caution and contra - acupuncturemedia.com · ë sperma r torrhea due to KD deficiency Contra ë weak SP qi ë sperma r torrhea ë fluid injury from hot disorders Caution ë pregnancy

HERB CHARTSUPDATED CAUTIONS & CONTRAINDICATIONS

1. DISPERSE WIND-COLD ( )

H

P

MA HUANG GUI ZHI ZI SU YE JING JIE FANG FENG QIANG HUO GAO BEN BAI ZHI XI XIN XIN YI HUA CANG ER ZI SHENG JIANG XIANG RU

Ephedrae Hb. Cinnamomi Perillae Fm. Schizonepetae Saposhnikoviae Notopterygii Ligustici Rz. Angelicae Rx. Asari Hb. Magnoliase Fl. Xanthii Fr. Zingiberis Rz. Moslae Hb.( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

C&C

General Contra: Qi & Yin Deficiency causing excessive sweating General Caution: Lin syndrome, Blood deficiency, chronic skin infection

Cautiondebilitateddeficient typeof sweatingwheezing dueto KD def.hypertension

Contrawarm febriledisordersyin deficientheatblood heatwith vomiting

Caution Use <6gpregnancyexcessivemenstruationpathogenicheat

Contrawarm febrilediseaseqi & exteriordeficiency

Contraexteriordeficiencyfully eruptedmeasles oropen soresabsence ofpathogenicwind

Contrayin def.with heatspasm dueto blooddeficiencyabsence ofpathogenicwind, damp,or cold

Contrablood deficientbi syndrome

Contraheadachefrom blooddeficiencyhot disorders

Contrayin deficiencyor blood heat

Cautiontaper use onceulcerated

Contraprofuse sweatdue to qi def.headache orcough due toyin deficiency

Cautionlong term usemay causeliver cancer

Incompatiblewith Li Lu

Contrayin deficiencywith heat

Cautionpregnancy,as it maystimulate theuterus

Contraoverdosagemay causevomiting,abdominalpain, anddiarrhea

Cautioneating of porkwhile takingthis herb

Contraspontaneoussweating fromexterior def.heat from yindeficiencyany patternwith abundantheat

Contraprofusesweating fromexteriordeficiency

Cautionmay causevomiting iftaken hot

2. DISPERSE WIND-HEAT ( )

HERB

PROPERTY

BO HE NIU BANG ZI CHAN TUI SANG YE JU HUA MAN JING ZI DAN DOU CHI MU ZEI CHAI HU SHENG MA GE GEN

Menthae Hb. Arctii Fr. Cicadae Peri. Mori Fm. Chrysanthemi Fl. Vitcis Fr. Sojae Sm. Prep Equiseti Hb. Bupleuri Rz. Cimicifugae Rz. Puerariae Rx.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General Contra: Qi&Yin Deficiency causing excessive sweating / General Caution: Lin syndrome, Blood deficiency, chronic skin infection

Contradebilitatedwith profusesweatingLV yang rising

Cautionqi deficiency,diarrheaabsence ofexcessive heat

Cautionpregnancy,esp. withhistory ofmiscarriage

Contranone noted

Contralarge dosagein pt. with qideficiency, STcold, diarrhea

Cautioneye pain andheadache dueto blood def.with heatST deficiency

AntagonizeWu Tou, FuZi, Shi Gao

Contranone noted

Cautionfrequenturinationdepleted fluidsqi deficiencypregnancy

Contrasevere yindeficiencyLV yang rising

Contrafloating yangwith yin def.wheezing andchest fullnessdue to qirebelling upfully eruptedmeasles

Contranone noted

HERB CAUTIONS & CONTRAINDICATIONS Dec 2014

(c) HB Kim, AcupunctureMedia.com Page 1

3. CLEAR & PURGE HEAT ( )

HERB

PROPERTY

SHI GAO ZHI MU TIAN HUA FEN LU GEN DAN ZHU YE ZHI ZI XIA KU CAO JUE MING ZI

Gypsum Fibrosum Anemarrhenae Rz. Trichosanthis Rx. Phragmitis Rz. Laphatheri Hb. Gardeniae Fr. Prunellae Spica Cassiae Sm.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: SP/ST deficient cold

ContraSP/ST deficient coldheat from yin def.

