Kan Essentials Four Marvels (Si Miao San)

{"id":4355046539334,"title":"Kan Essentials Four Marvels (Si Miao San)","handle":"four-marvels-si-miao-san","description":"\u003cdiv style=\"text-align: right;\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0021\/2110\/5457\/files\/veterinary_authorizaton_required_for_tcvm_herbal_formulas_240x240.jpg?v=1787081808\" alt=\"Veterinary Authorization Required for TCVM Herbal Formulas - TCVM Pet Supply\" style=\"margin: 5px 5px 5px 5px;float: right;\"\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eKan Essentials Four Marvels\u003c\/strong\u003e (Si Miao San) is a Traditional Chinese Veterinary Medicine (TCVM) herbal formula formulated to dispel Damp Heat in the Lower Burner to support joint comfort, urinary health, healthy skin and coat, and digestive wellbeing. Recommended by holistic veterinarians, this formula is an augmentation of the classical Two Marvels Powder (Er Miao San), modified to provide greater Spleen support and balanced for safe long-term use. The primary source of Damp Heat in companion animals is too high a carbohydrate content and glycemic load in the diet - animals benefiting from this formula also benefit greatly from low-starch, low-glycemic-index foods. Available in liquid and tablet forms. Dosing varies by species and body weight; your authorizing veterinarian will provide specific guidance.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eWhat It Supports\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eDamp Heat dispelling:\u003c\/strong\u003e Dispels Damp Heat accumulation in the Lower Burner to address heat intolerance, heat lodged in the joints and skin, and occasional red, hot, swollen feet and knees\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eJoint and musculoskeletal support:\u003c\/strong\u003e Addresses occasional limb and low back pain or weakness of the lower limbs associated with Damp Heat accumulation in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSkin and coat support:\u003c\/strong\u003e Addresses occasional itch, oily coat, malodorous skin secretions, and halitosis associated with Damp Heat accumulation\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eUrinary and digestive support:\u003c\/strong\u003e Supports urinary health and addresses occasional concentrated urine, rounded abdomen, malodorous gas, loss of appetite, and vomiting in patterns of Damp Heat in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTCVM Principles\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePrimary action:\u003c\/strong\u003e Dispels Damp Heat in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePattern addressed:\u003c\/strong\u003e Damp Heat accumulation in the Lower Burner; Damp can only invade from the environment if it is being manufactured internally through Spleen dysfunction - once Damp has been present for a long period, it generates Heat and becomes Damp Heat - consult your TCVM veterinarian to confirm the appropriate pattern diagnosis\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eApproach:\u003c\/strong\u003e Built on Two Marvels Powder (Er Miao San) with Phellodendron bark reduced relative to Cang Zhu to preserve the formula's intent while providing greater Spleen support; Job's Tears Seed and Achyranthes Root are added to drain Damp and move Blood; Achyranthes Root's astringing effect also counters the drying effects of the other three herbs, making this formula safe for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAvailable Forms\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e1 oz Liquid:\u003c\/strong\u003e Concentrated liquid extract; easy to mix into food or administer directly\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e4 oz Liquid:\u003c\/strong\u003e Larger liquid supply for ongoing use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e8 oz Liquid:\u003c\/strong\u003e Bulk liquid supply for extended use or multi-pet households\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e60 Tablets - 500mg:\u003c\/strong\u003e Convenient tablet format; can be given directly or hidden in food\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e120 Tablets - 500mg:\u003c\/strong\u003e Mid-size tablet supply for ongoing use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e300 Tablets - 500mg:\u003c\/strong\u003e Largest tablet supply; ideal for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIngredients\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCang Zhu (Atractylodes lancea), Huai Niu Xi (Achyranthes bidentata), Yi Yi Ren (Coix lacryma-jobi), Huang Bai (Phellodendron amurense)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eInactive ingredients vary by form; liquid extracts contain alcohol and water; tablets may contain excipients standard to tablet manufacturing.