissipates nodules and reduces Stagnation (clumps)
Phlegm in the chest (nodules, pressure, distention, pain)
Phlegm nodules in the neck (goiter, scrofula)
Focal distension in the chest and epigastrium
Obstruction caused by Phlegm anywhere in the body
- Treats sores, skin ulcerations and carbuncles and reduces swelling (external)
Topically as a powder for sores, skin ulcerations and carbuncles
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Standard Dosage: 3-10g in decoction.
Cautions: Contraindicated to Wu Tou. Use with cautions during gestation.
Must be processed before use as raw Ban Xia is toxic. Ingesting the raw form can cause severe irritation of the mouth, pharynx, and gastrointestinal tracts, and has toxic effects on the nervous system. Symptoms of toxicity include a dry mouth, numbness of the tongue, gastric discomfort, burning sensations and swelling of the mouth, tongue, throat and salivation. In serious cases ingesting Ban Xia can result in hoarseness, spasms, dyspnoea and asphyxia.
Processing can be done with ginger and alum (Jiang Ban Xia) to make a warming herb best suited for Cold-Damp and thin Phlegm conditions, or with liquorice (Fa Ban Xia) to make a more neutral herb that is less drying and can be used for Damp-Heat conditions too. |
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Gan Cao
| 6g | |
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Pinyin: Gan Cao
Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root |
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Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians) |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
Qi and Blood Deficiency with an irregular pulse and/or palpitations
Heart Qi Deficiency or Heart Yang Deficiency
- Moistens the Lungs, resolves Phlegm and stops coughing
Lung Heat or Cold
Productive or non-productive coughing
- Moderates spasms and alleviates pain
Painful muscle spasms of the abdomen and legs
- Clears Heat and relieves Fire Toxicity
Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
- Antidote for many toxic substances (internal and topical)
Poisoning
Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
- Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
Often added in small doses to harmonise formulas
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- 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 and prolong life. 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).
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Standard Dosage: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.
The NHS recommends avoiding during pregnancy. |
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Ren Shen
| 3g | | |
Pinyin: Ren Shen
Chinese: 人參
Pharmaceutical: Radix Panax ginseng
Taxonomy: Panax ginseng
English: Ginseng Root |
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Tastes: Sweet, slightly warm
Meridians Entered: Spleen, Lung and Heart |
Actions & Indications:
- Powerfully tonifies Yuan Qi
Extreme collapse of Qi or abandoned conditions that manifest in shallow breathing, shortness of breath, cold limbs, profuse sweating and an almost imperceptible pulse (after blood loss, overly profuse sweating or other problems related to severe fluid loss - it can be used alone in these emergencies)
Collapse of Yang
Collapse of Yin
- Tonifies Spleen and Stomach Qi
Lethargy, anorexia, chest and abdominal distention, chronic diarrhoea and, in severe cases, prolapse of the Stomach, uterus or rectum
- Tonifies Lung Qi
Lung Qi Deficiency with wheezing, shortness of breath and labored breathing on exertion
- Generates Body Fluids and stops thirst
Wasting and thirsting disorder (消渴 Xiao Ke) and high fevers with profuse sweating which injures Qi and fluids
- Tonifies Heart Qi and calms the Spirit
Heart Qi and Blood Deficiency with palpitations, anxiety, insomnia, forgetfulness and restlessness
- Treats impotence
With Kidney Yang tonics for impotence
- Tonifies Qi in Deficiency patients with Exterior conditions
Exterior disorder with Interior Deficiency
- 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 and prolong life. 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).
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Standard Dosage: 5-10g in decoction, 10-30g for exhaustion syndrome due to Qi deficiency.
Cautions: Antagonizing to Li Lu; the warm nature of sun-dried raw Ren Shen is weaker than that of Hong Shen. |
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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.