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Haliotis 10 is based on modern Chinese clinical efforts to control menopausal syndrome, though the formula may be used for other syndromes as well. It is derived from Two Immortals Decoction (Erxian Tang), but phellodendron is replaced with rehmannia and lycium bark to treat deficiency heat of the kidney. Haliotis 10 is aimed at balancing upper warmer heat and lower warmer cold. Haliotis, anemarrhena, lycium bark, and zizyphus control the emotional agitation, sweating, and hot flashes associated with heat of the heart and liver; they settle rising yang, nourish the liver, and clear deficiency heat. Epimedium, morinda, and curculigo tonify the kidney yang. Yang deficiency sometimes accompanies the yin and essence deficiency syndrome of menopause. This can lead to "floating yang," a condition of heat rising upward, with coldness of the lower body, including low libido, cold feet, and back ache. These yang tonifying herbs also help alleviate hypertension associated with menopause (see Epimedium and Curculigo Combination; Modern Formulas). This formula can also be used for chronic fatigue syndrome in persons who suffer from mental agitation, insomnia, and poor control over body temperature sensations (but in men or women). Iridoid complex (White Tiger) can be used in conjunction with Haliotis 10 to provide the active constituents of the kidney/liver nourishing herbs, such as rehmannia and cornus, found in many traditional formulas for menopause. When there is less evidence of yang deficiency, Restorative Tablets or Tortoise Shell Tablets would be more suitable.