ER XIAN PIAN 二仙片 - Menofine™

$ 12.99

Shen Clinic TCM advice

ER XIAN PIAN (Menofine™ ) - Two Immortals Pill

Uses and TCM Properties of ER XIAN PIAN (WAN)

Er Xian Tang is a very recent formula.  It was invented at the Shanghai College of Oriental Medicine in late 1950s to treat menopausal hypertension. It was later used to treat menopausal syndrome with symptoms of hot flashes, night sweats, etc.

It should be noted that symptoms of hot flashes, so common in the West, are far less prevalent in Asia, where menopausal women are more likely to complain of neck and shoulder pain, and the formula GE GEN TANG is therefore more widely used than is Er Xian Tang.

The name "Two Immortals" is taken from  2 major ingredients, the 2 Xians, Xian Mao and Xian Ling P (aka Yin Yang Huo, or horny goat weed).

Though it is a natural course of events, menopause is still a difficult transition. and typically takes several years. Hot flashes, night sweats, mood swings, insomnia, lower back ache, and other discomforts may occur.

In Western medicine hormone replacement therapy (HRT) was the go to method of dealing with menopausal syndrome, that is, before it was found to significantly increase the risk of breast cancer.

From a TCM perspective, symptoms of menopause are caused by Kidney deficiency. Hot flashes, and night sweats are signs of Kidney YIN deficiency. Lower back weakness and loss of libido are signs of Kidney YANG and JING deficiency. Alternating hot flashes and cold sensations indicate both Yin and Yang vacuities. Er Xian Tang is  formulated to bolster both Yin and Yang. 

A trial study published in Hong Kong 2013, which administered Er Xian Tang to 108 perimenopausal women for 12 weeks, concluded that Er Xian Tang significantly reduced the mean frequency of hot flashes. Er Xian Tang was well tolerated , and no serious adverse events noted.

  • Increases Kidney Yang 
  • Tonifies Kidney Yin 
  • Nourishes Jing
  • Nourishes Liver Blood
  • Drains Kidney Fire


5 tablets taken 2 to 3 times daily, or as prescribed.  Each bottle contains 200 tablets.

Recommended course of use is 1 month or longer.


Pregnant women should consult their health care provider before using any supplement. 

Traditional Chinese Medicine is powerful and reliable, but it can be complex. As TCM is not based on symptoms alone, self-diagnosis and self-treatment aren't recommended. Best to start a low cost online-herbal-consultation.

ER XIAN PIAN Ingredients

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)
(Dang Gui)
(Huang Bo)
(Zhi Mu)



Compared to teapills known as WAN, ActiveHerb's PIAN are Extra-Strength tablets, made from concentrated herbs, and require a smaller dosage.  This makes the Activeherb version a decidedly good value.

What’s the Difference Between, PIAN, WAN, TANG, SAN, SHUI and GAO?

  • PIAN = Tablet (modern looking pill)
  • WAN = Pill (old-style or handmade pill, or black teapill)
  • TANG = Water Decoction (boiled whole herbs)
  • SAN = Powder (milled or granulated)
  • SHUI = Tincture (extract with alcohol or other solvent)
  • GAO = Paste (topical unguent or plaster)

* These statements have not been evaluated by the US Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. Pregnant or nursing women should consult their health care provider before taking any supplement.



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