ContraSP/ST deficient colddiarrhea

CautionSP/ST deficient coldpregnancy(abortifacient ifinjected)

AntagonizeWu Tou, Fu Zi

CautionSP/ST deficient cold

Cautionnone noted

ContraSP/ST deficient coldreduced appetiteand loose stool

CautionSP/ST deficiency

Cautiondiarrhea due toSP/ST deficient coldhypotension

4. CLEAR BLOOD-HEAT ( )

HERB

PROPERTY

SHUI NIU JIAO SHENG DI HUANG XUAN SHEN MU DAN PI ZI CAO

Bubali Cornu Rehmanniae Rx. Scrophulariae Rx. Moutan Cx. Arnebiae/Lithospermi Rx.

( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: SP/ST deficiency with diarrhea

CautionSP/ST deficient cold

ContraSP deficiency with damploose stools, abdominal fullness

CautionSP/ST cold dampness


Contracold in the bloodpregnancy or excess menstruation(when this is not due to bloodheat combined with blood stasis)

Contraloose stoolsSP/ST deficiency



5. CLEAR DAMP-HEAT ( )

HERB

PROPERTY

HUANG QIN HUANG LIAN HUANG BAI LONG DAN CAO KU SHEN QIN PI

Scutellariae Rx. Coptidis Rz. Phellodendri Cx. Gentianae Rx. Sophorae Flavescentis Rx. Fraxini Cx.

( ) ( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: SP/ST deficient cold with diarrhea / Yin fluids deficiency

ContraSP/ST deficient cold

Cautioncold patterns, esp. fromSP/ST yang deficiencyyin deficiency





Contranone noted

6. CLEAR TOXIC-HEAT ( )

HERB

PROPERTY

JIN YIN HUA LIAN QIAO SHE GAN BAN LAN GEN SHAN DOU GEN TU FU LING PU GONG YING BAI JIANG CAO BAI TOU WENG HE YE

Lonicerae Fl. Forsythiae Fr. Belamcandae Rz. Isatidis Rx. Sophorae Rx. Smilacis Rz. Taraxaci Hb. Patriniae Hb. Pulsatillae Rx. Nelumbinis Fm.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: Deficient Cold of SP/ST with diarrhea

Contranone noted

Cautionnone notedwithin thenormal dosagecan causephotodermatitis

Contraloose stools (asit can lead towatery diarrhea)pregnancy

ContraSP/ST deficientcold

ContraSP/ST deficientcoldpoor appetite,loose stools

Cautionpossible allergicreaction withpruritus, papularrash, & agitation

Cautionoverdose cancause milddiarrhea

Cautionpregnancy

Contrafresh herbcontainsprotoanemonin

irritate skinand mucousmembranes

Contranone noted



7. CLEAR DEFICIENCY-HEAT ( )

HERB

PROPERTY

QING HAO DI GU PI BAI WEI

Artemisiae Annuae Hb. Lycii Cx. Cynanchi Atrati Rx.

( ) ( ) ( )

Contras

and

Cautions

Contraweak digestion or watery diarrhea

Contraloose stools due to SP deficiency

Contrahas cardiotonic properties, and overdose (30 45g) canprovoke toxic reactions (palpitations, nausea, vomiting, dizziness,headache, diarrhea, and salivation)

8. PURGATIVES ( ) / 9. LAXATIVES ( ) / 10. CATHARTICS ( )

HERB

PROPERTY

PURGATIVES LAXATIVES CATHARTICS

DA HUANG MANG XIAO LU HUI HUO MA REN DA JI

Rhei Rx. Natrii Sulfas Aloe Cannabis Sm. Euphorbiae Pekinensis Rx.

( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: SP/ST deficient cold, pregnancy and menstruation

Contraweak STqi/blood deficiency

Cautionduring menstruation, pregnancy,and lactation

ContraSP/ST deficient coldpregnancy

Cautionif used externally to promotelactation, cease use when aneffect is seen (overuse canreduce lactation)

ContraSP/ST deficient coldpregnancy

Cautionduring lactation

Cautionexcessive consumption can lead tonausea, vomiting, and diarrhea

Contrapregnancydebilitated

Cautionuse for as short a time as possible

Incompatiblewith Gan Cao



11. DRAIN DAMP ( )

H

P

FU LING YI YI REN ZHU LING ZE XIE DONGGUA ZI

HANFANG JI YIN CHEN DENG

XIN CAOMU

TONGDONGKUI ZI QU MAI BIAN XU SHI WEI CHE

QIAN ZI HUA SHI DI FU ZI BI XIE

Poria Coicis Polyporus Alismatis Benincasae Stephaniae Artemisiae Junci Clematidis Malvae Dianthi Polygoni Pyrrosiae Plantaginis Talcum Kochiae Dioscoreae

