Tetrapanax, Tong Cao Tetrapanax, Tong Cao 通草 Rice Paper Plant Tong Cao (TCM) Tetrapanax papiferaVan Houtte, L.B., Flore des serres et des jardin de l’Europe (1845-1880) Botanical name: Tetrapanax papifera Parts used: Stem Pith Temperature & Taste: Cool, dry. Sweet Classification: C. Clears Damp, Promote Urine Uses: 1. Clears Heat and Damp, Promotes Urine:-dark, painful, dribbling and difficult Urination; Cystitis-Edema from heat obstruction2. Promotes Milk:-used for insufficient Breast Milk Dose: Decoction: 2–5 grams (up to 9 grams) Main Combinations: 1. Painful Urination:i. with dribbling, Tetrapanax with Job’s Tears (Yi Yi Ren)ii. with Blood, Tetrapanax with Dianthus Qu Mai, Pyrrosia Shi Wei2. To promote Breast Milk:i. Tetrapanax with Vaccaria Wang Bu Liu Xingii. Tetrapanax with Dang Gui and Astragalus Huang Qiiii. Tetrapanax decocted with Pig feet into a soup Major Formulas: San Ren TangXia Ru Yong Quan San Cautions: 1. Avoid during Pregnancy2. Caution in cold and weakness of the digestion Toxicity: Overdose can cause nausea, vomiting, abdominal pain. It also increases cholesterol via stimulation of triglyceride synthesis. Main Preparations used:

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