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Herbsmith Rx Ban Xia Bai Zhu Tian Ma San is a classical Chinese herbal formula recommended by holistic veterinarians to strengthen the spleen, dispel dampness, transform phlegm, and extinguish interior wind in dogs, cats, and horses. Also known as Pinellia, Atractylodes and Gastrodia Powder and Ascending Clarity, Ban Xia Bai Zhu Tian Ma San is a foundational formula for the phlegm-dampness generating wind pattern, in which spleen qi vacuity fails to transform and transport the body's fluids, allowing dampness to accumulate and condense into phlegm that rises upward and generates interior wind in the upper body and head. This pattern is characterized by dizziness or head shaking, a heavy or muzzy-headed feeling, nausea or vomiting, a pale, swollen tongue with a white, greasy coating reflecting phlegm-damp accumulation, and a slippery or wiry-slippery pulse. The eight-herb formula addresses this pattern through three simultaneous therapeutic strategies: drying dampness, transforming phlegm, and harmonizing the stomach to arrest the upward-rushing turbid phlegm (Ban Xia, Ju Hong, Sheng Jiang), extinguishing interior wind and calming the ascending phlegm-wind in the head (Tian Ma), and strengthening the spleen and draining dampness to address the root spleen vacuity generating the phlegm accumulation (Bai Zhu, Fu Ling, Gan Cao, Da Zao). Well suited for dogs, cats, and horses presenting with the phlegm-dampness generating wind pattern, characterized by dizziness, head shaking, vestibular-type signs, or nausea from turbid phlegm rising upward; a pale swollen tongue with a white greasy coating; and a slippery pulse reflecting phlegm-damp accumulation. Available as a concentrated powder mixed into food; dogs and cats use the Canine Blend, while horses use the Equine/Horse Blend. Dosing varies by species and body weight, and your authorizing veterinarian will provide specific guidance.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
For Dogs (Canine Blend Powder):
For Cats (Canine Blend Powder): ¼ tsp twice daily, or as prescribed
For Horses (Equine/Horse Blend, 1,000 lb horse): Two tablespoons twice daily for 20 days, then two tablespoons once daily in grain. If the horse initially refuses, start with a small amount mixed into grain and gradually increase. Most horses will readily accept the herbs in their grain.
Active Ingredients: Ban Xia (Rhizoma Pinelliae Ternatae), Tian Ma (Rhizoma Gastrodiae Elatae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Ju Hong (Pericarpium Citri Erythrocarpae), Fu Ling (Sclerotium Poriae Cocos), Gan Cao (Radix Glycyrrhizae Uralensis), Sheng Jiang (Rhizoma Zingiberis Officinalis Recens), Da Zao (Fructus Zizyphi Jujubae)
Inactive Ingredient: Flaxseed
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Ban Xia Bai Zhu Tian Ma San is an eight-herb formula organized around three therapeutic strategies: phlegm transformation and stomach harmonizing (Ban Xia, Ju Hong, Sheng Jiang), interior wind extinguishing (Tian Ma), and spleen strengthening with dampness draining (Bai Zhu, Fu Ling, Gan Cao, Da Zao):
Ban Xia Bai Zhu Tian Ma San has a focused drug interaction profile centered on two primary concerns. The most significant is Tian Ma's gastrodin content, which has CNS activity and creates interaction potential with anticonvulsant and CNS-modulating medications; animals on phenobarbital, potassium bromide, gabapentin, or other CNS-active medications require veterinary evaluation of the interaction potential before starting this formula, as the combined CNS effects could alter the threshold or efficacy of the anticonvulsant medications. The second concern is Gan Cao's glycyrrhizin-based mineralocorticoid-like effects; monitoring is warranted in animals on corticosteroids (where additive fluid retention and electrolyte effects are possible) and antihypertensive medications (where Gan Cao's fluid-retaining tendency could counteract the medication). Ban Xia's processed preparation (zhi ban xia) substantially reduces the raw root's alkaloid toxicity; do not use any preparation containing raw ban xia.
