Can Gastrodia elata (Tianma) and Dendrobium officinale (Tiepi Shihu) be taken together?
Generally speaking, Gastrodia (Tianma) and Dendrobium (Tiepi Shihu) can be taken together, but their use should be guided by a physician. The detailed explanation is as follows:

Gastrodia mainly contains gastrodin, gastrodia polysaccharides, and other components. It has effects of calming liver wind, suppressing hyperactivity of liver yang, dispelling wind, and promoting circulation of collaterals. It can exert sedative and anticonvulsant effects by regulating nervous system functions and is commonly used to improve symptoms caused by internal wind disturbance and hyperactivity of liver yang. Dendrobium is rich in dendrobium polysaccharides and dendrobium alkaloids, and has functions of nourishing yin and clearing heat, benefiting the stomach and promoting production of body fluids. It can enhance immune function, promote secretion of digestive fluids, and help nourish yin and moisturize internal organs.
Gastrodia primarily calms liver wind, while Dendrobium focuses on nourishing yin and clearing heat. Their effects do not conflict with each other, and they may have synergistic effects in regulating the body's yin-yang balance. There are no obvious contraindications in combination, so they can generally be taken together. Combined use of the two herbs may help regulate bodily functions and enhance physical condition to a certain extent.
When consuming Gastrodia and Dendrobium, they should be taken in appropriate amounts, as excessive consumption may cause discomfort. Additionally, attention should be paid to the quality and source of the herbs to ensure purchase of high-quality medicinal materials.