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Acupuncture for Ménière’s Disease: The Points I Use

Posted on September 3, 2026 by - Healing, Meniere's Disease, Techniques

Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
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Acupuncture for Ménière’s Disease: The Points I Use

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Will Sheppy, Founder and Acupuncturist at Valley Health Clinic

Table of Contents

I have Ménière’s disease.

I don’t have vertigo attacks. That didn’t happen because somebody fixed me. It happened because I work on it, and I keep working on it, using the tools I know work for me.

That is the frame for everything below. I’m going to walk through the acupuncture points I use for Ménière’s and vertigo, why I use them (classically, anatomically, and from what I see in the room), and which ones you can press with your own fingers at home.

Some of this is written for patients. Some of it is written for the practitioners who email me asking what I’m doing. I’ve kept both in, because if you’re the patient, understanding why a point is being used is the difference between showing up and participating.

Quick answer

Acupuncture helps most people with Ménière’s disease reduce vertigo and dizziness. It rarely eliminates tinnitus. The single biggest reason people conclude “acupuncture didn’t work” is frequency. Research protocols run two to three times a week for three to six weeks; most Americans come once a week. If you’re leaning on acupuncture for dizziness, come more often at the start.

The points do three jobs: release the tension around the occiput and ear, calm an overactive sympathetic nervous system, and help things descend. Which points you get depends on where you’re tender.

Does Acupuncture Actually Work for Ménière’s?

The research says yes. The research also isn’t very good. Both are true and you should know both.

The strongest paper is a 2024 systematic review and meta-analysis in Frontiers in Medicine. Six randomized controlled trials, 494 patients. Acupuncture, or acupuncture plus Western medication, beat Western medication alone on overall efficacy rate, on the Dizziness Handicap Inventory, on the Tinnitus Handicap Inventory, on ear-fullness scores, and on pure tone audiometry.

The part most clinic websites leave out: all six trials were run in China and published in Chinese. The authors graded their own confidence in the findings using the GRADE system, and it came back very low for the efficacy rate, for dizziness handicap, and for tinnitus handicap. Low for ear fullness. Only the hearing measurement reached moderate confidence. Blinding was missing in several trials. Sample sizes ran 30 to 58 people.

A second meta-analysis, from 2016, pooled 12 trials and 993 participants. It found a real effect on vertigo control and a negative result for hearing improvement and dizziness handicap. So the two big reviews don’t fully agree with each other.

I’m telling you this because I think you should hear it from an acupuncturist rather than from someone trying to talk you out of acupuncture. The evidence points in a consistent direction. It is also thin, geographically narrow, and methodologically soft. If somebody tells you acupuncture is proven for Ménière’s, they haven’t read the papers.

What I find more persuasive than the meta-analyses is a smaller study that measured something you can’t fake. In 2015, an emergency department in Taiwan ran 60 patients presenting with dizziness and vertigo, split into acupuncture and control groups, with anything life-threatening or neurological screened out first. Acupuncture patients had significantly lower vertigo scores at 30 minutes and again at 7 days. No adverse events.

The finding I care about: heart rate variability shifted. High-frequency HRV went up significantly in the acupuncture group. That’s a parasympathetic marker. It’s direct physiological evidence that needling moved these patients out of sympathetic overdrive — which is exactly the mechanism I think is doing the work in a lot of dizziness.

The Frequency Problem: Why Once a Week Doesn’t Cut It

This is the most useful thing in this article, so I’m putting it early.

Look at how the research is actually done. Treatment courses in those trials ran anywhere from seven days to three months, with visits clustered two to three times a week. Then look at how acupuncture is actually delivered in the United States: once a week, because that’s what schedules and budgets allow.

Those are not the same treatment. When someone tells me acupuncture didn’t help their dizziness, the first question I ask is how often they went. Usually the answer is once a week for four weeks, and then they stopped.

If you are leaning on acupuncture to treat your dizziness, come two to three times a week for the first three to six weeks. Then taper. Front-load it. A dozen visits compressed into a month will do more than a dozen visits spread across a season.

Dizziness Is Too Much Rising

Every point below rests on one idea.

In Chinese medicine, dizziness is too much rising. Too much energy coming up and getting stuck in the head, with nothing bringing it back down. It isn’t a poetic flourish. It changes what I needle.

It’s why I don’t use DU-20 alone. DU-20 (Baihui, Hundred Meetings) sits at the top of the head, in line with the tips of the ears. It’s the classic point for clearing the head. But if you only use DU-20, you get a lot of rising and no descending. I find it isn’t very effective on its own.

Pair it with DU-16 (Fengfu, Wind Mansion) at the base of the skull and it works better, for two reasons. First, DU-16 gives the rising qi somewhere to go. Second, and I’d argue this with any practitioner, DU-16 is a connective tissue point. It sits where the suboccipital muscles meet the dura. Needling there improves proprioceptive feedback and helps correct the communication between the eyes, the ears and the neck. Those three systems have to agree on where your head is in space. When they disagree, you feel dizzy.

The whole treatment is built on that logic: release what’s stuck up top, then give it a path down.

Why Would These Points Work?

That is the Chinese medicine reasoning. The biomedical case is stronger than most people realize, and it lines up almost point for point.

In 2022, a Japanese and UCLA team published the best autonomic study we have on Ménière’s. They catalogued what else was wrong with 211 Ménière’s patients who’d had three or more vertigo attacks:

  • Neck and shoulder stiffness — 96%
  • Cold extremities — 87%
  • Irritable bowel syndrome — 73%
  • Tension headache — 69%
  • Migraine — 58%

That list is a treatment map.

Ninety-six percent have neck and shoulder stiffness. That is not a coincidental finding in an ear disease. That is BL-9, BL-10, GB-20, the Huatuojiaji points, and the SCM — the exact territory I described above. Nearly every Ménière’s patient walking into my clinic has a neck problem, and the research says so too.

Sixty-nine percent have tension headache and 58% have migraine. Occipital nerve territory again. Same points.

Seventy-three percent have irritable bowel syndrome. There’s the digestive phenotype, and there’s why SI-19 is a small intestine point and why ST-36 belongs in the protocol. The gut and the ear are on the same circuit.

Eighty-seven percent have cold extremities. That’s a sympathetic sign — peripheral vasoconstriction. It’s the tell that the whole system is running hot on the wrong branch.

The cluster is a portrait of a sympathetic nervous system stuck on, and every piece of it lands on a region I needle.

The Finding That Changed How I Palpate

The same study went further. They measured autonomic function with heart rate variability and infrared pupillometry, and they caught nine patients in the minutes before an attack.

All nine showed marked suppression of the parasympathetic nervous system and activation of the sympathetic. Pupillometry showed the sympathetic overactivation sat on the affected side, the Ménière’s ear’s side, not both. After treatment, that asymmetry shrank. Three days later, the two sides were indistinguishable again.

A measurable, one-sided sympathetic asymmetry that appears before an attack and resolves with treatment.

That is the instrument version of what my thumb finds every day. When I palpate both sides of a neck and one lights up, I’m reading the same asymmetry those researchers read with a pupillometer. And when the tenderness fades and the dizziness fades with it, that’s the same normalization they measured.

Two caveats. Nine patients is a very small number for the pre-attack data. And in the stable phase, between attacks, Ménière’s patients looked no different from healthy adults on these measures. So this is a state, not a permanent trait. Which, if anything, argues for treating closer to the flares rather than on a lazy monthly schedule.

Now connect it to the emergency department study from earlier. Ishii’s team found parasympathetic activity suppressed right before an attack. Chiu’s team found acupuncture raised the high-frequency parasympathetic marker. Those two papers point at each other. One describes the deficit; the other describes a needle intervention that moves that exact number the other way.

It is the clearest mechanism I can offer, it was measured in humans, and it is why PC-6, SP-6, ear Shen Men and the sympathetic point are not filler in my protocol. They are the point of it.

What About the Fluid?

Ménière’s is a fluid problem, so this is the obvious question. The work is promising and it is, so far, animal work.

In guinea pig models of endolymphatic hydrops, electroacupuncture reduced cochlear swelling and reversed the expression of arginine vasopressin, its receptor, cAMP, and aquaporin-2. Aquaporins are the water channel proteins that move fluid across membranes. Needling GV20 specifically reduced cochlear hydrops with a corresponding drop in aquaporin-2. Moxibustion at SI-19 did something similar.

So there is a plausible route by which acupuncture could affect the fluid dynamics themselves rather than only the symptoms. But that is guinea pigs. It has not been shown in a human inner ear, and I won’t pretend it has.

The Tenderness Test

This is the thing I want practitioners to take away, and the thing I want patients to understand about their own treatment.

I don’t needle a point because it’s on a list. I needle it because it’s tender.

Every point below gets palpated first. On someone with Ménière’s, tenderness is almost never symmetrical. One side of the neck will light up. One mastoid will make them flinch. That asymmetry tells me where the problem lives, and it’s more reliable than any protocol I could hand you.

As the tenderness goes away, the vertigo and dizziness improve.

— Will Sheppy, L.Ac.

That relationship holds up visit after visit. It gives me an objective marker to check at the start of every treatment, before the patient tells me anything about how their week went. If TE-17 was a 9 out of 10 two weeks ago and it is a 3 today, we’re winning, and usually the patient says so before they leave.

It also means I know early when something isn’t working. If I’ve treated somebody three times and the tender points are exactly as tender as they were on day one, I don’t keep grinding. Something else is going on and we need to look at it.

Patients: press these points yourself and find your own tender ones. That map is yours, it changes, and tracking it will tell you more than a symptom diary.

The Points I Use, Zone by Zone

Ménière’s tends to be one-sided. Vestibular migraine, which shows up alongside it constantly, sits lower at the base of the neck. Ménière’s pulls you more lateral, around the ear. Palpate both sides. Treat the side that’s screaming.

Back of the Head: BL-10, BL-9, Huatuojiaji C1–C2

BL-10 (Tianzhu, Celestial Pillar) and BL-9 (Yuzhen, Jade Pillow), slightly higher, sit right where the occipital nerves pinch as they wrap up over the back of the skull. Add the Huatuojiaji points at C1–C2.

These are your vestibular migraine points. If someone has both conditions, and many do, these will be exquisitely tender, and releasing them can drop headache and dizziness in the same visit.

Phase one of any treatment I do here is releasing muscle tension. You can’t ask anything to descend through a locked-up neck.

Behind the Ear: TE-17, GB-12, Anmian

Go lateral and you land on TE-17 (Yifeng, Wind Screen), behind the ear in the depression between the mandible and the mastoid process. Motion sickness patches get placed on the same spot, and not by accident: the area is dense with vessels and nerves feeding the ear, and it is where the sternocleidomastoid attaches to the skull.

Just around it: GB-12 (Wangu) and Anmian, the extra point whose name means peaceful sleep.

This cluster is where Ménière’s separates itself from plain vestibular migraine: one-sided ear congestion, one-sided neck pain, one screaming mastoid. When I find that asymmetry, this is where I focus.

Front of the Ear: SI-19, SI-17, SI-16

SI-19 (Tinggong, Auditory Palace) sits in front of the ear, in the depression that opens when you open your mouth. It’s a small intestine point, and the small intestine channel is a digestive channel. Hold that thought.

SI-17 (Tianrong, Celestial Countenance) is around the corner on the side of the neck, and it talks to the pterygoid muscles in the jaw. The pterygoids affect eustachian tube drainage. If your ear feels blocked and your jaw is tight, that’s not two problems. SI-16 (Tianchuang) sits nearby and comes in on the same logic.

One pattern shows up repeatedly: people whose Ménière’s flares with food. They have one-sided neck pain, a tight SCM, jaw tension, and tenderness along the small intestine channel in front of the ear. It is a recognizable phenotype, and it responds to treating the front zone rather than the back.

The Neck: ST-9

ST-9 (Renying) is my SCM point, and it does double duty.

The SCM is an underappreciated troublemaker in dizziness. When it is tight it produces lightheadedness on its own, independent of anything happening in the ear. Adding motor points for the SCM alongside TE-17 handles the mechanical piece.

ST-9 also sits close to the stellate ganglion, the sympathetic relay in the lower neck. That gives you a direct route into calming an overheated sympathetic nervous system.

Practitioners: this is a careful point. ST-9 sits over the carotid. It gets needled shallowly, with the artery located and avoided, and it is not a point for anyone who hasn’t been trained on it. Patients, this one is not on your press-it-at-home list.

Calming and Descending: PC-6, SP-6, ST-36

Once the tension is off, you need to bring things down and settle the nervous system.

PC-6 (Neiguan, Inner Pass), two finger-widths above the wrist crease between the tendons, is the point for nausea, motion sickness, palpitations, and general nervous-system agitation. If you’ve ever worn a seasickness wristband, it was pressing PC-6.

SP-6 (Sanyinjiao) is my descending point. It’s also where I send patients home with something on it.

ST-36 (Zusanli, Leg Three Li), a hand’s width below the knee on the outside of the leg, is the other classic descending point. It is not my favorite point for this. To get a real descending action out of ST-36 you have to needle it deeply, and it is usually already tender, which makes it uncomfortable. It is common in the literature for dizziness and vertigo and it earns its place, but I reach for PC-6 and SP-6 first.

If food and digestion are clear triggers, I’ll do a face-up treatment: ST-36, plus SI-16 and SI-17 around the pterygoids, plus ST-9 for the SCM.

Ear Points: Shen Men, Sympathetic, Point Zero

Auricular Shen Men, the Sympathetic point, and Point Zero. These go in when the picture is sympathetic overload rather than true spinning: lightheadedness, that wired-and-unsteady feeling, the sense that your nervous system never came down from something.

My baseline protocol, when I had to name one: DU-20, DU-16, ear Shen Men, PC-6, SP-6.

That is two points to open the top and give it a path down, one ear point to settle the nervous system, and two distal points to calm and descend. A nervous system treatment, not an ear treatment.

Where My Protocol Differs From the Research

A practitioner reading this will want to know where I depart from the literature.

The 2024 meta-analysis lists the most commonly used points across those six trials: GV20, GB20, SI19, LI4, LI11, ST36, ST40, LR3, KI3.

Four of those I use often: GV20, GB20, SI19, ST36. Absent from that list and central to mine: DU-16, TE-17, PC-6, SP-6.

I am not claiming the research is wrong. Most of those trials were built around a fixed protocol applied to everyone, and I treat by palpation. The research protocols are point prescriptions. What I’m describing is point selection. A trial needs everybody to get the same needles or the statistics don’t work. A clinic doesn’t have that constraint.

If you’re a practitioner and you take one thing from this: palpate first. The tender points are the treatment.

Match the Points to Your Pattern

I’ve written elsewhere about the three constitutional patterns that drive Ménière’s flares — stressed and wound-up, damp and congested, hot and inflamed. Most people are a blend with one dominant. That pattern doesn’t just tell you which triggers to watch. It tells me which points to reach for first.

Stressed and wound-up — vertigo that feels like a panic attack, racing heart, dread arriving with the spinning. This is the autonomic picture the Ishii study described, and it’s the one that responds to the calming and descending points: DU-20 with DU-16, ear Shen Men and the sympathetic point, PC-6, SP-6, and ST-9 near the stellate ganglion. Less local ear work, more nervous system.

Damp and congested — heavy, foggy, phlegmy, that waterlogged fullness in the ear. This pattern lives in the front and behind-the-ear zones: SI-19, SI-17 for the pterygoids and eustachian drainage, TE-17. ST-36 needled deeply to move things downward. This is also the pattern where diet changes pay off most and where the herbal side does the heaviest lifting.

Hot and inflamed — runs warm and reactive, flares in heat, in allergy season, when the barometer drops. Sinus inflammation feeding the ear. Local work around TE-17 and GB-12, plus TE-3 and TE-2 distally on the same side for acute fullness.

If you’re a patient reading this: you don’t have to diagnose yourself. But knowing which of the three you mostly are makes the conversation in the treatment room much faster.

What You Can Do With Your Fingers

These points respond to pressure. You don’t need a needle to get something out of them, and you don’t need my permission to press on your own neck.

  • BL-10 and BL-9 — back of the skull. Thumbs, firm, hold 30–60 seconds.
  • TE-17 — behind the earlobe in the notch. Usually the most tender one. Go gently at first.
  • GB-12 and Anmian — just behind and below.
  • SI-19 — in front of the ear. Open your mouth to find the depression, then press.
  • PC-6 — inside of the wrist. Press, or wear an acupressure band.
  • SP-6 — inside of the lower leg above the ankle bone.
  • Skip ST-9. That one is over the carotid artery and belongs to a trained practitioner.

Work the tender ones. Note which side is worse. Check them again in two weeks.

Press Tacks and Patches

Finger pressure works while your finger is there. To keep a point working between treatments, you need something staying on it.

Press tacks are tiny retained needles on an adhesive backing — a fraction of a millimetre, left in place for a few days. They’re what I use when I want a point to keep firing after the patient leaves. TE-17 and SP-6 are the two I tack most often for dizziness.

Ao Yi Acupoint Pain Patches are the non-needle version, and they’re what I send most patients home with — herbal acupoint patches you place on the point yourself. My standard homework assignment for dizziness is a patch on SP-6 between treatments. It’s how I keep the descending action going in the six days I don’t see somebody.

That is the idea behind homework. Treatment happens once or twice a week. Your nervous system is doing something all seven days.

