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This product is sold exclusively as a dietary supplement. It is not a medicine. Its use is based on traditional TCM applications.

Main benefits

  • Pattern Identification: Traditionally used for the TCM pattern of “Deficiency of both Kidney Yin and Kidney Yang with Upward Flaring of Empty Fire,” characterized by hot flashes, night sweats, cold hands and feet, mood swings, irritability, lower back weakness, and temperature or blood pressure fluctuations often associated with menopause.

  • Yin & Yang Harmonization: Uniquely formulated to simultaneously warm Kidney Yang and nourish Kidney Yin. By re-establishing the delicate balance between the body's foundational Fire and Water, it addresses complex states where deep internal cold coexists with intense, sudden bursts of surface heat.

  • Empty Heat Clearance: Zhi Mu and Cortex Phellodendri (Huang Bo / Hua Bai) form a classic pairing to specifically clear deficiency-driven "Empty Heat." They effectively cool the body, relieve night sweats, and extinguish false fire without putting out the vital metabolic fire needed for energy.

  • The "Two Immortals": Xian Mao (Xian Miao) and Yin Yang Huo are the formula's namesakes (Er Xian translates to "Two Immortals"). They robustly tonify Kidney Yang and the Ming Men (Gate of Vitality) Fire, combating the deep-seated fatigue, exhaustion, and internal chill that underlie the pattern.

  • Blood Nourishment & Circulation: Dang Gui is included to deeply nourish and gently invigorate the Blood, ensuring the Liver and Heart are supported. This helps stabilize mood, ease anxiety, and regulate the transitional phases of a woman's reproductive cycle.

  • Modern Heritage: A brilliant mid-20th-century formula developed in the 1950s at the Shanghai College of Traditional Chinese Medicine, historically celebrated as the definitive modern TCM masterpiece for managing menopausal syndrome and complex hormone-related imbalances.


Zhenatura.com TCM: Herbal dietary supplements of Traditional Chinese Medicine origine according to European standards!

  • Strength 10:1
  • 120 tablets per bottle
  • Double or Triple the strength as regular brands
  • Less fillers and binders
  • No pharmaceuticals or dyes
  • Thorough lab testing (heavy metals, pesticides etc.)
  • Always made in controlled cGMP certified facility
  • Unbeatable value
  • European brand
TCM traditional Chinese Patents do not work immediate, it takes some time before you (and your organs) will experiences the benefits. We advice always to use minimum 1 packing and then evaluate with your prescriber!
This product is a dietary (food) supplement, to be taken as directed by a qualified practitioner. It is not intended to treat, cure, diagnose or prevent any disease. Not to replace a varied diet. Not to be taken if nursing or if pregnant. Not to be consumed continuously for longer than 3 months.

Common uses

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Information for professionals

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Zhenatura Er Xian Tang Extra Strong is based on the modern classical Er Xian Tang (“Two Immortals Decoction”), developed in the mid‑20th century by physicians in Zhejiang Province and subsequently popularized as a Kidney Yin‑and‑Yang supporting formula for menopausal‑type patterns in contemporary TCM literature. Within traditional Chinese herbal discourse, the version built from Ba Ji Tian (Radix Morindae officinalis), Dang Gui (Radix Angelicae sinensis), Huang Bai (Cortex Phellodendri), Xian Mao (Rhizoma Curculiginis / Curculigo Rhizome), Yin Yang Huo (Herba Epimedii), Zhi Mu (Rhizoma Anemarrhenae asphodeloidis), and in modern preparations a neutral base such as corn starch, is described as a method to “tonify Kidney Yang and Essence,” “nourish Kidney Yin,” “drain Deficiency Fire from the Liver‑Kidney axis,” and “regulate the Chong and Ren vessels” according to the TCM theoretical framework. These descriptions belong exclusively to the traditional conceptual system of Chinese medicine and do not refer to modern endocrinology, gynecology, bone metabolism, or scientifically validated physiological effects.