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eActive Ingredient TCVM Actions\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels is built on Two Marvels Powder (Er Miao San) - the Cang Zhu and Huang Bai pair - with Job's Tears Seed and Achyranthes Root added to drain Damp, move Blood, and balance the formula for long-term use. Each herb plays a precise role in addressing Damp Heat accumulation in the Lower Burner.\u003c\/span\u003e\u003c\/p\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCang Zhu (Atractylodes lancea) - Cang-Zhu Atractylodes Rhizome \/ Gray Atractylodes:\u003c\/strong\u003e Expels Wind Cold Damp from the joints and dries Damp from the Spleen; one of the two core herbs of Er Miao San; reduced relative to Huang Bai in the original formula but increased in this version to provide greater Spleen support\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHuai Niu Xi (Achyranthes bidentata) - Achyranthes Root \/ Ox-Knee Root:\u003c\/strong\u003e Moves Blood, extends the benefits of the formula, and provides an astringing effect on fluid loss caused by long-standing Damp Heat accumulation; this astringing effect also counters the drying effects of the other three herbs, making Four Marvels safe for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eYi Yi Ren (Coix lacryma-jobi) - Job's Tears Seed \/ Coix Seed:\u003c\/strong\u003e Drains Damp and supports the effects of the original Er Miao San formula; its bland taste provides additional Spleen support without adding bitterness or heat\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHuang Bai (Phellodendron amurense) - Phellodendron Bark \/ Amur Cork Tree Bark:\u003c\/strong\u003e Clears Heat and dries Damp in the Lower Burner; one of the two core herbs of Er Miao San; strongly cooling and bitter; reduced from the original formula's higher levels to balance the formula and preserve Spleen function\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePotential Drug Interactions\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels contains several potent Chinese herbs, including strongly Damp-drying, Heat-clearing, and Blood-moving herbs with known anti-inflammatory, diuretic, and gastrointestinal activity. Because herb-drug interaction research in dogs and cats is limited, pets taking prescription medications should use this formula under veterinary supervision.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eExtra caution may be appropriate for pets receiving diuretics, anticoagulant or antiplatelet medications, NSAIDs, urinary medications, or multiple prescription medications. Your veterinarian can determine whether Four Marvels is appropriate based on your pet's condition, medications, and laboratory results.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFrequently Asked Questions\u003c\/span\u003e\u003c\/h2\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eWhat is Four Marvels used for in TCVM?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIn Traditional Chinese Veterinary Medicine, Four Marvels (Si Miao San) is traditionally used to dispel Damp Heat in the Lower Burner. It is an augmentation of Two Marvels Powder (Er Miao San), indicated for patterns of Damp Heat accumulation in the Lower Burner, commonly used to support joint comfort, urinary health, healthy skin and coat, and digestive wellbeing in dogs and cats.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Four Marvels administered?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels is available in liquid extract (1 oz, 4 oz, or 8 oz) or 500mg tablets (60, 120, or 300 count). Liquid can be mixed into food or administered directly; tablets can be given directly or hidden in food. Dosing varies by species and body weight; your authorizing veterinarian will provide specific guidance.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow long does it take to see results?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eResults vary by individual and the severity of the pattern. Because Four Marvels is balanced for long-term use, some animals may show gradual improvement over several weeks, while those with more chronic or established Damp Heat patterns may benefit from extended use. Dietary changes to reduce carbohydrate content and glycemic load can significantly enhance results. Your authorizing veterinarian can help set appropriate expectations based on your pet's TCVM diagnosis.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCan Four Marvels be combined with other medications or supplements?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAlways consult your veterinarian before combining Four Marvels with other medications or supplements. Your authorizing veterinarian will monitor for potential interactions through routine lab work and diagnostic testing. Key interactions to discuss include diuretics, anticoagulants, and NSAIDs. See the Potential Drug Interactions section above for details.