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Omphalia 11 was designed as an anthelmintic formula. All the ingredients, except the stomach/spleen aids codonopsis, atractylodes, ginger, and licorice, are reputed to inhibit intestinal parasites, mainly worms. The ingredients were selected for their non-toxic nature (there are many toxic antiparasitic herbs that one could choose instead, but not for general use), and for their repeated inclusion in formulas for treating a wide range of worm diseases. Users of this formula have claimed that it also protects from giardia (an amoeba), which is a possibility, though this is not the reputation of the individual ingredients. The basic methods of use are to take the formula before meals as a preventative when traveling (or when for any other reason one may be consuming potentially contaminated food or beverages), and to use a higher dosage to treat an existing case of parasites. The precise dosing schedule for the latter is not well established and may vary for the parasite type. In general, one undertakes a course of daily therapy at high dosage (at least 6 tablets before each meal, or up to a tablespoon of loose powder for stronger effect) for about 10 days, and then one can take an optional break for about a week, followed by an additional course of 10 days. This pattern may be repeated if necessary. Some Chinese doctors also recommend using a purgative (e.g., rhubarb-based formula), especially after using these antiparasitic formulas for a few days, with the idea of flushing out the weakened and detached worms. See also: Propol-Gold (White Tiger).