Shop Ao Yi Acupoint Patches

Gua Sha and Homework Between Treatments

The other assignment I give is gua sha in the morning around the occipital muscles, the neck, and the scalp. A spoon works. A jade tool works. It takes three minutes.

Patients who do the morning gua sha get longer-lasting treatments. That is an observation, not a trial, but it is consistent enough that I keep prescribing it. It also fits everything above: occipital tension is phase one of what I’m doing with needles, and you can maintain that yourself.

If you want the specific technique, I’ve written it up in the best stretch for Ménière’s disease and vestibular migraines, and there’s a separate walkthrough for face massage and eustachian tube relief that covers the jaw and pterygoid work.

Where Herbs Fit

I use acupuncture and herbs together for this, in phases.

In the acute phase, with active attacks and the room moving, I use a Bai Zhu–based formula aimed at the fluid picture.

Once things settle, I shift to calming the sympathetic nervous system. That’s often Sol Tea, built on Ling Gui Zhu Gan Tang, a four-herb formula for the heavy, waterlogged, foggy head. I’ve written about what that formula is actually for separately.

If the dominant driver is pain and stress, I use Ao Yi. If there are clear digestive triggers, I treat the gut, because in that phenotype the gut is the trigger and treating the ear alone won’t hold.

Two things on diuretics, since it comes up. They can help. I think the herbal approach is more effective and safer for long-term use, and that’s a clinical opinion, not a research finding.

None of these are treatments for Ménière’s disease. They’re formulas I use for the pattern in front of me. Talk to your practitioner and tell your doctor what you’re taking — especially if you’re on betahistine or a prescription diuretic.

What to Expect

Rough timelines from my own patients. Yours will differ.

  • Severe vertigo — usually decreases within the first two to three weeks.
  • Overall dizziness — usually decreases within the first month.
  • Tinnitus is difficult. I cannot get it to go away. It usually decreases. I'm not going to promise you more than that.

Those timelines assume the frequency I described above. Once a week and they stretch out, or they don’t happen.

More Good Days Than Bad

Skeptics say it doesn’t fix anything.

They’re right. It doesn’t.

We're not in a game of fixing it. We're in a game of putting it into remission.

— Will Sheppy, L.Ac.

What we’re trying to do is increase the number of good days and decrease the number of bad days.

Ménière’s has a lot of possible causes, and the simplest way to think about it is as a disease of inflammation in the ear. Anything that lowers inflammation helps. There also aren’t a lot of good conventional options short of some fairly aggressive surgeries. Most of managing Ménière’s is exactly that: managing it.

I’ll repeat what I opened with. I have this condition. I don’t have vertigo attacks. I got there by working on it and I stay there by continuing to work on it. That’s available to most people, and it’s a better goal than a cure that isn’t on offer.

When to Get It Looked At

Acupuncture is not the first stop for everything that makes a room spin.

Go to an emergency room, not an acupuncture clinic, if vertigo comes with double vision, weakness or numbness on one side, slurred speech, trouble walking, or the worst headache of your life. Those are stroke signs and they are time-sensitive.

See an ENT within the week for sudden hearing loss, or new hearing loss in one ear. Sudden sensorineural hearing loss has a treatment window measured in days.

Get a real diagnosis first. Ménière’s, vestibular migraine, and BPPV are different conditions that feel similar, and they don’t respond to the same things. I’ve written about how they differ. If you haven’t been evaluated, get evaluated.

On needling: ST-9 and the points along the neck sit near the carotid artery and major nerves. They require training. Nothing in this article is instructions for needling yourself or anyone else. The acupressure is safe. The needles are not a DIY project.

References

1. Tang M, Li Y, Lu M, et al. Efficacy and safety of acupuncture in the treatment of Meniere’s disease: a systematic review and meta-analysis. Front Med. 2024;11:1463821. doi:10.3389/fmed.2024.1463821

2. Chiu CW, Lee TC, Hsu PC, et al. Efficacy and safety of acupuncture for dizziness and vertigo in emergency department: a pilot cohort study. BMC Complement Altern Med. 2015;15:173. doi:10.1186/s12906-015-0704-6

3. Ishii M, Ishiyama G, Ishiyama A, Kato Y, Mochizuki F, Ito Y. Relationship between the onset of Ménière’s disease and sympathetic hyperactivity. Front Neurol. 2022;13:804777. doi:10.3389/fneur.2022.804777

4. Yeo NL, White MP, Ronan N, Whinney DJ, Curnow A, Tyrrell J. Stress and unusual events exacerbate symptoms in Menière’s disease: a longitudinal study. Otol Neurotol. 2018;39(1):73–81. doi:10.1097/MAO.0000000000001592

5. He J, Jiang L, Peng T, Xia M, Chen H. Acupuncture points stimulation for Meniere’s disease/syndrome: a promising therapeutic approach. Evid Based Complement Alternat Med. 2016;2016:6404197. doi:10.1155/2016/6404197

6. Long AF, Xing M, Morgan K, Brettle A. Exploring the evidence base for acupuncture in the treatment of Ménière’s syndrome — a systematic review. Evid Based Complement Alternat Med. 2011;2011:429102. doi:10.1093/ecam/nep047

7. Jiang LY, He JJ, Chen XX, et al. Arginine vasopressin–aquaporin-2 pathway-mediated dehydration effects of electroacupuncture in guinea pig model of AVP-induced endolymphatic hydrops. Chin J Integr Med. 2019;25:763–769. doi:10.1007/s11655-017-2411-2

8. Basura GJ, Adams ME, Monfared A, et al. Clinical practice guideline: Ménière’s disease executive summary. Otolaryngol Head Neck Surg. 2020;162:415–434. doi:10.1177/0194599820909439

9. Lopez-Escamez JA, Carey J, Chung WH, et al. Diagnostic criteria for Menière’s disease. J Vestib Res. 2015;25:1–7. doi:10.3233/VES-150549

10. Pacholyk A. Alternative answers for Meniere’s disease: five-step treatment protocol. Acupuncture Today. October 2020.

Article metadata for references 2, 3, 4 and 8 retrieved from PubMed.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Does acupuncture cure Ménière's disease?

No. Nothing does. Acupuncture is used to reduce the frequency and severity of vertigo and dizziness and to extend the time between attacks. The goal is remission and more good days than bad — not a cure.

Two to three times a week for the first three to six weeks, then taper. That is the frequency used in the research, and in my experience it is the single biggest reason people either get results or don’t. Once a week from the start is usually not enough for active dizziness.

In my patients, severe vertigo usually decreases in the first two to three weeks and overall dizziness in the first month. Tinnitus is the slowest and least predictable — it often decreases and rarely resolves.

The ones that are tender. Commonly BL-9 and BL-10 at the back of the skull, TE-17, GB-12 and Anmian behind the ear, SI-19 and SI-17 in front of the ear and along the jaw, ST-9 on the SCM, and DU-20 with DU-16 on the midline, plus PC-6 and SP-6 to calm and descend. Ménière’s is usually one-sided, so both sides get palpated and the tender side gets treated.

Yes, most of them. BL-9, BL-10, TE-17, GB-12, Anmian, SI-19, PC-6 and SP-6 all respond to firm finger pressure. Skip ST-9 — it sits over the carotid artery and is for trained practitioners only. Needling any of these points requires a licensed acupuncturist.

Sometimes it decreases. In my clinic it does not go away. The meta-analyses disagree: a 2024 review found improvement in tinnitus handicap scores but rated its own confidence in that result as very low, and a 2016 review found no benefit for hearing outcomes.

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Materia Medica · The Formula Series

Glow vs Copeia: Choosing Between the Two Fertility Formulas

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Glow and Copeia Tea Side by Side

Table of Contents

Two teas, one question. Here is how I sort them.

Quick answer

Glow and Copeia both come from the same book. Same author, same chapter, written around 200 CE. Two thousand years later, they are still the two halves of the same question: is there too much, or not enough? Glow dissolves. Copeia nourishes. Get that backward, and you spend months moving blood in a patient who didn’t have enough to move.

What Both Formulas Do

Both are built for the lower abdomen. Both were written for women. Both come out of the Jin Gui Yao Lue — the Essential Prescriptions of the Golden Cabinet — attributed to Zhang Zhongjing in the Eastern Han, roughly 200 CE. Gui Zhi Fu Ling Wan appears in the chapter on the diseases of pregnant women, and Zhang placed Dang Gui Shao Yao San in that same pregnancy chapter and in the general gynecological chapter.

So this isn’t two competing products. It’s one classical author writing down two answers to two different presentations, in the same text, and the choice between them has been documented continuously ever since.

Both share three herbs — Fu Ling, Bai Shao, and a blood herb. Both drain damp while doing something to blood. That shared architecture is why they get confused. What separates them is the direction of the work.

Why These Two, and Not Thirty

Botanical Biohacking spent two years building a minimalist fertility line, and by their own account most of that work was deciding what not to include.

The reasoning started from the patterns rather than the products. The presentations they kept meeting were cold, damp, phlegm, and blood stasis. From there, candidate formulas had to clear five bars:

  • Predominantly used in East Asian nations — not a boutique revival, a formula with continuous clinical use behind it
  • Safely tolerated during pregnancy — with the caveat below for Glow, which the tradition itself flags
  • Case studies and research supporting its use
  • Palatable enough to drink daily — compliance is a clinical variable, not a nicety
  • Versatile — useful in orthopedic and psychological presentations too, not fertility-only

Two formulas came out the other end. Then a year and a half of sourcing.

That last criterion is the one practitioners should notice. A fertility clinic carrying two teas that also earn their shelf space in pain and mood cases is a different proposition than a clinic carrying two single-purpose products.

Neither of these solves every fertility case. What they do is cover the most common terrain well, with formulas that have been in continuous use long enough that we know how they behave.

Glow or Copeia: Side by Side

Glow Tea — Gui Zhi Fu Ling with Ai Ye

The strategy: warm and dissolve. Built for blood stasis with cold congealing — something has hardened, and the job is to soften it without force. Botanical Biohacking builds theirs on the decoction form and adds Ai Ye (mugwort) to warm the lower abdomen.

Look for:

  • Period pain that over-the-counter options don't settle
  • Heaviness in the days before the cycle
  • Spotting on no predictable schedule
  • Pain that is fixed and stabbing — it stays in one place
  • A tongue that runs dark or purple

Copeia Tea — Dang Gui Shao Yao San with Sha Ren

The strategy: nourish and resolve. Built for liver depression with spleen deficiency and dampness — the picture of being depleted and waterlogged at the same time. Sha Ren is added so the richer blood herbs don’t sit heavily on a sensitive stomach.

Look for:

  • Cramping that is dull and diffuse rather than sharp
  • Puffiness and heaviness — the premenstrual bloat that resting doesn't fix
  • Fatigue that arrives with the cycle
  • Thirst with no real desire to drink
  • A pale tongue underneath whatever else is going on

The mechanism that makes Copeia make sense: dampness prevents blood from replenishing. So you cannot simply tonify your way out of this pattern — pile blood-building herbs onto a damp, malabsorbing middle and most of it goes nowhere. Copeia nourishes spleen qi and blood while draining damp, which is why it works in chronic malabsorption where straight tonics stall. That is also the idea behind the name: copia is the Latin word for abundance.

Three Questions That Sort Most Patients

Fertility sits outside the Qi Diagram, so these three are mine rather than the manufacturer’s. They do most of the sorting.

Question One: What colour is the tongue?

The single most useful question. Pale points to Copeia. Dark or purple points to Glow. Dr. Lan’s whole description of Copeia is builds blood for the pale-tongue patient — that shorthand does most of the work.

Question Two: What kind of pain is it?

Fixed and stabbing, in one spot, worse with pressure — that’s stasis. Glow. Dull, diffuse, crampy, sometimes better with pressure and warmth — that’s deficiency with damp. Copeia.

Question Three: Is there something to dissolve, or something to fill?

Palpable masses, a history of hard things — Glow’s territory. Nothing hard, just depletion and fluid — Copeia’s. When you genuinely cannot tell, treat the deficiency first. Nourishing a stasis patient wastes a month. Moving blood in a depleted patient costs her more than a month.

The Classical Picture

This section carries the traditional indications as the source texts recorded them. It is a description of historical use, not a claim about what these teas do.

The classical fork is excess versus deficiency, and it is unusually clean here.

Gui Zhi Fu Ling Wan was written for a mass. Traditionally it was used for what the texts called abdominal masses and for infertility understood as arising from dampness and mucus leading to blood stagnation. It contains two dedicated blood-breaking herbs — Tao Ren and Mu Dan Pi — held in check by Gui Zhi warming the channels and Fu Ling draining damp. The original method called for pills the size of rabbit droppings, one daily before meals, increasing gradually only if there was no effect. That is a formula designed to apply steady pressure over time, not force.

Dang Gui Shao Yao San was written for the opposite problem: a body quietly under-nourishing itself. Traditionally used for cramping abdominal pain with bloating, for harmonizing liver and spleen, and for infertility understood as arising from deficiency leading to qi and blood stagnation. Its architecture is symmetrical — three herbs building and moving blood, three draining fluid. It supports without being cloying and drains without depleting.

The sequencing matters. In the Botanical Biohacking framework, fertility work starts by restoring the microbiomes first, and only then choosing a direction: warm and dissolve with Glow, or nourish and resolve with Copeia. The formula is the second move, not the first.

Inside the Formulas

Glow — the movers

Three blood-movers and one warmer.

Cinnamon Twig (Gui Zhi), Poria (Fu Ling), Peony Root Bark (Mu Dan Pi), White Peony Root (Bai Shao), Wild Mountain Peach Kernel (Processed) (Dan Tao Ren), Mugwort Leaf (Qi Ai Ye)

  • Gui Zhi (cinnamon twig) — warms and unblocks the channels
  • Tao Ren (peach kernel, processed) — invigorates blood, moves stasis
  • Mu Dan Pi (moutan bark) — moves blood, clears latent heat
  • Qi Ai Ye (mugwort) — warms the channels, settles the lower abdomen

Copeia — nourish and drain

One mover, and three herbs that build or drain.

Dang Gui, Shao yao, Fu Ling, Bai Zhu, Ze Xie, Chuan Xiong, Sha Ren

  • Dang Gui (angelica) — nourishes and invigorates blood
  • Chuan Xiong — moves blood and qi, sourced from Dujiangyan, the classical growing region
  • Bai Zhu (white atractylodes) — strengthens the spleen, dries damp
  • Ze Xie (alisma) — drains fluid downward
  • Sha Ren — protects and awakens digestion

The sequence — this is the part people skip

Neither formula is the first move. Both sit downstream of clearing the terrain, and Botanical Biohacking is explicit about the order: use Wind, Peak, or Atone first to clear away the majority of the dampness. Then Copeia holds the ground — a safe, reliable way to keep dampness from returning while nourishing liver blood.

That is the whole series in one instruction. The upper respiratory zone formulas do the clearing. Copeia does the holding. Skip the clearing step and you are nourishing into a swamp — which is exactly the failure mode the “dampness prevents blood from replenishing” logic predicts.

If the terrain is still throwing contradictory signs — hot and cold and damp and depleted all at once — that gets addressed before either fertility formula goes in.

When to Stop, and Why

This is the question every fertility patient asks, and my answer probably isn’t the one you expect.

Chinese medicine is very safe to use during pregnancy. In general I have no problem with people taking formulas while they’re pregnant. That’s not the issue.

The issue is that pregnancies stop for many reasons. And if one stops while a woman is taking an herbal formula, she is going to ask herself a question: Did I do something wrong? Could I have done something different? Did I cause this? It doesn’t matter how much reassurance she gets. That question lingers.

So what I tell my patients is to stop taking formulas when they're pregnant. Not because the formulas are bad, not because they're wrong, not because they will hurt the baby — but because you will always wonder. It's just human nature. Stop the formulas mainly for peace of mind.
— Will Sheppy, L.Ac.

That’s the rule I use, and it’s a rule about the woman rather than about the herbs. The longer version of that reasoning is here.

Where the two formulas differ. Copeia is the gentler case — it sits in the pregnancy chapter of the source text and is used through pregnancy in Japan under its Kampo name. If a patient and her practitioner decide to continue it, that’s defensible ground.

Glow is different, and this part is not just psychology. It contains Tao Ren and Mu Dan Pi — two herbs whose whole job is breaking blood. The Chinese Pharmacopoeia labels the formula “pregnant women should use with caution,” and many clinical references upgrade that to prohibited, because both herbs activate blood circulation and can stimulate uterine contractions. Its classical association with pregnancy was a narrow one — resolving a pathological mass that was complicating a pregnancy, under close supervision — not general use in a normal, wanted pregnancy.

So for Glow the two reasons stack. Stop it for peace of mind, and stop it because the tradition itself puts a caution on this particular formula.

Practically: stop at a positive pregnancy test. Both formulas, unless your practitioner tells you otherwise.

A Case From the Literature

A traditional case record supplied by Botanical Biohacking, reproduced as an illustration of how the pattern presents. One patient’s course is not evidence of what a tea will do for anyone else.

Shao, 28, female. Carrying a diagnosis of chronic pelvic inflammatory illness.

  • Tongue — pale, slightly coated
  • Pulse — between soft and slippery
  • Presenting — abdominal pain, leucorrhea, dizziness

She was given Dang Gui Shao Yao San. Abdominal pain and dizziness settled after three doses, and the discharge followed. She stayed on the formula for three months — not to chase the symptoms, which were already gone, but to strengthen the root.

