Eastern Herb Groups
These herbs expel and clear external pathogenic factors in the superficial
region of the body. Generally they are pungent in flavor.
External pathogenic factors usually include a Wind
component as Wind can penetrate the Wei Qi and block the usual flow of energy
at the most external level- the Tai Yang level. The Tai Yang level corresponds
to the Bladder and Gall bladder channels which cover the back of the neck. The
external pathogenic factors invade beneath the skin causing exterior symptoms,
such as stiff neck, chills and fever, headaches and general muscle aches. The
chills and fever and headaches are a sign of the battle raging as the body defends
itself. The muscle pain in other parts of the body are caused by sluggish circulation
as the body draws energy from other regions. Or locally as a direct consequence
of the pathogens blocking circulation.
The functions of the Lungs include control of Wei Qi and
the pores of the skin. It's action is said to be a dispersing action. When this
dispersing action is impaired, it can be cleared by diaphoretic action. As the
pores are opened energy is pushed through, clearing the superficial region of
pathogenic factors and then reinforcing the Wei Qi. The action tends to radiate
Yang Qi (Wei Qi is mostly composed of Yang Qi) and reinforce the Wei Qi which
has the effect of breaking external energy attachments, centering the person
quite well and flushing out the lymphatic/digestion/sinus phlegm which has accumulated
though the external attachment.
Internal pathogenic factors residing just beneath the skin
and in the musculoskeletal system are also treated using exterior clearing herbs.
These herbs open the pores and promote eruptions, allowing the pathogens to
escape. eg Heat rashes, Summer Heat eruptions. Arthralgic Wind Dampness is also
treated with exterior clearing herbs.
Some of the herbs also have the effect of promoting the descending
function of the Lung, relieving cough and asthma, and benefiting the Lung Qi
action of dispersing to treat cough or dyspnea Often they induce diuresis
to reduce edema. Some also treat internal conditions such as arthralgic Wind
Dampness which is vented through the pores.
According to their properties, diaphoretics are divided
into two groups - Warm and Cool in nature. The dosage of this class
of drugs should be just the right amount and as soon as the patient's condition
is better, diaphoretics should be discontinued. Otherwise, excessive sweating
may lead to consumption of Yang Qi and impairment of the body fluid.
For Exterior deficiency syndrome with spontaneous seating, fever due to Yin
deficiency, consumption of deficiency of the body fluid in the later stage of
febrile diseases, and for bleeding, chronic suppurative infection on the skin
such as sores, carbuncles, and stranguria, diaphoretics should be used cautiously
or avoided altogether. Most these drugs have an aromatic constituents. So to
prevent decrease in efficacy, long period of boiling should be avoided.
a)
Exterior Clearing- Warming
Herbs of this kind have strong dispersing actions, chiefly for dispersing Wind
Cold. They are indicated for exterior syndromes due to affection by Wind Cold
Exopathogens with aversion to cold, slight fever, headache, body and neck pains,
absence of thirst, thin and white coating on the tongue, and floating and tense
pulse. Some of these herbs can be used for cough due to Wind Cold, arthralgia
due to Wind Cold Dampness, and edema accompanied by exterior syndromes. Examples
are:
Ephedra sinica- Ma huang
Cinnamon twigs- Gui zhi
Perilla fructescens- Zi su ye- Perilla
leaf
Schizonepeta tenuifolia- Jing jie
Ledebouriella divaricata- Siler-
Fang feng
Notopterygium incisum- 羌活 Qiāng Huó-
Notopterygium
Ligusticum sinense- Gao ben- Ligustricum
root
Angelica dahuria- Bai zhi- Angelica root
Asarum
heterotropoides- Wild Ginger- Xi xin
Zingiber officinale- Fresh Ginger- Sheng
jiang
Allium
fistulosum- Cong bai- Spring Onion
Elsholtzia splendens- 香薷 Xiāng rú-
Aromatic madder
Coriandrum sativum- Yan sui- Coriander
Tamarix
chinensis-Tamarix- Xi he liu
Magnolia
liliflora- 辛夷花 Xīn yí huā- Mulan magnolia bud
b)
Exterior Clearing- Cooling
Herbs of this kind usually have pungent or bitter flavours and Cold or Cool
properties. Their diaphoretic action is comparably mild and they are mainly
used for expelling pathogenic Wind Heat. These drugs are indicated for Exterior
syndrome due to affection by Wind Heat exopathogens with symptoms and signs
of high fever with slight aversion to Cold, thirst with or without Heat, white
thin dry coating on the tongue, floating and rapid pulse, etc. Some of these
Herbs can by used for the treatment of measles. In clinical practice, they are
usually used in combination with Heat clearing Herbs. Examples are:
Mentha arvensis- 薄荷 Bò hé- Peppermint
Arctium lappa- 牛蒡子 Niú Bàng Zi Burdock fruit
Cryptotympana pustulata- 蝉蜕 Chán
tuì- Cicada shell
Morus alba- 桑树 Sāng shù- Mulberry Leaf,
Chrysanthemum morifolium- 菊花 Jú
huā- Mulberry leafed chrysanthemum
Chrysanthemum indicum- 野菊花- Yě jú
huā- Wild chrysanthemum flowers
Vitex trifolia- 蔓荊子 Màn Jīng Zǐ- Chaste tree
Glycine max- 淡豆豉 Dàn Dòu Chǐ- Prepared
soybean- Fermented
Spirodela polyrhiza- 浮萍 Fú píng- Duckweed,
Equisetum hyemale- 木賊 Mù zéi- Common souring rush
Eriocaulon buergerianum- 谷经草 Gǔ
Jīng Cǎo- Eriocaulon flower
Pueraria pseudohirsuta- 葛根 Gé gēn-
Pueraria
Bupleurum chinense- 柴胡 Chái hú- Bupleurem
Actaea cimicifuga- 升麻 Shēng má- Skunk
Bugbane.
2.
Descending
Herbs which either stimulate or lubricate the bowels to facilitate the expulsion
of stool are classed as descending. Constipation and sluggishness of the bowel
causes gradual accumulation of toxins in the body leading to many diseases.
Descending herbs have the effect of activating the descending function of the
bowels, clearing away Heat, purging Fire, dispelling retained fluid and reducing
edema. They are indicated for interior Heat syndromes of excess type marked
by dry stool They are indicated for interior syndromes of Excess type marked
by dry stool, constipation, food stagnation, accumulation of heat of excess
type in the interior, edema and fluid retention. Descending drugs are divided
into three types
a)
Lubricating mild laxatives - These herbs lubricate the bowel.
Most herbs of this type are seeds or nuts rich in oil, and have the effects
of relieving dryness and loosening the bowels, softening the stool, and promoting
bowel evacuation. These herbs are suitable for constipation caused by deficiency
of body fluid, Yin deficiency and Blood deficiency in patients who are elderly,
weak, suffering from protracted illness or postpartum patients. Examples:
Cannabis sativa- 火麻仁 Huǒ má rén- Cannabis
Seed
Prunus japonica- 鬱李仁 Yù lǐ rén- Bush Cherry
Seed
b) Cooling purgatives
- Drugs of this type are bitter in flavour, cold in property
and have effects of loosening the bowels and purging fire. They are effective
for interior syndrome of excess type manifested as accumulation of Heat of excess
type, dry stools and constipation. They are also effective for affection by
epidemic febrile diseases with high fever, unconsciousness, delirium and madness,
or for headache, blood- shot eyes, gum swelling and pain due to flaring up of
fire. Purgatives are often used in combination with drugs for promoting the
flow of Qi and heat clearing drugs to reinforce their actions of purgation and
elimination of Heat. Chinese medicine says that there is no pain from the six
FU organs when there is no obstruction. Since purgatives are usually potent
in actions, they should be used cautiously for patients suffering from Vital
energy deficiency after chronic illnesses and for the aged and the weak and
for women who are in pregnancy, postpartum or menstrual period.
