{"id":6869216165958,"title":"Herbsmith Rx Bupleurum Harmonize Stomach Herbal Formula for Cats and Dogs","handle":"herbsmith-rx-bupleurum-harmonize-stomach-herbal-formula-for-cats-and-dogs","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);\"\u003eHerbsmith Rx Bupleurum Harmonize Stomach is a classical Chinese herbal formula recommended by holistic veterinarians to course the liver qi, harmonize the liver and spleen, nourish the liver blood, and support healthy digestive function in dogs, cats, and horses experiencing signs of liver overacting on the spleen and stomach. Also known as the veterinary adaptation of Xiao Yao San (Free and Easy Wanderer), this eight-herb formula is one of the most clinically established and widely used liver qi stagnation with spleen and stomach disharmony formulas in the Chinese herbal tradition, organized around three simultaneous strategies: coursing the liver qi and relieving stagnation (Chai Hu, Bo He), nourishing the liver blood and softening the liver (Dang Gui, Bai Shao), and strengthening the spleen and stomach to support the middle jiao that the liver stagnation is overacting upon (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao). In Chinese veterinary medicine, the liver is responsible for the smooth and orderly flow of qi throughout the body, and when the liver qi becomes stagnant, it loses its smoothing and spreading function and begins to overact on the adjacent organ systems - particularly the spleen and stomach, which depend on the liver's smooth qi flow for their receiving, transforming, and descending functions. When the liver overacts on the spleen and stomach, the stomach's descending function is disrupted (leading to nausea, vomiting, and bile reflux as the stomach qi rebels upward) and the spleen's transforming function is weakened (leading to poor appetite, abdominal gurgling, and digestive irregularity). Animals with a constitutional propensity for liver qi stagnation - typically high-energy, high-arousal, athletic animals who are strongly reactive to their environment - are particularly susceptible to developing this pattern, which can also be triggered by toxins, anesthesia, prolonged stress, frustration, and certain pharmaceuticals. Continuous or sporadic vomiting, especially when bile is present, gurgling abdominal sounds, and poor or picky appetite are all characteristic signs of liver overacting on spleen and stomach from a TCVM perspective. Available as a concentrated powder mixed into food. Dosing varies by species and body weight, and 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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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\u003eLiver qi coursing and stagnation relieving through Chai Hu as the chief herb:\u003c\/strong\u003e Courses the liver qi, relieves liver qi stagnation, raises the clear yang, and restores the liver's smooth spreading and flowing function through Chai Hu (bupleurum, Bupleurum). Chai Hu's bitter, acrid, and slightly cold nature enters the liver and gallbladder channels to directly address the liver qi stagnation that is the root of the formula's pattern, restoring the smooth and orderly qi flow that the liver stagnation has disrupted and relieving the constraint that is driving the liver to overact on the spleen and stomach. As the formula's chief herb, Chai Hu provides the primary liver qi-coursing action that all of the formula's supporting strategies depend upon. Mild saikosaponin content; monitoring warranted at high doses or prolonged use in animals with pre-existing liver conditions.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver blood nourishing and liver softening through Dang Gui:\u003c\/strong\u003e Nourishes the liver blood, tonifies the blood, activates blood circulation, and softens the liver to reduce the tension that liver blood insufficiency adds to the liver qi stagnation pattern through Dang Gui (angelica tang kuei, Angelica Tang Kuei). Dang Gui's sweet, acrid, and warm nature enters the heart, liver, and spleen channels to nourish and tonify liver blood, addressing the blood insufficiency that often accompanies and amplifies liver qi stagnation by depriving the liver of the blood it needs for smooth flow and spreading. In liver qi stagnation patterns, liver blood insufficiency and qi stagnation are mutually reinforcing: stagnant qi impedes blood production and circulation, while insufficient blood fails to moisten and soften the liver, causing it to become more constrained and stagnant. Coumarin and ferulic acid have anticoagulant effects; monitor animals on anticoagulant or antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver yin and blood nourishing and liver softening through Bai Shao:\u003c\/strong\u003e Nourishes the liver yin and blood, softens and emolliates