The tongue and pulse are the whole diagnosis. Pale with a slight coat, a pulse between soft and slippery — deficiency and damp, together. That is the Copeia picture exactly, and it is why the formula that both nourishes and drains was the right one rather than a straight blood tonic.

The three months after the symptoms resolved is the actual lesson. Fast symptomatic relief is not the same as a repaired foundation. Patients stop when they feel better; this pattern comes back when they do. Tell them the duration up front.

The Research

Here the two formulas are genuinely unequal, and it’s worth being straight about it.

Glow’s base formula has human fertility outcome data. A 2023 systematic review and meta-analysis pooled 16 randomized controlled trials covering 1,385 women with polycystic ovary syndrome. Adding the Guizhi Fuling formula to conventional treatment improved the ovulation rate (RR 1.24, 95% CI 1.15–1.34) and the pregnancy rate (RR 1.53, 95% CI 1.38–1.69) compared with conventional treatment alone, alongside reductions in FSH, total testosterone, LH, and insulin resistance. There was no significant difference in miscarriage rate. The authors note the evidence carries uncertainty and call for larger multicenter trials. A separate 2025 Bayesian network meta-analysis of 47 randomized trials in endometriosis after laparoscopic surgery found Guizhi Fuling pill combined with hormone therapy the most likely best option for overall response rate, with no serious adverse reactions reported in the included studies.

When This Needs a Doctor

Trying to conceive without success for twelve months — or six months over thirty-five — warrants a workup, not a tea. So does severe pain, pain that is new or rapidly worsening, bleeding between cycles, or pain with fever.

Herbs are a reasonable layer alongside that evaluation. They are not a substitute for finding out what’s actually going on, and a good practitioner will tell you the same.

If you are on hormonal medication, anticoagulants, or in an IVF cycle, talk to both providers before adding either formula.

Glow Herbal Tea product mockup green background

Glow & Copeia

The two fertility formulas, thirty teabags each, practitioner-formulated and batch-tested. Stocked at Valley Health Market.

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Related reading

References

  1. Rong A, Ta N, E L, Meng W. Add-on effect of the Guizhi Fuling formula for management of reduced fertility potential in women with polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials. Front Endocrinol. 2023;13:995106. Link →
  2. Geng D, Wei S, Cheng W, Zhong H, Zhang K. Clinical efficacy and safety of Chinese patent medicines combined with hormonal therapy for endometriosis after laparoscopic surgery: a Bayesian network meta-analysis. Complement Ther Clin Pract. 2025;61:102020. Link →
  3. Lee HW, Jun JH, Kil KJ, Ko BS, Lee CH, Lee MS. Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas. 2016;85:19-26. Link →
  4. Terawaki K, Saegusa Y, Sekiguchi K, et al. The ameliorating effects of tokishakuyakusan in a rat model of implantation failure involves endometrial gland leukemia inhibitory factor and decidualization. J Ethnopharmacol. 2020;265:113288. Link →
  5. Bensky D, Barolet R. Chinese Herbal Medicine: Formulas & Strategies. Eastland Press.
  6. Dr. Lan, PhD, Botanical Biohacking. Fertility Essentials practitioner letter, 2026.

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. Not intended to replace consultation with a qualified healthcare practitioner. Please consult your physician before starting any new herbal protocol, especially if pregnant, nursing, on anticoagulants, or managing a chronic condition.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What is the difference between Glow and Copeia?

Both come from the Jin Gui Yao Lue, around 200 CE, and both work on the lower abdomen. Glow is built on Gui Zhi Fu Ling with Ai Ye and warms and dissolves — it is for blood stasis with cold congealing. Copeia is built on Dang Gui Shao Yao San with Sha Ren and nourishes and drains — it is for deficiency with dampness. Glow dissolves what is there; Copeia supplies what is missing.

Three questions sort most people. What colour is the tongue — pale points to Copeia, dark or purple to Glow. What kind of pain is it — fixed and stabbing is Glow, dull and diffuse is Copeia. And is there something to dissolve or something to fill. When you genuinely cannot tell, treat the deficiency first.

No documented protocol exists for running these two together, and they pull in opposite directions. Pick the pattern in front of you, give it a fair trial of eight to twelve weeks, and reassess.

Yes — stop both at a positive pregnancy test unless your practitioner tells you otherwise. My general reason is peace of mind: pregnancies stop for many reasons, and no woman should be left wondering whether a tea caused it. For Glow there is a second, specific reason — it contains Tao Ren and Mu Dan Pi, and the Chinese Pharmacopoeia flags the formula for caution in pregnancy.

They are unequal. Glow’s base formula has human data: a 2023 meta-analysis of 16 randomized trials in 1,385 women with PCOS found improved ovulation and pregnancy rates when it was added to conventional treatment. Copeia’s human trial evidence is for period pain; its fertility evidence is animal and laboratory only. Two thousand years of use is why it is on the shelf — the fertility trials have not been run.

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Are Chinese Herbs Safe During Pregnancy?

Posted on August 24, 2026 by - Healing, Techniques

  • Verified
8 minutes read

Patient Guides · Herbs & Pregnancy

Are Chinese Herbs Safe During Pregnancy?

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

I get asked this constantly, and the honest answer surprises people.

Yes. Chinese medicine is very safe to use during pregnancy. In general, I have no problem with people taking formulas while they’re pregnant.

And I still tell my patients to stop.

Those two things are not a contradiction, and the reason why is worth explaining properly.

Quick answer

The short version: most Chinese herbal formulas are safe in pregnancy, and some were written specifically for it. But I advise patients to stop taking formulas once they’re pregnant — not because the herbs are dangerous, but because pregnancies end for many reasons, and no woman should be left wondering whether she caused it. That’s a decision about peace of mind, not pharmacology. A small number of formulas are genuine exceptions and should be stopped regardless.

The Tradition Has Been Doing This a Long Time

Chinese medicine did not stumble into pregnancy care recently. The Jin Gui Yao Lue, written around 200 CE, has an entire chapter on the diseases of pregnancy. There are formulas in the canon designed to calm a restless pregnancy, and formulas used specifically to prevent miscarriage.

This is also not a historical curiosity. Roughly a third of pregnant women in Taiwan use Chinese herbal medicine at some point during pregnancy, and across the United States, the UK, Australia, Europe, and Africa, herbal product use in pregnancy has been reported anywhere from ten to seventy-four percent of pregnancies depending on the population studied.

So the practice is old, it is enormous, and it is ongoing.

Why I Tell Patients to Stop Anyway

My reasoning has almost nothing to do with the herbs.

Pregnancies stop for many reasons. Most of them have nothing to do with anything the mother did. But if a pregnancy ends while she is taking an herbal formula, she is going to ask herself a question: Did I do something wrong? Could I have done something different? Did I cause this?

And it does not matter how much reassurance she gets. It does not matter what the research says. That question lingers.

I am not willing to hand a patient that. So I tell them to stop.

Stop taking formulas when you're pregnant. Not because they're bad, not because they're wrong, not because they will hurt the baby — but because you will always wonder. It's just human nature. Stop the formulas mainly for peace of mind.
— Will Sheppy, L.Ac.

The Genuine Exceptions

Everything above is about formulas in general. A smaller group of formulas carries a real, specific caution, and this comes from inside the tradition — not from outside nervousness about herbs.

The category to know is blood-moving formulas. Herbs whose job is to break up stasis can also stimulate uterine contractions. That is the same property that makes them useful in the right patient and a problem in a pregnant one.

A practical example from our own shelf: Glow Tea is built on Gui Zhi Fu Ling, which contains Tao Ren and Mu Dan Pi — two dedicated blood-breakers. The Chinese Pharmacopoeia lists this formula as one for pregnant women to use with caution, and many clinical references go further and call it contraindicated. It comes off the list at a positive pregnancy test.

Its counterpart, Copeia, is the opposite case — Dang Gui Shao Yao San sits in the pregnancy chapter of its source text and is used through pregnancy in Japan today. Even so, my peace-of-mind rule still applies.

Individual herbs carry their own cautions too. Yi Mu Cao and certain blood-moving formulas are flagged for the first trimester in particular.

This is exactly the reason to work with a practitioner rather than a search result. Including this one.

What to Do

  • Tell your practitioner as soon as you know. Not at the next appointment — as soon as you know.
  • Tell your OB or midwife what you have been taking, by formula name if you have it. They cannot account for what they do not know about.
  • Stop blood-moving formulas immediately, and do not wait to ask.
  • Do not start anything new during pregnancy without both providers knowing.
  • Acupuncture is a different question and is widely used through pregnancy — ask about it separately.

If you are trying to conceive and taking herbs, decide in advance what you will stop and when. Making that decision at a positive test, in the moment, is harder than it needs to be.

Related reading

References

  1. Chen L-C, et al. Prescription patterns and factors influencing the use of Chinese herbal medicine among pregnant women in Taiwan: a population-based retrospective study. BMC Complement Med Ther. Link →
  2. Zhou L, et al. The use of Chinese herbal medicines throughout the pregnancy life course and their safety profiles: a population-based cohort study. Am J Obstet Gynecol MFM. 2023. Link →
  3. Bensky D, Barolet R. Chinese Herbal Medicine: Formulas & Strategies. Eastland Press.

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. Not intended to replace consultation with a qualified healthcare practitioner or your obstetric provider.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Are Chinese herbs safe during pregnancy?

Generally yes. Chinese medicine has treated pregnancy for close to two thousand years and has formulas written specifically for it. That said, formal safety research is thinner than the length of that tradition suggests, and a smaller group of formulas — particularly blood-moving ones — carries genuine cautions.

Blood-moving and stasis-breaking formulas are the main category to avoid, because the same action that breaks up stasis can stimulate uterine contractions. Gui Zhi Fu Ling is a common example. Individual herbs including Yi Mu Cao carry first-trimester cautions. Ask your practitioner about your specific formula rather than relying on a general list.

Tell your practitioner today, not at your next appointment, and tell your OB or midwife what you have been taking. Most formulas are not a cause for alarm, but blood-moving formulas should be stopped immediately.

Often because they are answering different questions. “Is this formula pharmacologically dangerous?” and “Should you be taking it?” are separate. My own answer is to stop — mostly so that if something goes wrong, you are never left wondering whether you caused it.

A different question with a different answer, and generally a more comfortable one — acupuncture is widely used throughout pregnancy. Ask your practitioner about it separately from herbs.

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Copeia Tea: Dang Gui Shao Yao San for Menstrual Support

Posted on August 24, 2026 by - Healing, Techniques

Copeia Tea Product
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9 minutes read

Materia Medica · The Formula Series

Copeia Tea: Dang Gui Shao Yao San for Menstrual Support

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Copeia Tea Product

Table of Contents

This one is for being depleted and waterlogged at the same time.

It is a more common pattern than it sounds, and it is one that straight tonics tend to fail. Here’s the formula, the diagnostic tell that points to it, and why the order you do things in matters more than which herbs you pick.

Quick answer

Copeia Tea is built on Dang Gui Shao Yao San, with Sha Ren added. It is for the patient who is depleted and holding fluid at once — dull cramping, puffiness, fatigue, and a pale tongue underneath whatever else is going on. It nourishes blood and drains damp at the same time, which is the point: dampness is what stops blood from replenishing in the first place.

What Copeia Tea Actually Is

Dang Gui Shao Yao San — Angelica and Peony Powder — is one of the most heavily used formulas in East Asian gynecology, and it comes from the same book and the same author as Glow: the Jin Gui Yao Lue, attributed to Zhang Zhongjing, around 200 CE. Zhang placed it in the chapter on the diseases of pregnancy and again in the general gynecological chapter.

Traditionally it addresses liver depression with spleen deficiency and dampness — a body that has been quietly under-nourishing itself for longer than it noticed, while fluid piles up in the middle.

What makes it so widely used is its symmetry. Three herbs build and move blood. Three drain fluid. It supports without being cloying and drains without depleting.

Why Draining Comes Before Building

Here is the piece that explains the whole formula: dampness prevents the blood from replenishing.

That single line reframes the problem. If you have a depleted patient with a damp, sluggish middle, you cannot simply tonify your way out of it. Pile blood-building herbs onto a system that is not absorbing and most of it goes nowhere — you get a patient who has been taking tonics for six months and is no less pale than when she started.

Copeia does both jobs at once. It nourishes spleen qi and blood while draining damp, which is why it works in cases of chronic malabsorption where straight tonics stall out.

That is also the idea behind the name. Copia is the Latin word for abundance — a formula built to help a depleted body receive nourishment again.

The Diagnostic Tell

Botanical Biohacking’s herbal pharmacologist, Dr. Lan, PhD, describes Copeia in one line to practitioners: Dang Gui Shao Yao with Sha Ren — builds blood for the pale-tongue patient.

That shorthand does most of the work. Look at the tongue. If it is pale underneath everything else the patient is describing, this is often the formula that was missing.

The fuller picture:

  • Cramping that is dull and diffuse rather than sharp and fixed
  • Puffiness and heaviness — the premenstrual bloat that resting does not fix
  • Fatigue that arrives with the cycle
  • Thirst with no real desire to drink
  • A pulse somewhere between soft and slippery

It is not only a cycle formula. Dr. Lan also reaches for it when the tongue is pale underneath a more obvious complaint — cognitive fog, fatigue, the practitioner who cannot get her breath back down at the end of a long clinic day. It does foundational work.

The Order Matters

Copeia is not the first move.

The instruction from Botanical Biohacking is specific: use Wind, Peak, or Atone first to clear away the majority of the dampness. Then Copeia holds the ground — a safe and reliable way to keep dampness from returning while nourishing liver blood.

Clear, then hold. Skip the clearing step and you are nourishing into a swamp, which is exactly what the “dampness prevents blood from replenishing” logic predicts will fail.

If it is pale underneath everything else the patient is describing, this is often the formula that was missing.
— Will Sheppy, L.Ac.

Inside the Formula

Seven herbs, split down the middle.

Nourish and move blood

Three herbs that build and move.

  • Dang Gui (angelica) — nourishes and invigorates blood
  • Bai Shao (white peony) — nourishes blood, softens, eases cramping
  • Chuan Xiong — moves blood and qi. Sourced from Dujiangyan, the classical growing region

Drain the damp

Three that move fluid out, plus one that protects the digestion while they work.

  • Fu Ling (poria) — drains damp, calms the middle
  • Bai Zhu (white atractylodes) — strengthens the spleen, dries damp
  • Ze Xie (alisma) — drains fluid downward
  • Sha Ren — Botanical Biohacking's addition. Warms the middle without adding heat and protects the digestion, so the richer blood herbs do not sit heavily on a sensitive stomach

A Case From the Literature

A traditional case record supplied by Botanical Biohacking, reproduced as an illustration of how the pattern presents. One patient’s course is not evidence of what a tea will do for anyone else.

Shao, 28, female. Carrying a diagnosis of chronic pelvic inflammatory illness.

  • Tongue — pale, slightly coated
  • Pulse — between soft and slippery
  • Presenting — abdominal pain, leucorrhea, dizziness

She was given Dang Gui Shao Yao San. Abdominal pain and dizziness settled after three doses, and the discharge followed. She stayed on the formula for three months — not to chase symptoms that were already gone, but to strengthen the root.

Two things worth pulling out of that. The tongue and pulse are the diagnosis: pale with a slight coat, a pulse between soft and slippery — deficiency and damp together, which is why the formula that does both was the right one instead of a straight blood tonic.

And the three months after the symptoms resolved is the actual lesson. Fast relief is not a repaired foundation. Patients stop when they feel better, and this pattern comes back when they do.

How to Take It

Daily as a morning tea, eight to twelve weeks, reassessed at the twelve-week mark. Thirty teabags to a bag, one month’s supply.

Dr. Lan pairs it with daily Microgard for the spleen ground it builds on. Her practice note is worth passing to patients in advance: sleep tends to repair before the day feels lighter. Say that up front or they quit at week four.

Before You Start

Copeia is built for the blood-deficient, damp-stuck pattern — not every kind of cycle discomfort. If pain is severe, new, or paired with other symptoms, that deserves a proper look from a qualified provider.

Of the two fertility formulas, this is the gentler one. It sits in the pregnancy chapter of its source text and is used through pregnancy in Japan under its Kampo name, Tokishakuyakusan. That said, my own rule with pregnant patients is to stop formulas — and the reason has more to do with peace of mind than with the herbs.

If you are pregnant, trying to conceive, or taking hormonal or anticoagulant medication, talk with your practitioner first.

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Copeia Tea

Dang Gui Shao Yao San with Sha Ren. Seven Imperial-grade herbs, thirty teabags. Nourishes and drains at once.

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Related reading

References

  1. Lee HW, Jun JH, Kil KJ, Ko BS, Lee CH, Lee MS. Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas. 2016;85:19-26. Link →
  2. Terawaki K, et al. The ameliorating effects of tokishakuyakusan in a rat model of implantation failure involves endometrial gland leukemia inhibitory factor and decidualization. J Ethnopharmacol. 2020;265:113288. Link →
  3. Bensky D, Barolet R. Chinese Herbal Medicine: Formulas & Strategies. Eastland Press.
  4. Dr. Lan, PhD, Botanical Biohacking. Practitioner letters, 2026.

