Anciently, Monascus are said to treat indigestion and enhance blood circulation and to invigorate the spleen and the stomach. In the Daily Herbal, Wu Re from the Yuan Dynasty advised that “red mold rice wine will remove blood stasis and improve the efficacy of drugs.”

The section on ‘Dan Qu’ in Tian Gong Kai Wu, written by Song Ying Xing in the seventeenth century, not only points out the use of fine white rice in the making of RMR, but also twice records the control procedures after the steaming and inoculation, which provide important guidance of koji management for modern manufacturing.

After the World War II, the United States experienced rapid economic growth and coronary.

Heart disease was the number one cause of death at that time. During the same period, there was much evidence that lowering cholesterol would be effective in reducing the incidence of and mortality from coronary heart disease.