the liver, moderates urgency and constraint, and calms the liver through Bai Shao (peony root, Peony Root). Bai Shao's sour, bitter, and slightly cold nature enters the liver and spleen channels to nourish the liver yin and blood and soften the liver's tendency toward hardness and constraint, providing the emolliation that reduces the liver's reactive and overacting quality. Bai Shao and Dang Gui form the formula's liver blood-nourishing pair, with Bai Shao's sour-softening and liver yin-nourishing action complementing Dang Gui's warm blood-tonifying and activating effect. Paeoniflorin content with mild anticoagulant and anti-inflammatory effects; monitoring warranted in animals on anticoagulant or antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSpleen qi tonifying and dampness drying through Bai Zhu:\u003c\/strong\u003e Tonifies the spleen qi, dries dampness, and strengthens the spleen's transforming and transporting function that the liver overacting on the spleen has weakened through Bai Zhu (atractylodes, Atractylodes). Bai Zhu's bitter, sweet, and warm nature enters the spleen and stomach channels to tonify the spleen qi and strengthen the middle jiao, rebuilding the spleen's functional capacity that the liver qi stagnation is disrupting. Strengthening the spleen directly with Bai Zhu helps the middle jiao recover its transforming and transporting function as Chai Hu relieves the liver constraint. Generally well tolerated at standard doses.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSpleen qi tonifying and dampness draining through Fu Ling:\u003c\/strong\u003e Tonifies the spleen qi, drains dampness, calms the shen, and supports the middle jiao through Fu Ling (poria, Poria). Fu Ling's sweet, neutral nature enters the heart, spleen, and kidney channels to support spleen qi and drain the dampness that spleen qi insufficiency accumulates, complementing Bai Zhu's spleen-strengthening action with a dampness-draining, middle jiao-supporting strategy. Fu Ling's shen-calming action through the heart channel also addresses the mild shen restlessness that can accompany liver qi stagnation from a constitutional perspective. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver qi dispersing and constrained heat clearing through Bo He:\u003c\/strong\u003e Disperses the liver qi, clears mild constrained heat generated by liver qi stagnation, and assists Chai Hu's qi-coursing action through Bo He (mentha, Mentha). Bo He's acrid and cool nature enters the lung and liver channels to assist the liver qi coursing through its light and dispersing action and to clear the mild constrained heat that chronic liver qi stagnation generates, providing the heat-clearing complement to Chai Hu's primary stagnation-relieving action. Used in a small amount as an assistant herb. Generally well tolerated at standard doses; cool and dispersing nature warrants caution in animals with pre-existing qi deficiency or cold patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eMiddle jiao warming and spleen yang supporting through Gan Jiang:\u003c\/strong\u003e Warms the middle jiao, supports the spleen yang, disperses cold from the stomach, and addresses the cold from spleen yang insufficiency that can accompany or develop from chronic liver overacting on the spleen pattern through Gan Jiang (ginger rhizome, Ginger Rhizome). Gan Jiang is the dry ginger form, which is warmer and more drying than fresh ginger (Sheng Jiang); its acrid and hot nature enters the spleen, stomach, heart, and lung channels to warm the middle jiao, support the spleen yang, and help the stomach restore its descending function in the presence of cold. Gan Jiang's warming presence in this formula balances the cool and cold herbs (Chai Hu, Bo He, Bai Shao), ensuring the overall formula does not become too cooling for animals with a mixed liver stagnation and spleen cold pattern. Generally well tolerated at standard doses; hot nature warrants monitoring in animals with significant yin vacuity or heat signs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFormula harmonizing and middle jiao supplementing through Gan Cao:\u003c\/strong\u003e Harmonizes the formula's herbs, moderates the contrasting warm and cool natures of the formula's herbs, supplements the middle jiao qi, and protects the spleen and stomach from the formula's qi-moving strategy through Gan Cao (licorice root). Gan Cao's sweet, neutral nature enters the spleen, stomach, heart, and lung channels to harmonize the formula and ensure the liver-coursing and spleen-strengthening herbs work together effectively without friction from their contrasting temperatures. Glycyrrhizin content with mineralocorticoid-like effects; monitoring warranted in animals on corticosteroids and antihypertensive medications.