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. Not intended to replace consultation with a qualified healthcare practitioner. Please consult your physician before starting any new herbal protocol, especially if pregnant, nursing, on anticoagulants, or managing a chronic condition.

Share on

Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What is Copeia Tea?

Copeia Tea is built on Dang Gui Shao Yao San — Angelica and Peony Powder — from the Jin Gui Yao Lue, around 200 CE, with Sha Ren added. Thirty teabags of seven Imperial-grade herbs, a one-month supply.

The patient who is depleted and waterlogged at once: dull cramping, puffiness, fatigue that arrives with the cycle, thirst without much desire to drink. The diagnostic tell is a pale tongue underneath whatever else is going on.

Because dampness is what prevents blood from replenishing. Tonify a damp, malabsorbing middle and most of the nourishment goes nowhere. Copeia nourishes and drains at the same time, which is why it works where straight tonics stall.

No. It is used as a blood-builder whenever the tongue is pale underneath a more obvious complaint — including cognitive fog and fatigue. It does foundational work, not only cycle work.

Dang Gui Shao Yao San sits in the pregnancy chapter of its source text and is used through pregnancy in Japan. Even so, my general rule is that patients stop formulas once pregnant — mostly for peace of mind. Talk with your practitioner.

Recent Posts

Where to Buy Chinese Herbs Online

Posted on August 14, 2026 by - Healing, Techniques, Topical Medicine

Shelf in the Valley Health Logistics storage unit holding pink Warm Hearth cartons and two clear bins hand-labeled Warm Hearth Tea 30, with bagged Yo Yi Patch inventory on the shelf above.
  • Verified
15 minutes read

, ,

Where to Buy Chinese Herbs Online

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Shelf in the Valley Health Logistics storage unit holding pink Warm Hearth cartons and two clear bins hand-labeled Warm Hearth Tea 30, with bagged Yo Yi Patch inventory on the shelf above.

Table of Contents

Every week someone asks me where to buy Chinese herbs online. It’s a fair question with an annoying answer, because most of the good stuff isn’t sold to the public at all.

I’ve been prescribing these herbs for twenty years. In that time I’ve watched practitioners decide that herbal medicine doesn’t really work, when what actually happened is they only ever used cheap product at a dose too low to do anything. I’ve also watched patients pay triple on a marketplace for something a clinic down the street would have sold them for less, with guidance included.

So here’s what I actually use, what I’d tell you to skip, and the one thing that fixes more herbal failures than switching brands ever will.

Full disclosure: I own Valley Health Market and I carry Botanical Biohacking there. I used their formulas in my clinic first and started carrying them because of what I saw. There are no affiliate links in this article and nobody paid to be included or left out.

Quick answer

The best Chinese herbal brands — Botanical Biohacking and Classical Pearls — sell only to licensed practitioners, and they cost more. Affordable lines like Evergreen and Treasures of the East still work if you take enough. That last part is where most people go wrong: a capsule holds about 500 mg and a scoop of powder holds a gram, so a real daily dose in capsule form means swallowing a dozen or more. If you’re not licensed, call an acupuncture clinic first, try a good local Asian market second, and don’t buy herbs on Amazon, where the same product routinely costs two to three times more.

How the Chinese herb market actually works

Almost every company in this article sells to licensed practitioners only. You send in a copy of your license, they approve your account, and then you can order. That’s it — that’s the whole gate.

It’s worth understanding because it explains a lot. The material that produces the results you read about is largely invisible from the outside, which is why an honest search for “where to buy Chinese herbs” usually dead-ends at whatever a marketplace is willing to ship you. It also explains why so much of what’s easy to buy is mediocre.

Everything I recommend below reached me the same way: an herbalist I respect, a teacher or a mentor, told me to try it. Then I used it on real patients and it worked. That’s the entire vetting process, and it’s the one I’d suggest you use too.

The brands I use

There’s a tension nobody mentions in school. The best herbs cost more, patients don’t always want to pay for the best herbs, and a patient who never starts because the price scared them off gets zero benefit from the world’s finest granules.

So I run two tiers. Quality, for the results you were taught to expect. And an affordable entry point, because once somebody has felt a cheaper formula work, the conversation about a better one gets much easier.

First, what is a "school"?

You’ll hear practitioners talk about the warming school or the damp school and it sounds like jargon. It isn’t. Chinese medicine didn’t develop in one place — it developed across an enormous country with wildly different climates, and the doctors in each region were looking at different problems out their window.

Cold regions produced traditions built around restoring warmth and circulation. Wet regions produced traditions built around clearing dampness, that heavy, foggy, sluggish quality. Neither is more correct than the other. They’re answers to different questions, and that history is still sitting inside the formulas you buy today.

classical pearls supplememnt

Classical Pearls

Classical Pearls comes out of the warming school, so it’s most effective for people who run chronically cold. That’s exactly why their cold-invasion formulas — the ones for the early stage of a cold — perform as well as they do. Quality is excellent, and the material holds up even in capsule form, which is unusual and tells you something.

You do have to find the formulas that work. These are the ones I reach for consistently:

  • Golden Pearls — a consistent performer
  • Wind Pearls — cold invasion, reliable
  • Perilla Pearls — solid
  • Thunder Pearls and Lightning Pearls — chronic pain
  • Earth Pearls — digestive issues

Where I’m less impressed is some of their tonifying formulas — the ones meant to build a depleted person back up. That’s my clinical read, not a knock on the company. Every line has a center of gravity and theirs is warming and dispersing.

You can see the full line at Classical Pearls.

Botanical Biohacking

Botanical Biohacking sits more in the damp school, which is what’s relevant for people in damp conditions like Oregon. It’s also well suited to a typical American diet, which produces its own internal dampness no matter where somebody lives.

That’s why I like the formulas and it’s why I carry them — see the disclosure at the top. You can see the line at Valley Health Market.

The affordable tier

I like Evergreen formulas in the powder, not the pill. They’re complex formulas you can mix together, the quality is good but it’s not amazing, and they’re affordable and easy to use. Treasures of the East I like in the pill — easy to use, reasonable quality, does the job.

There are other companies in the same class. KPC is similar to Evergreen. I haven’t experimented with all of them so I won’t pretend to a clinical opinion I don’t have, but it comes recommended by people I trust.

Pills or powder?

This is where most people go wrong, and it’s just arithmetic.

A concentrated extract capsule is typically about 500 mg. A scoop of granules — powdered extract, loose in a jar — is 1 gram. That’s roughly two capsules per scoop.

Why cheaper herbs need to be powder

Now picture the dose you actually want in a patient — say six to nine grams a day. That’s twelve to eighteen capsules. Nobody is doing that three times a day for six weeks.

So the rule is this: the cheaper the product, the more of it you need, and the harder that is to do in capsule form. That’s the whole reason I want Evergreen as granules. A scoop and a half is easy. Fifteen capsules is not.

Capsules also cost more to manufacture, so you’re frequently paying extra for the form that makes proper dosing hardest. Sometimes that’s still the right trade — for a first-timer, for travel, for compliance. Just make it on purpose.

Taste is doing real work

Granules taste earthy and people complain. Here’s why I don’t apologize for it.

Taste is part of the mechanism. Bite a lemon and your body reacts before you’ve swallowed anything. Eat something savory and your gallbladder starts releasing bile in anticipation of fat. And you don’t only have taste receptors on your tongue — they’re distributed throughout your digestive tract. Your body will taste it either way, but the tongue comes first, and that early signal matters.

It’s not a bad taste. It’s an earthy taste. Reframing it that way with patients helps more than you’d expect. And if it’s somebody’s first time with herbs, start them on capsules and a cheaper product, get them a result they can feel, then move them up.

You wouldn’t ask whether an onion works.

— Will Sheppy, L.Ac.

Why your herbs aren't working

Herbs work. That’s not a promise, it’s a category statement — the same way I’d say carrots work, or garlic works. When they don’t seem to, there are three explanations, and it’s almost always one of them:

  • Wrong formula — it doesn't match what's actually going on
  • Underdosed — especially likely with a cheap product in capsule form
  • Not long enough — you stopped before it had time

Think about aspirin. Aspirin works. But if you take aspirin for the wrong thing you don’t feel better, and nobody concludes from that that pharmacology is fake. The aspirin just wasn’t what you needed.

If you’re consistently disappointed with herbal results, I’d bet on cheap product plus low dosing before anything else on that list.

How long should it take?

Depends what you’re treating. For pain, expect something fairly quickly — often close to immediately. For most other things, think of herbs the way you think of diet.

Eat a Big Mac, you feel like garbage. Eat a salad, you feel better that day. Eat well for a week and your body starts to actually change. Herbs are a strong diet — same curve, steeper slope.

Can you combine formulas?

Yes, and I recommend it. You need to know the formulas or work with someone who does, but combining is normal practice — no stranger than taking vitamin C alongside zinc.

Topicals: the herbs anyone can buy

The topicals are the one category with no license gate, and they’re some of the best products I use. All of them are American made and handcrafted — made by people, not corporations.

  • Evil Bone Water — a restored Zheng Gu Shui liniment. Broad-use, fast, the one I reach for first.
  • Fu Medicinals — hand-crafted in small batches right here in Oregon
  • Red Emperor's Immortal Flame — a warming liniment, a Turcotte family formula made by Hugh Turcotte, L.Ac. Best for cold-type pain and stiff joints.
  • Botanical EZ — corydalis based

They’re all sourcing top quality herbs, which I respect, and you feel the difference in the results.

How to buy Chinese herbs without a license

Everything above except the topicals requires a license. So here’s what to do instead.

  • Call an acupuncture clinic first. You'll get herbs matched to you rather than guessed at, usually for less than the internet charges, and you get someone to ask when something changes.
  • Try a local Asian market. Often cheaper. The reputable ones have someone on staff — a doctor, a longtime herbalist — who knows the formulas and can answer questions. That's the tell. If nobody in the store can tell you anything about what's on the shelf, that's a different kind of store.
  • Don't buy them on Amazon. You can, and that's the problem. Prices are routinely doubled or tripled over what a clinic or market charges for the same product, and you get no guidance with it.

Is it safe?

Are the herbs clean?

Largely, yes. Testing for heavy metals and pesticides isn’t federally mandated before market the way it is for drugs, but every major Chinese herbal pharmacy company I’ve looked into treats it as standard practice. The worry about contaminated imports belongs to an earlier era.

My rule is to buy from American-based manufacturers, the ones whose testing you can actually ask about, rather than something produced overseas and shipped straight to a marketplace listing. If a company can’t produce a certificate of analysis, that tells you what you need to know.

Taking herbs without a diagnosis is mostly safe, but it probably won’t be effective, which is its own kind of waste. And if you’re sensitive to herbs, guessing can genuinely go badly.

Medications worth a conversation first

Blood thinners. Many of the major blood-moving herbs in Chinese medicine interact with anticoagulants. Chuan Xiong is the clearest example, and Dan Shen and Dang Gui warrant the same caution. If you’re on warfarin, apixaban, rivaroxaban or anything similar, this needs to be a conversation before you start rather than after.

The interesting exception is San Qi, the herb in Evil Bone Water. It moves blood and stops bleeding — a coagulant as well as a mover. That paradox is exactly why it’s the star of so many famous trauma liniments.

Mood medications — antipsychotics and mood stabilizers — are the other category that needs a conversation first. Outside of those two, most people are fine. But “most people” isn’t “you,” which is why the conversation matters.

For a much deeper treatment of herb–drug interactions, including liver and kidney function, SSRIs and diabetes medications, Brehan Crawford wrote a thorough guide to it. Brehan and I went to school together and he’s one of the best herbalists around — someone I trust. It’s built around one formula but the framework applies broadly.

If you only try one thing

Start with Evil Bone Water or Wind Tea.

Evil Bone Water because you can actually buy it without a license, it’s useful for a lot of things, and it works fast enough that you stop wondering whether this stuff is real. Wind Tea for the early stage of a cold, for the same reason — it’s the formula most likely to make a believer out of a skeptic.

Once you’ve felt one of them do its job, everything else in this article gets easier to take seriously.

And if you’re not getting results from Chinese herbs, it’s almost never that the herbs don’t work. It’s cheap product, or not enough of it, or the wrong formula. Fix the dose first — it’s free, and it solves the problem more often than switching brands does.

Evil Bone Water Front Label

Evil Bone Water

Zheng Gu Shui, Restored

The topical liniment I reach for first — no license required, fast on bruises, strains and sore joints.

Shop Evil Bone Water

References

Classical Pearls Herbal Formulas. Legacy Series. Link →

Crawford B. Gut Harmony Drug Interactions: Is It Safe With Your Medications? Crawford Wellness. Link →

Fu Medicinals. Topical pain relief, hand-crafted in Oregon. Link →

Botanical EZ, LLC. Corydalis for natural pain relief. Link →

This article is educational and is not medical advice. Chinese herbal formulas are not intended to diagnose, treat, cure or prevent any disease. Talk to a qualified practitioner before starting herbs, especially if you take prescription medication.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Can I buy Chinese herbs online without a license?

Most of the top herbal companies sell to licensed practitioners only — you have to send in a copy of your license to get approved. Topicals are the exception and anyone can buy them. For internal herbs, call an acupuncture clinic or try a local Asian market that has someone on staff who knows the formulas.

You can, but the same products routinely cost two to three times what a clinic or a local Asian market charges, and you get no guidance with the purchase. It’s the worst combination available: highest price, least information.

Testing isn’t federally required before market, but every major Chinese herbal pharmacy company I’ve looked into treats it as standard practice. Buy from American-based manufacturers whose testing you can ask about, and if a company can’t produce a certificate of analysis, that tells you what you need to know.

It’s a dosing decision. A capsule holds about 500 mg and a scoop of powder holds a gram, so a real daily dose of six to nine grams means twelve to eighteen capsules. With a cheaper formula, use the bulk powder so the patient can actually reach a therapeutic dose.

Almost always one of three things: it’s the wrong formula for you, it isn’t dosed high enough, or you haven’t taken it long enough. If you’re consistently disappointed, cheap product combined with low dosing is the most likely cause.

Many of the major blood-moving herbs do, including Chuan Xiong, Dan Shen and Dang Gui. If you take warfarin, apixaban, rivaroxaban or a similar anticoagulant, talk to a practitioner before starting. Antipsychotics and mood stabilizers are the other category worth a conversation first.

Recent Posts

Atone vs Microgard Plus vs Microgard: Which One Is for You?

Posted on August 8, 2026 by - Healing, Techniques

  • Verified
18 minutes read

Materia Medica · The Formula Series

Atone vs Microgard Plus vs Microgard: Which One Is for You?

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

Quick answer

Atone is for the sudden stall — bad food, bad water, travel, a bug going around. It’s a tea you sip at the first sign of trouble. Microgard and Microgard Plus are for the terrain underneath: how your digestion runs on an ordinary week. Between those two, Microgard Plus is the warmer formula for the person who runs cold — soft irregular stools, heaviness, fatigue, low mood — and Microgard is the cooler formula for the person who runs hot — dry hard stools, bad breath, frontal headache, anxious with energy to burn. Two questions sort them: is this sudden or is this your baseline, and are there heat signs on top.

Three formulas, one zone, and the same question every time: which one?

Atone, Microgard Plus, and Microgard all work on the middle — the gastrointestinal terrain. They are not interchangeable, and the difference between them is not subtle once you know what you’re looking at. But there’s a wrinkle in this zone that catches almost everybody, including practitioners: the temperature of the formula is the opposite of the temperature of the person. The warmer product is for the colder patient. Miss that and you will reach for exactly the wrong one.

Why One Zone Gets Three Formulas

Temperature and moisture differentiate every biome on earth — rainforest to desert — and equally in the living gardens inside you. That’s the whole idea the Botanical Biohacking line is organized around.

When the microbiota in a zone drift out of balance, contradictory signs show up. A patient reads hot and cold, dry and damp, deficient and excess all at once, and the picture refuses to resolve into one tidy diagnosis. That isn’t a diagnostic failure. It means you’re not looking at one organ — you’re looking at growing conditions that drifted.

So the gastrointestinal zone doesn’t get one formula. It gets positions, and you pick the one that matches:

  • Sudden — Atone Tea (Huo Xiang Zheng Qi San). Aromatically transforms damp, releases the exterior, and gets stuck qi and fluid moving in the right direction again. For the acute stall.
  • Cold — Microgard Plus (Bao He backbone, warmer direction). For cold fluid retention in the middle GI: soft stools, lethargy, heavy limbs, poor appetite.
  • Hot — Microgard (Bao He backbone, cooler direction). Same terrain with heat signs riding on top: dry hard stool, putrid breath, frontal headache.

The Two Questions That Sort Them

Two questions, in this order.

Question One: Is this sudden or your baseline?

Sudden is the questionable takeout, the travel week, the summer bug, the water that wasn’t quite right. It arrived, you can roughly date it, and you want it settled today. That’s Atone’s lane.

Baseline is how your digestion runs on an ordinary Tuesday when nothing in particular has happened. That’s the terrain, and terrain is what the two Microgard vials are built for. If you can’t name a trigger, you’re in the terrain lane.

Question Two: Cold or Hot?

Once you’re in the terrain lane, the hot picture is the cold picture plus heat signs, not a separate presentation. So learn the cold one first and watch for what gets added.