1
Menopausal Syndrome and Hot Flashes — Modulating the Endocrine Axis
https://journals.lww.com/menopausejournal/_layouts/15/oaks.journals/downloadpdf.aspx?an=00042192-201307000-00012

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

Er Xian Tang is globally recognized as a premier TCM alternative to Hormone Replacement Therapy (HRT) for treating severe menopausal symptoms. A landmark randomized, double-blind, placebo-controlled trial investigated its efficacy in menopausal women experiencing frequent hot flashes.

The clinical data demonstrated that women taking Er Xian Tang experienced a statistically significant reduction in the frequency and severity of hot flashes and sweating compared to the placebo group. Furthermore, it vastly improved their overall menopausal quality-of-life scores, alleviating associated insomnia and irritability.

Pharmacological studies reveal that the formula actively modulates the hypothalamus-pituitary-ovarian (HPO) axis. Rather than just supplementing estrogen, the active compounds in Yin Yang Huo (icariin) and Xian Mao naturally stabilize fluctuating serum hormone levels and regulate endocrine function, providing systemic relief without the risks associated with synthetic HRT.


2
Postmenopausal Osteoporosis — Reinforcing Bone and Muscle
https://www.sciencedirect.com/science/article/abs/pii/S0378874108002122

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

Because estrogen decline is the primary driver of postmenopausal osteoporosis, Er Xian Tang has been extensively researched for its bone-protecting properties.

In pharmacological and clinical studies, Er Xian Tang has proven highly effective in inhibiting bone resorption (breakdown) and promoting osteogenesis (bone formation). The herb Yin Yang Huo (Epimedium) contains icariin, a well-documented phytoestrogen that stimulates osteoblast activity and increases bone mineral density.

In Chinese medicine, the "Kidneys govern the bones." By powerfully tonifying the Kidney Yang and Essence (Jing), Er Xian Tang restores the foundational energy required to maintain bone density and joint strength during the aging process, preventing fractures and chronic lumbar pain.


3
Menopausal Hypertension — Draining Upward Fire
https://www.medicinetraditions.com/er-xian-tang/

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

Professor Zhang originally designed this formula to treat women who developed sudden high blood pressure specifically during their menopausal transition.

When Kidney Yin is severely depleted, it cannot anchor the Yang, causing "Deficiency Fire" to rush upward to the head, resulting in hypertension, facial flushing, and a pounding heart. The bitter, downward-draining herbs Zhi Mu and Huang Bai physically pull this heat and pressure down, relaxing the blood vessels and protecting the cardiovascular system from the sudden hormonal shifts.

For Er Xian Tang, take 3 tablets 2 times per day. These should be taken before or after meal.

Total pieces in package: 120 tablets

Dosage: 3 tablets

Frequency: 2 times a day before or after meal

Do not exceed the recommended daily dose. This supplement is not a substitute for a balanced diet.


Side effects

No known side effects.


Allergies

Individuals allergic to any of the herbal ingredients should avoid use. Discontinue immediately if any allergic reactions, such as rash, itching, or swelling, occur.

Gluten


Avoid medicine interactions

No known medicine interactions.


Precautions

Do not use if pregnant or breastfeeding.

Consult your doctor if taking medicines or under medical care.

Not suitable for people with high blood pressure.

Stop use at least two weeks before surgery.

Do not use in case of heavy menstrual or active bleeding.


Indemnification

This product is a dietary supplement, and should only be used as prescribed by a qualified acupuncturist, herbalist, phyto- or TCM therapist. This product is not intended to diagnose, treat, prevent or cure any disease. Always consult a qualified doctor or healthcare professional before using this. A healthy lifestyle is important, as is a varied, balanced diet, for which supplements are not a substitute.

TCM traditional Chinese Patents do not work immediate, it takes some time before you (and your organs) will experiences the benefits. 1 packing adviced and then evaluate with your prescriber!

Allergies

Formula types

Ingredients

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Ingredients Pinyin

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Original classical patents

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Original classical patents Pinyin

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SKU: ZHEN0078

GTIN: 8721472360806