Medication categories warranting extra caution: anticonvulsant and CNS-modulating medications (Tian Ma gastrodin CNS interaction potential - primary concern), corticosteroids (Gan Cao glycyrrhizin additive mineralocorticoid effects), and antihypertensive medications (Gan Cao fluid-retaining tendency). Because Ban Xia Bai Zhu Tian Ma San's warm drying herbs could aggravate liver yang rising, kidney yin vacuity, or liver blood vacuity patterns, veterinary confirmation of the phlegm-dampness generating wind pattern is particularly important before initiating use. Your authorizing veterinarian will determine appropriateness based on your animal's condition, current medications, tongue quality, pulse character, and clinical assessment of the dizziness, nausea, and head signs.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
In Traditional Chinese Veterinary Medicine, Ban Xia Bai Zhu Tian Ma San is indicated for the phlegm-dampness generating wind pattern. The clinical presentation centers on dizziness, head shaking, or vestibular-type signs from turbid phlegm rising upward to the head; nausea or vomiting from the upward-rushing stomach qi and phlegm; a heavy or muzzy sensation in the head; a pale and swollen tongue with a white greasy coating reflecting phlegm-damp accumulation in the middle jiao; and a slippery or slippery-wiry pulse. This formula is specifically suited for interior wind signs arising from a phlegm-damp root, not from liver yang rising, kidney yin vacuity, or liver blood vacuity. Your authorizing veterinarian will confirm the phlegm-dampness generating wind pattern through tongue and pulse examination, assessment of clinical signs, and evaluation of their relationship to the spleen's transforming and transporting function.
Mix the powder into food or grain at the dose recommended for your animal's species and body weight. Dogs and cats use the Canine Blend; horses use the Equine/Horse Blend. All species receive the formula twice daily, with horses following the standard 20-day twice-daily loading protocol before transitioning to once-daily maintenance dosing. Because Ban Xia Bai Zhu Tian Ma San contains Tian Ma with CNS interaction potential, veterinary review of all current medications - particularly any anticonvulsant or CNS-modulating medications - is important before use. The formula's warm drying nature makes pattern confirmation particularly important; it is not appropriate for animals with heat signs, yin vacuity, or liver yang rising patterns.
Results depend on the chronicity and depth of the phlegm-damp accumulation underlying the wind pattern. In subacute presentations with a relatively recent onset of dizziness, head shaking, or vestibular signs from phlegm-damp, early improvement in nausea, head signs, and the frequency of dizziness episodes may be seen within 1 to 3 weeks as the formula's phlegm-transforming and wind-extinguishing herbs begin addressing the pattern. In chronic cases with longstanding spleen vacuity and established phlegm-damp accumulation, meaningful improvement in the tongue coating (from thick and greasy toward thinner), pulse quality (from slippery toward less prominent), and clinical signs typically requires 4 to 8 weeks. Addressing the root spleen vacuity may require 2 to 4 months of sustained treatment. Your authorizing veterinarian will monitor tongue, pulse, and clinical signs throughout.
No - Ban Xia Bai Zhu Tian Ma San is specifically formulated for dizziness and vestibular-type signs arising from the phlegm-dampness generating wind pattern and is not appropriate for all causes of dizziness, head tilting, or vestibular signs in dogs, cats, and horses. It is well matched when dizziness or vestibular signs occur alongside a pale, swollen tongue with a white, greasy coating, a slippery pulse, nausea or digestive irregularity, and a heavy or muzzy quality to the animal's presentation. It is not appropriate for dizziness from liver yang rising (red tongue, wiry-rapid pulse, heat signs), kidney yin vacuity (dry tongue, thin pulse, deficiency signs), or structural vestibular disease. Because vestibular signs can have serious underlying causes requiring specific diagnosis, veterinary assessment is essential before attributing the signs to the phlegm-dampness generating wind pattern and initiating herbal treatment.
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