Transform Phlegm, Stop Coughing HBR class 4 Herbs for Cold Phlegm • Ban xia - Pinellia / Rz Pinelliae • warm, acrid, toxic / LU,SP,ST • A&I: Phlegm-damp cough, chest bind. (Er Chen Tang) • • Nausea & vomiting d/t counterflow St qi w/phlegm. (Ban Xia Xie Xin Tang, Ban Xia Bai Zhu Tian Ma Tang) Plum-pit qi. (Ban Xia Hou Po Tang) • • • All types of phlegm nodules. (Hai Zao Yu Hu Tang) C&C: Contraindicated in cough d/t def yin, bleeding, damage to fluids. 4.5-9 g • Tian nan xing - Arisaema tuber / Rz Arisaematis • warm, bitter, acrid, toxic / LR, LU, SP • • • • A&I: Wind-phlegm: dizziness, vertigo, facial paralysis, epilepsy, convulsions, tetanus. (Xiao Huo Luo Dan) C&C: Contraindicated in pregnancy, yin def, lung heat, dry phlegm. Raw herb is highly toxic, not used internally, use prepared. 4.5-9 g • • • Dan nan xing - bile-treated Arisaema / Rz Arisaemae cum Felle Bovis cold, bitter / LR, LU, SP A&I: Convulsions, windstroke, infant seizures d/t phlegm-heat (Ding Xian Wan) • Phlegm-heat cough (Qing Qi Hua Tan Wan) • C&C: see above • 3-6 g • Xuan fu hua - Inula flower / Fl Inulae • sl warm, bitter, acrid, salty / LR,LU,ST, SP • A&I: Phlegm damp: LU: asthma, cough; ST: vomit, hiccough. (Xuan Fu Dai Zhe Tang) • Chest fullness, distension. • Decoct in cheesecloth. • 3-12 g • Bai qian - Cynanchum / Rx et Rz Cynanchi • sl warm, acrid, sweet/ LU • A&I: Turbid phlegm blocking the lungs: cough, wheezing, chest fullness. (Zhi Sou San) • C&C: Contraindicated: qi def, kidney def • 3-9 g • • • Bai jie zi - White mustard seed / Sm Sinapsis seu Brassicae warm, acrid / LU A&I: Phlegm-damp: cough, chest fullness, especially chronic. (San Zi Yang Qin Tang) • Bi d/t phlegm in channels. • Yin sores. (Yang He Tang) • C&C: Contraindicated: yin def, lung def. • 3-9 g • Jie geng - Platycodon root / Rx Platycodi • neutral, bitter, acrid / LU • • • A&I: Cough w/phlegm d/t wind-heat or wind-cold. (Ren Shen Bai Du San, Sang Ju Yin, Zhi Sou San) Sore throat d/t wind-heat, phlegm-heat, yin def heat. (Yin Qiao San) Lung or throat abcess. (Pu Ji Xiao Du Yin) • Guides other herbs to upper jiao. • C&C: Contraindicated: coughing blood, yin def cough. • 3-9 g Herbs that Stop Cough • Xing ren - Apricot seed / Sm Armeniacae • sl warm, bitter, sl toxic / LI, LU • • • • • A&I: Cough & wheezing, esp exterior dry. (Sang Xing Tang, Xing Su San, Ma Xing Shi Gan Tang) Moistens intestines: for dry constipation (Ma Zi Ren Wan) C&C: Contraindicated: diarrhea, yin def. Slightly toxic, avoid overdosing. Caution in infants. Lethal dose 50 seeds in adults, 10 in kids. 3-9 g • Zi wan - Aster root / Rx Asteris • sl warm, bitter / LU • • • A&I: Cough d/t wind-cold. Cough w/copious phlegm, difficult expectoration or bloody sputum (Zhi Sou San) C&C: Caution: yin def, xs heat. Large dose, long-term not recommended. 3-9 g • Kuan dong hua - Coltsfoot flower / Fl Farfarae Tussilago • warm, acrid / LU • A&I: Cough & wheezing/asthma, esp in cold patterns. • C&C: Caution: cough d/t heat. • Western: hepatotoxic • 1.5-9 g • Su zi, Zi Su Zi - Perilla seed / Fr Perillae • warm, acrid / LI, LU • A&I: Cough, wheezing/asthma w/phlegm and chest oppression. (San Zi Yang Qin Tang, Su Zi Jiang Qi Tang) • Moistens intestines: for dry constipation • C&C: Contraindicated: diarrhea. • 4.5-9 g • Pi pa ye - Loquat leaf / Fm Eriobotryae • cool, bitter / LU, ST • A&I: Lung heat: