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Shan Yao
| 30g | |
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Pinyin: Shan Yao
Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu |
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Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney |
Actions & Indications:
- Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
- Tonifies Lung Qi and nourishes Lung Yin
Lung Qi and/or Yin Deficiency with chronic cough
- Tonifies Kidney Yin and astringes Jing
Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
消渴 Xiao Ke due to Qi and Yin Deficiency
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make the body light, make one free from hunger 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). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.
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Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.
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Huang Qi
| 15g | |
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Pinyin: Huang Qi
Chinese: 黄芪
Pharmaceutical: Radix Astragali
Taxonomy: Astragalus membranaceus
English: Astragalus Root / Mongolian Milkvetch Root |
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Tastes: Sweet, warm
Meridians Entered: Lung and Spleen |
Actions & Indications:
- Tonifies Qi and Blood
Postpartum fever due to Qi and Blood Deficiency
Recovery from severe Blood loss
- Strengthens the Spleen and raises the Yang Qi of the Spleen and Stomach
Spleen Qi Deficiency with anorexia, fatigue and diarrhoea
Central Qi Sinking (prolapse)
Lung and Spleen Qi Deficiency
Qi Failing to contain Blood
Qi and Blood Deficiency
Fever from Qi Deficiency
- Tonifies Wei Qi, stabilizes the Exterior and tonifies the Lungs (aids circulation of moisture downward from the face)
Wei Qi Deficiency with spontaneous sweating
Lung Qi Deficiency with frequent colds or shortness of breath
Excessive sweating associated with Qi, Yang or Yin Deficiency
Dampness in the head
- Promotes urination and reduces oedema
Spleen Deficiency oedema or superficial oedema with reduced urination (It can be used as a stand-alone herb for this)
- Promotes the discharge of pus, generates flesh and expels toxins
Chronic ulcerations and sores that either have trouble forming pus or have formed pus but are not draining well
- Generates Body Fluids
Wasting and thirsting disorder (消渴 Xiao Ke)
Bi Syndrome with numbness of the limbs and paralysis
- Relieves numbness and pain
Numbness and pain due to Deficiency of Qi and Blood
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 10-15g in decoction. Large dosages of up to 30g can be used for severe debilitation, Blood deficiency or unhealing sores (e.g. Dang Gui Bu Xue Tang).
Cautions: It is contraindicated in cases of exterior excess with excessive pathogen, internal obstruction, yin deficiency with yang hyperactivity, early stage of sores and ulcers of excessive pathogen and no deficiency of heathy qi, because it can tonify qi, raise yang and strengthen superficial.Caution with patients on immunosuppressents due to its immune modulating effects. |
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Zhi Mu
| 18g | |
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Pinyin: Zhi Mu
Chinese: 知母
Pharmaceutical: Rhizoma Anemarrhenae
Taxonomy: Anemarrhena asphodeloides
English: Anemarrhena Rhizome |
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Tastes: Bitter, sweet, cold
Meridians Entered: Lung, Stomach and Kidney |
Actions & Indications:
- Clears Heat and drains Fire (Clears Heat from the Qi Stage, from the Lungs and from the Stomach)
Heat in the Qi Stage with high fever, irritability, restlessness, thirst and a rapid, flooding pulse.
Lung Heat and Dryness with cough and expectoration of thick, yellow Phlegm
Yang Ming Heat
Stomach Heat
- Nourishes Yin and moistens Dryness
Lung and Kidney Yin Deficiency with night sweats, steaming bone disorder, irritability, afternoon or low grade fever, Five Sole Heat and bleeding gums
(Stomach Yin Deficiency)
Kidney Heat with spermatorrhea, nocturnal emissions and an abnormally elevated sex drive
- Generates Fluids, clears Deficiency Fire and quenches thirst
Oral ulcers and inflammation, steaming bones and Xiao Ke (diabetes) due to Yin Deficiency
- Ameliorates the Dryness of tonifying or warming herbs
For use with herbs such as Rx. Astragali Huang Qi, Ram. Cinnamomi Gui Zhi, Rx. Aconiti Lateralis Preparata Zhi Fu Zi when there is concern that these herbs may be too drying
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Standard Dosage: 5-15g in decoction.
