CHINESE HERBAL LABEL — INGREDIENT IDENTITY RECORD Original worksheet for printed information and reference matching. No loose-herb identification, product authentication, dose or clinical assessment. PACKAGE RECORD Exact product / manufacturer / version: ____________________ Label language / photographs kept at: ____________________ Batch or lot / expiry if stated: ____________________ Date recorded / exact product-information source: ____________________ INGREDIENT 1 — duplicate for every actual ingredient Ingredient line copied exactly; keep original characters: ____________________ Romanization / English common name exactly as printed: ____________________ Name layer: common / botanical binomial / materia-medica / unresolved: ____________________ Scientific name as printed; missing if not supplied: ____________________ Latin materia-medica name as printed; relevant monograph if provided: ____________________ Plant part exactly as stated: ____________________ Preparation / processing / extract wording and units: ____________________ Amount and per-serving or other basis exactly as stated: ____________________ Blend total / individual amount unspecified if applicable: ____________________ Other ingredients to retain: ____________________ Reference title / URL / edition / date checked: ____________________ Exact reference wording supporting the proposed match: ____________________ Interpretation added separately from original text: ____________________ What was matched / what remains missing or unresolved: ____________________ Identification question / appropriate person to ask: ____________________ INGREDIENT 2 — duplicate for every actual ingredient Ingredient line copied exactly; keep original characters: ____________________ Romanization / English common name exactly as printed: ____________________ Name layer: common / botanical binomial / materia-medica / unresolved: ____________________ Scientific name as printed; missing if not supplied: ____________________ Latin materia-medica name as printed; relevant monograph if provided: ____________________ Plant part exactly as stated: ____________________ Preparation / processing / extract wording and units: ____________________ Amount and per-serving or other basis exactly as stated: ____________________ Blend total / individual amount unspecified if applicable: ____________________ Other ingredients to retain: ____________________ Reference title / URL / edition / date checked: ____________________ Exact reference wording supporting the proposed match: ____________________ Interpretation added separately from original text: ____________________ What was matched / what remains missing or unresolved: ____________________ Identification question / appropriate person to ask: ____________________ INGREDIENT 3 — duplicate for every actual ingredient Ingredient line copied exactly; keep original characters: ____________________ Romanization / English common name exactly as printed: ____________________ Name layer: common / botanical binomial / materia-medica / unresolved: ____________________ Scientific name as printed; missing if not supplied: ____________________ Latin materia-medica name as printed; relevant monograph if provided: ____________________ Plant part exactly as stated: ____________________ Preparation / processing / extract wording and units: ____________________ Amount and per-serving or other basis exactly as stated: ____________________ Blend total / individual amount unspecified if applicable: ____________________ Other ingredients to retain: ____________________ Reference title / URL / edition / date checked: ____________________ Exact reference wording supporting the proposed match: ____________________ Interpretation added separately from original text: ____________________ What was matched / what remains missing or unresolved: ____________________ Identification question / appropriate person to ask: ____________________ INGREDIENT 4 — duplicate for every actual ingredient Ingredient line copied exactly; keep original characters: ____________________ Romanization / English common name exactly as printed: ____________________ Name layer: common / botanical binomial / materia-medica / unresolved: ____________________ Scientific name as printed; missing if not supplied: ____________________ Latin materia-medica name as printed; relevant monograph if provided: ____________________ Plant part exactly as stated: ____________________ Preparation / processing / extract wording and units: ____________________ Amount and per-serving or other basis exactly as stated: ____________________ Blend total / individual amount unspecified if applicable: ____________________ Other ingredients to retain: ____________________ Reference title / URL / edition / date checked: ____________________ Exact reference wording supporting the proposed match: ____________________ Interpretation added separately from original text: ____________________ What was matched / what remains missing or unresolved: ____________________ Identification question / appropriate person to ask: ____________________ FINAL ACCURACY CHECK [ ] Original readable label retained; seller summary kept separate. [ ] One row for every stated ingredient, with qualifiers preserved. [ ] Common names, botanical names and materia-medica names separated. [ ] Plant part, preparation and printed quantity retained without conversion guesses. [ ] Name relationships supported by an actual entry, not row position alone. [ ] Missing fields visible; name match not called product or clinical verification. REFERENCE EXAMPLES Licorice: NCCIH lists Glycyrrhiza glabra, Glycyrrhiza uralensis and Glycyrrhiza inflata. Huang Qi: the checked NCCIH page lists Astragalus membranaceus. CMRO materia-medica examples: Radix Astragali; Radix et Rhizoma Glycyrrhizae. These references do not identify or authenticate your package. SOURCES https://ods.od.nih.gov/factsheets/BotanicalBackground-Consumer/ https://www.nccih.nih.gov/health/licorice-root https://www.nccih.nih.gov/health/astragalus https://www.cmro.gov.hk/html/eng/useful_information/hkcmms/cmmlist.html https://www.cmro.gov.hk/html/b5/useful_information/hkcmms/cmmlist.html