No sugar Nin Jiom Pei Pa Koa

If you have significant concerns, you should always work directly with an herbalist who knows you and your medical history well.  That said, Nin Jiom Pei Pa Koa is generally used for acute situations for very short periods of time.  So in most cases you are concerned with the short-term beneficial effects and not very concerned with any broader issues as you will not take it for very long.

From your previous posts you have expressed significant concern and given herbs and other aspects of Chinese Medicine an incredible amount of power that they do not generally have.  One of the reasons Chinese herbal formulas are considered safe is that they are closer to foods than they are to medicines, so they tend to clear the body much faster.  What that means, is that in most cases even if you take something completely wrong for you, any side effects are neglible at best.  That isn't to say people shouldn't be cautious, or that in very rare cases something negative can't happen, and you should always work directly with an herbalist - but compared to what a powerful western drug can do in a very short period of time, most formulas particularly in their pill/capsule form are extremely well tolerated and carry a very minimal set of risks (shown time and time again through published studies).

It is common for people to subscribe how they are feeling to any change in their environment, whether it be new foods, a single acupuncture treatment, starting a herb or medicine - and sometimes they are right, but most of the time they are just becoming acutely aware of how they are feeling from focusing on it - it's just how our brains work.  In the context of working with professionals, whether they be acupuncturists, psychiatrists, doctors, etc. this focus can be valuable as you can help them dig through what is going on and find ways to help you - only you know what you are feeling to some level.  But, without working directly with professionals and actively engaging in their proceeses this level of focus can be destructive and detrimental to the path of healing.