

Graceful Ageing II: A Botanical Strategy for Vision Support, Neurovascular Balance, and Anti-Ageing
Graceful Ageing II is an evolved botanical formula derived from the classical Rehmannia Six Formula. While the original was designed to support age-related degeneration primarily through kidney and adrenal endocrine support, this modern variant is restructured to target neurovascular stability, visual health, and metabolic ageing, with a special emphasis on conditions associated with oxidative stress, hypertension, and neuroinflammation.
It contains a synergistic blend of 9 botanicals with bioactive properties that address common age-related disorders such as:
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Chronic eye diseases (glaucoma, macular degeneration, optic atrophy)
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Cognitive fatigue, mild memory loss, and stress sensitivity
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Hypertension, migraines, and dizziness associated with autonomic dysregulation
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Degenerative conditions linked to oxidative damage and hormonal decline
🧪 Mechanistic Overview of Botanical Ingredients
🟣 Rehmannia glutinosa (Shu Di Huang)
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Function: Rich in iridoid glycosides, it exhibits neuroprotective, anti-inflammatory, and hematopoietic effects.
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Clinical Relevance: Used to address fatigue, anemia, and cognitive decline in ageing populations.
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Evidence: Animal studies suggest enhanced erythropoiesis and modulation of HPA-axis function.
🌰 Dioscorea oppositifolia (Huai Shan Yao)
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Function: Contains steroidal saponins and polysaccharides with endocrine-regulating and gut-restorative properties.
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Clinical Relevance: Helps improve glucose metabolism, gut-brain axis health, and fatigue resistance.
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Evidence: Shows mild phytoestrogenic activity and benefits in managing metabolic syndrome and menopausal symptoms.
🍒 Cornus officinalis (Shan Zhu Yu)
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Function: Contains iridoid glycosides with antioxidant and anti-apoptotic actions.
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Clinical Relevance: Supports vascular integrity, endocrine stability, and tissue regeneration.
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Evidence: Demonstrated renal protection and angiotensin modulation in preclinical studies.
🍄 Poria cocos (Fu Ling)
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Function: A mycoadaptogen with diuretic, anti-inflammatory, and anxiolytic properties.
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Clinical Relevance: Used to manage fluid retention, mild hypertension, and neuroinflammation.
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Evidence: Beta-glucans and triterpenes contribute to immune modulation and gut barrier repair.
💧 Alisma plantago-aquatica (Ze Xie)
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Function: Aquatic rhizome with potent diuretic, lipid-lowering, and anti-inflammatory effects.
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Clinical Relevance: Assists in reducing vascular inflammation, hyperlipidemia, and edema.
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Evidence: Animal studies demonstrate hepatic protection, diuretic effects, and anti-hypertensive action.
🌳 Paeonia suffruticosa (Mu Dan Pi)
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Function: Rich in paeonol and paeoniflorin; exhibits anti-platelet, vasodilatory, and antioxidant effects.
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Clinical Relevance: Relevant in managing vascular aging, migraine, and neurovascular tension.
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Evidence: Research shows neuroprotective effects in cerebral ischemia and endothelial relaxation.
🌿 Lycium barbarum (Gou Qi Zi / Goji Berry)
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Function: A nutrient-dense fruit rich in zeaxanthin, polysaccharides, and flavonoids.
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Clinical Relevance: Protects against retinal oxidative damage, improves white blood cell function, and supports glucose regulation.
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Evidence:
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Enhances retinal pigment epithelial health
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Improves macrophage and NK-cell activity
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Lowers blood glucose and lipids
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Prevents oxidative liver injury
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📚 Ref: Amagase H, Nance DM. "A randomized, double-blind, placebo-controlled clinical study of standardized Lycium barbarum juice."
🌼 Chrysanthemum sinense (Ju Hua)
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Function: Contains apigenin, luteolin, and chlorogenic acid; exerts vasoprotective, antioxidant, and light-filtering effects.
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Clinical Relevance: Commonly used in formulas for photophobia, chronic headaches, and mild glaucoma.
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Evidence:
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Demonstrated reduction in intraocular pressure
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Exerts mild antibacterial and antiviral effects
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Enhances cerebral circulation
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Supports retinal oxygenation
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📚 Ref: Wang X et al. "Pharmacological actions of Chrysanthemum morifolium extract on cardiovascular and visual systems."

🩺 Clinical Indications
Graceful Ageing II may be clinically useful in:
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Age-related macular degeneration (ARMD)
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Diabetic and hypertensive retinopathy
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Early-stage glaucoma
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Migraine and autonomic imbalance syndromes
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Cognitive fatigue in post-chemotherapy or chronic illness
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Fatty liver, early menopause, and cardiovascular risk profiles
📊 Safety & Usage
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Form: Typically dispensed as granules or tablets
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Use Duration: Intended for medium to long-term administration
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Side Effects: Minimal when used under clinical guidance
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Precautions: Not advised for individuals with significant fluid retention from cardiac failure, or active infection without modification
🔍 Conclusion
Graceful Ageing II offers a pharmacologically rational approach to address the physiological changes associated with aging—especially where visual health, vascular integrity, and oxidative stress are concerned. With ingredients backed by centuries of use and increasing pharmacological validation, it supports a systemic anti-aging strategy grounded in modern evidence.
Healthcare professionals may consider this formulation as part of an integrative plan for patients at risk of sensory decline, mild hypertension, and cognitive fatigue associated with aging or chronic illness recovery.

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