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

C

&

C

General C/C: Yin deficiency and consumed fluids

Cautionyin def.sunken SPqideficientcold withspermatorrhea

Cautionnonenoted

Contraabsenceof damp

Contrasunken SPqi

Cautionnonenoted

CautionSP/ST def.Yin def.

Cautionnonenoted

Cautionnonenoted

Cautionpregnancy

Cautionloosestoolsfrom SPdeficiencypregnancy

Contrapregnancy

Cautionnonenoted

Cautionnonenoted

Cautionpregnancyspermatorrheadue to KDdeficiency

Contraweak SP qispermatorrheafluid injuryfrom hotdisorders

Cautionpregnancy

Cautionnonenoted

Cautionnonenoted

12. DISPEL WIND-DAMP ( )

HERB

PROPERTY

DU HUO WEI LING XIAN HAI TONG PI QIN JIAO MU GUA SANG ZHI XI XIAN CAO BAI HUA SHE WU JIA PI SANG JI SHENG

Angelicae Rx. Clematidis Rx. Erythrinae Cx. Gentianae Rx. Chaenomelis Fr. Mori Rm. Siegesbeckiae Hb. Agkistrodon Eleutherococci Cx. Taxilli Hb.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: Yin deficiency except Qin Jiao and Sang Ji Sheng

Cautionyin/blood def.internal wind

Contraqi/blood def.debilitated

Contranone noted

Contraloose stoolsdue to SP def.

Contrainternalconstrained heatscanty darkurinehyperchlorhydria

Contranone noted

Contranone noted

Cautionyin deficiencyand dry bloodwind fromblood deficiency

Cautionnone noted

Contranone noted



13. DISSOLVE HOT-PHLEGM ( )

HERB

PROPERTY

QIAN HU CHUAN BEI MU ZHE BEI MU GUA LOU PI GUA LOU GUA LOU REN ZHU RU HAI ZAO

Peucedani Rx. Fritillariae Cirrhosae Bs. Fritillariae Thunbergii Trichosanthis Sm. Trichosanthis Fr. Trichosanthis Sm. Bambusae Caulis Sargassum

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: SP/ST deficient cold, Cold Phlegm, Damp Phlegm

Incompatible: with Wu Tou, Fu Zi

Contracough due to firefrom yin deficiencycough/wheezingassociated with cold,thin mucus

Contracold phlegm ordamp phlegm

Cautionnone noted

Contradiarrhea due toSP/ST deficiency

Contradiarrhea due toSP/ST deficiency

ContraSP deficiencynausea or loosestools

Contranone noted

Contranone noted

Incompatiblewith Gan Cao

14. DISSOLVE COLD-PHLEGM ( )

HERB

PROPERTY

TIAN NAN XING BAN XIA XUAN FU HUA BAI QIAN BAI JIE ZI JIE GENG

Arisaematis Rz. Prep Pinelliae Rh. Prep Inulae Fl. Cynanchi Stauntonii Rz. Sinapis Sm. Platycodi Rx.( ) ( ) ( ) ( ) ( ) ( )

Contras

and

Cautions

General C/C: Yin deficiency with Heat, Phlegm Heat

Contradry cough from yin def.wind stirring from eitherintense heat or blood def.pregnancy

Cautiondry cough from yin def.sore throat from fire excessbleeding

Toxicitycauses severe irritation ofthe mucosa of the mouth,pharynx, and GI tract, andhas toxic effects on thenervous system

Incompatiblewith Wu Tou, Fu Zi

Contradry cough due to yin def.debilitated pt. with loosestools

Contraunproductive coughassociated with LU def.

Contrachronic cough from LU def.yin deficient fireblazing ST fireoverdosage causes diarrhea

Contrachronic cough from yin def.hemoptysis



15. STOP COUGH & WHEEZING ( )

HERB

PROPERTY

XING REN ZI SU ZI ZI WAN KUAN DONG HUA BAI BU PI PA YE SANG BAI PI

Armeniacae Sm. Perillae Fr. Asteris Rx. Farfarae Fl. Stemonae Rx. Eriobotryae Fm. Mori Cx.

( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: heat condition for warm herbs / cold condition for cold herbs

Contracough due to yin def.general debility

Cautioninfantsdiarrheaoverdosage must beavoided because oftoxicity (cyanogenicglycoside)

Contrasevere diarrhea due toqi deficiency

Cautionnone noted

Cautioncoughing of blood or pus

Contraloose stools due to SPdeficiency

Cautioncough or vomiting dueto cold

Contracough/wheezing due toLU cold

16. AROMATICS FOR DAMP ( )

HERB

PROPERTY

HUO XIANG CANG ZHU HOU PO BAI DOU KOU SHA REN CAO DOU KOU CAO GUO

Pogostemonis Hb. Atractylodis Rz. Magnoliae Cx. Amomi Fr. Rotundus Amomi Fr. Alpiniae Katsumadai Sm. Tsaoko Fr.

( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: Yin deficiency with heat

Contrayin deficient heat

Contrayin deficient heatprofuse sweating due toexterior deficiency

Cautionpregnancy

Contrayin/blood deficiency

Contrayin deficient heat





17. DIGESTIVES ( )

HERB

PROPERTY

SHAN ZHA MAI YA GU YA SHEN QU JI NEI JIN LAI FU ZI

Crataegi Fr. Hordei Fr. Germinatus Setariae (Oryzae) Fr. Massa medicata Fermentata Gigeriae Galli Endothelium Raphani Sm.

( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: Pure deficiency without excess

Contrapregnancy (large doses maycause fetal death)

CautionSP/ST deficiency

Contraduring lactation (except in avery low dosage, up to 9g)

Contranone noted

Contranone noted

CautionSP deficiency without foodretention

Contraabsence of food retention,phlegm, or other form ofaccumulationlong term use consumes qiused as dry fried (unlessspecifically used to inducevomiting)

AntagonizeRen Shen

18. REGULATE QI ( )

HERB

PROPERTY

CHEN PI QING PI ZHI SHI ZHI KE DA FU PI XIANG FU CHUAN LIAN ZI WU YAO CHEN XIANG TAN XIANG MU XIANG

Citri Pericarpium Citri Viride Peri. AurantiiImmaturus Aurantii Fr. Arecae Peri. Cyperi Rhizoma Toosendan Fr. Linderae Rx. Aquilariae

LignumSantali albiLignum Aucklandiae Rx.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: Qi deficiency, Yin deficient heat

Cautionexcess heatdry cough dueto qi/yin def.long term usecan injure theprimal qi

Cautionqi deficiency

CautionpregnancySP/ST def.

Cautionpregnancy

Cautionpregnancy

Contradeficient qiwithoutstagnationyin deficientheatblood heat


Contraqi/blood def.internal heat

Cautionsunken qiyin deficientheat

Contrafireyin deficiency

Contradepleted fluidsyin deficiencyblazing fire



19. STOP BLEEDING ( )

HERB

PROPERTY

SAN QI PU HUANG QIAN CAO XIAN HE CAO BAI JI HUAI HUA DI YU CE BAI YE BAI MAO GEN AI YE

Notoginseng Rx. Typhae Pollen Rubiae Rx. Agrimoniae Hb. Bletillae Rz. Sophorae Fl. Sanguisorbae Rx. Platycladi Cacu. Imperatae Rz. Artemisiae Argyi

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: pregnancy General C/C: blood stasis

Cautionpregnancy

Cautionpregnancy(raw form cancause uterinecontractions)

CautionSP/ST deficientcolddiminishedbloodyin deficientheatlong term use

Contradiarrhea withactive pathogens

Cautionhemoptysis dueto exteriorconditionearly stage ofLU abscessexcessive heator fire toxin

Incompatiblewith Wu Tou,Fu Zi

CautionSP/ST deficientcold

Contradeficient coldblood stasis

Cautionlarge area burns

Cautionbleeding withdeficiency


Cautionyin deficientheat

20. ACTIVATE BLOOD ( )

H

P

CHUANXIONG

YAN HUSUO

JIANGHUANG YU JIN DAN SHEN CHI SHAO YI MU CAO ZE LAN TAO REN HONG HUA MO YAO RU XIANG SAN LENG E ZHU HUAI

NIU XICHUANNIU XI

WANG BULIU XING

Chuanxiong Corydalis Curcumaelongae Rz.