These herbs are used to treat constipation due to stagnation of fluids. They
tend to have a harsh nature and act to drive out excess moisture. Drugs
of this type have a very strong purgative action and can cause serious diarrhea
to discharge the retained body fluid with stool. Some of them have diuretic
action and are therefore effective for edema, hydrothorax and ascites, and dyspnea
due to retention of Phlegm and fluid. Because these drugs have toxicity, over
dosage should be avoided and attention should be paid to their processing, compatibility,
usage and contraindications. For patients with serious conditions, they should
be dispensed, according to the actual circumstances, in combination with tonics
to achieve the result of purging out the pathogenic factors and reinforcing
the body resistance. Examples are:
Rheum tanguticum- 大黄 Dà huáng- Rhubarb
Aloe vera- 芦荟 Lú huì- Aloe
c)
Cathartic hydrogogues - Herbs of this type have a very strong
eliminating action, driving out excess retained water and stools. Some also
have a diuretic action. They are useful for treating edema and fluid retention
in the thoracic (pleurisy) or abdominal cavities (ascites). These herbs have
some toxicity and a harsh nature, so care should be used in prescribing them.
Since they can injure Yin and Qi, often tonics are prescribed with them, to
reinforce the body.
Purgatives, and Cathartic hydragogues, especially the latter, have potent actions
and exert prompt effects, but they are apt to result in impairment of the genuine
Qi, The action of lubricating laxatives are mild and they do not have the disadvantage
of causing impairment of the genuine Qi. When purgatives are considered, attention
should be pain to the following, in cases of interior syndrome of excess type
accompanied with exterior syndrome, usually the exterior syndrome should be
treated first, or if necessary, interior and exterior syndromes are treated
simultaneously. For patients with interior syndrome of excess type accompanied
with Qi Deficiency, reinforcement with tonics as well as elimination with purgatives
should be given in combination. Purgatives tend to cause impairment of the Stomach
Qi, and therefore, they should be discontinued as soon as the symptoms are relieved.
Over dosage of purgatives must be avoided. Examples:
Senna alexandrina- 番泻叶 Fān xiè yè- Senna
Leaf
Sodium sulphate 芒硝 Máng xiāo- Natural sodium
sulphate
Ipomoea
nil
牽 牛
子 Qiān niú zǐ Morning glory
flower
3.
Heat Clearing- Clearing
internal heat
a) Clear Heat-
Quench Fire
When External pathogenic factors penetrate through the Wei level into the Qi
level in the four level system, where there is high fever. Sweating is no longer
effective. The movement from the exterior to interior is also an indication
of the increasing chronicity of the disease.
The coolest herbs in the materia medica are used to clear
excessive Heat in this level, which manifests as high fever, irritability, thirst
and delirium, sweating, scanty dark urine, yellow dry coating on the tongue,
full and forceful pulse.
These herbs have anti-inflammatory, antipyretic and anti-microbial functions.
These herbs may also be used for Internal Heat of any other cause. Yin
nourishing herbs are added for Empty internal heat.
The mention of Fire in this category indicates that the Internal Heat is flaring,
and perhaps rising upwards in the body. Examples:
Hydrated Calcium Sulphate- Ca SO4.2H2O-
石膏 Shí gāo- Gypsum
Anemarrhena asphodeloides- 知母
Zhī mǔ- Anemarrhena rhizome
Gardenia jasminoides- 栀子 Zhī zǐ- Cape
jasmine
Lophatherum gracile- 淡竹叶 Dàn Zhú Yè-
Bamboo grass
Prunella vulgaris- 夏枯草 Xià kū cǎo- Selfheal
spike
Sodium Bicarbonate- 寒水石 Hán Shuǐ Shí-
Calcitum- NaHCO3
Nelumbo nucifera- 蓮子心 Lián zǐ xīn-
Plumule- Green bud of a ripe dry lotus seed
Phragmites communis- 芦根 Lú gēn- Reed
grass- Phragmites
Senna tora- 决明子 Jué míng zĭ- Cassia seed
Celosia argentea- 青葙子
Qīng xiāng zǐ- Feather cockscomb
Buddleja officinalis- 密蒙花 Mì méng huā-
Pale butterfly bush- Buddleja
Vespertilio murinus- 夜明砂 Yè míng shā-
Bat menure
Ursus thibetanus- 熊胆
Xióng dǎn- Asian black bear gall bladder
Nervilia fordii- 青天葵 Qīng tiān kuí- Ford's
orchid
b) Clear Heat-
Cool Blood
Heat in the blood occurs when a febrile disease enters the blood level, which
is often the most serious stage of an infectious disease or its sequelae. When
the blood becomes hot it moves recklessly. The Energy, which usually controls
the blood (like a train driver controls a train) has less control over it and
this can lead to extravasation and external bleeding, such as nosebleeds, hematemesis,
spitting of blood and blood in the stool or urine. The body also uses the skin
as a radiator to cool the blood and this leads to rashes. Herbs that cool the
blood are also used in treating the nutritive (YING) level of a febrile disease.
Signs and symptoms include night fevers, delirium, ad deep scarlet tongue. Some
of these herbs also can be used to treat deficiency conditions with symptoms
of low grade fever, especially in the afternoon, night sweats, dry throat, and
a reddish and/or purple tongue. Examples:
Rhinoceros indicus-
犀角 Xī jiăo- Rhinoceros horn
Rehmannia glutinosa- 地黄
Dì Huáng- Rehmannia root
Scrophularia ningpoensis- 玄参 Xuán
shēn- Ningpo figwort
Paeonia suffruticosa- 牡丹皮 Mǔ dān pí-
Tree peony bark
Lithospermum erythrorhizon- 紫草
Zǐ cǎo- Redroot gromwell- Lithospermum- Arnebia root
Lycium chinense- 地骨皮 Dì gǔ pí- Wolfberry
root bark
Cynanchum atratum- 白薇 Bái wēi- Swallowwort
root, Cynanchum
Stellaria dichotoma- 銀柴胡 Yín chái hú-
Stellaria root
c) Clear Heat-
Dry Dampness
Damp heat impediments cause: dysenteric disorders, urinary difficulty or pain,
jaundice, furuncles and eczema. Most of these herbs have bitter and cold properties
as they clear Heat and drain Dampness. They have anti microbial, antipyretic
and anti-inflammatory actions. In treating they are often combined with herbs
that drain Fire and those that clear Heat and relieve toxicity. They are contraindicated
in cases of Spleen or Stomach deficiency. Herbs include:
Scutellaria baicalensis- 黄芩 Huáng
Qín- Baical scullcap root- Scutellaria
Coptis chinensis- 黄连 Huáng Lián- Coptis
Phellodendron chinense- 黄柏 Huáng
Bǎi- Phellodendron
Gentiana scabra- 龙胆草 Lóng dǎn cǎo- Japanese
gentian
Sophora flavescens- 苦参 Kǔ shēn- Yellow
Sophora
Fraxinus rhynchophylla- 秦皮 Qín pí-
Ash Tree
Picrorhiza kurroa- 胡黃連 Hú huáng lián-
Picrorrhiza
d) Clear
Heat- Neutralise Toxins
These herbs have the action of clearing away pathogenic fire
and Heat and subduing pyogenic infections. They are mainly indicated for syndromes
caused by pathogenic Heat, such as epidemic febrile diseases, sores and carbuncles,
furuncles and swelling, erysipelas, maculas and eruptions, swollen and sore
throat, mumps etc. Neutralizing toxins indicates an ability to reduce
swelling and promote pus drainage. The toxins are thought to result
from the battle between the body and external pathogenic factors.