  • Irregular bowel movements and soft stools
  • Lethargy, or a tendency toward low mood
  • Heaviness and weakness in the limbs, fatigue and sleepiness
  • Little appetite — and weight gain that comes with anxiety but no energy
  • Gas, bloating, nausea, often with a puffy face

And here is what heat adds on top of that picture:

  • Dry, hard, sheep-pellet stool — or stool that starts hard and then turns loose — with burning around the anus
  • Putrid breath
  • Frontal headache
  • Anxious with energy to burn, and often a strong rather than diminished appetite

The three-question screen from the original comparison still does most of the work in under a minute: How is your appetite — normal, diminished, or strong? What are your stools like — loose or hard? And emotionally, are you closer to depressed, or closer to anxious?

Atone: When It Came On Suddenly

Huo Xiang Zheng Qi San — Agastache Powder to Rectify the Qi — is the classic prescription for external damp obstructing the middle. The summer-bug, questionable-takeout, travel-tummy, damp-and-queasy picture. It is a household staple across much of Asia for exactly this reason: it’s what you reach for when your gut feels waterlogged and rebellious and you want it settled today.

It works by aromatically waking the digestion up, releasing the exterior, and getting stuck qi and fluid moving again in the right direction. Not by attacking anything. Huo Xiang (agastache) is the monarch herb; Zi Su Ye and Bai Zhi release the exterior; Da Fu Pi and Hou Po move qi and relieve fullness; Chen Pi and Fa Ban Xia dry damp and settle nausea; Bai Zhu and Fu Ling strengthen the spleen and drain damp; Jie Geng and Gan Cao open the chest and harmonize. Eleven herbs, full aromatic architecture kept intact rather than trimmed for cost.

The source material’s own rule of thumb on timing is worth borrowing here: Atone is the stronger choice for sudden onset, and it’s most generally used as the days are getting shorter. Full breakdown in the Atone post.

Microgard Plus: When Your Digestion Runs Cold

This is the vial for the person whose baseline is heavy and slow. Soft or irregular stools, limbs that feel weak, sleepiness that naps don’t fix, an appetite that never quite shows up, and a mood that sits closer to flat than to frantic. Weight that goes on anyway. Often a puffy face.

Microgard Plus is the warmer of the two vials, and the herbs unique to it tell you why: Shan Zha (hawthorn), Shen Qu (medicated leaven), and Gu Ya (rice sprout) are the classical food-moving trio for overeating, eating too fast, and food that sits; Shi Chang Pu (acorus) is the orifice-opening herb the line uses for the gut-brain layer; Bai Ji Li (tribulus) calms the liver and dispels wind.

Positioned in the catalog as the continuation vial — the one that carries the work past month three. On body type, the original comparison is blunt about it: this suits the cold, yin-leaning constitution rather than the lean, hot, wired one. Full breakdown in the Microgard Plus post.

Microgard: When It Runs Hot

Same terrain, heat on top. Stools that are dry and hard — sheep pellets — or that start hard and finish loose, with a burning sensation after. Putrid breath. A frontal headache that shows up with the digestive trouble rather than separately. Anxious, but with energy behind it rather than the flat exhaustion of the cold picture.

Microgard is the more neutral, less warming of the two, and again the unique herbs say so: Ju Hua (chrysanthemum) releases wind-heat, Hou Po (magnolia bark) regulates qi and relieves fullness, Ji Li extinguishes wind, and Dao Ya (rice husk) works on food stagnation. It suits either the lean, acute, yang constitution — the skinny vegan end of the spectrum — or the larger, very yang presentation where heat and damp are both loud.

Here is the sentence to reread if only one thing sticks: you give the cooler formula to the hotter person. It sounds backwards for about five seconds and then it’s obvious. Full breakdown in the Microgard post, and the full side-by-side herb lists live in the original Microgard vs Microgard Plus comparison.

The temperature of the formula is the opposite of the temperature of the person. The warmer product is for the colder patient. Almost every wrong pick in this zone comes from getting that backwards.

— Will Sheppy, L.Ac.

What All Three Share

The two vials overlap more than they differ, which is why the sorting question matters rather than the ingredient list. Both are described as clearing phlegm and dampness, relieving food stagnation, reducing inflammation and repairing the digestive system, supporting good gut bacteria, and counteracting what the standard American diet does to a middle.

They share a backbone of herbs, grouped by job:

  • Regulating qi — Mu Xiang (aucklandia) and Hua Ju Hong (red tangerine peel). For bloating, pain, and the tension that shows up in digestion when life gets loud.
  • Releasing and calming wind — Bo He (mint), Ge Gen (kudzu), Bai Zhi (angelica), Gou Teng (uncaria), and Tian Hua Fen (trichosanthes root).
  • Draining dampness — Cang Zhu (atractylodes), Yi Yi Ren (coix seed), Fu Ling (poria), and Huo Xiang (patchouli).

That last name is worth pausing on. Huo Xiang is in both vials, and it is the monarch herb of Atone. The aromatic damp-transformer that settles an acute stall is the same herb doing quiet background work in the daily formulas. That’s not a coincidence — it’s the through-line of the whole zone.

Yi Yi Ren (coix seed) is the other shared name that carries weight. The line describes it as doing two jobs: washing the intestines by improving fecal moisture and promoting peristalsis, and repairing the intestinal wall by supporting the growth and differentiation of epithelial cells. Note that coix seed is frequently confused with Job’s tears; they are not the same thing.

What the Research Actually Shows

This is where I’d rather be honest than impressive, because the honest version is more useful to you. In this zone the evidence is genuinely lopsided — the acute formula has human trials, and the daily formulas have mice.

Huo Xiang Zheng Qi has real randomized human data. A multicenter randomized trial gave the oral liquid alongside standard anti-nausea drugs to sixty chemotherapy patients on a multiday cisplatin regimen, and the complete-response rate for acute nausea and vomiting was roughly 63% against 33% for placebo, with more nausea-free days overall. A separate randomized trial of 283 COVID-19 patients found no significant difference in overall symptom improvement, but a specific advantage for nausea, vomiting, and limb soreness. Two more trials are registered — for diarrhea-predominant IBS and for atopic dermatitis with a dampness pattern — but as of this writing only the protocols are published in the English literature, not the results. So: the formula measurably does something in humans, and the something is nausea, vomiting, and damp-type symptoms. That is a narrower claim than “it works,” and it is the claim the data supports.

Bao He Wan — the backbone under both vials — is preclinical, but unusually on-point preclinical. The published work is in mice fed a high-fat, high-protein diet until they developed diarrhea. Baohe pill decoction raised intestinal microbial counts and lactase activity, shifted the structure of the lactase-producing bacterial community, and improved amylase, protease, and sucrase activity. Mechanistically that lines up remarkably well with what the product claims to do — restore flora, restore digestive function — which is more than most herbal products can say about their animal data. It’s still mice.

Coix seed is also mice. In a five-week feeding study, adding coix seed to a high-fat diet partly counteracted the weight, fat-mass, and cholesterol effects, and increased Akkermansia muciniphila and Lactobacillus — organisms that track inversely with obesity and metabolic disease. Interesting, and not a human outcome.

What stands behind these formulas is centuries of documented clinical use, which is a real form of evidence and I’m not going to pretend otherwise. It is also not the same thing as a trial, and anyone telling you it is should make you suspicious.

Limits, and When This Isn't a Tea Problem

Four limits worth stating plainly.

  • Atone is for the damp, sluggish, queasy pattern — not every stomach upset. If the picture doesn't match, it's the wrong tool no matter how bad the stomach feels.
  • Pick a lane before you pick a vial. Microgard and Microgard Plus point in opposite temperature directions. Taking the wrong one isn't neutral — it pushes the terrain further the way it was already going.
  • Weight change is a side effect, not a promise. The line's own framing is that Microgard Plus is about digesting better, and that any fat loss is a consequence of proper use guided by a practitioner. Treat any weight claim you read about these products that way.
  • Tian Hua Fen, in both vials, carries a pregnancy caution in the manufacturer's own materials. If you are pregnant or trying to conceive, this is a conversation with your practitioner, not a self-serve decision.

And the line that matters most: signs of dehydration, blood in the stool, black or tarry stool, high fever, severe or persistent abdominal pain, unexplained weight loss, or symptoms lasting more than a couple of days need real medical care, not more tea. A change in bowel habit that doesn’t resolve deserves a workup. If you’re pregnant, nursing, on anticoagulants, or managing a chronic condition, talk with your practitioner or physician before starting any of these.

Botanical Biohacking, maker of Microgard Plus

The Middle GI Trio

Atone, Microgard, and Microgard Plus — practitioner-formulated, batch-tested, and stocked at Valley Health Market. Atone is thirty teabags; the Microgard vials are micro-pill format.

Shop the Line

References

  1. Zhu Zhen Heng (Zhu Dan Xi). Dan Xi Xin Fa (丹溪心法, Teachings of Master Dan Xi). c. 1481. (Source text for Bao He Wan.)
  2. Tai Ping Hui Min He Ji Ju Fang (太平惠民和劑局方, Imperial Grace Formulary of the Tai Ping Era). 1107. (Source text for Huo Xiang Zheng Qi San.)
  3. Bensky D, Barolet R. Chinese Herbal Medicine: Formulas & Strategies. Eastland Press. (Standard reference for Bao He Wan and Huo Xiang Zheng Qi San.)
  4. Bensky D, Clavey S, Stöger E. Chinese Herbal Medicine: Materia Medica, 3rd ed. Eastland Press, 2004.
  5. Wei H, Sun Y, Xie L, et al. Huo Xiang Zheng Qi oral liquid combined with 5-HT3 receptor antagonists and dexamethasone can prevent chemotherapy-induced nausea and vomiting for patients receiving multiday cisplatin-based regimen: a multicenter trial. J Integr Complement Med. 2023;29(8):501–509. Link →
  6. Xiao M, Tian J, Zhou Y, et al. Efficacy of Huoxiang Zhengqi dropping pills and Lianhua Qingwen granules in treatment of COVID-19: a randomized controlled trial. Pharmacol Res. 2020;161:105126. Link →
  7. Guo X, Xuan M, Zheng H, et al. The Chinese herbal formula Huoxiang Zhengqi for diarrhea-predominant irritable bowel syndrome (CHAIRS): a study protocol for a double-blinded randomized controlled trial. Trials. 2021;22(1):491. Link → (Protocol only — results not yet published in the English literature.)
  8. Zhou K, Yi X, Tan Z, Peng M, Xiao N. Baohe pill decoction treats diarrhea induced by high-fat and high-protein diet by regulating lactase-producing bacteria in intestinal mucosa. Front Microbiol. 2023;14:1157475. Link → (Animal study.)
  9. Guo K, Yan Y, Zeng C, Shen L, He Y, Tan Z. Study on Baohe pills regulating intestinal microecology and treating diarrhea of high-fat and high-protein diet mice. Biomed Res Int. 2022;2022:6891179. Link → (Animal study.)
  10. Liu S, Li F, Zhang X. Structural modulation of gut microbiota reveals Coix seed contributes to weight loss in mice. Appl Microbiol Biotechnol. 2019;103(13):5311–5321. Link → (Animal study.)
  11. A note on evidence: a PubMed search returns no English-indexed human clinical trial for Bao He Wan in any form. The Baohe studies above are in mice. The Huo Xiang Zheng Qi trials are in chemotherapy-induced nausea and in COVID-19 — not in ordinary digestive upset. We would rather say so than overstate a thin literature.

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. The information provided is for educational purposes and is not intended to replace consultation with a qualified healthcare practitioner. Please consult your physician before starting any new herbal protocol, especially if pregnant, nursing, on anticoagulants, or managing a chronic condition.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What's the difference between Microgard and Microgard Plus?

They point in opposite temperature directions. Microgard Plus is the warmer formula, meant for the person whose digestion runs cold — soft or irregular stools, heaviness, fatigue, poor appetite, low mood. Microgard is the more neutral, less warming formula, meant for the person running hot — dry hard stools, putrid breath, frontal headache, anxious with energy. The confusing part is that the warmer product goes to the colder person, which is standard practice in Chinese herbal medicine but reads backwards at first glance.

Ask whether you can date it. Atone is for the sudden stall — bad food, bad water, travel, a bug going around — and it is built on Huo Xiang Zheng Qi San, the formula households across Asia keep on hand for exactly that. The two Microgard vials are for the terrain underneath: how your digestion runs on an ordinary week when nothing in particular has happened. If you can’t name a trigger, you’re looking at terrain.

Microgard and Microgard Plus are positioned as a sequence rather than a pair to take simultaneously — Microgard Plus is described as the continuation vial that carries the work past month three. Atone is a different tool for a different moment and is generally used acutely rather than daily. Layering formulas is a conversation to have with your practitioner rather than something to work out from a product page.

All three address bloating, which is exactly why bloating alone is a poor sorting question. Look at the company it keeps instead. Bloating with soft stools, fatigue, and low mood points cold. Bloating with hard stools, bad breath, and anxious energy points hot. Bloating that arrived on Tuesday after a questionable meal points to Atone.

It’s lopsided, and worth knowing which way. Huo Xiang Zheng Qi — the formula behind Atone — has genuine randomized human trials, though in chemotherapy-induced nausea and in COVID-19 rather than in everyday digestive upset. Bao He Wan, the backbone under both Microgard vials, has no English-indexed human trial at all; what exists is mouse work on gut flora and digestive enzyme activity, which happens to line up well with what the products claim to do. Coix seed, shared by both vials, is also mice. Centuries of documented clinical use stand behind all of it, and that is a real form of evidence — just not the same thing as a trial.

Recent Posts

Warm Hearth vs Wind vs Peak: Which One Is for You?

Posted on August 7, 2026 by - Healing, Recovery, Techniques

  • Verified
15 minutes read

Materia Medica · The Formula Series

Warm Hearth vs Wind vs Peak: Which One Is for You?

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

Three formulas, one zone, and the same question every time: which one?

Warm Hearth, Wind, and Peak all work on the upper respiratory terrain. They are not interchangeable, and the difference between them is not subtle once you know what you’re looking at — but nobody tells you what to look at. So people guess, or they buy the one with the best description, or they buy all three and rotate.

Here’s the actual sorting logic: the two questions that separate them, what to do when the answer is “both,” what the research honestly supports, and where the line is between a tea problem and a doctor problem.

Quick answer

Warm Hearth is for mucus and biofilm — the chronic snoring, post-nasal drip, heavy foggy morning picture. Wind is for lingering damp in someone who is running on empty; it carries real ginseng so clearing doesn’t cost them what little they have. Peak is the same terrain when heat is leading — thirst, headache, yellow mucus, red eyes — and it leaves the ginseng out. Two questions sort them: is this mucus or is this fluid, and is heat riding on top. Wind and Peak are both built on San Ren Tang, which is a targeted tool and not a forever tea — roughly two weeks, never longer than three months.

Why One Zone Gets Three Formulas

Temperature and moisture differentiate every biome on earth — rainforest to desert — and equally in the living gardens inside you. That’s the whole idea the Botanical Biohacking line is organized around.

When the microbiota in a zone drift out of balance, contradictory signs show up. A patient reads hot and cold, dry and damp, deficient and excess all at once, and the picture refuses to resolve into one tidy diagnosis. In the clinic that’s the moment people usually start second-guessing themselves. It isn’t a diagnostic failure. It means you’re not looking at one organ — you’re looking at growing conditions that drifted.

So the upper respiratory zone doesn’t get one formula. It gets a spectrum, and you pick the position on it:

  • Cold — Warm Hearth Tea (Er Chen Er Zhu). Warms, clears mucus, clears biofilms, opens obstruction in the upper respiratory tract.
  • Damp — Wind Tea (Xiao Chai Hu + San Ren). Removes damp, harmonizes Shaoyang, modulates immune factors.
  • Hot — Peak (San Ren plus Yin Chen Hao and Chai Hu). The same work as Wind but cooler — for when there are heat signs.

The Two Questions That Sort Them

Position on the spectrum is decided by two questions, in this order.

Question One: is this mucus or fluid?

Mucus and biofilm is the chronic, sticky, structural picture — snoring, sleep apnea, post-nasal drip that has been there for years. Fluid retention is the heavy, sluggish, foggy picture — slow to wake, brain fog, a generalized feeling of dread, dreams of being chased, no real desire to drink water, needing to bear down to use the bathroom.

Mucus sends you to Warm Hearth. Fluid sends you to Wind or Peak.

Question Two: is heat on top?

In this zone the hot picture is usually the cold picture plus heat signs, not a separate presentation. So learn the cold one first and watch for what gets added:
  • Real thirst, and wanting cold drinks specifically
  • Dry mouth and headache
  • Yellow mucus, redness in the eyes, a red tongue with a thick yellow coat
  • Stinky armpits — an underrated tell

Four screening questions get you most of the way there in under a minute: Do you have a dry mouth? Do you feel thirsty? Do you bear down with bowel movements? Do you have environmental sensitivities or allergies?

Warm Hearth: When It's Mucus, Not Fluid

Er Chen Tang — the Two-Aged Decoction — is the base formula for damp-phlegm in Chinese herbal medicine. Nearly every phlegm formula in the tradition is built on top of it. Practitioners think of it the way builders think of a footing: it rarely gets the credit, and almost everything sits on it.

Warm Hearth is the classical modification Er Chen Er Zhu Tang — that base plus Bai Zhu and Cang Zhu, the two great damp-drying atractylodes, for more drying and strengthening power.