cough, wheezing. • Stomach heat: hiccough, nausea, vomiting. • C&C: Contraindicated: cough or vomiting d/t cold. • 4.5-12 g • Bai bu - Stemona root / Rx Stemonae • sl warm, sweet, bitter/ LU • A&I: Cough, esp d/t deficiency, incl yin def. (Zhi Sou San) • Topical: kills lice, fleas. • Enema for pinworm. • C&C: Contraindicated: Sp def, diarrhea. • 3-9 g enema: 30-60 g • Sang bai pi - Mulberry bark / Cx Mori • cold, sweet, bland / LU,SP • A&I: Lung heat: cough, wheezing. (Xie Bai San) • Promotes urination: skin or facial edema. (Wu Pi Yin) • Hypertension. • C&C: excess urination, cough d/t wind-cold. • 6-15 g • • • • • Aromatic herbs for Transforming Dampness Treat turbid dampness accumulated in middle jiao: nausea, vomiting, diarrhea. Most enter SP/ST Usually symptoms of ST qi stagnation; many herbs in this category move qi Warm, Acrid (treat stagnation), Aromatic (penetrate turbidity and "awaken" SP) Tend to be VERY drying, inappropriate for Yin-Blood deficiency • • • Huo xiang - Agastache / Hb agastachis seu pogastemonis sl warm, acrid / LU,SP,ST A&I: Turbid-dampness: chest fullness, nausea, vomiting, diarrhea, etc. (Huo Xiang Zheng Qi San) • Morning sickness. • Summerheat-damp. (Gan Lu Xiao Du Dan) • Stomach flu. • Bad breath. • • C&C: Contraindicated: yin def heat, St fire. Don't cook longer than 15 min. 4.5-9 g • Pei lan - Eupatorium / Hb Eupatorii • neutral, acrid / SP,ST • A&I: Transforms dampness w/o drying: for damp or damp-heat sx. • Summerheat-damp. • C&C: Contraindicated: yin def. • 4.5-9 g • Hou po - Magnolia bark / Cx Magnoliae officinalis • warm, bitter, acrid, aromatic/ LU,LI,SP, ST • A&I: Turbid-damp + stagnant qi or food: chest/ab fullness, nausea, diarrhea, etc. (Ping Wei San, Ban Xia Hou Po Tang) • Wheezing d/t phlegm-damp. (Su Zi Jiang Qi Tang) • C&C: Caution in pregnancy. • 3-9 g • Cang zhu - Atractylodes / Rz atractylodis • warm, bitter, acrid, aromatic/ SP,ST • • • A&I: Dries dampness, strengthens Sp: damp, low appetite, diarrhea, ab distension. (Ping Wei San) Wind-damp bi. Low jiao damp-heat: leg qi, leukorrhea, etc (Er Miao San) • C&C: Contraindicated: yin def heat, qi def sweat. • Very drying. • 4.5-9 g • Bai dou kou - Cardamom seed / Fr Amomi kravanh • warm, acrid, aromatic/ LU,SP,ST • • • • A&I: Various damp + qi stagnation sx: chest fullness, low appetite. (San Ren Tang) Warms middle, stops vomiting. C&C: Contraindicated: yin or blood def, absence of cold-damp. decoct: 3-6 g powder: 1.5-4.5 g • • • • • Cao dou kou - Katsumadai seed / Sm Alpiniae katsumadai warm, acrid, aromatic/ SP,ST A&I: Dries dampness, warm middle: cold pain, vomiting, diarrhea. (Hou Po Wen Zhong Tang) C&C: Contraindicated: yin or blood def. Add at end of decoction. 1.5-6 g • Cao guo - Tsaoko / Fr Amomi Tsaoko • warm, acrid/ SP,ST • A&I: Strongly dries damp, warms middle: cold pain, vomiting, etc. • Meat stagnation. • Malaria. (Da Yuan Yin) • • C&C: qi or blood def, absence of cold-damp. OD: vomiting. 