Since all these herbs have cool or Cold properties, it is inadvisable to use
them for Cold syndromes. Herbs include:
Lonicera japonica- 金银花 Jīn yín huā- Honeysuckle
flower
Forsythia suspensa- 连翘 Lián qiáo- Weeping
Forsythia dry fruit
Isatis tinctoria- 大青葉 Dà qīng yè-
Dyer's woad leaf
Isatus tinctoria- 板藍根 Bǎn lán gēn-
Dyer's woad root
Taraxacum mongolicum- 蒲公英 Pú gōng yīng-
Whole Dandelion
Viola japonica- 紫花地丁 Zǐ huā dì dīng- Yedeon's
Violet
Patrinia scabiosifolia- 败酱草
Bài jiàng cǎo- Patrinia
Lygodium japonicum- 海金沙 Hǎi jīn shā-
Japanese climbing fern
Andrographis paniculata- 穿心蓮 Chuān
xīn lián- Andrographis
Oldenlandia diffusa- 白花蛇舌草 Bái huā shé
shé cǎo- Oldenlandia
Elephantopus scaber- 丁蜀秀 Dīng shǔ xiù,
Di dan cao- Elephant's Foot
Pulsatilla chinensis- 白头翁 Bái tóu wēng-
White Anemone, Pulsatilla root
Brucea javanica- 鸭蛋子 Yā dǎn zi- Macassar
kernels
Portulaca oleracea- 马齿苋 Mǎ Chǐ Xiàn-
Common purslane
Dictamnus dasycarpus- 白藓皮 Bái xiān
pí- Dittany Bark
Smilax glabra- 土茯苓 Tǔ Fú Líng- Smooth Greenbrier,
Smilax
Blechnum orientale- 乌毛蕨的嫩叶 Dōng Fāng
Wū Máo Jué Yè, 东方 Guàn Zhòng- Fish fern, Blechnum
Lasiosphaera fenzlii- 马勃 Mǎ bó- Lasiosphaera
Belamcanda chinensis- 射干 Shè gàn- Blackberry
lily rhizome
Sophora tonkinensis- 山豆根 Shān dòu gēn-
Sophora root
e) Clear
Heat- Clear Summer Heat
This category treats Internal heat and Dampness associated with Hot and Damp
environments, manifesting as Headaches, dislike of heat, persiration, nausea
vomiting and diarrhea. Thirst and lethargy/irritability. Tongue -Red body with
yellow coat and a rapid pulse. These herbs have an antipyretic and diuretic
action, and also function to produce fluids. Herbs include:
Nelumbo nucifera- 荷叶 Hé yè- Lotus
leaf
Vigna radiata- 绿豆 Lǜ dòu- Green Mung bean
Citrullus vulgaris- 西瓜 Xī Guā- Watermelon
flesh
Dolichos lablab- 白扁豆 Bái Biǎn Dòu- Dry Hyacinth
bean
Artemisia annua- 青蒿 Qīng hāo- Sweet wormwood
f) Clear Deficient
Heat
Five Hearts Hot (Soles of Hands and Feet and Face/Chest) Sore throat, light
and intermittent fever, dryness of mouth and throat (indicating body fluids
are depleted). Mental irritability, fast and thin pulse and no coat on red bodied
tongue.
4.
Diuretic
Inducing diuresis and excreting Dampness: Drugs of this type
can increase the amount of urine and make micturition easy, and as a result,
the water Dampness in the body can be excreted out through urination. Some of
these drugs also have the effects of eliminating dam-heat. These drugs are indicated
for dysuria, edema, stranguria, phlegm retention, Damp-warm syndrome, jaundice,
exudation wound, etc. Most drugs of this type are sweet or tasteless in flavour
and neutral, cool or cold in property. Because "tasteless drugs can excrete
Dampness" and this type of drugs are good at inducing diuresis and excreting
dampness, they are also referred to as tasteless drugs for excreting Dampness;
because drugs of cold property can clear Heat these drugs are also good at removing
Damp-Heat in the lower-jiao, therefore they are also called Heat-clearing and
Dampness-removing drugs; again, because these drugs are chiefly used for stranguria
in clinical practice, they are also known as drugs for inducing diuresis and
treating stranguria. Drugs for inducing diuresis and excreting Dampness should
be used in combination with other types of drugs according to the conditions;
for edema accompanied with exterior syndrome, drugs for ventilating the lung
and inducing diaphoresis should be added; for protracted edema associated with
insufficiency of the Spleen-yang and Kidney-Yang, drugs for warming and nourishing
the Spleen and Kidney should be combined; for cases with excessive Dampness
and heat, it is better to add heat-clearing and fire-purging drugs; in cases
of hematuria due to impairment of the blood by noxious heat, drugs for removing
heat from the blood and hemostatic drugs should be added.
This category contains herbs that remove dampness in the form of edema (swelling
due to fluid retention) or urinary disorders. Herbs include:
Poria cocos- 茯苓 Fú líng- Hoelen
Polyporus umbellatus- 猪苓 Zhū líng-
Umbellate Pore fungus
Alisma plantago- 泽泻 Zé xiè- Water plantain
tube
Artemisia capillaris- 茵陈蒿 Yīn chén
hāo- Evergreen Artemisia
Cocculus trilobus- 木防己 Mù Fáng Jǐ -Cocculus
Stephania tetrandra- 漢防己 Hàn fáng jǐ-
Stephania
Hydrated Magnesium Silicate 4SiO2 3 MgO H2O
滑石 Huá shí- Talcum
Coix lachryma- 薏苡仁 Yì Yǐ Rén- Pearl Barley,
Job's tears seeds
Benincasa hispida- 冬瓜 Dōng Guā- Wax Gourd
Akebia trifoliata- 白木通 Bai mù tōng- Trifoliate
akebia
Tetrapanax papyrifer- 通草 Tōng cǎo-
Rice paper pith, Tetrapanax
Juncus effusus- 灯芯草 Dēng Xīn Cǎo- Soft rush,
Juncus
Dianthus superbus- 瞿麦 Qú mài- Proud pink
Bassia scoparia- 地膚子 Dì fū zǐ- Kochia
Polygonum aviculare- 扁蓄 Biǎn Xù- Knotgrass
Pyrrosia lingua- 石葦 Shí wěi- Tongue fern
Plantago asiatica- 车前 Chē qián- Asian
Plantain
Malva verticillata- 冬葵 Dōng kuí- Winter
mallow
Dioscorea collettii var. hypoglauca-
荜解 Bì xiè- Seven lobed Yam
Desmodium styracifolium- 金钱草 Jīn
qián cǎo- Gum leaved tick clover
Vigna umbellata- 赤小豆 Chì Xiǎo Dòu- Adzuki
bean
Zea mays- Yù Mǐ Xū- Corn silk, Stigma
5.
Wind Damp Dispersing
Drugs which can eliminate pathogenic Wind and Dampness and relieve arthralgia
are referred to as antirheumatics; drugs with an aroma and with the ability
to invigorate the spleen and resolve dampness are called aromatic drugs for
resolving dampness; drugs which can clear and regulate water passages and excrete
Dampness are known as diuretics with dampness-eliminating action. Drugs with
actions of removing, resolving or excreting Dampness are collectively nominated
under the terms of drugs for eliminating dampness, for they all eliminate the
pathogenic Dampness in the body in one way or another. Drugs for eliminating
Dampness are indicated for arthralgia-syndrome due to Wind-Cold-Dampness, edema,
stranguria, jaundice, lithiasis, and other syndromes such as retention of Dampness
in the middle-jiao and dysfunction of the spleen in transport, but their warming
and drying properties and diuretic action are apt to result in impairment of
yin and blood, so they should be prescribed cautiously to those who have syndromes
of deficiency of yin and blood and impairment of body fluid. Herbs include:
Angelica pubescens- 独活 Dú huó- Downy
Angelica
Gentiana macrophylla- 秦艽 Qín jiāo-
Gentiana root
Clematis chinensis- 威灵仙 Wēi líng xiān-
Chinese clematis
Erythrina variegata- 海桐皮 Hǎi Tóng Pí
Tigers claw, Indian coral tree
Chaenomeles lagenaria- 木瓜
Mù guā- Flowering quince fruit
Bombyx mori- 蚕沙 Cán shā Silkworm Droppings
Acanthopanax gracilistylus- 五加皮
Wǔ jiā pí- Acanthopanax bark
Xanthium sibiricum- 苍耳子 Cāng ĕr zĭ- Cocklebur
Morus alba- 桑枝 Sāng zhī Mulberry twigs
Sigesbeckia orientalis- 豨莶草 Xī xiān
cǎo- Common St. Paul's wort
Panthera tigris- 虎骨 Hǔ gǔ Tiger bone
Pinus tabuliformis- 松节 Sōng jié Chinese
red pine twigs
6.