Reach for it when the picture is structural rather than foggy:

  • Chronic snoring or chronic sleep apnea
  • Chronic post-nasal drip and sinusitis
  • Clear, white mucus — not yellow
  • The heavy head and foggy morning, with neck tension travelling alongside

The full formula breakdown lives in the Warm Hearth post. One caution worth repeating here: this is a drying formula built for a damp picture. If you tend to run dry, it is probably not your formula.

Wind: When You're Neither Sick nor Well

Some people don’t get knocked down by a bug. They get stuck halfway — not sick enough to stay in bed, not well enough to get their life back. Wind is the formula for that stage.

It’s built on Xiao Chai Hu Tang, the Minor Bupleurum Decoction, the definitive formula for the Shaoyang stage: the in-between layer where a pathogen is neither fully outside the body nor fully settled inside it. Alternating chills and warmth, a bitter taste, no appetite, that half-well feeling weeks after everyone else bounced back. The formula’s job is not to attack. It’s to harmonize — to help the body finish what it started. Botanical Biohacking then layers in San Ren Tang herbs for the damp-heat sluggishness that rides along with modern constitutions.

The detail that decides Wind versus Peak is one herb. Wind carries super high-grade white ginseng, added by pharmacology professor Dr. Zhong Shi Hong specifically so the formula doesn’t drain qi over a course of use. Most Xiao Chai Hu Tang on the market substitutes Dang Shen to cut cost; Wind uses real Ren Shen. That’s structural, not a marketing bullet.

So: more relative deficiency → Wind. The ginseng holds the person up while the dampness clears. Full breakdown in the Wind post.

Peak: When Heat Is Driving It

Peak is the same two classical formulas — San Ren Tang and Xiao Chai Hu Tang — aimed at a different person entirely. The heat-clearing side is strengthened with Yin Chen Hao and Chai Hu sourced from the Tibetan Plateau, and the ginseng is deliberately left out.

San Ren Tang itself has a datable origin, which is more than most herbal products can claim: the Wen Bing Tiao Bian, published in 1813 by Wu Ju Tong. His description of the pattern still reads like a modern chart note — headache, aversion to cold, a heavy aching body, a pale tongue without thirst, chest tightness, no appetite, fever rising in the afternoon. What makes his account genuinely sophisticated is the section on errors: sweating the patient makes them foggy, purging makes qi leak away, and moistening drives the dampness deeper. A catch-22. San Ren Tang was his answer to it.

So: more excess and heat → Peak. Full breakdown in the Peak post.

One zone can run cold in one corner and hot in another at the same time. That isn't a contradiction in the patient. It's information about the terrain.

— Will Sheppy, L.Ac.

When to Combine Instead of Choose

The three-column layout implies you pick one. Often you don’t — and the source material is explicit about the most common overlap.

  • Mucus and biofilm with heat → Warm Hearth combined with Peak. Yellow mucus, red eyes, red tongue, sore throat on top of the chronic snoring-and-drip picture. This pairing is stated plainly in the source material, not inferred.
  • Shao Yang sitting underneath another pattern → Wind. When the presenting complaint isn't respiratory at all but the Shaoyang layer is what's holding it in place, Wind is the one to reach for.
  • Severe lower-zone damp-heat → add Peak. Aquada handles lower jiao damp-heat on its own; when it's severe the guidance is to combine it with Peak or Microgard.
  • Season matters. Wind is most elegant as the days get longer; Atone is the one as the days get shorter. Wind is moderating; Atone is stronger for sudden onset.

There’s a sequencing point underneath all of this that’s easy to miss. Clearing the lingering dampness is often what makes the rest of the case legible — once it clears, the simple pattern is finally visible underneath, and what’s left is frequently one or two bags of something straightforward rather than a complicated protocol.

What the Research Actually Shows

This is where I’d rather be honest than impressive, because the honest version is more useful to you.

Xiao Chai Hu Tang has genuine human trial data — but not on this. The published randomized trials on modified Xiaochaihu Decoction are in gastroesophageal reflux disease and in persistent depression, not in lingering respiratory illness. The reflux trial is a reasonable piece of work: 288 participants, randomized, double-blind, double-simulation against omeprazole, with comparable symptom-score improvement and a lower relapse rate at one and three months. That tells you the formula does something measurable in humans. It does not tell you it does this.

Er Chen Tang is preclinical. The most relevant study is a mouse model of what the authors call dyslipidemia phlegm-dampness retention syndrome, where Erchen decoction reversed lipid indexes and reduced markers of oxidative stress. Mechanistically interesting, mice.

San Ren Tang has essentially nothing in the English-indexed literature — no human trial I can point you to. What stands behind it is two hundred years of documented clinical use since Wu Ju Tong wrote it down, and Er Chen Tang has roughly a thousand.

That’s a real form of evidence and I’m not going to pretend otherwise. It is also not the same thing as a trial, and anyone telling you it is should make you suspicious.

Limits, and When This Isn't a Tea Problem

Three limits, all of them from the formulators themselves rather than from me.

  • San Ren Tang is not a long-term formula. The makers' own guidance for Wind and Peak is roughly two weeks, and not longer than three months, because over time it can drain qi. A targeted tool, not a daily forever-tea.
  • Warm Hearth is drying. Built for the damp-phlegm picture. If you tend to run dry, this is probably not your formula.
  • Classical texts caution against San Ren Tang when heat clearly outstrips damp — which is part of why the Peak modification exists.
  • Wind and Peak are seasonal. They ship September through June and pause in July and August.

And the line that matters most: a high fever, a severe or worsening infection, or trouble breathing needs real medical care, not tea. If you’re pregnant, nursing, on anticoagulants, or managing a chronic condition, talk with your practitioner or physician before starting any of these.

Botanical Biohacking, maker of Microgard Plus

The Upper Respiratory Trio

Warm Hearth, Wind, and Peak — practitioner-formulated by Dr. Jin Zhao, fine-tuned by Dr. Zhong Shi Hong, batch-tested, and stocked at Valley Health Market. Thirty teabags each.

Shop the Line

References

  1. Wu Ju Tong. Wen Bing Tiao Bian (溫病條辨, Systematic Differentiation of Warm Diseases). 1813. (Source text for San Ren Tang.)
  2. Bensky D, Barolet R. Chinese Herbal Medicine: Formulas & Strategies. Eastland Press. (Standard reference for Er Chen Tang, Xiao Chai Hu Tang, and San Ren Tang.)
  3. Bensky D, Clavey S, Stöger E. Chinese Herbal Medicine: Materia Medica, 3rd ed. Eastland Press, 2004.
  4. Li Z, Tao L, Zhang SS, et al. Modified Xiaochaihu Decoction for gastroesophageal reflux disease: a randomized double-simulation controlled trial. World J Gastroenterol. 2021;27(28):4710–4721. Link →
  5. Li X, Li X, Gong M, et al. Modified Xiaochaihu Decoction combined with mirtazapine in the treatment of persistent depression: a pilot randomized controlled trial. Contrast Media Mol Imaging. 2022;2022:8682612. Link →
  6. Chen J, Ye C, Yang Z, et al. Erchen decoction to reduce oxidative stress in dyslipidemia phlegm-dampness retention syndrome mice. Phytomedicine. 2023;115:154808. Link → (Animal study.)
  7. A note on evidence: a PubMed search returns no English-indexed human clinical trial for San Ren Tang, and none for the specific Er Chen Er Zhu blend. The trials above are on modified Xiaochaihu Decoction in conditions other than lingering respiratory illness. We would rather say so than overstate a thin literature.

Educational content rooted in 20+ years of clinical practice in Traditional Chinese Medicine. The information provided is for educational purposes and is not intended to replace consultation with a qualified healthcare practitioner. Please consult your physician before starting any new herbal protocol, especially if pregnant, nursing, on anticoagulants, or managing a chronic condition.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

What's the difference between Wind Tea and Peak Tea?

Both are San Ren Tang remixed with Xiao Chai Hu Tang by the same team, and they are not interchangeable. Wind carries high-grade white ginseng and suits more relative deficiency — it holds the person up while the dampness clears. Peak leaves the ginseng out and strengthens the heat-clearing side with Yin Chen Hao and Tibetan Plateau Chai Hu, so it suits the more excess, heated presentation. The formulators state the rule that plainly: more deficiency, Wind; more excess and heat, Peak.

Ask whether the problem is mucus or fluid. Warm Hearth is for mucus and biofilm — chronic snoring, sleep apnea, long-standing post-nasal drip, sinusitis with clear white mucus. Wind and Peak are for fluid retention — the heavy, foggy, slow-to-wake picture with little desire to drink water. If it’s chronic and sticky, that’s Warm Hearth’s lane.

Sometimes, yes. The most common combination in the source material is Warm Hearth with Peak, for mucus and biofilm that has heat riding on top — yellow mucus, red eyes, red tongue, sore throat alongside the chronic drip. Peak is also used with Aquada when lower-jiao damp-heat is severe. Check with your practitioner before layering formulas.

Both are built on San Ren Tang, and the makers’ own guidance is roughly two weeks, and not longer than three months, because over time the formula can drain qi. These are targeted tools rather than daily forever-teas. Note that both are also seasonal products — they ship September through June and pause in July and August.

Honestly, it’s uneven. Modified Xiaochaihu Decoction — the base of Wind and Peak — has real randomized human trials, but in gastroesophageal reflux and persistent depression rather than in lingering respiratory illness. Er Chen Tang, behind Warm Hearth, has mechanistic animal work. San Ren Tang has no English-indexed human trial at all. What stands behind these formulas is centuries of documented clinical use, which is a real form of evidence but is not the same as a trial.

Recent Posts

Living With Ménière’s Disease: What Actually Helps

Posted on August 6, 2026 by - Brain Health, Healing, Meniere's Disease

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Living With Ménière’s Disease: What Actually Helps

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Table of Contents

If your knee hurts, you know what’s going on. There’s a joint, there’s a story, there’s a plan. Vertigo isn’t like that. The room moves, nobody else can see it happening, and the not-knowing is its own kind of awful.

I found that out the hard way. I was diagnosed with Ménière’s disease lying in a hospital bed next to my wife and our newborn third child, while the world spun so hard I assumed I had food poisoning from the sushi I’d just eaten. I’m a licensed acupuncturist with more than twenty years of clinical experience, and I still had no idea what was happening to me.

I sat down with Brodie Welch, L.Ac., on the 10-year anniversary episode of her podcast A Healthy Curiosity, to talk through all of it — the sushi, the MRI, the moment the Chinese medicine map finally made the whole thing make sense, and the unglamorous daily things that got me from “this controls my life” to more good days than bad. Here’s the conversation, and what I’d want you to take from it.

Quick answer

Ménière’s disease is an inner-ear condition — vertigo, tinnitus, ear pressure, fluctuating hearing — with excess fluid in the inner ear as its marker and no single known cause. Because there’s no one cause, there’s no one fix, which is exactly where Chinese medicine tends to be useful: instead of chasing the label, we look for the pattern underneath it, and for the conditions that travel with it — allergies or autoimmune activity, digestive trouble, neck tension, and an overactive nervous system. Working that pattern is how you shift from waiting out attacks to stacking up good days.

This article is educational and reflects my clinical and personal experience. It isn’t medical advice and it isn’t a diagnosis — sudden vertigo or hearing loss should be evaluated by a physician.

What Ménière's Disease Actually Is (and Why No One Can Tell You the Cause)

The frustrating thing about Ménière’s is that nobody really knows what it is. We know it involves the inner ear. We know there’s a key marker — excess fluid in the inner ear. But the cause is idiopathic, which technically means “unknown,” and practically means there is more than likely more than one cause.

That’s not a dead end. It’s a clue. If a hundred people with the same diagnosis got there by different roads, then the useful question isn’t “what is Ménière’s?” — it’s “what is your Ménière’s made of?”

It’s also uncommon, which is part of why it’s so isolating. Most estimates put it at roughly 0.05% to 0.2% of adults, with a higher reported prevalence in Europe and North America than in East Asia. When you’re one in a thousand, you don’t meet many people who get it.

Nobody really knows what Ménière's is. Which means the useful question isn't "what is Ménière's?" — it's "what is your Ménière's made of?"

— Will Sheppy, L.Ac.

The Night the Room Started Spinning

Picture it: I’m in the hospital, it’s our third child, and I’m lying on the bed next to my wife and our newborn, violently spinning. My wife had been off sushi the whole pregnancy, so the moment the baby arrived she wanted sushi — and I’d gone and gotten some. I assumed food poisoning. I still have this image of her staring at me from the bed like, what is going on.

The next day I felt fine. Food poisoning, obviously. We brought the baby home. And that evening, out of nowhere, it started again.

So I went to the doctor. They ran a hearing test — my hearing was affected. They ran an MRI to rule out a brain tumor — no tumor, which is genuinely great news. And then came the diagnosis, followed immediately by the sentence that sends so many people down a rabbit hole:

“We can diagnose you. But we can’t really fix you. You’re kind of on your own.”

Take allergy pills. Take a diuretic. Change your diet. That was it. I had a newborn at home and a practice to run, and “that was it” was not going to work. Ménière’s and fibromyalgia are sisters in that way — we have a label for you, and not much else.

And then came the moment a lot of practitioners will recognize, where you realize you’ve been wearing the ruby slippers the whole time: oh — I’m an acupuncturist. This one was on me to figure out.

Spinning vs. Wobbly: Why You Might Be Improving Without Feeling Better

As I tried to work out what was happening to me, I realized there are really two different kinds of dizziness, and confusing them costs people a lot of hope.

The first is the world spinning. That one is your ear talking to your eye. Tilt your head to one side and your inner ear picks up the tilt and tells your eyes to move the opposite way — which is why everything looks stable while you walk around. When the ear goes off, it sends the signal that the world is spinning, and your eyes dutifully jump the other way. Your eye is listening to your ear. That’s the spin.

The second is everything else. Balance runs on three inputs: the inner ear, the eyes, and proprioception — your body’s sense of where it is in space. When the other two are off, you get a different flavor of trouble: not spinning, just unsteady. Wobbly.

Here’s why that matters. We can often settle the ear relatively quickly. And then people are left saying, “the world isn’t spinning anymore, but I still don’t feel stable” — and they conclude they aren’t getting better. They are. They’ve moved to the next layer. If you don’t know these are separate systems, ordinary progress feels like failure.

Ménière's Rarely Acts Alone: The Clusters I Look For

In Chinese medicine we work from a simple premise: what’s going on outside tends to reflect what’s going on inside. I can’t see your inner ear. I can see the rest of you. So when someone comes in with Ménière’s, I don’t start at the ear — I pan out and ask what else is happening in the landscape.

Almost always, it comes in threes. And this is where a lot of people get stuck, because comorbidities blur the picture and make triggers nearly impossible to identify on your own.

  • Allergies and autoimmune activity — the inflammatory piece, and by far the most common travelling companion.
  • Digestion and the microbiome — your gut, your throat, your sinuses and your ear are neighbors, and they talk to each other constantly.
  • An overactive nervous system — the stress component that shows up in nearly every chronic illness, and hits especially hard when the symptom itself is frightening.
  • Neck tension and vestibular migraine — two of the most common look-alikes and amplifiers. A tight neck is its own trigger to the ear.

Research

Allergy is common in Ménière’s, and psychological comorbidity is closer to the rule than the exception.

In a survey of 734 Ménière’s patients, 59.2% reported possible airborne allergy and 40.3% suspected food allergy — both significantly higher than in controls (Derebery & Berliner, 2000). And among 547 patients at a specialist vertigo clinic, 48.8% met criteria for a current psychiatric disorder — most commonly anxiety and phobic disorders — and reported markedly more vertigo-related handicap than patients without one (Lahmann et al., 2015).

Notice that not one of those is the ear. That’s the point. When people ask me what to pay attention to, I tell them to take honest inventory of the whole system: how’s your digestion, how’s your sleep, what’s your nervous system doing, is anything red and hot and itchy. Patients who arrive with almost no other symptoms are actually the harder puzzle — there’s less to work with. More detail is more map.

I’ve written the long version of this elsewhere: Ménière’s disease rarely acts alone — the comorbidities that change the picture.

Why the Chinese Medicine Map Was My First Moment of Hope

I did what I’d do for any patient: I looked at what Western medicine was actually trying to accomplish, then looked for the same shape in Chinese medicine.

Western medicine’s three moves were a diuretic (reduce fluid), an antihistamine (reduce inflammation), and a dietary change (remove triggers). Chinese medicine’s most commonly researched pattern for this presentation is Liver yang rising — heat and pressure surging upward — with Dampness and Stagnation alongside it.

Line them up. Descending fluid matches the diuretic. Clearing heat matches the anti-inflammatory. Calming and descending matches the nervous system piece nobody was addressing. Two systems, built centuries and continents apart, pointing at the same three things.

That was my first moment of hope. Not because I’d been cured — because I finally had a direction.

You're lost in the woods. The world is spinning on a physical level and on an emotional level. And then it's — okay, I have a map. I have a plan. And I know that if I work this plan, I'm going to start getting better.

— Will Sheppy, L.Ac.

So I built a formula that addressed all three, did acupuncture, changed my diet, and honestly did everything at once. About two weeks later, the dizziness stopped.