\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 - liver qi stagnation overacting on the spleen and stomach pattern through the combined strategy of liver qi coursing (Chai Hu, Bo He), liver blood and yin nourishing (Dang Gui, Bai Shao), and spleen and middle jiao strengthening (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao):\u003c\/strong\u003e Bupleurum Harmonize Stomach addresses the liver overacting on spleen and stomach pattern through three simultaneous therapeutic strategies. The liver qi-coursing herbs directly relieve the stagnation driving the pattern: Chai Hu courses the liver qi and relieves the primary stagnation; Bo He disperses stagnant qi and clears mild constrained heat. The liver blood- and yin-nourishing herbs address the blood insufficiency that amplifies liver stagnation: Dang Gui tonifies and nourishes liver blood and activates circulation; Bai Shao nourishes liver yin and blood and softens the liver to reduce its reactive, overacting quality. The spleen and middle jiao-strengthening herbs rebuild the spleen and stomach function that the liver overacting has weakened: Bai Zhu tonifies the spleen qi and dries dampness; Fu Ling tonifies the spleen, drains dampness, and calms the shen; Gan Jiang warms the middle jiao and supports the spleen yang; Gan Cao harmonizes and supplements the middle jiao. Treatment Principles: course the liver qi, nourish the liver blood, strengthen the spleen, and address liver overacting on spleen and stomach.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSecondary action - pattern differentiation from spleen qi vacuity without liver involvement (where liver qi-coursing herbs are not indicated and could provoke qi movement without the appropriate stagnation to resolve), stomach yin vacuity with rebellious qi (where cooling and nourishing stomach yin is primary rather than the liver-coursing strategy), and food accumulation (where dispersing accumulation rather than liver coursing is the primary strategy):\u003c\/strong\u003e Bupleurum Harmonize Stomach is indicated specifically for the liver qi stagnation overacting on spleen and stomach pattern, not for spleen qi vacuity without liver involvement (where the liver-coursing herbs could cause qi movement without the liver stagnation to resolve), stomach yin vacuity with rebellious qi (where cooling and stomach yin-nourishing strategies are primary and the formula's warm herbs would not be appropriate), or food accumulation (where dispersing accumulation is primary). The characteristic profile of the liver overacting pattern in dogs includes a constitutional propensity for high-energy, high-arousal, athletically oriented animals with a reactive constitution who respond strongly to environmental stress and frustration. The wiry pulse and slightly tense or tight tongue body reflecting liver constraint are the key differentiating signs. Your authorizing veterinarian will confirm the liver overacting pattern through tongue and pulse examination and assessment of the constitutional and clinical signs.\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\u003ePowder - Canine Blend (for dogs and cats):\u003c\/strong\u003e Available in 75 g, 150 g, and 500 g sizes; mix into food at the recommended dose for your pet's weight.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePowder - Equine Blend (for horses):\u003c\/strong\u003e Available in 900 g and 1200 g sizes; mix into feed at the dose recommended by your authorizing veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eSuggested Use\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Dogs (Powder):\u003c\/strong\u003e\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);\"\u003eUnder 30 lbs: ½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30-80 lbs: 1 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e80-120 lbs: 1½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOver 120 lbs: 2 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Cats (Powder):\u003c\/strong\u003e ¼ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Horses (Powder):\u003c\/strong\u003e Dosing provided by your authorizing veterinarian based on body weight and clinical assessment.