Warm the interior and Expel Cold
Drugs which can warm the interior and dispel internal cold to treat interior
cold syndromes are referred to as interior warming drugs. Drugs of this class
are pungent and hot in property and can disperse the cold in the interior to
normalize the yang-qi or functional activity of the body. These drugs are indicated
for gastric and abdominal cold pain, vomiting and diarrhea due to the attack
of exogenous cold on the interior and Spleen Yang, or for aversion to cold,
cold limbs, pale complexion, clear and long urination, pale tongue and thready
pulse due to deficiency of Yang Qi accompanied with excessive cold in the interior.
Some of these drugs have the function of recuperating depleted yang and rescuing
the patient form collapse, and therefore they are indicated for yang depletion
syndrome. Interior warming drugs should be dispensed toether with other types
of drugs. For example, in cases of attack of exogenous cold on the interior
accompanied with exterior syndrome, diaphoretics should be used as well; for
accumulation of cold associated with stagnation of qi, drugs for regulating
the normal flow of qi should be added; for cold syndrome due to yang deficiency,
the interior warming drugs should be supplemented by warming and tonifying drugs.
Interior warming drugs are pungent and hot and are liable to induce fire and
cause damage to yin, they should therefore be used cautiously or should not
be used altogether for heat syndromes, syndromes of yin deficiency, and for
women in pregnancy. Herbs include:
Aconitum carmichaeli- 附子 Fù zǐ- Prepared
Aconite root
Zingiber officinale- 干姜 Gān jiāng-
Dried Ginger
Cinnamomum cassia- 肉桂 Ròu guì- Bastard
Cinnamon bark
Evodia rutaecarpa- 吳茱萸 Wú zhū yú- Evodia
fruit
Zanthoxylum bungeanum- 川椒 Chuān jiāo-
Bunge's prickly ash pericarp
Syzygium aromaticum- 丁香 Dīng Xiāng-
Clove
Foeniculum vulgare- 小茴香Xiǎo Huí Xiāng-
Common fennel seed
Alpinia officinarum- 高良薑 Gāo liáng jiāng-
Galangal rhizome
Piper nigrum- 胡椒 Hú jiāo- Black Pepper.
7.
Aromatic Damp Resolving
a) Aromatic drugs for resolving dampness:
Drugs of this type have a pungent flavour and warm property with an aroma. They
have the actions of regulating the functional activities of qi, promoting the
elimination of pathogenic Dampness, invigorating the spleen and strengthening
the stomach. These drugs are suitable for disturbance of the middle-jiao due
to Dampness marked by epigastric dullness, abdominal distension, nausea and
acid regurgitation, loose stool, anorexia, lassitude, sweet taste in the mouth,
excessive salivation, whitish greasy coating on the tongue, etc. There are also
indication for damp-warm syndrome and syndrome due to summer-heat and Dampness.
Any of these drugs should be used in combination with other types of drugs according
to the different types of pathogenic Dampness: for Cold Dampness, it is used
together with drugs for warming the interior; for Damp Heat, it is used with
drugs for eliminating heat and Dampness. These drugs are often used with drugs
for promoting the flow of Qi, for Dampness can obstruct the normal flow of qi
and the normal activities of Qi helps to resolve dampness. Besides, they are
often dispensed together with drugs for strengthening the Spleen to increase
the effects of resolving Dampness. These drugs have a fragrant odour and contain
volatile oil, so they should not be decocted long to avoid any loss of their
efficacy. Herbs include:
Agastache rugosa- 藿香 Huò xiāng- Korean
Mint
Eupatorium fortunei- 佩兰 Pèi lán- Thoroughwort
Magnolia officinalis- 厚朴 Hòu pò- Magnolia
Atractylodes lancea- 苍术 Cāng zhú- Atractylodes
rhizome
Amomum kravanh- 白豆蔻 Bái dòu kòu- Cardamon
Seed
Alpinia katsumadai- 草豆蔻 Cǎo dòu kòu-
Katsumadai seed
Amomum tsao-ko- 草果 Cǎo guǒ Red Cardamom
Amomum villosum- 砂仁 Shā rén- Cardamon
8.
Qi Regulating
Drugs whose principal action is regulating the functional activities of qi and
enabling qi to flow smoothly are called drugs for regulating qi.This class of
drugs have the effects of promoting the flow of qi to relieve pain, regulating
the activities of qi to check upward adverse flow of qi, or removing stagnation
of qi to dissolve mass. They are indicated for stagnation of qi and reversed
flow of qi due to disorder of the functional activities of qi such as distending
pain in the hypochondrium and breasts, hernial pain and irregular menstruation
due to stagnation of the liver-qi; distending pain in the stomach and abdomen,
belching and acid regurgitation due to stagnation of the spleen-qi and stomach-qi;
or distress in the chest and cough with dyspnea due to impairment of the normal
function of the lung in dispersing and descending qi; and nausea, vomiting and
hiccup due to failure of the stomach in descending Stomach-Qi. Drugs of this
class can be selected for use together with other types of drug with regard
to different syndromes. In cases of disorders of functional activities of qi
due to obstruction of damp phlegm in the interior, drugs for eliminating Dampness
and resolving phlegm should be added; in cases of disorders of functional activities
of Qi due to dyspepsia, the drug for regulating qi should be supplemented with
drugs for promoting digestion; for disorders of functional activities of qi
accompanied with hypofunction of the spleen and stomach, drugs for replenishing
Qi to invigoration the Spleen should be added. Qi-regulating drugs are usually
pungent and hot, and are apt to cause consumption of Qi and Yin. Therefore these
drugs should be cautiously used for patients with deficiency of Qi or deficiency
of Yin. Examples are:
Citrus tangerina- 陳皮 Chén pí-
Tangerine or mandarin peel, usually aged for 3 years
Citrus tangerina- 青皮 Qīng pí-
Skin of Green Tangerine or Mandarin peel
Areca catechu- 大腹皮 Dà Fù Pí- Dried Areca fruit
peel
Citrus aurantium- 枳实 Zhǐ shí- Immature
bitter orange
Cyperus rotundus- 香附 Xiāng Fù- Nut grass
Aucklandia lappa- 木香 Mù Xiāng- Costus root
Lindera aggregata- 烏藥 Wū Yào- Spicebush
root
Aquilaria sinensis- 沉香 Chén xiāng- Agarwood
Melia toosendan 川楝 Chuān liàn- Bead
Tree
9.
Regulate Blood and remove Stasis
Drugs for promoting Blood circulation and relieving
blood stasis- Drugs whose principal effects are to make free
the passage of blood in the vessels, promote blood circulation and disperse
Blood stasis are termed as drugs for promoting blood circulation and removing
blood stasis, or drugs for invigorating blood circulation and resolving blood
stasis. Among them, those with strong actions of invigorating blood circulation
and resolving blood stasis are habitually called potent drugs for removing blood
stasis. Most drugs of this class have pungent flavour, warm property and actions
of promoting blood circulation and dispersing blood stasis to clear the channels,
remove obstruction of Qi and blood, reduce swelling and relieve pain. They are
effective for various syndromes due to obstruction of blood circulation and
retention of blood stasis in the interior, such as amenorrhea and dysmenorrhea
due to blood stasis, postpartum abdominal pain due to retention of blood, masses
in the abdomen, traumatic injuries, arthralgia, sores, carbuncles and other
suppurative skin infections, and pain in the chest, hypochondrium and abdomen
due to stagnation of Qi and blood stasis. Because Blood circulates smoothly
only when Qi is in normal flow, and Blood slows down when Qi stagnates, therefore,
drugs for promoting Blood circulation and eliminating Blood stasis are often
used along with drugs for promoting the flow of Qi to strengthen their effects.
