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Tremella 14 is an expanded version of the traditional Glehnia and Rehmannia Combination (Yiguan Tang) that is used to regulate the liver, mainly by nourishing liver yin. That formula includes rehmannia, ophiopogon, lycium, glehnia, tang-kuei, melia, and licorice, which nourish yin and blood (melia regulates liver qi circulation). The formula is here modified by adding additional yin nourishing agents, such as tremella and tortoise shell, and the qi tonics, astragalus, codonopsis, and atractylodes. Tremella, a key ingredient in the new formulation, nourishes the yin of the kidney, stomach, and lung, and also serves as a mild qi tonic. The resulting prescription is not limited to treating liver yin disorders, but is extended to treat other yin deficiencies, such as those that affect the stomach and lungs. The formula differs from other yin nourishing prescriptions, such as Restorative Tablets and Rehmannia 16, in that it contains more qi tonics. The combination of qi and yin deficiency gives rise to irregular metabolism, immune dysfunctions, and inflammation (see also Pseudostellaria 9 and Prunella 8). This formula is suited to those with immune deficiencies, chronic fatigue, and weak pulse. Tremella is a mushroom that contains immune-enhancing polysaccharides. However, the amount of polysaccharide available in this formula is limited. It can be combined with Coricepium (White Tiger) to provide polysaccharides from three other mushrooms (coriolus, ganoderma, and cordyceps) as well as concentrated extracts of astragalus and lycium, two ingredients of Tremella 14. A small amount of citrus is included in this formula to aid digestion of the rich yin tonics; a similar strategy is used in making Tortoise Shell Tablets.