Mao Dong Qing (毛冬青; Máo Dōng Qīng; Latin: Ilex Pubescentis Radix; English: pubescent holly root) in the current pharmacopoeia is the dried root of Ilex pubescens, an evergreen holly shrub, usually washed, cut, and dried as root slices; a wine-fried preparation moves blood a little more strongly. It is bitter, astringent, and cold, enters the Lung and Liver channels, and its core actions are to clear heat and benefit the throat, and to invigorate blood and free the vessels. It usually goes into decoctions or light herbal teas. The usual amount is 6–15 g. It is simmered for about 10–15 minutes with no special first-or-late addition. External use is ground fine and applied to minor burns and scalds.
It is not Shan Dou Gen. Sophora root is bitter-cold and much stronger, draining lung and stomach fire for severe, pus-filled sore throats; it has no astringent quality and does not move blood. Spleen-stomach deficiency-cold, with bloating, loose stools, and cold limbs, is a poor match. Pregnancy and breastfeeding should avoid it. A bleeding tendency, such as frequent gum or stool bleeding, needs a clinic first. People on blood-thinning, blood-pressure, or blood-sugar medicine should ask a doctor before using it.
It is used most often for three patterns:
- Dryness-heat sore throat, swollen tonsils, and mouth sores
- Heavy body and mild chest-flank distension from sedentary life and emotional constraint
- Local swelling-pain after mild injury
Bitter, astringent, and cold, it is not a daily throat tea to keep steeping. Cooling when there is no heat, in someone with a cold weak stomach, damages the spleen and drives loose stools.
When dryness-heat smokes the lung channel, a swollen painful throat, mouth sores, dry mouth, and yellow urine are common; when static blood blocks the vessels, local swelling-pain and a heavy body follow. Mao Dong Qing is bitter, astringent, and cold. It clears heat, drains downward, and moves blood, which is why it appears in Mao Dong Qing Tang (Pubescent Holly Root Decoction)–type formulas, and, paired with Dang Gui and Hong Hua, in Mao Dong Qing Huo Xue Yin (Blood-Moving Drink)–type formulas. It clears more than it builds. A cold weak spleen and stomach, with no heat at all, get worse if more is added.
Mao Dong Qing is not a catch-all cooling or circulation herb. In deficiency-cold, with no heat, or in pregnancy, using it alone is a poor match. Raw slices or wine-fried, and whether it belongs in a formula, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.