\u003c\/span\u003e\u003c\/p\u003e","published_at":"2020-02-21T09:03:04-06:00","created_at":"2019-12-01T20:39:16-06:00","vendor":"Kan Herb Company","type":"Pet Vitamins \u0026 Supplements","tags":["Health_Need_Bone_And_Joint","Health_Need_Immune","Health_Need_Reproductive","Health_Need_Skin_and_Coat","Product_Type_Herb"],"price":6364,"price_min":6364,"price_max":21680,"available":true,"price_varies":true,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":31224911331398,"title":"1 Oz Liquid","option1":"1 Oz Liquid","option2":null,"option3":null,"sku":"KEFM1OZ","requires_shipping":true,"taxable":true,"featured_image":{"id":28036908351558,"product_id":4355046539334,"position":2,"created_at":"2021-04-07T01:39:49-05:00","updated_at":"2021-09-16T12:17:58-05:00","alt":"Kan Essentials Four Marvels - TCVM Pet Supply","width":960,"height":997,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/four-marvels-extract.jpg?v=1631812678","variant_ids":[31224911331398,31224911364166,31224911396934]},"available":true,"name":"Kan Essentials Four Marvels (Si Miao San) - 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TCVM Pet Supply","id":20286178328646,"position":1,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/four-marvels-tablets.jpg?v=1631812563"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/four-marvels-tablets.jpg?v=1631812563","width":960},{"alt":"Kan Essentials Four Marvels - TCVM Pet Supply","id":20286178361414,"position":2,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/four-marvels-extract.jpg?v=1631812678"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/four-marvels-extract.jpg?v=1631812678","width":960},{"alt":"Kan Essentials Four Marvels (Si Miao San) tablets","id":21559382147142,"position":3,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/Kan-Herb-Tabs_2c5fd898-a188-436e-a771-42649579ba6a.jpg?v=1653932429"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/Kan-Herb-Tabs_2c5fd898-a188-436e-a771-42649579ba6a.jpg?v=1653932429","width":500},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558527046,"position":4,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four_Marvels_1ozExtract_Label.jpg?v=1761422211"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four_Marvels_1ozExtract_Label.jpg?v=1761422211","width":960},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558428742,"position":5,"preview_image":{"aspect_ratio":1.0,"height":1000,"width":1000,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-120Tablet-Label.jpg?v=1761425872"},"aspect_ratio":1.0,"height":1000,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-120Tablet-Label.jpg?v=1761425872","width":1000},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558461510,"position":6,"preview_image":{"aspect_ratio":1.0,"height":1000,"width":1000,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-300-Label.jpg?v=1761425384"},"aspect_ratio":1.0,"height":1000,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-300-Label.jpg?v=1761425384","width":1000},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558363206,"position":7,"preview_image":{"aspect_ratio":1.0,"height":1000,"width":1000,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-60-Label.jpg?v=1761422779"},"aspect_ratio":1.0,"height":1000,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-60-Label.jpg?v=1761422779","width":1000},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558494278,"position":8,"preview_image":{"aspect_ratio":1.0,"height":1000,"width":1000,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-8oz-Label.jpg?v=1761426991"},"aspect_ratio":1.0,"height":1000,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-Marvels-8oz-Label.jpg?v=1761426991","width":1000},{"alt":"Kan Essentials Four Marvels (Si Miao San) dietary supplement label on a white background","id":27067558395974,"position":9,"preview_image":{"aspect_ratio":1.0,"height":1000,"width":1000,"src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-marvels-4oz-label.jpg?v=1761422112"},"aspect_ratio":1.0,"height":1000,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/files\/Four-marvels-4oz-label.jpg?v=1761422112","width":1000}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"\u003cdiv style=\"text-align: right;\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0021\/2110\/5457\/files\/veterinary_authorizaton_required_for_tcvm_herbal_formulas_240x240.jpg?v=1787081808\" alt=\"Veterinary Authorization Required for TCVM Herbal Formulas - TCVM Pet Supply\" style=\"margin: 5px 5px 5px 5px;float: right;\"\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eKan Essentials Four Marvels\u003c\/strong\u003e (Si Miao San) is a Traditional Chinese Veterinary Medicine (TCVM) herbal formula formulated to dispel Damp Heat in the Lower Burner to support joint comfort, urinary health, healthy skin and coat, and digestive wellbeing. Recommended by holistic veterinarians, this formula is an augmentation of the classical Two Marvels Powder (Er Miao San), modified to provide greater Spleen support and balanced for safe long-term use. The primary source of Damp Heat in companion animals is too high a carbohydrate content and glycemic load in the diet - animals benefiting from this formula also benefit greatly from low-starch, low-glycemic-index foods. Available in liquid and tablet forms. Dosing varies by species and body weight; your authorizing veterinarian will provide specific guidance.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eWhat It Supports\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eDamp Heat dispelling:\u003c\/strong\u003e Dispels Damp Heat accumulation in the Lower Burner to address heat intolerance, heat lodged in the joints and skin, and occasional red, hot, swollen feet and knees\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eJoint and musculoskeletal support:\u003c\/strong\u003e Addresses occasional limb and low back pain or weakness of the lower limbs associated with Damp Heat accumulation in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSkin and coat support:\u003c\/strong\u003e Addresses occasional itch, oily coat, malodorous skin secretions, and halitosis associated with Damp Heat accumulation\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eUrinary and digestive support:\u003c\/strong\u003e Supports urinary health and addresses occasional concentrated urine, rounded abdomen, malodorous gas, loss of appetite, and vomiting in patterns of Damp Heat in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eTCVM Principles\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePrimary action:\u003c\/strong\u003e Dispels Damp Heat in the Lower Burner\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePattern addressed:\u003c\/strong\u003e Damp Heat accumulation in the Lower Burner; Damp can only invade from the environment if it is being manufactured internally through Spleen dysfunction - once Damp has been present for a long period, it generates Heat and becomes Damp Heat - consult your TCVM veterinarian to confirm the appropriate pattern diagnosis\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eApproach:\u003c\/strong\u003e Built on Two Marvels Powder (Er Miao San) with Phellodendron bark reduced relative to Cang Zhu to preserve the formula's intent while providing greater Spleen support; Job's Tears Seed and Achyranthes Root are added to drain Damp and move Blood; Achyranthes Root's astringing effect also counters the drying effects of the other three herbs, making this formula safe for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAvailable Forms\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e1 oz Liquid:\u003c\/strong\u003e Concentrated liquid extract; easy to mix into food or administer directly\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e4 oz Liquid:\u003c\/strong\u003e Larger liquid supply for ongoing use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e8 oz Liquid:\u003c\/strong\u003e Bulk liquid supply for extended use or multi-pet households\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e60 Tablets - 500mg:\u003c\/strong\u003e Convenient tablet format; can be given directly or hidden in food\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e120 Tablets - 500mg:\u003c\/strong\u003e Mid-size tablet supply for ongoing use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003e300 Tablets - 500mg:\u003c\/strong\u003e Largest tablet supply; ideal for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIngredients\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCang Zhu (Atractylodes lancea), Huai Niu Xi (Achyranthes bidentata), Yi Yi Ren (Coix lacryma-jobi), Huang Bai (Phellodendron amurense)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eInactive ingredients vary by form; liquid extracts contain alcohol and water; tablets may contain excipients standard to tablet manufacturing.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eActive Ingredient TCVM Actions\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels is built on Two Marvels Powder (Er Miao San) - the Cang Zhu and Huang Bai pair - with Job's Tears Seed and Achyranthes Root added to drain Damp, move Blood, and balance the formula for long-term use. Each herb plays a precise role in addressing Damp Heat accumulation in the Lower Burner.