Cautions: It is not suitable for deficiency cold syndrome. Being cold and moist in property, it is prohibited to be used for those who have a spleen-deficiency diarrhea. |
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Tian Hua Fen
| 9g | |
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Pinyin: Tian Hua Fen
Chinese: 天花粉
Pharmaceutical: Radix Trichosanthis
English: Snakegourd Root |
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Tastes: Sweet, slightly bitter and slightly cold
Meridians Entered: Lung and Stomach |
Actions & Indications:
- Drains Heat and generates Fluids
Lung Heat and Dryness with thirst and irritability
Yin Deficiency thirst
Wasting and thirsting disorder (Xiao Ke)
Thick sputum, blood streaked sputum
- Clears and drains Lung Heat, transforms Phlegm and moistens Lung Dryness
Phlegm Heat above the diaphragm, especially when the Heat has led to Dryness
- Relieves toxicity, expels pus and reduces swelling
Chuang Yung (especially breast abscesses - internal and topical)
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Standard Dosage: 10-15g in decoction.
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Ji Nei Jin
| 6g | |
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Pinyin: Ji Nei Jin
Chinese: 鸡内金
Pharmaceutical: Endothelium Corneum Gigeriae Galli
English: Chicken Gizzard |
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Tastes: Sweet, bland
Meridians Entered: Spleen, Stomach, Small Intestine and Bladder |
Actions & Indications:
- Strongly reduces Food Stagnation and improves the Spleen's transportive function
Food Accumulation in the digestive tract
Food Stagnation due to Spleen Deficiency
Childhood nutritional impairment
- Astringes Jing and urine and stops enuresis
Spermatorrhea, enuresis and urinary frequency
- Transforms hardness and dissolves stones
Urinary or biliary stones
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Standard Dosage: 3-10g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Shan Yao and Mai Ya. |
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Ge Gen
| 4.5g | |
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Pinyin: Ge Gen
Chinese: 葛根
Pharmaceutical: Radix Puerariae
Taxonomy: Pueraria lobata
English: Kudzu Vine Root |
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Tastes: Sweet, pungent, cool
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Discharges Exterior conditions and releases the muscles, especially of the neck and upper back
Wind-Heat or Wind-Cold lodged in the muscles of the upper back and neck
- Relieves Heat and generates fluids (relieves thirst)
Thirst due to Stomach Heat or Wind-Heat or Wasting and Thirsting
- Vents and discharges measles
Measles with incomplete expression of the rash
- Raises Spleen Yang and stops diarrhoea
Diarrhoea or dysentery due to Heat
Diarrhoea due to Spleen Deficiency (with appropriate herbs)
- Lowers blood pressure
Hypertension symptoms such as headache, dizziness, tinnitus or paresthesia
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Standard Dosage: 3-10g in decoction.
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Wu Wei Zi
| 9g | | |
Pinyin: Wu Wei Zi
Chinese: 五味子
Pharmaceutical: Fructus Schisandrae
Taxonomy: Schisandra chinensis
English: Schisandra Fruit / Chinese Magnolia-vine Fruit |
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Tastes: Sour, sweet, warm
Meridians Entered: Lung, Heart and Kidney |
Actions & Indications:
- Astringes the leakage of Lung Qi and stops coughing
Chronic cough and wheezing due to Lung Qi Deficiency
Lung and Kidney Deficiency patterns
The Shen Nong Ben Cao Jing places it in the middle class of herbs and says it is indicated for "counterflow cough with ascent of Qi."
- Tonifies the Kidneys, binds up Essence (astringes Jing) and stops diarrhoea and spermatorrhea
Kidney Deficiency with nocturnal emissions, spermatorrhea, vaginal discharge and urinary frequency
Spleen and Kidney Deficiency with daybreak diarrhoea
In the Shen Nong Ben Cao Jing it indicated for "strengthening Yin and boosting Jing Essence in men."
- Astringes sweat and generates fluids
Excessive sweating. especially when accompanied by thirst or a dry throat
In combination, it is used for spontaneous sweating, night sweats and wasting and thirsting disorder
- Quiets the Spirit and calms and contains Heart Qi
Heart and Kidney Blood and Yin Deficiency, with irritability, palpitations, dream-disturbed sleep and insomnia
- Tonifies Qi
Heart and Spleen Qi Deficiency
The Shen Nong Ben Cao Jing says it is indicated for "boosting Qi ... taxation damage with gauntness [and] supplementing insufficiency."
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Standard Dosage: 3-6g in decoction. 1-3g as powder.
Cautions: It is contraindicated in cases of external pathogen existence, internal excess heat, acute cough, early stage of measles. |
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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.