Many patients worry about palpitations or insomnia due to the ephedrine component in Ma Huang (Ephedra). As a practitioner, I have spent significant time studying these mechanisms to ensure patient safety. To ensure a safe prescription, I follow these four clinical steps: 1. Baseline Assessment: I first check your cardiovascular and thyroid health. Since Ma Huang boosts metabolism, it must be used with caution for those who already have an overactive metabolic state. 2. Clearing Phlegm-Fluid (Dam-eum) and Blood Stasis (Eo-hyeol): Simply increasing metabolism can strain the body. By simultaneously clearing Phlegm-Fluid (waste products) and Blood Stasis (stagnant blood), we ensure smooth circulation and minimize side effects. 3. Supporting Spleen Deficiency (Bi-heo): Using potent herbs when the digestive system is weak (Spleen Deficiency) can lead to extreme fatigue. Therefore, I include herbs that support digestive function to maintain the body's internal balance. 4. Gradual Dosage Adjustment: I do not start with a high dose. I allow your body time to adapt, and if you experience dizziness or insomnia, I immediately adjust the dosage to find the optimal balance for your system. Ultimately, the safety depends not on the herb itself, but on 'who prescribes it, how it is formulated, and in what quantity.' With delicate adjustments tailored to your body, Ma Huang can be a healthy and effective tool for weight loss.