\u003c\/span\u003e\u003c\/p\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCang Zhu (Atractylodes lancea) - Cang-Zhu Atractylodes Rhizome \/ Gray Atractylodes:\u003c\/strong\u003e Expels Wind Cold Damp from the joints and dries Damp from the Spleen; one of the two core herbs of Er Miao San; reduced relative to Huang Bai in the original formula but increased in this version to provide greater Spleen support\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHuai Niu Xi (Achyranthes bidentata) - Achyranthes Root \/ Ox-Knee Root:\u003c\/strong\u003e Moves Blood, extends the benefits of the formula, and provides an astringing effect on fluid loss caused by long-standing Damp Heat accumulation; this astringing effect also counters the drying effects of the other three herbs, making Four Marvels safe for long-term use\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eYi Yi Ren (Coix lacryma-jobi) - Job's Tears Seed \/ Coix Seed:\u003c\/strong\u003e Drains Damp and supports the effects of the original Er Miao San formula; its bland taste provides additional Spleen support without adding bitterness or heat\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHuang Bai (Phellodendron amurense) - Phellodendron Bark \/ Amur Cork Tree Bark:\u003c\/strong\u003e Clears Heat and dries Damp in the Lower Burner; one of the two core herbs of Er Miao San; strongly cooling and bitter; reduced from the original formula's higher levels to balance the formula and preserve Spleen function\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003ePotential Drug Interactions\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels contains several potent Chinese herbs, including strongly Damp-drying, Heat-clearing, and Blood-moving herbs with known anti-inflammatory, diuretic, and gastrointestinal activity. Because herb-drug interaction research in dogs and cats is limited, pets taking prescription medications should use this formula under veterinary supervision.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eExtra caution may be appropriate for pets receiving diuretics, anticoagulant or antiplatelet medications, NSAIDs, urinary medications, or multiple prescription medications. Your veterinarian can determine whether Four Marvels is appropriate based on your pet's condition, medications, and laboratory results.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eVeterinary Authorization Required\u003c\/strong\u003e - \u003ca href=\"https:\/\/www.cognitoforms.com\/tcvmpetsupply\/veterinaryauthorizationformfortcvmherbs\" rel=\"noopener noreferrer\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eGet Authorization\u003c\/a\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFrequently Asked Questions\u003c\/span\u003e\u003c\/h2\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eWhat is Four Marvels used for in TCVM?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIn Traditional Chinese Veterinary Medicine, Four Marvels (Si Miao San) is traditionally used to dispel Damp Heat in the Lower Burner. It is an augmentation of Two Marvels Powder (Er Miao San), indicated for patterns of Damp Heat accumulation in the Lower Burner, commonly used to support joint comfort, urinary health, healthy skin and coat, and digestive wellbeing in dogs and cats.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Four Marvels administered?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eFour Marvels is available in liquid extract (1 oz, 4 oz, or 8 oz) or 500mg tablets (60, 120, or 300 count). Liquid can be mixed into food or administered directly; tablets can be given directly or hidden in food. Dosing varies by species and body weight; your authorizing veterinarian will provide specific guidance.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow long does it take to see results?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eResults vary by individual and the severity of the pattern. Because Four Marvels is balanced for long-term use, some animals may show gradual improvement over several weeks, while those with more chronic or established Damp Heat patterns may benefit from extended use. Dietary changes to reduce carbohydrate content and glycemic load can significantly enhance results. Your authorizing veterinarian can help set appropriate expectations based on your pet's TCVM diagnosis.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCan Four Marvels be combined with other medications or supplements?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAlways consult your veterinarian before combining Four Marvels with other medications or supplements. Your authorizing veterinarian will monitor for potential interactions through routine lab work and diagnostic testing. Key interactions to discuss include diuretics, anticoagulants, and NSAIDs. See the Potential Drug Interactions section above for details.\u003c\/span\u003e\u003c\/p\u003e"}