\u003c\/span\u003e\u003c\/p\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);\"\u003e\u003cstrong\u003eActive Ingredients:\u003c\/strong\u003e Chai Hu (Bupleurum), Dang Gui (Angelica Tang Kuei), Bai Shao (Peony Root), Bai Zhu (Atractylodes), Bo He (Mentha), Gan Jiang (Ginger Rhizome), Gan Cao (Licorice Root), Fu Ling (Poria)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eInactive Ingredient:\u003c\/strong\u003e Flaxseed\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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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);\"\u003eBupleurum Harmonize Stomach is the veterinary adaptation of the classical Xiao Yao San (Free and Easy Wanderer), an eight-herb formula organized around three therapeutic strategies: liver qi coursing and stagnation relieving (Chai Hu, Bo He), liver blood and yin nourishing (Dang Gui, Bai Shao), and spleen and middle jiao strengthening and harmonizing (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao):\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\u003eChai Hu (Bupleurum) - Bupleurum Root \/ Chinese Thoroughwax Root:\u003c\/strong\u003e Chief herb; courses the liver qi, relieves liver qi stagnation, and restores the liver's smooth flowing function. Mild saikosaponin content; monitoring warranted at high doses in animals with pre-existing liver conditions.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eDang Gui (Angelica Tang Kuei) - Dong Quai \/ Chinese Angelica Root:\u003c\/strong\u003e Nourishes and tonifies liver blood, activates circulation, and softens the liver; addresses blood insufficiency that amplifies liver qi stagnation. Coumarin and ferulic acid have anticoagulant effects; monitoring is warranted with anticoagulant and antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBai Shao (Peony Root) - White Peony Root \/ Chinese Peony Root:\u003c\/strong\u003e Nourishes liver yin and blood, softens and emolliates the liver, and moderates constraint; forms the liver blood-nourishing pair with Dang Gui. Paeoniflorin content with mild anticoagulant effects; monitoring warranted with anticoagulant and antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBai Zhu (Atractylodes) - White Atractylodes Rhizome \/ Large-Headed Atractylodes:\u003c\/strong\u003e Tonifies spleen qi and dries dampness; strengthens the middle jiao function weakened by liver overacting. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFu Ling (Poria) - Poria \/ Hoelen \/ China Root:\u003c\/strong\u003e Tonifies spleen qi, drains dampness, and calms the shen; supports middle jiao recovery and addresses shen restlessness from liver stagnation. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBo He (Mentha) - Peppermint Herb \/ Field Mint Herb:\u003c\/strong\u003e Assistant herb; disperses stagnant liver qi and clears mild constrained heat generated by liver qi stagnation. Used in small amounts. Cooling and dispersing; caution in animals with qi deficiency or cold patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eGan Jiang (Ginger Rhizome) - Dried Ginger Rhizome \/ Chinese Dried Ginger:\u003c\/strong\u003e Warms the middle jiao, supports spleen yang, and disperses cold from the stomach; the dry ginger form is warmer and more drying than fresh ginger (Sheng Jiang). Balances the formula's cooling herbs to prevent over-cooling the middle jiao. Generally well tolerated; hot nature warrants monitoring in animals with yin vacuity or heat signs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eGan Cao (Licorice Root) - Licorice Root:\u003c\/strong\u003e Harmonizes the formula and moderates the contrasting temperatures of the formula's herbs; supplements the middle jiao qi. Glycyrrhizin content; monitoring warranted with corticosteroids and antihypertensive medications.\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);\"\u003eBupleurum Harmonize Stomach has a manageable drug interaction profile centered primarily on its two blood-nourishing herbs. Dang Gui's coumarin and ferulic acid content and Bai Shao's paeoniflorin content both have mild anticoagulant effects; animals on warfarin, heparin, aspirin, clopidogrel, or other anticoagulant or antiplatelet medications warrant veterinary review before initiating this formula. The combined anticoagulant contribution of Dang Gui and Bai Shao together is more significant than either herb alone. Chai Hu's mild saikosaponin content warrants monitoring in animals with pre-existing liver conditions at standard doses, and prolonged high-dose use without veterinary monitoring is not recommended. Gan Cao's glycyrrhizin content warrants monitoring in animals on corticosteroids (potential additive sodium retention and potassium loss) and antihypertensive medications. Gan Jiang's warming nature warrants monitoring in animals on anticoagulant medications, where ginger's mild platelet-affecting properties could add to the anticoagulant concern from Dang Gui and Bai Shao.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMedication categories warranting extra caution: anticoagulant and antiplatelet medications (Dang Gui and Bai Shao combined anticoagulant effects - primary concern), corticosteroids (Gan Cao glycyrrhizin effects), antihypertensive medications (Gan Cao fluid-retaining tendency), and hepatically metabolized medications in animals with pre-existing liver conditions (Chai Hu saikosaponin monitoring). Because vomiting in dogs and cats can indicate conditions requiring urgent veterinary attention, including obstruction, pancreatitis, toxin ingestion, and metabolic disease, veterinary diagnosis before initiating this formula is important. Your authorizing veterinarian will determine appropriateness based on your pet's condition, current medications, tongue quality, pulse character, and constitutional assessment.