CurcumaeRx. Salviae Rx. Paeoniae

Rx. rubraLeonuriHb. Lycopi Hb. Persicae Carthami

Fl. Myrrha Olibanum Sparganii CurcumaeRz. Achyranthis Cyathulae Vaccariae

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

C&C

C/C: Pregnancy C/C: Pregnancy

Contrayin def.with heatred, drytongue,dry mouth

Cautionpregnancybleedeasilyprofusemenses

Contrapregnancy

Contrapregnancy

Cautionpregnancy

Contrapregnancy


Cautiondeficientcold

Contrablood/yindeficiencypregnancy

Cautionblood def.absence ofblood stasispregnancy

Contrablood def.pregnancy

Contrapregnancybleedingdisorders,pepticulcers

Contraabsence ofstasispregnancy

Cautionweak STlong termuse

Contraabsence ofstasispregnancy

Cautionweak STlong termuse

Contrapregnancyexcessivemenses




Contrapregnancy



21. WARM INTERIOR ( )

HERB

PROPERTY

CHUAN WU CAO WU FU ZI GAN JIANG ROU GUI HUA JIAO WU ZHU YU XIAO HUIXIANG DING XIANG GAO

LIANG JIANG BI BA HU JIAO

Aconiti Rx. Ac. Kusnezoffii Ac. Rx. Lateral. Zingiberis Rz. Cinnamomi Cx. Zanthoxyli Peri. Evodiae Fr. Foeniculi Fr. Caryophylli Fl. Alpiniae Rz. Piperis Longi Piperis Fr.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: Heat syndrome, Yin deficiency, and pregnancy

Contrayin deficiency with abundant yangtrue heat & false cold, heat disorderspregnancy

ToxicityNervous: burning, numbness of tongue/limbsDigestive: salivation, n/v, abdominal painCirculatory: palpitation, hypotension, shock

Incompatiblewith Ban Xia, Bei Mu, Gua Lou, Bai Lian, Bai Ji

AntagonizeXi Jiao

Contrayin deficientheatbleeding dueto blood heat

Cautionpregnancy

Cautionyin deficientheatinteriorexcess heatpregnancy

AntagonizeChi Shi Zhi

Contradeficient yinwith heat

Cautionpregnancy

Contrayin deficientheatlong termuse caninjure qi andperturb fire

Contrayin deficientheat

Contrainternal heat

AntagonizeYu Jin



Contrapregnancy

22. QI TONICS ( )

HERB

PROPERTY

REN SHEN DANG SHEN HUANG QI BAI ZHU BAI BIAN DOU SHAN YAO DA ZAO GAN CAO YI TANG FENG MI GENG MI

Ginseng Rx. Codonopsis Rx. Astragali Rx. Atractylodis Rz. Lablab Sm. Dioscoreae Rz. Jujubae Fr. Glycyrrhizae Rx. Maltosum Mel Oryzae Sm.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: pure excess syndrome

Contrasteaming bonedisorderbleeding due toblood heatLV yang risingconstraint fireexcessive caffeineor stimulant use

Cautionexcess pathogens


AntagonizeWu Ling Zhi

Cautionexcess pathogens


Contraearly stages ofsoresulcerated soreswith toxic heat

Contrayin deficient heatthirst fromexhausted fluids

Contrado not takewithout cooking

Contraabdominalfullness due todampness

Contradamp heatphlegm heat

Cautionexcess dampqi stagnation

Contrafullness ofchest/abdomenvomiting due toexcess damp

Incompatiblewith Da Ji,Hai Zao, Gan Sui,Yuan Hua

AntagonizeYuan Zhi

Contradamp heatphlegm heatchildhoodnutritionalimpairment

Contraexcessive dampphlegm heatfullness in themiddle burnerwith vomitingloose stool

Contranone noted



23. BLOOD TONICS ( )

HERB

PROPERTY

SHU DI HUANG DANG GUI BAI SHAO E JIAO GOU QI ZI SANG SHEN LONG YAN ROU

Rehmanniae Rx. Prep Angelicae Sinensis Rx. Paeoniae Rx. Alba Asini Corii Colla Lycii Fr. Mori Fr. Longan Arillus

( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: SP/ST deficiency or damp in the MJ

Contraqi stagnationprofuse phlegmabdominal fullness/painlow appetite, diarrhea

Contradiarrhea or abdominalfullness due to damp

Cautionnone noted

Incompatiblewith Lu Lu

ContraSP/ST deficiencyfocal distention in theepigastrium, diarrhea

CautionSP deficiency and dampleading to diarrhea

Contradiarrhea due to SP/STdeficient cold

Contrafire from constraintphlegm with qi stag.obstruction due to damp

24. YANG TONICS ( )

H

P

LU RONG ROU CONGRONG SUO YANG HU TAO REN YIN YANG

HUO XIAN MAO BA JI TIAN BU GU ZHI YI ZHI REN GOU JI GU SUI BU XU DUAN DU ZHONG TU SI ZI SHA YUAN ZI

Cervi Cornu Cistanches Cynomorii JuglandisSm.

EpimediiHb. Curculiginis Morindae

Rx.Psoraleae

Fr.Alpiniae

Fr.CibotiiRz.

DrynariaeRz.

DipsaciRx. Eucommiae Cuscutae

Sm.Astragali

Sm.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

C&C

General C/C: Yin deficiency with heat signs

Contrayin deficientheatblood heatphlegm heatin the LUblazing STfirewarm febrilediseases

Contradiarrhea dueto SP/STdeficiencyyin deficientheat

ContraKD yin def.with heatdiarrhea dueto SP def.constipationdue toexcess heat

Contraphlegm fireor hot coughyin deficientheatwatery stool

Contrayin deficientheatlong termdecoctionuse caninjure yin


Cautionlong termuse is notrecommendhigh dosagecan causetongueswelling

Contradamp heatyin deficientheaturinarydifficulty

Contrayin deficientheatconstipation

CautionST deficientcold

Contralower burnerproblem dueto heat

Contraurinarydifficultyyin deficientheat

AntagonizeBai Jiang Cao

Cautionyin deficiencyabsence ofblood stasis

Contrabi syndromefrom winddamp heat


AntagonizeXuan Shen

Contrayin deficiencyconstipationand scanty,dark urine(even thoughit is neutral)

Contrayin deficientheathyperactivesex driveurinarydifficulty



25. YIN TONICS ( )

HERB

PROPERTY

BAI HE TIAN MEN DONG MAI MEN DONG SHA SHEN SHI HU NU ZHEN ZI HEI ZHI MA GUI BAN BIE JIA

Lilii Bulbus Asparagi Rx. Ophiopogonis Rx. Glehniae Rx. Dendrobii Hb. Ligustri Lucidi Fr. Sesami Sm. Nigrum Testudinis Plastrum Trionycis Carapax

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: SP/ST deficiency, phlegm/damp in MJ, diarrhea

Contranone noted

Contradiarrhea due todeficiency or cold

Contraloose stools dueto SP deficiencyturbid phlegm orthin mucus inLU/STearly stages ofwind cold cough

Contrawind cold coughLU/ST deficientcold


Contraearly stage ofwarm febrile dz.loose stools dueto SP deficiencythick, greasytongue coating

Contradiarrhea due toSP/ST deficientcold

Contradiarrhea due toSP deficiency

ContrapregnancyST cold damp

ContrapregnancySP/ST deficientcold

26. ASTRINGENTS ( )

H

P

SHANZHU YU JIN YING ZI HAI

PIAO XIAO FU PEN ZI QIAN SHI LIAN ZI WU WEI ZI BAI GUO WU MEI HE ZI CHI SHI ZHI ROUDOU KOU CHUN PI FU XIAO MAI

Corni Fr. Rosae Fr. Sepiae Endo. Rubi Fr. Euryales Sm. NelumbinisSm. Schisandrae Ginkgo Sm. Mume Fr. Chebulae Fr. Halloysitum Myristicae Ailanthi Cx. Tritici Fr. Levis

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

C&C

General C/C: exterior condition and excess condition

Contrapainful anddifficulturinationdamp heat

Contraexcesspathogenicinfluences,esp. heatoverdose orlong termuse maycauseabdominalpain orconstipation