1.5-6 g roast to reduce vomiting • Sha ren - Amomum fruit / Fr Amomi • warm, acrid, aromatic/ SP,ST • • • A&I: Qi stagnation, dampness, or food stagnation. (Dan Shen Yin, Jian Pi Wan) Restless fetus + morning sickness. Add to tonic formulas to prevent stagnation. (Shen Ling Bai Zhu San, Xiang Sha Liu Jun Zi tang) • C&C: Contraindicated: yin def heat. • 1.5-6 g Add at end of decoction. Herbs for relieving Food Stagnation • • • Used for Food Stagnation patterns; mild, usually made of food substances Neutral or slightly warm or cool; sweet or acrid. Enter SP/ST • Shan zha - Hawthorn fruit / Fructus Crataegi • sl warm, sour, sweet / LR,SP,ST • • • A&I: Food stagnation, esp fatty food: meat, milk, etc. (Bao He Wan, Jian Pi Wan) Ab distension, pain, diarrhea. Postpartum ab pain, lochia d/t blood stasis. Hypertension, high cholesterol, coronary artery disease • • C&C: Caution: Sp/St def w/o food stagnation, also gastric hyperacidity (sour, acidic). 9-15 g • Mai ya - Germinated barley / Fr Hordei germinatus • neutral, sweet / LR,SP,ST • A&I: Food stagnation, esp starch, milk. (Bao He Wan) • Restrains lactation. • • • LR Qi stagnation: fullness in chest, ribs, epigastric pain. C&C: Contraindicated during lactation. powder: 6-15 g g decoct: 12-30 g lactation: 60 • Gu ya - Germinated rice / Fr Oryzae germinatus • neutral, sweet / SP,ST • • • A&I: Food stagnation, esp starch, w/ SP & ST deficiency. C&C: Effects are weakened by cooking, best added as powder to decoction. 9-15 g • • • • Shen qu - Medicated leaven / Massa fermentata medicinalis warm or cool, acrid, sweet / SP,ST A&I: Food stagnation, ab distension, diarrhea, gan accumulation. (Bao He Wan, Yue Ju Wan) Added to formulas with mineral substances to increase absorption. • C&C: Caution: pregnancy. • 6-15 g • • • Ji nei jin - Chicken gizzard skin / Endothelium corneum gigeriae galli neutral, sweet / UB,SI,SP, ST A&I: Strongly dispels food stagnation: ab fullness, diarrhea, infant gan. • Gallstones, urinary tract stones. • Topical: mouth & throat sores. • Bedwetting. • 3-9 g • Lai fu zi - Radish seed / Sm Raphani • neutral, acrid, sweet / LU,SP,ST • • A&I: Food stagnation w/ stagnant Qi: distension, belching, diarrhea. (Bao He Wan) Coughing, wheezing d/t phlegm. (San Zi Yang Qin Tang) • C&C: Caution: Qi def. • 6-12 g Herbs for regulating Qi • • • Primarily treat Stagnant LR (hypochondriac, PMS) or ST (epigastric, digestive) Qi; some also enter LU, SP. Mostly warm & acrid, some also bitter Very drying/scattering, caution in deficiency. • • • • • Chen pi, Ju Pi - Tangerine peel / Pericarpium Citri reticulatae warm, acrid / LU, SP, ST A&I: Qi stagnation and/or turbid dampness in middle jiao w/nausea, vomiting, ab fullness, hiccough. (Er Chen Tang, Ping Wei San) Phlegm-damp in the lung: cough w/ profuse sputum. (San Zi Yang Qin Tang) Often added to tonic formulas to prevent stagnation. (Liu Jun Zi Tang) • Ju hong: Red peel: stronger, transforms phlegm. • Ju bai: White Peel: milder, harmonizes stomach. • Ju he: Shan qi, bladder qi pain. • • Ju luo: qi stag in luo vessels, chest pain w/chronic cough. 3-9 g • • • • Qing pi - Green tangerine peel / Pericarpium Citri reticulatae viride warm, acrid, bitter / GB,LR,ST A&I: LR qi stagnation esp w/phlegm bind: chest, breast & rib pain, mastitis. Food stagnation, esp severe or w/Liver qi. (Mu Xiang Bing Lang Wan) • Shan qi. (Tian Tai Wu Yao San) • C&C: Contraindicated: qi def. Raises blood pressure • 3-9 g • Da fu pi - Areca peel / Pc Arecae catechu • sl warm, acrid / LI,SI,SP, ST • • A&I: Descends qi, reduces stagnation: food stagnation w/constipation. Expels dampness: ab distension w/superficial edema, leg qi. (Wu Pi Yin) • C&C: Caution: qi def • 6-9 g • • • • • • • Zhi shi - Immature bitter orange / Fr Aurantii immaturus sl cold, acrid, bitter / LI,SP,ST A&I: Breaks up qi stagnation: chest & ab fullness, etc. (Si Ni San, Da Chai Hu Tang) Constipation w/qi or food stagnation. (Xiao Cheng Qi Tang) Prolapse: gastric, rectal, uterine. C&C: Caution: pregnancy, weak right qi, sp/st def. Raises blood pressure. 