From the perspective of traditional Chinese medicine (TCM), menopause is the result of Kidney deficiency. The Kidneys are the primary source of Yin, Yang, and Jing (essence) of the body, whose function declines with the age. Hot flashes and the resulting restlessness are signs of Yin deficiency whereas soreness of the lower back is a sign of Kidney Jing deficiency. Although hot flashes are the most conspicuous sign of menopausal syndrome, it can also be accompanied by cold feet, and sensitivity to cold temperatures. The alternating hot flashes and cold feet indicate the Kidney deficiency of both Yin and Yang energies. Er Xian Tang is a famous Chinese medicine uniquely formulated to supplement both Yin and Yang and may help women undergoing menopause smoothly manage their midlife challenge, especially when such signs of both Yin and Yang deficiency are manifested.
Er Xian Tang was invented in late 1950s in Shanghai to treat hypertension but was soon well adapted to deal with menopausal syndrome and got its fame. Er Xian Tang, literally "two immortals decoction", is named after its 2 major ingredients starting with Xian (immortal), Xian Mao and Xian Ling Pi, an alternative name for Yin Yang Huo or horny goat weed.
Er Xian Tang has been the subject of many clinical studies.1,2 In a randomized, double-blind, controlled trial conducted in Hong Kong and published in 2013, Er Xian Tang was administered to 108 perimenopausal women for 12 weeks. The frequency and severity of hot flushes are measured up to 3 months after the intervention. As the result, Er Xian Tang significantly reduced the mean frequency of hot flushes from 5.8 to 2.2, in comparison with a reduction from 5.0 to 2.4 in the placebo group (P = 0.04). The mean hot flush score was also reduced from 19.6 to 4.9, in comparison with a reduction from 16.6 to 7.0 in the placebo group (P = 0.02). The benefit of Er Xian Tang to placebo was also observed with greater improvement in the total scores for the MRS or Menopause Rating Scale (P = 0.03) and the Quality of Life questionnaire (P<0.01). No differences in serum hormone levels were observed between the two groups. Whole blood counts, renal function, and liver function were all within the normal range before and after treatment. Er Xian Tang is well tolerated with no serious adverse events noted.2
Er Xian Pian is a delicate combination of 6 Chinese herbs that warms Kidney Yang, tonifies Kidney Yin, nourishes Jing-essence, nourishes Liver Blood, drains Kidney Fire.† In the formula, Xian Mao (Curculigo rhizome), Yin Yang Huo (Horny goat weed), and Ba Ji Tian (Morinda) as a group tonify the Kidney Yang, replenish the Kidney Jing, and strengthen the tendons and bones; Huang Bo (Phellodendron bark) and Zhimu (Anemarrhena) work as a pair to drain Kidney Fire, clear heat, and nourish Kidney Yin. Finally, Dang Gui (Angelica sinensis root), a commonly used Chinese herb for gynecological diseases, nourishes the blood and regulates menses.
Chen HY et al., Treatment of menopausal symptoms with Er-xian decoction: a systematic review. Am J Chin Med. 2008;36(2):233-44.
Zhong LL et al., A randomized, double-blind, controlled trial of a Chinese herbal formula (Er-Xian decoction) for menopausal symptoms in Hong Kong perimenopausal women. Menopause. 2013 Jul;20(7):767-76.
| Rhizoma Curculiginis Orchioidis|
Herba Epimedii Grandiflori
Radix Morindae Officinalis
Radix Angelicae Sinensis
Cortex Phellodendri Chinensis
Rhizoma Anemarrhenae Asphodeloidis
| (Xian Mao)|
(Yin Yang Huo)
(Ba Ji Tian)
Guang Ci Tang® Er Xian Pian (Menofine™) 40 grams in 200 mg 200 tablets @ 5:1 strength.
At a true 5:1 concentration, this product represents the most potent form of Er Xian Pian (Wan) on the market. One tablet is equal to 1 gram of raw herb.
Er Xian Pian tablets are made with 100% natural herbs that are tested for authenticity, quality, and potency. A traditional water decoction is prepared with the herbs to reproduce the time-tested efficacy of the formula, and this water decoction is concentrated with our proprietary technology to form a potent extract that is made into easily absorbed tablets, which are remarkably effective, easy to use, and safe. The tablets are produced by Guang Ci Tang® in our state of the art cGMP-certified facility and imported in accordance with U.S. FDA guidelines. When you choose Guang Ci Tang® products, you are taking advantage of a wonderful fusion of science and tradition that incorporates the highest standards in the field of Chinese medicine today.
Check for an independent US lab test report.
Guang Ci TangВ® Advantages
Effective. Safe. Affordable
- True 5:1 concentration
- Double the strength of other brands
- Minimal or no fillers and binders
- No pharmaceuticals, sugar, or dyes
- Comprehensive lab testing (e.g., heavy metals,etc.)
- Made in a cGMP certified facility
- Unbeatable value
- Safely used in the USA since 1995
Menofine™ is a tonic and therefore it usually takes time before its effects become apparent. It may take one month or more before symptoms begin to improve. An initial course of treatment is suggested as 6 bottles taken at the full dose.
Side effectsEr Xian Tang has been safely used with few adverse effects.
1. Not for use during pregnancy.
AllergyMenofine™ is gluten free
Use with caution in Spleen deficient patients with a tendency to loose stools, diarrhea, poor appetite or chronic digestive weakness.
Keep out of reach of children.