Cautionextended usecan lead toconstipation

Contraurinarydifficulty

Cautionyin deficientheat

Cautiondifficulturination ordefecation

Contraabdominaldistensionconstipation

Contraunresolvedexteriordisorderinteriorexcess heatearly stagesof cough orrashes

Cautionmay causeheartburn

Contraexcesspatterns

Cautionviscoussputum thatis difficult toexpectorateshould notbe over used(slightly toxic)

Contrainternal heatexcess andstagnationunresolvedexteriordisorder

Contraexteriorpatternsinternaldamp heat

Contrahot diarrhea,early stagesof dysenteryexcessdamp heat

Cautionpregnancy

Contrahot diarrheaST heat

CautionSP/STdeficient coldKD yindeficiency

Contrasweating dueto exteriorpathogen



27. ANCHOR & CALM SHEN ( ) / 28. NOURISH & CALM SHEN ( )

HERB

PROPERTY

ANCHOR & CALM SHEN NOURISH & CALM SHEN

LONG GU MU LI CI SHI ZHEN ZHU SUAN ZAO REN BAI ZI REN YUAN ZHI YE JIAO TENG

Fossilia Ossis Mastodi Ostreae Concha Magnetitum Margarita Ziziphi Spinosae Sm. Platycladi Sm. Polygalae Rx. Polygoni Multiflori

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: SP/ST deficiency Cautionsevere diarrheaexcess heat

Contraloose stoolsphlegm disorders

Cautioncool, dry, wellcirculated storagereduces risk ofcarcinogenic aflatoxincontamination

Contrayin deficient heatpeptic ulcers andgastritis

Contranone noted

Contradamp heatexternally contractedexcess disorders

Contrahigh fever due toexcess withoutsweating

Cautionoverdose may leadto indigestion orconstipation

Cautionweak SP/STlong term use orhigh dosage

Cautionpregnancy

29. EXTINGUISH LIVER WIND ( ) / 30. EXPEL PARASITES ( ) / 31. EXTERNAL USE ( )

HERB

PROPERTY

EXTINGUISH LIVER WIND EXPEL PARASITE EXTERNAL USE

TIAN MA GOU TENG SHI JUE MING BAI JI LI DAI ZHE SHI DI LONG BING LANG SHE CHUANG ZI

Gastrodiae Rz. Uncariae Rm. Haliotidis Concha Tribuli Fr. Haematitum Pheretima Arecae Sm. Cnidii Fr.

( ) ( ) ( ) ( ) ( ) ( ) ( ) ( )

Contrasand

Cautions

General C/C: SP deficient cold (for cold herbs) / Blood&Yin deficiency (for warm herbs)

Contranone noted

Cautionabsence of wind heatexcess heat

CautionSP/ST deficient coldreduced appetiteand loose stools

Cautionpregnancyqi/blood deficiency

Cautionpregnancylong term use

Contraweak SP/ST

Cautionwithout excess heat

Cautioncollapse of themiddle qi

Contra (internal use)damp heat in lowerburneryin deficient heat



32. OBSOLETE SUBSTANCES ( )

HERB

PROPERTY

UNACCEPTABLE TOXICITY ENDANGERED SPECIES

ZHU SHA MA DOU LING GUAN MU TONG GUANG FANG JI CHUAN SHAN JIA

Cinnabaris Aristolochiae Fr. Aristolochiae manshuriensis Caulis Aristolochiae fangchi Rx. Manitis Squama

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Contrasand

Cautions

Contralong term use or high dosagedo not heat to prevent mercurypoisoning (restlessness, metallic taste,profuse salivation, swollen gum, nausea,tremor, impaired sexual function,albuminuria, etc.)

Contradiarrhea and vomiting due toSP/ST deficiencywheezing due to deficient cold

Cautionlong term use or high dosage maycause vomiting or other side effects

Contralack of damp heat

Cautionpregnancy

Cautionyin deficiency

Contrapregnancyopen sores and carbuncles

References

Chinese Herbal Medicine: Materia Medica (3rd Edition) Bensky, Clavey, & Stoger Seattle, WA: Eastland Press

Chinese Herbal Medicine: Formulas & Strategies (2nd Edition) Scheid, Bensky, Ellis, & Barolet Seattle, WA: Eastland Press



Documents

caution and contra - acupuncturemedia.com · ë sperma r torrhea due to KD deficiency Contra ë weak SP qi ë sperma r torrhea ë fluid injury from hot disorders Caution ë pregnancy