Apart from this, other suitable drugs should be added according to the causes
and symptoms of diseases. - For example, in cases of stagnation of Qi and blood
stasis due to accumulation of pathogenic Cold, interior-warming drugs should
be added - For pain in arthralgia-syndromes, drugs for eliminating Wind-Cold
must be added. - For treating sores and other pyogenic skin infections, drugs
for clearing away heat and toxins should be combined. - For the treatment of
masses in the abdomen, drugs for softening and resolving hard masses and phlegm
should be added. It is improper to describe this class of drugs to women with
profuse menstruation. For pregnant women, these drugs should be very cautiously
given or avoided altogether.
a) Regulate
Blood and remove stasis:
Ligusticum chuanxiong- 川芎 Chuān xiōng-
Szechuan lovage root, Cnidium
Salvia miltiorrhiza- 丹参 Dān shēn- Red
Sage root
Millettia dielsiana- 鸡血藤
Jī xuè téng- Evergreen wisteria
stem
Corydalis yanhusuo- 延胡索 Yán Hú Suǒ- Corydalis
tuber
Curcuma aromatica 郁金 Yù jīn- Wild turmeric
Leonurus japonicus- 益母草 Yì
mǔ cǎo- Motherwort
Paeonia lactiflora- 赤芍 Chì sháo- Red
peony
Prunus persica- 桃仁 Táo rén Peach kernel
Carthamus tinctorius- 红花 Hóng huā-
Safflower
Curcuma zedoaria- 莪术 É shù- Zodoaria
Sparganium stoloniferum- 三棱 Sān
léng- Branched burreed
Achyranthes bidentata- 怀牛膝 Huái Niú
Xī- Two toothed amaranthus
Manis pentadactyla- 穿山甲 Chuān shān jiǎ-
Pangolin scales
b)Regulate
Blood and stop bleeding:
Hemostatics Drugs whose principal effects are to stop internal and external
bleeding are called hemostatics. They have respectively the effects of stopping
bleeding by removing Heat from the Blood, by astringency, by resolving Blood
stasis, or by warming the channels. They are indicated for various kinds of
hemorrhage, such as hemoptysis, epistaxis, hematemesis, hematuria, hemafacia,
metrorrhagia and metrostaxis, purpura and traumatic bleeding. Proper hemostatics
should be selected according to the different causes of bleeding and actual
syndromes, and they should be dispensed with other compatible drugs. -In cases
of bleeding due to invasion of blood by noxious Heat, drugs for clearing away
pathogenic Heat from the Blood should be added. -For bleeding with blood stasis,
drugs for promoting circulation of blood and Qi should be added. -For Bleeding
of Cold and Deficient nature, drugs capable of warming up YANG and dispelling
Cold should be added. -For Bleeding due to the failure of QI in keeping the
blood within the vessels, tonics for reinforcing Qi and activating the Spleen
should be given as well. When hemostatics are used, see that the side effect
of hemostasis are avoided. Should there be any sign of Blood stasis, never use
drugs for removing Heat from Blood or astringent hemostatics alone.
Typha latifolia- 蒲黄 Pú Huáng- Pollen of Bulrush mace
Agrimonia pilosa- 仙鶴草 Xiān hè cǎo- Hairy
agrimony
Panax pseudoginseng- 田七 Tián qī, 三七
Sān qī- Notoginseng
Bletilla striata- 白芨 Bái jí- Chinese ground
orchid
Cirsium japonicum- 大蓟 Dà Jǐ- Prickly turnip
Sanguisorba officinalis- 地榆 Dì yú-
Garden burnet root
Styphnolobium japonicum- 槐花 Huái huā (mi)-
Japanese pagoda tree dry flower bud
Rubia cordifolia- 茜草 Qiàn cǎo- Madder root
Platycladus orientalis-柏子仁 Bǎi zǐ
rén- Biota leaves
Artemisia argyi- 艾叶 Ài yè- Mugwort
Nelumbo nuciferi-藕節 Ŏu jíe- Lotus
stem and root
Imperata cylindrica- 白茅根 Bái máo gēn-
Cogongrass
10.
Tonics
Drugs which can tonify the Deficient Qi, Blood, Yin And Yang of the body,
enhance the body resistance to diseases, and be used in the treatment of various
deficiency syndromes syndromes, or supplementing and nourish drugs. Deficiency
syndromes are further divided into deficiency of Qi, of Yang, or Blood and of
Yin, and accordingly, tonics are divided into four kinds; drugs for tonifying
Qi, Yang, Blood and Yin. Because the Qi, Blood, Yin and Yang in the body are
interdependent, Yang Deficiency is often accompanied with Qi deficiency, and
in turn, Qi deficiency is most likely to develop into or lead to Yang deficiency.
Yang deficiency and Qi deficiency indicates the physiological hypofunction of
the body. Similarly, Yin deficiency is usually accompanied with Yin deficiency.
Blood deficiency and Yin deficiency indicates the consumption of vital essence,
blood and body fluid. For these reasons, drugs for tonifying Qi and Yang and
drugs for tonifying blood and Yin are often used together for mutual reinforcement.
In cases of Qi and Blood deficiency, or Yin and Yang deficincy, a therapy of
tonifying both Qi and Blood, or both Yin and Yang, should be recommended. In
case that pathogens of Shi type are still present and there is no sign of deficiency
of the Vital Qi, tonics should not be used so as to avoid any interference in
the elimination of pathogens which may aggravate the condition. However in cases
of coexistence of pathogens and Qi deficiency, suitable tonics can be used in
addition to drugs for eliminating pathogens in order to strengthen the body
resistance to diseases for removing pathogens. Being used over a long period
of time, some of the tonics may impede digestion, so they can be supplemented
with drugs for strengthening the spleen and Stomach. Effective for deficiency
conditions as they are, tonics should not be abused, for they may give rise
to other problems.
a) Tonics that Tonify Qi
Qi tonics can invigorate the physiological function of the
body, and ar mainly indicated for Qi deficiency, especially effective for Spleen
Qi deficiency characterized by anorexia, loose stool, gastric and abdominal
distention, lack of vitality, lassitude, edema, prolapse of rectum, and Lung
Qi deficiency - characterized by short breath, disinclination to talk, breathlessness
after movement, spontaneous seating etc. As adequate vital Qi can help generate
blood and keep blood flowing within the vessels, Qi tonics are often used in
the treatment of Blood deficiency syndromes or bleeding due to Qi deficiency.
Tending to give rise to accumulation of Qi shown as distension and fullness
in the chest and abdomen and anorexia, Qi tonics should be used with small amounts
of other herbs for promoting circulation of Qi and digestion. Examples are:
Panax ginseng- 人參 Rén shēn- Asiatic ginseng
Codonopsis pilosula- 党参 Dǎng shēn- Codonopsis
Pseudostellaria heterophylla-
孩兒參 Hai er shen, 太子參 Tai ji shen- Pseudostellaria root
Astragalus propinquus- 黃耆 Huáng qí-
Astragalus
Dioscorea oppositifolia- 山药 Shān Yao-
Chinese Yam
Atractylodes macrocephala- 白术
Bái zhú White Atractylodes
Ziziphus jujuba- 大枣 Dà Zǎo- Chinese date,
Jujube
Glycyrrhiza uralensis- 甘草 Gān cǎo-
Chinese Licorice
Polygonatum kingianum-
滇黄精 Diān huáng jīng- King's Solomon seal
Hordeum vulgare- 饴糖 Yí Táng- Malt sugar
made from cereals such as Barley, Rice, Wheat, Corn
b) Tonics that Tonify Yang
Yang Tonics are mainly indicated for Yang deficiency syndromes
which include Heart Yang deficiency, Spleen Yang deficiency and Kidney Yang
deficiency. As the Kidney dominated the Yang of the whole body, various Yang
deficiency syndromes are often related to Kidney Yang deficiency , and the therapy
of tonifying Yang always begins with tonifying the Kidney, therefore the therapy
of tonifying Yang chiefly refers to warming and tonifying the Kidney Yang. Yang
tonics function in reinforcing the Kidney Yang tonifying the essence of life
and strengthening the bones and muscles. They are capable of regulating and
restoring the functions of Kidney, accelerating growth and enhancing the body
resistance. They are mainly indicated for syndrome of Kidney Yang deficiency
manifested as aversion to Cold, cold limbs, aches and lassitude or cold pain
in the loins and knees, impotence, spermatorrhea, sterility due to uterine coldness,
lucid and thin leucorrhagia, frequent urination, enuresis, deep pulse, white
tongue coating, etc. Because when there occurs failure of the Kidney Yang, the
Spleen and Stomach can not be warmed and diarrhea may occur, and as the result
of Kidney Yang deficiency, the Kidney fails in recieving Qi and gives to shortness
of breath and dyspnea, some Yang tonics, therefore, can be used to cure diarrhea
due to Spleen and Kidney deficiency or dyspnea due to Lung and Kidney deficiency.