I want to be precise about what that means, because this is where a lot of Ménière’s content oversells. I didn’t “fix” it. What I got was tools — a way to take care of myself so this doesn’t run my life. That formula work eventually became Bai Zhu Balance, the formula I designed around the Dampness–Heat–Stagnation pattern. It supports the pattern; it doesn’t cure a disease, and it isn’t right for everyone — people who run fatigued, low-blood-pressure or dry generally shouldn’t take it, and neither should anyone pregnant or nursing.

Find Your Pattern: Two Stories From the Clinic

Because this is so individual, the first thing I say to a new Ménière’s patient is: don’t tell me you have Ménière’s disease. Tell me what you’re feeling. Don’t take the label — describe the experience. That’s where the pattern lives. Two examples of what that turns up.

The gut pattern

I treated a triathlete with chronic swimmer’s ear. She loved the water, and she got ear infections constantly. We did topical treatment, ear drops — it helped, and it always came back. It didn’t stop until we improved her digestion.

The path there isn’t mysterious: gut to throat to sinuses, and your sinuses talk directly to your ear through the eustachian tube. Excess inflammation upstream shows up as aggravation downstream. There’s a second route too — when the gut is unhappy, stress physiology climbs, and an elevated stress response makes dizziness worse. For some people, cleaning up the diet changes the ear. For others whose digestion was never the problem, it barely moves the needle. Which is the whole reason you find your pattern first.

The nervous system pattern

A patient came in recently and I asked her to walk me through an attack. She said, “I’ll be at work” — okay, daytime, active — “and I start to get sweaty,” and then she knows a dizziness attack is coming.

Sweaty, then dizzy, mid-afternoon, at work. That’s a panic response. Not “it’s all in her head” — a real, physical, autonomic cascade that was reliably preceding her vertigo. And honestly, of course it was: when a chronic illness starts flaring, the fear is entirely reasonable. It’s scary.

So we treated the stress pattern, and her vertigo improved. Her trigger was never digestion. It was an overloaded nervous system, aggravated by work and short sleep, firing in the most stressful stretch of her day. Once she knew that, she had tools: a nap at lunch, nasal breathing with long exhales. That’s the difference between being at the mercy of the condition and steering it.

Three Things You Can Start This Week

None of these replaces a workup or a treatment plan. They’re the low-cost, high-frequency things I use myself and give to almost every Ménière’s patient while we figure out the bigger picture.

  • Foot soaks. In Chinese medicine the dizziness is energy rising to the head, and the strategy is to bring it down — which is why so many points for it are on the feet. If your feet run cold, that's heat sitting up top. A warm soak, foot massage, or an herbal patch on the sole pulls it down. I did not think this would work. It works.
  • Nasal breathing with a long exhale. Do you wake up with a dry mouth? Then you're likely mouth breathing, which recruits your chest and keeps you in the gasp. The long exhale is the hot-tub sigh; the sharp inhale is the ice bath. Nasal breathing relaxes the muscles around the neck — itself an ear trigger — and drives nitric oxide production in the sinuses, which shifts circulation there and can help open the eustachian tube.
  • The sinus food test. Your sinuses are the closest thing you have to a window on your ear. Notice which foods leave you snotty and congested and which leave you clear — that's a readout on the same fluid dynamics happening one room over. Everyone knows the dairy-during-a-cold version of this. Find your own list.

Research

Breathing through your nose is not a small intervention.

Nitric oxide concentrations in the upper airway run roughly 200 to 2,000 parts per billion, versus 4 to 160 in the lower airway; the paranasal sinuses are the main source, and the gas contributes to host defense and ciliary activity up there (Lefevere et al., 2000; Spector et al., 2021). That’s the mechanism behind a habit that costs nothing. I was as surprised as you are.

And here’s why these unglamorous things beat the dramatic ones: what you do most of the time matters more than what you do some of the time. You get acupuncture once a week, maybe twice. You breathe constantly. You eat three times a day. Small inputs, repeated, are the most powerful tools you have.

More Good Days Than Bad

Almost everyone with Ménière’s — same as fibromyalgia — has good days and bad days. People want to talk about the bad ones. I want to talk about the good ones, because a good day is proof that your system is capable of balancing itself. It’s already doing the thing. The whole job from there is arithmetic.

Your body is strong enough to have good days. So we know the system can balance itself. Let's figure out how to get more good days than bad days.

— Will Sheppy, L.Ac.

The place people get stuck is all-or-nothing thinking. They hear “change your diet” as “I can never have a cocktail at dinner again,” decide that’s unlivable, and do nothing. So let’s pause on that. The goal of medicine is absolutely that you can handle those things. But while the world is spinning, be strict — and then reintegrate as your body gets stronger. Brodie put it better than I did: if you’re going to stand up in a canoe, don’t do it when the water is choppy. Wait until things calm down, then take the safe risk. (My version was “don’t break two laws at once,” which tells you something about my upbringing.)

Notice too that perfectionism can itself be the problem. If stress is part of your pattern, getting stressed about running the protocol perfectly is making it worse. Give yourself permission to run at 80/20. What most of your actions need to do is point in the direction of better rather than worse — not all of them, most of them. That’s the two-degree course correction: barely visible at the start, an entirely different coastline by the time you arrive. People try something, don’t see an immediate result, and quit. You’re probably on the right path. Healing just moves at the speed of the body.

When to Get It Looked At

To be clear about where the line is: everything above is a starting point for understanding your own pattern, not a substitute for a diagnosis.

Get evaluated by a physician if vertigo is new, sudden, or different from your usual pattern. Sudden hearing loss is time-sensitive — treat it as urgent, not as something to sit on. And seek emergency care for dizziness that arrives with double vision, slurred speech, weakness or numbness on one side, trouble walking, or the worst headache of your life. A proper Ménière’s workup — hearing testing, and imaging to rule out other causes — is worth having on the record even when the answer is “nothing scary.” Mine was.

Listen to the Full Conversation — and Where to Get Help

The whole episode is worth your time. Brodie asks the questions patients actually have, and we go further into the balance systems, the pattern differentiation, and the both/and case for using whatever actually works — a point she makes better than anyone: in China, roughly 90% of hospitals treat with allopathic medicine, acupuncture, herbs, or some combination, based on what the evidence supports for that condition. It isn’t alternative medicine over there. It’s just medicine.

If you’re in the thick of it right now, the hardest part isn’t finding information — it’s that the information is scattered and contradictory. That’s exactly why we built Gut Brain Synchrony, a practitioner-curated community where a group of us answer questions directly, run live and recorded classes, and keep the guidance consistent instead of scattershot. Social media groups will give you a hundred confident answers. This is a smaller, safer room with practitioners actually in it.

Join Gut Brain Synchrony

If you’d rather work with me directly: I practice at Valley Health Clinic in Albany, Oregon, and I see Ménière’s patients both locally and remotely. Call 541-760-9670 or get in touch here.

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Disclosure: the Gut Brain Synchrony link is an affiliate link. This article and the podcast episode are for informational purposes only and should not be considered medical advice. Statements about herbal formulas have not been evaluated by the FDA; no product mentioned is intended to diagnose, treat, cure, or prevent any disease.

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References

Derebery MJ, Berliner KI. Prevalence of allergy in Meniere’s disease. Otolaryngol Head Neck Surg. 2000;123(1 Pt 1):69–75. [Link →]

Derebery MJ, Berliner KI. Allergy and Ménière’s disease. Curr Allergy Asthma Rep. 2007;7(6):451–6. [Link →]

Lahmann C, Henningsen P, Brandt T, et al. Psychiatric comorbidity and psychosocial impairment among patients with vertigo and dizziness. J Neurol Neurosurg Psychiatry. 2015;86(3):302–8. [Link →]

Karababa E, Öçal FCA, Akbaş RN, et al. Psychosocial status and quality of life in patients with Ménière’s disease and vestibular migraine. Am J Audiol. 2025;34(4):919–926. [Link →]

Lopez-Escamez JA, Xu M, Zhang Q, Tsang BK. Epidemiological and clinical differences in Meniere disease across European and East Asian populations. J Int Med Res. 2026;54(8). [Link →]

Lefevere L, Willems T, Lindberg S, Jorissen M. Nasal nitric oxide. Acta Otorhinolaryngol Belg. 2000;54(3):271–80. [Link →]

Spector BM, Shusterman DJ, Goldberg AN, et al. Computational modeling of nasal nitric oxide flux from the paranasal sinuses: validation against human experiment. Comput Biol Med. 2021;136:104723. [Link →]

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Can Ménière's disease actually be cured?

I’d be careful with anyone who promises that. What I can tell you is what happened to me: my dizziness stopped about two weeks into treating the underlying pattern, and I now have tools that keep this from running my life. That’s a different and more honest goal than “cured” — and for most people it’s the one that changes everything.

Because Ménière’s is idiopathic, conventional treatment defaults to a diuretic, an antihistamine, and a dietary change. Those aren’t wrong — they’re aimed at fluid and inflammation. They’re just narrow. Chinese medicine adds the piece nobody was addressing: the nervous system, and the comorbidities feeding the ear.

Almost certainly not. Balance runs on three systems — inner ear, eyes, and proprioception. The spinning is the ear. The wobbliness is usually the other two. Settling the ear first and then working through the residual unsteadiness is what normal progress looks like, even though it doesn’t feel like it.

For some people, dramatically. For others, barely. It depends on whether digestion is part of your pattern. A useful home test: notice which foods leave your sinuses congested and which leave them clear — your sinuses and your inner ear share plumbing, so what you see up front is a reasonable read on what’s happening behind it.

No — and that all-or-nothing framing is why a lot of people never start. While things are acute, be strict. As your body gets stronger, reintegrate. The goal of good medicine is that you can eventually handle a cocktail at dinner. Aim for 80/20 rather than perfection, especially if stress is part of your pattern.

Recent Posts

Planning a Day Off When You Live With Chronic Pain

Posted on August 1, 2026 by - Healing, Pain Management, Recovery

Save with our Pain Power Combo of Evil Bone Water and Corydalis Relief Stick
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17 minutes read

, ,

Planning a Day Off When You Live With Chronic Pain

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Save with our Pain Power Combo of Evil Bone Water and Corydalis Relief Stick

Table of Contents

You can’t always control how a day is going to feel. But when you live with chronic pain, you learn to control almost everything around it — which chair you sit in, where you sit in the theater, what goes on your back and when.

In the clinic I see this constantly. A patient tells me they’re “doing fine,” and then I ask what a normal Saturday actually takes. Twenty small decisions before lunch. Route planning. A bag with a heat pack in it. None of it is visible to anyone else, and all of it is work.

Elise Britton, the practitioner who formulates Corydalis Relief Salve, filmed one of her days off recently — a dentist appointment, then two and a half hours in a movie theater with her kids. It is the clearest short picture I have seen of what pain management really looks like between appointments, so I want to walk through what she is doing and why each piece of it works.

Quick answer

Living well with chronic pain is mostly logistics. The people who do it best pick seats they can leave, plan topicals before the pain arrives instead of after, and build the option to stand up into every outing. In the video above, Elise Britton plans a dentist visit and a two-and-a-half-hour movie around exactly that — including layering Evil Bone Water under Corydalis Relief Salve partway through the day.

The invisible logistics of an ordinary day

Elise opens the video with a line that will land for anyone managing pain: “I needed a day off, and now that day off is going to turn into a series of uncomfortable chairs.”

That is the whole problem in one sentence. A day off is not automatically a day of rest. A dentist appointment means an unfamiliar waiting room and then a reclined chair you cannot adjust. A movie means two and a half hours in a fixed seat in the dark. Neither of those is a hard day by anyone else’s measure, and both of them require planning.

As she puts it: “It’s a lot of forethought that goes into how we plan things for ourselves when we’re trying to manage our pain.”

I would add one thing to that. The forethought is the treatment. Patients often apologize to me for how much they plan, as though the planning were another symptom. It is not. It is the skill, and the people who do it well have more good days than the people who wing it.

"A lot of times I feel like Goldilocks trying out chairs in here."

— Elise Britton, DTCM, formulator of Corydalis Relief Salve

Goldilocks and the waiting-room chair

Watch what she does in the dentist’s waiting room. She tries one chair. Nope. Tries another. No. The third one works. “Third time’s a charm.”

From the outside this looks like fussiness. It is not. Seat height, seat depth, whether there is a gap behind your low back, whether the arms let you push yourself up without loading your spine — those variables decide whether the next twenty minutes cost you anything. Getting it right on the third try is far cheaper than getting it wrong once.

If you want a starting point for your own version of this, here is what I have patients check before they commit to a seat:

  • Feet flat, knees at or just below hip height — if your knees ride up, your pelvis rolls backward and your low back absorbs it.
  • Something behind the low back — a rolled jacket or your bag does the job as well as a lumbar pillow.
  • Armrests you can actually push off — standing up should come from your arms and legs, not your spine.
  • A seat you can leave — aisle, end of the row, near the door. The freedom to move matters more than the cushion.
  • Firm over soft — deep upholstered chairs are the ones people regret an hour later.

None of this is exotic. It is just the difference between arriving at the second half of your day with something left in the tank, and arriving already spent.

Where you are What makes it hard What to look for What to book
The waiting room Deep, soft chairs let your pelvis roll back Firm seat, feet flat, armrests you can push off Nothing — just try three before you settle
A two-hour movie One fixed position in the dark, no easy exit Room to stand, shift, or step back without blocking anyone Back row or an aisle seat, chosen in advance
A long drive or flight No chance to stand at the moment you need to Lumbar support and a realistic stopping plan Aisle seat; a break roughly every 90 minutes

Why the back row is a pain strategy

“Usually buy seats in the back of the movie theater so I can do these things to feel more comfortable in my body while I enjoy these activities with my kids and their friends.”

The back row is not about the view. It is about permission. From the back you can stand, shift your weight, or take a few steps without climbing over anyone or blocking a screen. Elise says it plainly: “I might stand, I might sit, I might walk around in the back.”

What is actually happening

Static loading is what makes long sitting hurt — not the sitting itself.

Tissues held under constant, unchanging pressure get unhappy well before they get damaged. Blood flow drops, discs load in one direction, and the muscles that were holding you get no chance to trade off. This is why a better cushion so rarely fixes the problem: the variable that matters is not how soft the seat is, it is how long you stay in one shape.

Your situation

If your pain builds over the course of a long sit rather than hitting you at the start, this is your pattern. You are not looking for comfort in minute one — you are looking for the ability to change position at minute forty.

How to work with it

Change position every twenty to thirty minutes, and buy the seat that lets you. The same logic scales to almost anything: the end of the pew, the aisle seat on the flight, the back of the school assembly, the chair nearest the kitchen at a dinner party.

You are not being difficult when you ask for it. You are removing the part of the outing that was going to cost you.

What corydalis actually is

Corydalis — yan hu suo in Chinese herbal medicine — is one of the oldest pain herbs in the materia medica, and one of the few with a modern research trail worth reading. I want to be straight about what that research does and does not show.

Research

Corydalis extract reduced acute, inflammatory, and neuropathic pain in animal models — without producing tolerance.

According to PubMed, a 2016 study in PLoS One tested a Corydalis yanhusuo extract across all three pain types in mice and found the effect did not fade with repeat dosing — the authors traced part of it to dopamine D2 receptor antagonism rather than an opioid mechanism. A separate 2016 paper in Scientific Reports looked at dehydrocorydaline, one of the herb’s main alkaloids, and found it reduced both pain behavior and swelling while lowering inflammatory signaling in the spinal cord. Later work points at voltage-gated sodium channels — including Nav1.7, a target modern analgesic development cares a great deal about — as another likely piece of the mechanism.

Where it fits in the clinic

What I can say from the clinic is that Corydalis Relief Salve fills a specific gap. It contains no camphor and no menthol, so it does not produce the cold blast that people with poor circulation, chemotherapy-related neuropathy, or sensitive skin often cannot tolerate. That makes it usable for a group of patients who previously had essentially nothing on the shelf.

What's in it

The formula is short, and every ingredient is doing a job:

  • Corydalis (yan hu suo) — the primary herb, and the one the research above is about.
  • Frankincense and myrrh — a classical pairing in Chinese medicine for moving blood and easing stubborn, fixed pain.
  • Arnica — the familiar Western choice for bruising and soft-tissue soreness.
  • Copaiba, lavender, and palmarosa — the aromatic layer, calming rather than cooling.
  • Coconut oil, shea butter, and beeswax — the slow-release base. This is why it lasts longer than an alcohol liniment.
  • No camphor, no menthol, no CBD or THC — no cold shock, and nothing that interferes with workplace drug screening.

It is made by Eliz Britton, DTCM, of Botanical EZ — the practitioner in the video — and it is one of the products we tested in the clinic before it earned shelf space.

These statements have not been evaluated by the US Food & Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. For external use only.

How the layering works

When Elise says she may “do a combination of either Bone Water and salve,” she is describing the layering principle we use throughout the clinic: fast-acting foundation first, longer-lasting support on top.

Why the order matters

Evil Bone Water goes on first. Corydalis Relief Salve goes on second.

Evil Bone Water is alcohol-based, so it flashes in quickly and gets to work fast — but that same volatility is why it does not stay. Corydalis Relief Salve, applied over the top once the liniment has absorbed, holds its herbs against the skin for hours instead of minutes on a base of coconut oil, shea butter, and beeswax. Reverse the order and the salve simply traps the liniment on the surface, and you lose most of the benefit of both.

