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Lotus Leaf Tablets is based on modern Chinese research into the treatment of lipid accumulation, including fatty liver, hyperlipidemia, and problems associated with obese constitution. The five herbs of this formula are among the most frequently used and widely researched items for these purposes. Lotus leaf is traditionally used to treat summer heat-dampness disorders, which usually manifest as nausea, vomiting, and diarrhea; it is also diuretic. Crataegus is used to aid digestion of fats and elimination of excess fats in the blood; it also vitalizes blood circulation. Alisma is used to drain excess moisture and aid solubilization of fats. Together, these herbs clear the phlegm-damp syndrome that often accompanies obese constitution. Although ho-shou-wu is usually viewed as a blood nourishing agent, its role here is to help prevent the absorption of excess lipids, especially cholesterol, and promote elimination of blood lipids. Similarly, cassia seed is known as a laxative herb, but in this formula its dosage is small enough that there should be no substantial laxative effect; rather, it inhibits absorption of excess fats (together, ho-shou-wu and cassia seed may have a mild laxative action suitable for chronic constipation). For regulation of fat metabolism, see also Cartaeqin (White Tiger; contains additional crataegus) and Alpha Curcumone (White Tiger, provides ginseng and curcuma). Although Chinese physicians recommend the herbs of Lotus Leaf Tablets to help persons who are trying to lose weight, there is no firm evidence that they can cause weight loss by themselves; they may help rectify the lipid imbalances associated with obesity, however.