Most of the Yang tonics are warm and dry in property and can hurt Yin and increase
pathogenic fire, so they should not be used in cases of hyperactivity of Fire
due to Yin deficiency. Examples are:
Cervus nippon- 鹿茸 Lù róng- Deer velvet from
precalcified antler
Cordyceps sinensis- 冬虫夏草 Dōnɡ chónɡ xià
cǎo- Caterpillar fungus
Cistanche
deserticola- 肉苁蓉
Ròu cōng róng- Cistanche
Cynomorium songaricum- 锁阳 Suǒ yáng-
Cynomorium
Morinda
officinalis- 巴戟天 Bā jǐ tiān- Morinda
root
Psoralea corylifolia-
补骨脂 Bǔ gǔ zhī- Scurf pea
Alpinia oxyphylla-
益智仁 Yì zhì rén- Bitter cardamon
Eucommia ulmoides- 杜仲 Dù zhòng- Eucommia
Cibotium barometz- 狗脊
Góu jǐ- Golden haired dog
Dipsacus asper- 续断 Xù duàn- Teasel root
Cuscuta chinensis- Tù sī zǐ 菟丝子- Dodder
Astragalus complanatus- 沙苑子 Shā yuàn
zǐ- Flatstem milkvetch seed
c) Tonics that Nourish Blood
Drugs of this type have the effects of tonifying the blood and ar
indicated for syndromes of Blood Deficiency shown as sallow complexion, paleness
of the lips, tongue and nails, dizziness, blurred vision, palpitation, delayed
menstrual cycle and scanty pale menstrual blood, or even amenorrhea, etc. Some
of these drugs also have the effects of reinforcing Yin and are effective for
Yin Deficiency. Examples are: Rehmannia
glutinosa- 地黄 Dì huáng- Fresh rehmannia
Polygonum multiflorum-何首乌 Hé shǒu
wū- Fleece flower, Polygonum
Angelica polymorpha- 当归 Dāng guī- Dang
gui
Paeonia lactiflora- 白芍 Bái sháo- White
peony root
Equus asinus- 阿膠 Ē jiāo- Donkey or Ass hide
extract
Lycium barbarum- 枸杞子 Gǒu qǐ zǐ- Wolfberry
fruit
Morus alba- 桑椹子 Sāng zhēn zǐ- Mulberry
fruit
Dimocarpus longan- 龙眼肉 Lóng yǎn ròu-
Dried Longan aril
d) Tonics that Nourish Yin
Drugs of this type function in tonifying the Yin fluid, and promoting
the production of body fluid to moisten dryness. They are indicated for Lung
Yin deficiency manifested as dry cough with little sputum and dryness of the
mouth and tongue; Stomach Yin deficiency manifested as red tongue with little
coating, dry throat and thirsty feeling; Liver Yin deficiency characterize by
blurred vision and zenophthalmia of the eyes, dizziness and tinnitus; and Kidney
Yin deficiency with manifestations of lassitude of the loins and legs seminal
emission, night sweat, etc. Examples are:
Glehnia littoralis- 北沙參 Běi shā shēn-
Coastal glehnia root
Panax quinquefolius- 西洋参 Xi yang shen-
American ginseng
Asparagus cochinchinensis- 天門冬
Tiān mén dōng- Asparagus root
Dendrobium nobile- 石斛 Shí Hú- Noble orchid
Polygonatum odoratum- 玉竹 Yù zhú- Solomon
seal rhizome
Lilium brownii- 百合 Bǎi hé- Lily bulb
Taxillus chinensis- 桑寄生 Sāng jì
shēng- Mulberry mistletoe
Chinemys reevesii- 龟板 Guī băn- Fresh water
tortoise plastron
Pelodiscus sinensis- 鳖甲 Bie jia- Fresh
water soft shelled turtle
11.
Astringents
These herbs treat disorders in which there is an excess of discharge, or structures
fall from their proper position. The disorders include diarrhea, excessive urination,
excessive sweating, and prolagpse of the uterus or rectum. The causes of these
problems can be due to chronic illness, old age, and can also be caused by improper
use of purgatives or dispersing substances.
Most of the herbs in this category are sour and astringent. Astringents astringe
Energy back into the body to reinforce structures and limit discharges. The
herbs in this category have a wide range of functions. Some are best use for
stopping sweating, while others for stopping chornic diarrhea. Others are primarily
used for treating polyuria, or abnormal discharges from the Lower Burner and
a fourth group has a strong action in stopping coughs. These herbs stabalisze
and bind, and this tends to "draw fluids in". Some of these herbs
are also used to control bleeding, particularly from the vagina. These herbs
are not suitable for conditions where the exterior condition have not been fully
resolved.
Examples:
Cornus officinalis- 山茱萸 Shān yū roú-
Cornelian cherry
Schizandra chinensis- 五味子 Wǔ wèi zi-
Magnolia vine
Myristica fragrans- 肉豆蔻 Ròu dòu kòu-
Nutmeg
Nelumbo nucifera-
蓮子 Lián zǐ- Lotus seed
Euryale ferox- 芡實 Qiàn shí- Dry ripe seed
Triticum aestivum- 浮小麥
Fú xiǎo mài- Immature wheat grains
Ephedra sinica- 麻黃根 Má huáng gēn- Root
of Ma huang
12.
Calm Spirit
TRANQUILIZERS Drugs whose principal effects are Tranquilizing the mind
and relieving uneasiness are called tranquillisers. Tranquillisers exert tranquilizing
effects either through sedation or through nourishment of the Heart. They are
chiefly used in the treatment of irritability, palpitation or severe palpitation,
insomnia and dreaminess due to Heart Qi Deficiency and Heart Blood Deficiency,
or due to exuberant Fire resulting from hyperactivity of the Heart. They are
also used to treat such diseases as infantile convulsion, epilepsy and mania.
Drugs of this class can be selected for use according to the etiology and pathogenesis
of the disease and used together with suitable drugs of other classes. - For
Syndrome due to Yin Deficiency and Blood Deficiency, drugs for nourishing the
Blood and strengthening Yin should be added. - For Syndrome due to exuberant
Fire caused by hyperactivity of the Heart, drugs for nourishing the blood and
strengthening Yin should be added; for syndrome due to exuberant fire caused
by hyperactivity of the heart, drugs for removing excessive Fire from the heart
should be given as well. - For epilepsy and infantile convulsion, drugs for
resolving phlegm and inducing resuscitation or drugs for calming the liver to
stop endogenous wind should be used as the main ingredients with the tranquilizers
as the adjuvant. Heavy tranquilizers of mineral sources should be used in combination
with drugs for strengthening the stomach and spleen and should not be used over
long periods of time so as to avoid any harm to the stomach.
a)
Strong Examples:
Bone of large animals- 龙骨 Lóng gǔ- Dragon
bones
Ostrea gigas- 牡蠣 Mǔ lì- Oyster shells
Pteria martensii-
珍珠母 Zhēn zhū mǔ- Mother of pearl oyster pearl
Pinus species- 琥珀 Hǔ pò- Yellowish or brownish fossil pine amber
Magnetic iron oxide- 磁石 Cí shí Fe3O4
b)
Mild Example:
Ziziphus spinosa- 酸枣仁 Suān zǎo rén- Wild
date seed
Platycladus orientalis- 柏子仁 Bǎi zǐ
rén- Ripe biota seed
Polygala tenuifolia- 遠志 Yuǎn zhì- Siberian
milkwort
Albizia julibrissin- 合歡皮 Hé huān
pí- Persian silk tree
Polygonum multiflorum- 何首烏 Hé shǒu
wū- Fleeceflower root tubers.
13.
Aromatic and Stimulant
DRUGS FOR INDUCING RESUSCITATION (Restoring consciousness) Drugs
of this class have strong aromatic odour and remarkable action of stimulating
the sense organs and restoring consciousness. They are chiefly used for: 1.