The sequence

  1. Apply Evil Bone Water to the area and let it absorb for a few minutes.
  2. Apply Corydalis Relief Salve over the same area.
  3. Reapply at the halfway point of a long sit — Elise’s “halfway through” rule.

How to work with it

The two products together are what we call the Pain Power Combo. If you only ever remember one thing from this post, make it the order: liniment first, salve second, and give the first one a minute to disappear before you reach for the second.

"It's a lot of forethought that goes into how we plan things for ourselves when we're trying to manage our pain."

— Elise Britton, DTCM

Evil Bone Water and Corydalsi Relief Salve Together no background

Pain Power Combo

Evil Bone Water + Corydalis Relief Salve. The fast-absorbing liniment and the long-lasting salve, in the order they are meant to be used. Both are made in small batches by practitioners we know, and both were tested in the clinic before we carried them.

Shop the Pain Power Combo

Timing your topicals before the day starts

Here is the piece I most want people to take from the video. Elise says: “Now, for this first stop, I usually just put salve on my back. But halfway through, I may need to do a combination of either Bone Water and salve.”

Notice the timing. The salve goes on before the dentist chair, not after it starts hurting. Then the plan escalates at the halfway mark — not because something went wrong, but because she already knows what a long afternoon costs her.

Why it works better

Most people use a topical the way they would use a fire extinguisher.

Something has gone wrong, so they reach for the jar. Applying ahead of a known load, and reapplying on a schedule rather than on a symptom, is a different strategy — and in my experience a better one. It keeps you from spending the first half of the movie waiting to find out how bad it is going to get, which is its own kind of exhausting.

How to work with it

The practical version looks like this: apply before the activity, reapply at the midpoint of anything longer than about two hours, and carry the smaller stick applicator so that reapplying is realistic rather than theoretical. A jar left at home helps no one.

When planning isn't enough

Everything above is about managing a known, stable pain pattern around ordinary life. It is not a substitute for having the pain properly evaluated, and there are situations where the right move is a phone call rather than a better chair.

  • Pain that is new, severe, or changing character — get it looked at rather than managed around.
  • Numbness, weakness, or pins and needles down a limb — nerve involvement needs assessment, not a topical.
  • Changes in bowel or bladder control alongside back pain — this is urgent care, today.
  • Pain with fever, unexplained weight loss, or night pain that wakes you — these warrant a medical workup.
  • Broken skin, rashes, or open wounds — topicals are for external use on intact skin only.
  • Pregnancy, blood thinners, or other medication — check with your provider before adding any new herbal topical.

Short of those, the goal is not to eliminate the planning. It is to make the planning cheap enough that you still say yes to the movie.

Your next step

Get the pattern read by someone who treats it.

If pain is shaping how you plan your week — which chair, which seat, which invitations you turn down — that is worth a conversation rather than another workaround. We work with pain, sports injuries, and rehabilitation here in Albany, Oregon.

Book an Appointment

References

Wang L, Zhang Y, Wang Z, et al. The Antinociceptive Properties of the Corydalis yanhusuo Extract. PLoS One. 2016;11(9):e0162875. DOI →

Yin ZY, Li L, Chu SS, et al. Antinociceptive effects of dehydrocorydaline in mouse models of inflammatory pain involve the opioid receptor and inflammatory cytokines. Scientific Reports. 2016;6:27129. DOI →

Alhassen L, Dabbous T, Ha A, et al. The Analgesic Properties of Corydalis yanhusuo. Molecules. 2021;26(24):7498. DOI →

Xu Y, Sun J, Li W, et al. Analgesic effect of the main components of Corydalis yanhusuo is caused by inhibition of voltage gated sodium channels. Journal of Ethnopharmacology. 2021;280:114457. DOI →

Zhou MY, Yao CH, Yang YJ, et al. Based on spinal central sensitization creating analgesic screening approach to excavate anti-neuropathic pain ingredients of Corydalis yanhusuo W.T.Wang. Journal of Ethnopharmacology. 2023;319(Pt 1):117084. DOI →

Related reading

Is Evil Bone Water Good for Neuropathy?
Stem & Leaf Sacrocox: For Tailbone Pain You Can’t Sit Through
A Comprehensive Product Review of Corydalis Relief Salve

Research citations retrieved via PubMed.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

How do I choose a seat when I know I will be sitting for hours?

Look for firm over soft, feet flat with knees at or just below hip height, and armrests you can push off from. Most importantly, pick a seat you can leave — an aisle, the end of a row, or the back of the theater — so you can stand or walk without disturbing anyone. Being able to change position every twenty to thirty minutes matters more than the cushion.

Before. Applying ahead of a known load — a long drive, a movie, a dentist appointment — and reapplying at the halfway point tends to work better than reaching for the jar once pain has already set in. Carry a smaller stick applicator so that reapplying is actually realistic when you are out.

Evil Bone Water first. It is alcohol-based and absorbs quickly, so it needs bare skin. Give it a few minutes, then apply Corydalis Relief Salve over the top — its coconut oil, shea butter, and beeswax base holds the herbs in place for hours. Salve first simply traps the liniment on the surface and you lose most of the benefit of both.

Both. According to PubMed, laboratory and animal studies have found that Corydalis yanhusuo extract reduces acute, inflammatory, and neuropathic pain responses without producing tolerance, with mechanisms pointing at dopamine D2 receptors and voltage-gated sodium channels. Most of that work used oral or injected extracts in animals, not human trials of a topical salve 

Because the cold blast in conventional topicals is not tolerable for everyone. People with poor circulation, chemotherapy-related neuropathy, or sensitive skin often cannot use products like that at all. Corydalis Relief Salve contains no camphor or menthol — and no CBD or THC — so it is an option for people who previously had essentially nothing else on the shelf.

Recent Posts

“I Was Dizzy All the Time”: A Ménière’s Patient’s Story

Posted on July 31, 2026 by - Healing, Meniere's Disease, Staff

Willar Sheppy Standing in the treatment room
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15 minutes read

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“I Was Dizzy All the Time”: A Ménière’s Patient’s Story

Willard Sheppy Dipl. OM, LAc, BS

Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

Willar Sheppy Standing in the treatment room

Table of Contents

You cannot always control when the room will spin. That is the part of Ménière’s disease that wears people down — not just the vertigo itself, but never knowing whether rolling over in bed is going to cost you the next two hours.

I see this constantly in the clinic, and I have my own history with it, so I do not treat it as an abstraction. What I want to share here is one patient’s account, in her own words, of what changed for her between her first visit and her fourth. She sat down on camera and described it better than I could summarize it.

Quick answer

A Valley Health Clinic patient diagnosed with Ménière’s disease came in dizzy every day, with vertigo triggered by simply rolling over. By her fourth acupuncture visit she reported getting up in the morning and turning over in bed without the room spinning, and described the care as “a godsend.” Between visits she uses a home routine of ointment, spray and gentle scraping. This is one person’s individual experience — results vary, and dizziness with new hearing changes should always be evaluated by a physician.

What She Came In With

She arrived with a diagnosis already in hand. In her words: “I came in because I was told I had Ménière’s disease, and I have a real problem with balance and vertigo.”

What she described is the version of this that people who have not lived with it tend to underestimate. Not occasional attacks — constant background dizziness, with position changes as a reliable trigger. “When I first came in, I was dizzy all the time. If I had to roll over on the table, my head would start spinning.”

That detail matters clinically. Turning over on a treatment table is a small, slow movement. When that is enough to set the room going, the problem is not fatigue or stress. Something in the vestibular system is reacting to head position, and it is shaping how the person moves through an entire day — how they get out of bed, whether they bend down, whether they drive.

“With the acupuncture treatments, I’m rolling over in bed, and I’m just not getting dizzy. So it’s been just a godsend.”

— Valley Health Clinic patient, describing her own experience

What Changed by Visit Four

“I think this is my fourth visit, I think, and I feel so much better. It’s just amazing. When I get up in the morning and roll over, I don’t get dizzy anymore, so it’s just been so nice.”

Notice what she is actually reporting. Not that Ménière’s is gone — she never says that. What changed is the specific trigger that was governing her mornings. The movement that used to start the spinning stopped starting it.

These are the changes she named, in the order she named them:

  • Rolling over in bed — the movement that used to start the spinning no longer does.
  • Mornings — “When I get up in the morning and roll over, I don’t get dizzy anymore.”
  • On the treatment table — turning over during a session no longer sets her head spinning.
  • Overall — “I feel so much better. It’s just amazing.”

That is usually how improvement shows up with vestibular complaints, and it is why I ask patients about ordinary moments rather than about a pain score. Can you roll over? Can you look up at a shelf? Can you get through the first twenty minutes after waking without bracing for it?

Four visits is also a realistic marker to give people — not a guarantee, but roughly the point at which I expect to know whether we are moving in the right direction. If nothing has shifted by then, that is useful information too, and it means we change the plan.

“Oh, Needles” — The Fear Almost Everyone Brings

“I’ve never been to an acupuncturist, and I thought, ‘Oh, needles,’ you know?”

I would guess that is the single most common sentence said in my treatment room, and I would rather people say it out loud than quietly decide not to come. The mental image most people carry is a hypodermic needle — a hollow tube designed to push fluid through skin. An acupuncture needle is solid and closer to the width of a human hair. The two things are not really in the same category.

What she said it was actually like

“You don’t even feel them”

Her account: “It’s just amazing because you don’t even feel them, you know? I fall asleep in the treatments because they’re so relaxing.”

Falling asleep on the table is common enough that I stopped remarking on it years ago. It is also not incidental — when someone’s nervous system settles enough that they doze off, that shift is part of what we are after, not just a pleasant side effect.

Where the needles usually go

A review of 232 published reports on acupuncture for Ménière’s found the most frequently used points clustered around the head, the ear and the Shaoyang channels — Baihui (GV20) and Fengchi (GB20) as the most common pairing, with auricular points, Tinggong (SI19) and Yifeng (TE17) also recurring. That is local treatment combined with distal points, which is what you would expect for a problem centred on the inner ear.

Your points will not be identical to hers. Pattern, not diagnosis, decides the prescription.

If you are needle-averse

Say so at the start. There are gentler approaches — fewer needles, shallower insertion, and non-insertive options — and it is a much better conversation to have before the first treatment than halfway through it.

The Part That Happens at Home

The part of her account I find most useful is the part that happens without me in the room. She and her husband work a routine between appointments.

“We’ve been using the ointment. We spray on my shoulders, and Rich will rub that in. And then we spray up to right at the top of my ears and my hairline. And it’s really helped.”

Why that pattern makes sense

Two things stand out about how she does it

First, her husband does it. Care that requires a second person tends to actually happen, because someone else is holding you to it.

Second, the areas she names — the shoulders, the neck, the mastoid area behind and above the ears — are the ones I most often find tight in patients whose dizziness has a cervical component alongside their inner-ear diagnosis. Ménière’s and neck-driven dizziness are not mutually exclusive, and plenty of people carry some of both.

Build the smallest routine you will actually keep

Two minutes a day that happens beats twenty minutes a day that does not. Attach it to something you already do — before bed, after a shower — and ask at your next appointment whether it is the right two minutes for your pattern rather than copying someone else’s.

A note on what she is using

Her routine is hers, worked out in the clinic

The ointment, spray and gentle scraping she describes were chosen for her presentation, not prescribed off a list. If you want something similar, ask for it to be matched to what is actually going on with you — that is a five-minute conversation at an appointment, and it is worth having.

Why Between-Visit Care Matters With Ménière’s

Ménière’s does not keep office hours. Attacks come at 3 a.m., on a Sunday, three weeks into a stretch where everything had been going fine. The clinic visit is one hour out of a very long week, and what happens in the other 167 hours does a lot of the work — sleep, salt, stress load, hydration, and how quickly you have someone to ask when something changes.

Research

The autonomic angle is being studied seriously

In a single-blind randomized controlled trial, transcutaneous auricular vagus nerve stimulation added to betahistine produced significantly greater improvement than sham across dizziness handicap, tinnitus handicap, aural fullness and pure-tone thresholds at 12 weeks. Separately, an animal study of electroacupuncture at GV20 and SI19 found reduced cochlear hydrops and changes in the vasopressin–cAMP–aquaporin-2 signalling of the endolymphatic sac.

Neither of those is proof that acupuncture treats Ménière’s in humans, and I will not pretend otherwise. What they suggest is that the autonomic and fluid-regulation side of this condition is a real target — which is the same territory that daily habits, sleep and stress load occupy.

What that means for the other 167 hours

If autonomic state is part of the picture, then the things that move it — sleep timing, breath work, stress exposure, hydration and sodium — are not soft extras around the edges of treatment. They are part of the treatment, and they happen at home.

How I cover that gap

This is the reason I work with people through Chorus for Life Premium as well as in the treatment room. It is built for the between-visit part: assessments every two to four weeks, custom herbal, breath, diet and lifestyle protocols, live doctor-led sessions, and a secure portal so a question at 3 a.m. does not have to wait until the next opening in the schedule. It also includes a heart-rate-variability monitor, which gives you something objective to look at rather than guessing at your own stress load.

It is not a replacement for care from your physician or ENT, and it is not a treatment for Ménière’s disease. It is structured support for the daily terrain around it.

“When I get up in the morning and roll over, I don’t get dizzy anymore, so it’s just been so nice.”

— Valley Health Clinic patient

picture of Chrous Logo

Chorus for Life Premium

Care that covers the days between appointments

Full assessments every 2–4 weeks, custom herbal, breath, diet and lifestyle protocols, five live doctor-led sessions weekly, a heart-rate-variability monitor and 24/7 secure portal access. Your first month on Premium is free — cancel before the month is out and you are never charged.

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If You Are Dealing With Dizziness

Her advice, unprompted, at the end of the interview: “I would tell them, go see Will Sheppy. He’s really, really good.”

I will take the compliment and then give you the more useful version of it.

Get the diagnosis right first

Ménière’s, BPPV, vestibular migraine and cervicogenic dizziness feel similar from the inside

They are managed very differently, and starting treatment for the wrong one wastes months. If you are dizzy most days and nobody has worked through that differential with you, that is the first appointment to make — not this one.

Once you know what you are working with, acupuncture is a reasonable thing to add. The research base is honestly still thin: most of what exists is small, and the mechanistic work on endolymphatic hydrops has been done in animals rather than people. I would rather tell you that than oversell it. What I can tell you is what I see in the clinic, what patients like this one report, and that the downside risk of trying it is low.

Please get evaluated by a physician right away — not by me, and not next week — if you have sudden hearing loss in one ear, a new severe headache alongside dizziness, double vision, slurred speech, weakness or numbness on one side, dizziness after a head injury, or vertigo that comes with chest pain or fainting. Those need a different kind of assessment than anything described here.

If you are already under the care of a physician or ENT for Ménière’s, keep that care. What I do sits alongside it.

References

Wu D, Liu B, Wu Y, Wang Y, Sun J, Yang J, Duan J, Liu G, Cao K, Zhang Y, Rong P. Meniere Disease treated with transcutaneous auricular vagus nerve stimulation combined with betahistine mesylate: a randomized controlled trial. Brain Stimulation. 2023;16(6):1576–1584. Link →

Wen J, Han P, Wu HH, Zhang ZD, Liu JX, Zhang X, Zhang XP, Jia CS, Li XF. Analysis on clinical application characteristics of acupuncture and moxibustion in the treatment of Meniere’s disease based on topology model by complex network. Acupuncture Research. 2022;47(10):918–926. Link →

Jiang L, He J, Chen X, Chen H. Effect of electroacupuncture on arginine vasopressin-induced endolymphatic hydrops. Journal of Traditional Chinese Medicine. 2019;39(2):221–228. Link → (animal study)

Chorus for Life Premium membership details. Link →

Research citations located via PubMed.

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Will Sheppy, Founder and Acupuncturist at Valley Health Clinic
Willard Sheppy
Willard Sheppy is a licensed acupuncturist (LAc) and Founder of Valley Health Clinic specializing in using Traditional Chinese Medicine to treat acute injuries and chronic conditions, and to improve sports performance and rehabilitation.

FAQ's

Does acupuncture cure Ménière's disease?

No. Ménière’s is a chronic condition, and nothing described here treats or cures it. What patients often report is a change in specific symptoms — in this patient’s case, being able to roll over in bed in the morning without the room spinning. Keep your care with your physician or ENT; acupuncture sits alongside it.

The patient in this story noticed a clear difference by her fourth visit. That is roughly the point at which I expect to have a read on whether we are moving in the right direction — not a guarantee, but a fair checkpoint. If nothing has shifted by then, that is useful information and we change the plan.

Almost everyone says some version of “oh, needles” before their first appointment. An acupuncture needle is solid and closer to the width of a hair than to a hypodermic needle. This patient’s description was “you don’t even feel them” — and she added that she falls asleep during treatments because they are so relaxing.

This patient and her husband work a home routine of ointment and spray on the shoulders and up to the ears and hairline, plus gentle scraping. Patients who do something consistent between visits generally get more out of the visits. Ask at your appointment what makes sense for your situation rather than copying someone else’s routine.

Right away, if you have sudden hearing loss in one ear, a new severe headache with dizziness, double vision, slurred speech, one-sided weakness or numbness, dizziness after a head injury, or vertigo with chest pain or fainting. Those need a different kind of evaluation than anything on this page.

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