Qi Bao Mei Ran Dan
Do not self-treat with Qi Bao Mei Ran Dan
Practitioner-prepared only. Raw and processed He Shou Wu behave differently, and labels often do not say which one is inside.
If this is an emergency
Some reactions to Qi Bao Mei Ran Dan need urgent care. Call your local emergency number or go to an emergency department straight away — do not wait to see whether it passes.
Who should avoid Qi Bao Mei Ran Dan?
- Do not use if you have any liver problem, such as hepatitis (liver inflammation), cirrhosis (scarring of the liver) or a fatty liver.
- Do not use if a medicine or herb has ever harmed your liver before.
- Do not use if you are pregnant or trying to get pregnant.
- Do not use if you are breastfeeding.
- Never give this formula to a child.
- Do not use if you take warfarin or any other blood thinner.
- Do not use if you take medicines that stress the liver, such as methotrexate, isoniazid (a TB drug) or high-dose paracetamol (acetaminophen).
- Do not use if you drink alcohol daily or heavily.
- Do not use if you have ongoing diarrhoea or a bowel disease such as Crohn's disease.
- Do not use in the two weeks before any planned surgery, because of bleeding risk.
- Do not use if you have had a transplant or take immune-suppressing medicines.
- Do not use if you have a hormone-sensitive cancer, such as breast cancer, unless your cancer doctor agrees.
- Avoid it if you take diabetes medicine or insulin, unless your doctor is checking your blood sugar.
When should you see a doctor?
Stop taking it and get medical help the same day if your skin or the whites of your eyes turn yellow, your urine goes dark, your stools go pale, or you have pain under your right ribs.
Go to an emergency department if you also feel very tired or confused, or if you are vomiting and cannot keep fluids down.
Tell any doctor or pharmacist that you took a herb with He Shou Wu in it, and take the packet with you. Also see a doctor for bleeding or bruising that is new, for a spreading rash, or for back pain, dizziness or ringing in the ears that keeps getting worse.
- What it is: A seven-herb Chinese medicine formula, listed here as one entry, used in tradition for grey hair, hair loss and a weak, aching low back.
- Active ingredients: He Shou Wu (stilbene glycosides, anthraquinones), Dang Gui, Gou Qi Zi (goji berry), Tu Si Zi, Niu Xi, Bu Gu Zhi (psoralens), Fu Ling
- Side effects: Loose stools and stomach upset are common; liver injury is rare but can be severe.
- Pregnancy & breastfeeding: Avoid in pregnancy and while breastfeeding.
Educational information, not medical advice — ask your doctor or midwife.
What is Qi Bao Mei Ran Dan?
Qi Bao Mei Ran Dan is an old Chinese herb formula. Its name means Seven-Treasure Special Pill for Beautiful Whiskers. It was used to darken greying hair and beard, and to ease a sore low back and weak knees.
It is a mix of seven herbs, but this library lists it as one single drug entry. The lead herb is He Shou Wu (Polygonum multiflorum), which has been linked to serious liver injury. That risk shapes everything else on this page.
Modern proof is thin. We found no controlled human trials of this formula, so its evidence grade is insufficient. Long use in tradition is not proof that a thing works, and we say that here once rather than in every section.
How does Qi Bao Mei Ran Dan work?
In Chinese medicine, this formula is said to build up liver and kidney "essence". Essence is a traditional idea of a deep body reserve that governs hair, bones, teeth and fertility. It is a way of thinking, not a tested body process.
Lab and animal work has looked at single herbs from the mix. Some reports show antioxidant effects (mopping up damaging molecules) and changes in hair-growth signals in mice. None of that has been shown to happen the same way in people.
So the honest answer is that no one has shown how, or whether, the whole formula acts in the human body.
What forms does Qi Bao Mei Ran Dan come in?
It is most often sold as small pills. These may be honey pills, water-bound pills, capsules or a loose powder.
Some shops sell the raw herbs to be boiled into a strong tea, called a decoction. This is usually done under a trained herbalist.
It may also show up inside "black hair" or hair-growth supplements, sometimes under its English name. Strength and quality vary widely between brands, and some products do not list the full herb mix.
Where it comes from:
The formula is usually traced to the Ming dynasty, in the 1500s. It is credited to the doctor Shao Yingjie, who is said to have offered it to the Jiajing Emperor for grey hair and ageing.
Li Shizhen later noted it in his famous herbal, the Ben Cao Gang Mu. It stayed a well-known formula in Chinese medicine for grey hair, hair loss and a weak low back.
That gives it a firm place in one tradition, which is why its traditional tier is T2.
What does Qi Bao Mei Ran Dan help with?
