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This formula is for the treatment of lao nue or taxation malarialike disorders characterized by chronic extreme fatigue and recurrent lowgrade fevers due to a combination of qi and yin vacuities with vacuity heat harassing internally and liver depression qi stagnation. Many Western patients with chronic fatigue immune deficiency syndrome (CFIDS) exhibit this combination of patterns as well as many others with fibromyalgia

Huang qi (Radix Astragali), Dang shen (Radix Codonopsitis), mixfried Gan Cao (Radix Glycyrrhizae), and Bai Zhu (Rhizoma Atractylodis Macrocephalae) all fortify the spleen and boost the qi. Huang qi and Bai Zhu particularly supplement and secure the defensive qi. Chai Hu (Radix Bupleuri) and Sheng Ma (Rhizoma Cimicifugae) upbear yang and disinhibit the qi mechanism. Rectification of the qi is also aided by Chen Pi’s (Pericarpium Citri Reticulatae) harmonizing of the stomach and downbearing of turbidity. Because Chai Hu and Sheng Ma both also resolve the exterior, these two ingredients in small doses can outthrust any lingering exterior evils as well as exteriorize evils hidden or latent in the blood division. Dang Gui (Radix Angelicae Sinensis) and He Shou Wu (processed Radix Polygoni Multiflori) both nourish and supplement the blood. Nourishment of liver blood indirectly promotes the liver’s function of coursing and discharging. Dang Gui also quickens the blood, while He Shou Wu has some ability to quiet the spirit. The combination of Dang Gui, He Shou Wu, and Niu Xi (Radix Achyranthis Bidentatae) supplements yin and nourishes the sinews. Niu Xi also leads the blood and, therefore, ministerial fire back downward to its lower source, especially when combined with Zhi Mu (Rhizoma Anemarrhenae) which enriches yin and clears vacuity heat. Wu Mei (Fructus Mume) engenders fluids, kills parasites, astringes the lung and large intestine qi, and, according to Ye Tianshi, restrains or controls liver repletion. Cao Guo (Fructus Amomi Tsaokuo) strongly dries dampness, stops malarial disorders, and rectifies the qi. The combination of Cao Guo, Zhi Mu, and Chai Hu is a recognized antinue combination recommended by Bensky & Gamble. Likewise, Wiseman & Feng recommend the combination of He Shou Wu, Niu Xi, and Wu Mei for taxation nue, while the Qing dynasty writer, Xin Fuzhong, recommends the combination of Wu Mei and Cao Guo for taxation nue. The idea that many cases of CFIDS manifest qi and yin vacuities with vacuity heat and liver depression is corroborated by Yin Hengze in Shang Hai Zhong Yi Yao Za Zhi (The Shanghai Journal of Chinese Medicine & Medicinals), #3, 1999, p. 1920.


  • Fatigue, especially after eating
  • A swollen tongue with teethmarks
  • Abdominal bloating after eating on its edges
  • A tendency to loose stools but possibly constipation
  • Easy contraction of colds and flus
  • Cold hands and feet
  • Easy bruising
  • A fine pulse which is often soggy or
  • Dizziness when standing up soft in the right bar position
  • Lack of strength in the four extremities


  • Night sweats
  • Heat in the five hearts or centers
  • Hot flashes
  • Tinnitus
  • Dizziness
  • Matitudinal insomnia
  • Malar and/or auricular flushing in the afternoon or early evening
  • Numbness and/or tingling of the extremities
  • A fine, rapid or possibly floating, surging pulse
  • Stiffness of the sinews
  • Thirst or a dry mouth but little or no desire to drink
  • Recurrent, dry, sore throat, especially in the evening and upon waking
  • A pale red tongue or a pale tongue with red tip and scanty tongue fur


  • Lower abdominal cramping
  • Irritability
  • Premenstrual breast distention and pain
  • Emotional depression
  • Premenstrual or menstrual lower
  • A bowstring pulse abdominal distention



Huang Qi (Radix Astragali) 70 mg
*processed He Shou Wu (Radix Polygoni Multiflori) 57 mg
Niu Xi (Radix Achyranthis Bidentatae) 57 mg
Dang Shen (Radix Codonopsis) 42 mg
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 42 mg
Zhi Mu (Rhizoma Anemarrhenae) 42 mg
Wu Mei (Fructus Mume) 42 mg
Cao Guo (Fructus Tsao-kuo) 28 mg
mix-fried Gan Cao (Radix Glycyrrhizae) 28 mg
Dang Gui (Radix Angelicae Sinensis) 28 mg
Chen Pi (Pericarpium Citri Reticulatae) 28 mg
Sheng Ma (Rhizoma Cimicifugae) 21 mg
Chai Hu (Radix Bupleuri) 15 mg
*Contains soy

Dosage: Three capsules two times per day equal not less than 30 g of raw medicinals. However, because our extraction process is so much more efficient than stovetop decoction, we believe this amount of our extract is actually more like the equivalent of 45 g of bulk-dispensed herbs.

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This product is not intended to diagnose, treat, cure or prevent any disease.

Since we do not know everything about your medical history and medications, please consult with your health care practitioner before implementing any new protocols and supplements. Do not construe any information listed on this site as a substitute for actual medical advice. The info you receive from us is not intended to replace medical advice by your doctor. Forrest Health, Inc. does not dispense medical advice, prescribe, or diagnose illness. We offer nutritional programs and supplements that support your health. The views and nutritional advice expressed by Forrest Health, Inc. are not intended to be a substitute for conventional medical service. If you have a medical condition, see your physician of choice