Treating loss of consciousness and delirium due to invasion of Heat into the
pericardium 2. Obstruction of the Heart by pathogenic Phlegm. They are also
indicated for unconsciousness of excess type like abrupt syncope in the course
of terror-induced epilepsy or apoplexy. 3. Wind stroke - Loss of consciousness
is not only observed in the blockage syndrome of Wind stroke but also in prostration
syndrome and therefore the two types of unconsciousness should be differentiated.
The blockage syndrome of Wind stroke is caused by retention of pathogens of
excess type in the interior characterized by trismus, clenched fists, full respiration
and forceful pulse while the prostration syndrome is caused by collapse of the
genuine Qi marked by open mouth, relaxed hands, faint respiration, profuse sweat,
cold limbs and a barely palpable pulse. Drugs for inducing resuscitation can
only be used for the blockage syndrome of Wind-stroke, never for prostration
syndrome. Besides, blockage syndrome of Wind-Stroke can be divided into two
kinds. a. Cold type- usually manifested as blue facial complexion, cold body,
white tongue coating and slow pulse. Warm drugs for inducing resuscitation should
be used in combination with drugs for expelling Cold and promoting the flow
or Qi b. Heat Type- is generally manifested as flushed face, feverish body,
yellow tongue coating, rapid pulse, etc. Cold drugs for inducing resuscitation
must be given along with drugs for clearing away Toxic Heat. All drugs for inducing
resuscitation are used only for emergency and symptomatic relief. So they should
only be given temporarily but not over long periods of time to avoid consumption
of the ancestral Qi. Also, most drugs of this class are aromatic and their aroma
is highly volatile, and for this reason, they are usually used in bolus and
powder with the exception of only a few for use in decoction. Examples:
Moschus moschiferus- 麝香
Shè xiāng- Musk deer secretion
Liquidambar orientalis- 蘇合香
Sū hé xiānɡ- Dried sap collected from tree, Storax balsam
Styrax tonkinensis- 安息香Ān xī xiāng- Benzoin
resin
Dryobalanops camphora- 香樟 Xiāng zhāng-
Borneol camphor
Acorus calamus- 水菖蒲 Shuǐ chāng pú- Sweet
flag
Bos tauris domesticus-
牛黄 Niú huáng- Gall Bladder of Ox
14.
Endogenous Wind
1. Substances
that Extinguish Wind and Stop Tremors
These are drugs for calming the Liver, which check endogenous wind and relieve
convulsion and calming the liver to suppress hyperactivity of the liver-Yang
are called drugs for calming the liver. These drugs are chiefly indicated for
dizziness and blurred vision due to hyperactivity of the liver-Yang, and spasms
and convulsions due to up-stirring of endogenous wind resulting from disorders
of the liver. Some drugs in this class also have the effects of clearing away
heat from the liver and are therefore effective for blood-shot, swollen and
painful eyes and headaches due to intense heat in the liver. Drugs for calming
the Liver should be used in combination with drugs from other classes according
to the causes of the disease. - In cases of up-stirring of wind due to intense
Heat, drugs for clearing away Heat and purging fire should be added; for infantile
convulsion due to phlegm and heat, drugs for clearing away heat and resolving
phlegm should be added. - For up-stirring of Wind due to Blood deficiency, they
should be used together with drugs for nourishing the Blood; for up-stirring
of Wind due to deficiency of Yin, drugs for tonifying Yin should be given as
well. In addition, since hyperactivity of the Liver Yang or up-stirring of wind
due to Liver disorders is frequently accompanied with mental disorders, drugs
for calming the liver are often used in combination with tranquillisers. These
drugs are different in property (cold or warm) and therefore they should be
used for different purposes. Drugs with cold property should not be used in
cases of chronic infantile convulsion due to deficiency of the spleen and drugs
with warm and hot properties should be cautiously prescribed in cases of hyperactivity
of Yang due to Yin deficiency.
Examples:
Scolopendra
subspinipes-
Centipede
2. Wind Damp resolving- Antirheumatics:
Drugs of this type are capable of eliminating the pathogenic Wind Dampness from
the muscles, channels and collaterals, tendons and bones. Some of them have
the effects of relaxing the muscles and tendons, clearing and activating the
channels and collaterals, relieving pain and strengthening the tendons and bones
by nourishing the Liver and Kidney. These drugs are effective for arthralgia
due to Wind Dampness, spasm of muscles, numbness and hypoesthesia, hemiplegia,
aching loins and knees, flaccidity of the lower limbs and other symptoms. Suitable
drugs of this type should be selected according to the actual conditions such
as the characteristics and locations of different types of arthralgia-syndrome,
and should be used in combination with other kinds of drugs: if the pathogens
are at the body superficies, leading to pain mainly in the upper part of the
body, drugs of expelling pathogenic wind and inducing diaphoresis should be
added; if the pathogens are already in the channels and collaterals, resulting
in stagnation of qi and stasis of blood and antirheumatics should be given together
with drugs for clearing the channels and collaterals and promoting blood circulation;
if the arthralgia is mainly due to excessive Cold Dampness, drugs for warming
the channels should be added; in cases with evident signs of Heat, Heat clearing
drugs should also be used; for those with deficiency of Qi and blood due to
chronic illness, drugs for replenishing qi and nourishing the blood should be
used as well for complementation. Since the arthralgia-syndrome is usually chronic,
besides decoction, anti rheumatics can be prepared into tincture, pill or powder
for convenient administration. Examples:
Saigo tatarica- 羚羊角 Línɡ yánɡ jiǎo- Antelope's
horn
Uncaria rhynchophylla- 钩藤 Gōu téng-
Gambir vine
Gastrodia elata- 天麻 Tiān má- Gastrodia tuber
Tribulus terrestris- 白蒺藜 Bái jí lí-
Caltrop- Burra gokhru
Haliotis funebris- 市决明 Shì jué míng-
Abalone shell
Bombyx mori- 僵蚕 Jiāng cán- Dry body of
Silkworm
15.
Antitussive, Expectorants and Antiasthmatics
Drugs whose principal effects are to remove the stagnation of sputum
are called expectorants; drugs which can alleviate or relieve cough and asthma
are called antitussives and anti asthmatics. Most expectorants also have the
effects of antitussive and anti asthmatics and visa versa.[3] These
drugs are further divided into three categories:
1. Resolving
Hot Phlegm
Most drugs of this kind are cold in property and have the effects of resolving
Heat Phlegm.They are indicated for cough, thick and yellow sputum, difficulty
in expectoration, epilepsy, convulsion, scrofula, and multiple or metastatic
abscesses, and are often combined with Heat clearing drugs. These drugs are
not advised in cases of Cold Phlegm and Spleen and Stomach Xu. Drugs for Resolving
Heat phlegm - Examples:
Peucedanum pracruptorum- 前胡 Qián
hú- Hogfennel root
Fritillaria cirrhosa- 川贝母 Chuān bèi
mǔ- Sichuan Fritillary
Fritillaria thunbergii- 浙貝母 Zhè bèi
mǔ- Zhe Jiang Fritillary bulb
Trichosanthes kirilowii- 栝楼 Guā
lóu- Snake gourd
Trichosanthes kirilowii- 天花分
Tiān huā fěn- Snake gourd root
Phyllostachys nigra- 竹茹 Zhú rú-
Inner bark of Black bamboo
Saccharina japonica- 昆布 Kūn bù- Kombu,
Laminaria
Sargassum siliquastrum- 海藻 Hǎi zǎo-
Sargassum seaweed
Macaca mulatta- 猴枣 Hóu zǎo- Rhesus monkey
gall bladder stone powder
2.
Resolving Cold Phlegm
Most of these drugs have a Warm property and can exert the funciton of resolving
Cold Phlegm. They are good for Cold Phlegm syndrome and Damp Phlegm syndrome
manifested as abundant lucid thin sputum easy to be expectorated. They are also
good for cough and asthma, aching limbs and joints, deep rooted carbuncle of
Yin nature, metastatic abscesses and scrofula due to Cold and Damp Phlegm. These
drugs should not be used or they should be used cautiously for patients with
Heat Phlegm syndrome, dry cough due to Yin deficiency, or for those with a history
of hemoptysis and hematemesis. Examples:
Pinellia ternata- 半夏 Bàn xià- Pinellia
Typhonium giganteum- 白附子 Bái fù zǐ-
Typhonium tuber
Inula japonica- 旋复花 Xuán fù huā- Japanese
Elecampane
Cynanchum stauntonii- 白前 Bái qián-
Willowleaf Swallowwort
Platycodon grandiflorus- 桔梗 Jié
gěng- Balloon flower root
3.