3-9 g • Zhi ke - Bitter Orange / Fr Citri Aurantii • cool, acrid, bitter / SP,ST • A&I: Sim to Zhishi but milder, better for weaker patients. • Diarrhea w/tenesmus. • Phlegm stagnation in chest, ab fullness, etc. • Prolapse: gastric, rectal, uterine. (Huai Hua San) • C&C: Caution: pregnancy, sp/st def • 3-9 g • Xiang fu - Cyperus tuber / Rz Cyperi • Neutral, acrid, sl bitter, sl sweet/ LR,TB • A&I: LR qi stagnation: painful or irregular menses, flooding & spotting, chest/ab fullness & pain. (Yue Ju Wan, Chai Hu Shu Gan Tang) • Phlegm. • Shan qi. • C&C: qi def w/o stagnation, yin def heat • 4.5-9 g • • • • • Mu xiang - Costus root / Rx Aucklandiae seu Vladimiriae warm, acrid, bitter / GB,LI,SP, ST A&I: Various qi stagnation sx: chest & ab fullness, nausea (Hou Po Wen Zhong Tang) Diarrhea, dysentery, tenesmus, pain. (Mu Xiang Bing Lang Wan) Often added to tonics to prevent stagnation. (Gui Pi Tang, Xiang Sha Liu Jun Zi Tang)) • C&C: Contraindicated: yin def or fluid depletion. • 1.5-4.5 g add @ end of decoction. • Wu yao - Lindera root / Rx Linderae • warm, acrid / K,UB,LU, SP • • A&I: Qi stagnation, esp w/cold: chest & ab fullness & pain, vomiting, lower ab pain, cold shan. (Si Mo Tang, Tian Tai Wu Yao San) Frequent urination, incontinence d/t Kidney def. (Suo Quan Wan) • C&C: Contraindicated: qi def, internal heat • 3-9 g • Chen xiang - Aquilaria / Lignum Aquilariae resinatum • warm, acrid, bitter, aromatic/ K,SP,ST • A&I: Cold & qi stagnation: ab distension/pain, nausea/vomiting. (Si Mo Tang, Su He Xiang Wan) • Wheezing d/t xs or def. (Si Mo Tang) • Constipation, dysuria d/t qi stagnation. • C&C: Contraindicated: qi def w/ prolapse, yin def heat • 3-9 g • Tan xiang - Sandalwood / Lignum Santati albi • warm, acrid / LU,SP,ST • A&I: Cold & qi stagnation: ab pain, vomiting w/ clear fluid. (Su He Xiang Wan) • Chest pain, coronary artery disease. (Dan Shen Yin) • Cheaper substitute for Chen Xiang. • C&C: Contraindicated: yin def heat • 1-3 g • Xie bai - Macrostem onion / Bulbus Allii macrostemi • warm, acrid, bitter / LU, LI, ST • A&I: Cold phlegm in chest: chest pain radiating to back, dyspnea. (Gua Luo Xie Bai Bai Jiu Tang) • Dysentery w/ tenesmus. • C&C: Caution: qi def, peptic ulcers • dried: 4.5-9 g fresh: 30-60 g • Fo shou - Finger citron / Fr Citri sarcodactylis • sl warm, acrid, bitter / LU,LR, ST,SP • A&I: Strongly moves qi, but weak for stopping pain. • • • • Harmonizes St & Sp: poor appetite, belching, nausea & vomiting. Chronic cough w/chest pain d/t phlegm. C&C: Contraindicated: yin def heat, absence of stagnation 3-9 g • • • • Chuan lian zi / Jin ling zi - Sichuan chinaberry / Fr Melia Toosedan cold, bitter, sl toxic / LR, UB, SI, ST A&I: Liver qi stagnation w/damp heat or liver fire patterns: rib, chest, stomach, hernia pain. (Jin Ling Zi San, Yi Guan Jian) Parasites (roundworms, hookworms, tapeworms; topically for scalp fungus) • C&C: Contraindicated: sp/st def cold • 3-9 g • Shi di - Persimmon calyx / Calyx kaki • neutral, bitter, astringent • • A&I: Directs qi downward, stops hiccough d/t heat or cold. (Ding Xiang Shi Di Tang) 6-12 g