\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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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 digestive signs indicate the liver overacting on spleen and stomach pattern that Bupleurum Harmonize Stomach addresses?\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, the liver overacting on the spleen and stomach pattern produces characteristic digestive signs that reflect the stomach's inability to descend and the spleen's inability to transform effectively. The most distinctive signs are vomiting - particularly when bile is present, as bile-containing vomit indicates stomach qi rebelliously ascending rather than descending - along with gurgling abdominal sounds reflecting the disrupted qi movement in the middle jiao, and a picky or poor appetite reflecting the spleen's weakened receiving and transforming function. These signs may be continuous or sporadic, often worsening with stress, environmental change, or frustration, which directly provokes the liver qi stagnation. The constitutional profile is also characteristic: dogs with this pattern are often high-energy, high-arousal, athletic, and reactive, and their constitution predisposes them to liver qi constraint. The tongue may show a slightly tense or tight body with a thin coating, and the pulse is characteristically wiry, reflecting the liver qi constraint. These signs distinguish the liver overacting pattern from simple spleen vacuity or stomach yin vacuity patterns.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Bupleurum Harmonize Stomach administered to dogs, cats, and horses?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMix the powder into food or feed at the dose recommended for your pet's species and body weight. The Canine Blend (75 g, 150 g, 500 g) is used for dogs and cats; the Equine Blend (900 g, 1200 g) is used for horses with dosing provided by your authorizing veterinarian. Because this formula contains Dang Gui and Bai Shao with combined anticoagulant effects, veterinary review of all current medications is important before use in animals on anticoagulant or antiplatelet medications. Animals with pre-existing liver conditions should have Chai Hu use monitored by their veterinarian. Because vomiting can indicate conditions requiring immediate veterinary attention (obstruction, pancreatitis, toxin ingestion), veterinary assessment before starting this formula is essential to confirm liver qi overacting on the spleen and stomach as the underlying cause.\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 with Bupleurum Harmonize Stomach?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAs a formula that addresses both acute liver qi stagnation (branch) and underlying liver blood insufficiency and spleen weakness (root), Bupleurum Harmonize Stomach works on two timeframes. The liver qi-coursing herbs (Chai Hu, Bo He) may provide relatively earlier improvement in the acute digestive signs, with some reduction in vomiting frequency, appetite improvement, and reduction in abdominal gurgling potentially seen within 2 to 4 weeks as the liver constraint is relieved and the stomach qi begins to descend more normally. The deeper liver blood-nourishing and spleen-strengthening strategy (Dang Gui, Bai Shao, Bai Zhu, Fu Ling) requires sustained treatment over 6 to 12 weeks to meaningfully address the constitutional blood insufficiency and spleen weakness that underlie the pattern and provide more lasting digestive stability. Long-term use under veterinary supervision is often appropriate for animals with a constitutional propensity for this pattern, particularly high-arousal dogs for whom liver qi stagnation is a recurring tendency. Your authorizing veterinarian will monitor tongue quality, pulse, and clinical signs throughout.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCan Bupleurum Harmonize Stomach be used for horses as well as dogs and cats?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eYes, Bupleurum Harmonize Stomach is available in both a Canine Blend (75 g, 150 g, 500 g) for dogs and cats and an Equine Blend (900 g, 1200 g) for horses. The liver overacting on spleen and stomach pattern occurs in horses and companion animals, and Xiao Yao San is used in equine TCVM practice for horses presenting with the characteristic signs of liver qi stagnation affecting the digestive system. Equine dosing is determined by your authorizing veterinarian based on the horse's body weight, clinical presentation, tongue quality, and pulse character. Drug interaction considerations for horses are the same as for dogs and cats: the primary concern is the anticoagulant effects of Dang Gui and Bai Shao, along with Gan Cao's glycyrrhizin content in horses on corticosteroids. Your authorizing veterinarian will provide equine-specific dosing and monitoring guidance.