- Premature greying of hair and beard: This is the classic use, and the reason for the formula's name. No human trial has tested whether it changes hair colour. Any claim of "black hair again" comes from tradition and marketing, not from tested results.
- Thinning hair and hair loss: Tradition uses it for slow, age-linked thinning rather than sudden shedding. Some mouse studies on single herbs report faster hair regrowth. There is no human trial of the formula for hair loss.
- Aching low back and weak knees: In Chinese medicine, a sore low back with weak knees is a sign of "kidney" weakness, and this formula targets it. Evidence here is traditional only. New or bad back pain needs a doctor's check first.
- Dizziness and ringing in the ears: Old texts list these among signs of weak liver and kidney essence. No trial has tested the formula for either. Ringing in the ears and dizziness can have serious causes, so get them checked.
- Loose or weak teeth in older age: Tradition links teeth to the same "kidney" reserve as bones and hair. There is no human evidence for this use. Loose teeth need a dentist, not a herb.
- Tiredness linked in Chinese medicine to "kidney" weakness: Practitioners may choose it for long-running tiredness with a cold, weak feeling in the low back. This use rests on tradition alone. Ongoing tiredness should be checked for causes such as anaemia or thyroid problems.
- Low sex drive and male fertility worries: Several herbs in the mix, such as Tu Si Zi and Bu Gu Zhi, are traditional "kidney yang" tonics. Human trial evidence for the formula does not exist. Fertility problems deserve proper testing of both partners.
What are the side effects of Qi Bao Mei Ran Dan?
- Loose stools or diarrhoea
- Stomach ache, nausea or wind
- Loss of appetite
- Liver injury, with yellow skin or eyes, dark urine and pain under the right ribs
- Skin rash or itching
- Sunburn more easily than normal
- Dry mouth
- Easier bruising or bleeding
Good to know:
Mild stomach upset and loose stools are the most common problems. They tend to settle once you stop.
The serious risk is liver injury. He Shou Wu, the main herb here, has caused hepatitis (liver inflammation) and, in rare cases, liver failure needing a transplant. Several countries have issued public safety warnings about it.
Liver harm can start weeks or months into use, with little warning. Watch for yellow skin or eyes, dark urine, pale stools, deep tiredness and pain under your right ribs.
If you see any of those signs, stop the herb and get medical help the same day.
Options to discuss with a clinician
For each of the problems this formula is sold for, there are routes that have been studied more closely — and each one is a conversation to have with a doctor, pharmacist or qualified herbalist, not a straight swap.
- **Aching low back and weak knees:** worth asking a clinician whether Vitamin D levels should be checked, and whether Curcumin or Massage Therapy has a place alongside assessment of what is actually causing the pain. - **Dizziness and ringing in the ears:** these can signal inner-ear, blood-pressure or neurological problems, so diagnosis comes first; Ginkgo biloba and Gastrodin are sometimes raised in that discussion. - **Tiredness and low stamina:** a GP can look for anaemia, thyroid trouble or sleep disorders. Ashwagandha, Rhodiola Rosea, Panax Ginseng, CoQ10 and Heart Rate Variability Training (learning to steady your breathing and pulse) are all things to ask about. - **Low sex drive and fertility worries:** a sexual-health or fertility clinician can test hormones; L-carnitine, Fenugreek and Alpha Lipoic Acid come up in that setting. - **Thinning hair:** a doctor or dermatologist (skin specialist) can identify the pattern of loss. Saw Palmetto, Pumpkin Seed Oil and Ayurvedic Hair Oils (Bhringraj + Amla) are reasonable questions to put to them.
Mention any liver problems before starting anything.
Graded pages for the options named above:
- Ayurvedic Hair Oils (Bhringraj + Amla) — evidence grade D, traditional tier T2
- Heart Rate Variability Training — evidence grade A, traditional tier T0
- Alpha Lipoic Acid — evidence grade A, traditional tier T0
- Pumpkin Seed Oil — evidence grade B, traditional tier T1
- Massage Therapy — evidence grade B, traditional tier T3
- Rhodiola Rosea — evidence grade B, traditional tier T2
- Ginkgo biloba — evidence grade B, traditional tier T2
- Panax Ginseng — evidence grade B, traditional tier T3
- Saw Palmetto — evidence grade B, traditional tier T2
- Ashwagandha — evidence grade A, traditional tier T3
- L-carnitine — evidence grade A, traditional tier T0
- Fenugreek — evidence grade B, traditional tier T3
- Gastrodin — evidence grade C, traditional tier T0
- Vitamin D — evidence grade A, traditional tier T0
- Curcumin — evidence grade A, traditional tier T0
- CoQ10 — evidence grade B, traditional tier T0
Review status
This page has not been signed off by a pharmacist and is not published. It is shown here for a policy decision only.