Antitussive and Expectorant- Clearing Breathing
Herbs of this category have the effects of nourishing the Lung
to relieve cough and lowering the adverse flow of Qi to relieve asthma. They
are indicated for syndrome of cough and dyspnea which is very complicated and
may be manifested as cough without sputum, cough with watery thin sputum or
with yellow thick sputum, cough with dyspnea due to affection by exopathogens,
or cough with dyspnea due to consumptive diseases. Appropriate drugs should
be chosen with regard to the different syndromes, could or Heat, deficiency
or full types, and given in combination with suitable drugs of other categories.
Drugs of this category have the effects of nourishing the Lung to relieve cough
and lowering the adverse flow of Qi to relive asthma. They are indicated for
syndrome of cough and dyspnea which is very complicated and may be manifested
as cough without sputum, cough with watery thin sputum or with yellow thick
sputum, cough with dyspnea due to affection by exopathogens, or cough with dyspnea
due to consumptive diseases. Appropriate drugs should be chosen with regard
to the different syndromes, could or Heat, deficiency or full types, and given
in combination with suitable herbs of other categories.[3]
Prunus armeniaca- 杏仁 Xìng rén-
Sweet Apricot kernel
Aster tataricus- 紫菀 Zǐ wǎn-
Purple Aster
Tussilago farfara-
款冬花 Kuǎn dōnɡ huā- Coltsfoot flower
Perilla frutescens- 紫苏子 Zǐ sū zǐ-
Perilla fruit
Eriobotrya japonica- 枇杷叶 Pípá yè-
Loquat leaf
Stemona tuberosa- 百部 Bǎi Bù- Stemona root
Morus alba- 桑白皮
Sāng bái pí Mulberry bark
Oroxylum indicum- 木蝴蝶 Mù hú dié- Seed of
Indian Trumpet Flower
Drugs for resolving phlegm are mainly used for cough with abundant sputum, dyspnea
due to retention of phlegm, or difficulty in expectoration, and disease, and
diseases induce by phlegm such as epilepsy, convulsion, goiter, scrofula, deep-rooted
carbuncle of Yin nature and metastatic abscesses. Drugs for relieving cough
and asthma are chiefly indicated for cough and asthma due to affection by exopathogenic
factors and impairment of the functions of internal organs. In addition to the
drugs for resolving sputum and relieving cough and asthma, other drugs should
be used according to the cause of the disease. -For cough due to affection by
exopathogens, diaphoretics should be used as well; for cough due to consumptive
diseases, tonics should be added;
-For Heat Phlegm syndrome with sticky sputum it is preferable to use Heat clearing
and Lung moistening drugs too;
-For Cold Damp phlegm syndrome, drugs for drying and warming the Lung to expel
pathogenic Cold Dampness should be added.
-For cough with hemoptysis, drastic and irritating sputum resolving drugs should
not be used because they might induce or aggravate hemoptysis.
-For cough at the early stage of measles, drugs for removing Heat from the Lung
and promoting the dispersing function of the Lung should be used as the principal
ingredients while antitussive drugs, especially drugs with warm and astringent
properties for resolving sputum and relieving cough should not be used so as
to avoid any increase of heat or any disadvantage to the thorough eruption of
measles.
16.
Digestive and Evacuants
Drugs which are principally used to improve
appetite and digestion and remove food stagnation are known as drugs for improving
appetite and digestion and removing food stagnation or digestives. Drugs of
this class can remove stagnated food and restore the normal functions of the
spleen and stomach in transporting and distributing nutrients. They are indicated
for abdominal distension, belching, acid regurgitation, nausea, vomiting, and
irregular bowel movements due to indigestion and food retention. They are also
effective for indigestion due to the weakness of the spleen and stomach. These
drugs are often used along with drugs for promoting circulation of Qi so as
to improve digestion of food. They are also given, according to the actual conditions
of the patient in cooperation with interior-warming drugs, purgatives, or drugs
for resolving dampness. In cases of indigestion due to deficiency of the spleen,
drugs for regulating and reinforcing the spleen and stomach should be given
as the principal remedies with the drugs for improving digestion and removing
stagnation as subsidiary ones. Examples:
Crataegus pinnatifida- 山楂 Shān zhā-
Chinese hawthorn fruit
Hordeum vulgare- 麦芽 Mài Yá- Malt, Germinated
Barley, Rice Wheat, Corn or other cereals
Setaria italica-
谷芽 Gǔ yá- Germinated Millet
Triticum aestivum- 神曲 Shén Qū- Medicated
Leaven, Fermented wheat flour and herbs
Gallus gallus- 鸡内金 Jī nèi jīn- Dried
chicken gizzard epithelium/lining
17
Anthelmintics
Drugs with a major effect of expelling or poisoning parasites
are called anthelmintics. Anthelmintics are indicated for diseases caused by
parasites in the intestines, such as ascariasis, enterobiasis, cestodiasis and
ancylostomiasis. Anthelmintics should be selected for specific parasites and
supplemented with other types of suitable drugs according to the actual condition.
In cases accompanied with food stagnation, drugs for improving digestion and
removing the stagnation should be added; in cases with concomitant constipation,
purgatives should be given as well to help expel the parasites; if the disease
is complicated by deficiency of the spleen and stomach, drugs for strengthening
them should be prescribed in addition to the anthelmintics. Attention should
be paid as follows: in using anthelmintics, administration of the drug on an
empty stomach to ensure better effects; right dosage of poisonous drugs; temporary
suspension of the drug in case of fever and severe abdominal pain; administration
with caution for pregnant women, the aged and weak. Examples:
Quisqualis indica- 使君子 Shǐ jūn
zǐ- Rangoon creeper fruit
Melia toosendan- 苦楝皮 Kǔ liàn
pí- Bead Tree, Chinaberry bark
Torreya grandis- 榧子 Fěi zi- Torreya
seed
Carpesium abrotanoides- 鹤虱
Hè shī- Carpesium
Omphalia lapidescens- 雷丸 Léi
wán- Dry Omphalia fungus nucleus
Areca catechu- 槟榔 Bīng lang- Areca
Nut, Betelnut
Allium sativum- 大蒜 Dà suàn- Garlic
18.
External Usage
These consist of herbs and minerals, many of them toxic if taken internally,
that are applied topically for skin problems, bruises, spasms, and sprains.
Examples:
Potassium aluminium
sulphate- 明矾 Míng fán- KAl(SO4)2, Alum
Hydrated sodium tetraborate-
硼砂 Péng shā- Na2O2B2O3.10H2O Borax
Cnidium monnieri- 蛇床子 Shé chuáng
zǐ- Cnidium fruit
[1] Jinglun Hou, Medicated Diet of Traditional Chinese Medicine
- Chief Editor- Associate Editors- Zhao Xin, Li Weidong, Liu Jianxin, Geng Chun-e,
Li Guohua, Li Shaohua. Geijing. Science & Technology Press 1994. ISBN 7-5304-1735-5/R.
309.
[2] Bensky Dan, Gamble Andrew Chinese Herbal Medicine Materia Medica
Revised Edition 1993 Easland Press Seattle Washington ISBN 0-939616-15-7.
[3] The Chinese Materia Medica A practical English - Chinese Library of Traditional
Chinese Medicine Publishing House of Shanghai University of Traditional Chinese
Medicine. Director Hu Ximing ISBN 7-81010-111-X/R-110
[4] sionneau.com/medecine-chinoise/articles
[5]. "Ces aliments qui nous soignent - la diététique chinoise au service
de votre santé", Philippe Sionneau et Josette Chapellet, Editions Guy Trédaniel.
[6]. "La diététique du Tao", Philippe Sionneau et Richard Zagorsky,
Editions Guy Trédaniel.