\u003c\/span\u003e\u003c\/p\u003e","published_at":"2022-04-05T19:29:47-05:00","created_at":"2022-03-25T09:18:46-05:00","vendor":"Herbsmith Rx","type":"Pet Vitamins \u0026 Supplements","tags":["Deficiency_Yin","Product_Type_Herb","Species_Cat","Species_Dog","Species_Horse","Vendor_Herbsmith_Rx"],"price":7000,"price_min":7000,"price_max":22200,"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":39934440374342,"title":"Canine \/ 75g Powder","option1":"Canine","option2":"75g Powder","option3":null,"sku":"HBHC-75","requires_shipping":true,"taxable":true,"featured_image":{"id":29685060534342,"product_id":6869216165958,"position":2,"created_at":"2022-10-08T07:11:09-05:00","updated_at":"2022-10-08T09:33:19-05:00","alt":"Herbsmith Rx Bupleurum Harmonize Stomach Herbal Formula for Cats and Dogs Powdered Herbs","width":960,"height":997,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_18ddd606-6ae8-4f52-a583-2f68479846c4-sw.jpg?v=1665239599","variant_ids":[39934440374342]},"available":true,"name":"Herbsmith Rx Bupleurum Harmonize Stomach Herbal Formula for Cats and Dogs - 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Equine\/Horse \/ 1200g Powder","public_title":"Equine\/Horse \/ 1200g Powder","options":["Equine\/Horse","1200g Powder"],"price":22200,"weight":1200,"compare_at_price":null,"inventory_management":null,"barcode":"850000022508","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}}],"images":["\/\/tcvmpet.com\/cdn\/shop\/products\/BupleuremHarmonizeStomach-sw.jpg?v=1665231063","\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_18ddd606-6ae8-4f52-a583-2f68479846c4-sw.jpg?v=1665239599"],"featured_image":"\/\/tcvmpet.com\/cdn\/shop\/products\/BupleuremHarmonizeStomach-sw.jpg?v=1665231063","options":["Type","Powder - Canine"],"media":[{"alt":"Herbsmith Rx Bupleurum Harmonize Stomach Herbal Formula for Cats and Dogs Front Labels \u0026 Herb Display","id":21966532411462,"position":1,"preview_image":{"aspect_ratio":0.924,"height":460,"width":425,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/BupleuremHarmonizeStomach-sw.jpg?v=1665231063"},"aspect_ratio":0.924,"height":460,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/BupleuremHarmonizeStomach-sw.jpg?v=1665231063","width":425},{"alt":"Herbsmith Rx Bupleurum Harmonize Stomach Herbal Formula for Cats and Dogs Powdered Herbs","id":21966532444230,"position":2,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_18ddd606-6ae8-4f52-a583-2f68479846c4-sw.jpg?v=1665239599"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_18ddd606-6ae8-4f52-a583-2f68479846c4-sw.jpg?v=1665239599","width":960}],"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);\"\u003eHerbsmith Rx Bupleurum Harmonize Stomach is a classical Chinese herbal formula recommended by holistic veterinarians to course the liver qi, harmonize the liver and spleen, nourish the liver blood, and support healthy digestive function in dogs, cats, and horses experiencing signs of liver overacting on the spleen and stomach. Also known as the veterinary adaptation of Xiao Yao San (Free and Easy Wanderer), this eight-herb formula is one of the most clinically established and widely used liver qi stagnation with spleen and stomach disharmony formulas in the Chinese herbal tradition, organized around three simultaneous strategies: coursing the liver qi and relieving stagnation (Chai Hu, Bo He), nourishing the liver blood and softening the liver (Dang Gui, Bai Shao), and strengthening the spleen and stomach to support the middle jiao that the liver stagnation is overacting upon (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao). In Chinese veterinary medicine, the liver is responsible for the smooth and orderly flow of qi throughout the body, and when the liver qi becomes stagnant, it loses its smoothing and spreading function and begins to overact on the adjacent organ systems - particularly the spleen and stomach, which depend on the liver's smooth qi flow for their receiving, transforming, and descending functions. When the liver overacts on the spleen and stomach, the stomach's descending function is disrupted (leading to nausea, vomiting, and bile reflux as the stomach qi rebels upward) and the spleen's transforming function is weakened (leading to poor appetite, abdominal gurgling, and digestive irregularity). Animals with a constitutional propensity for liver qi stagnation - typically high-energy, high-arousal, athletic animals who are strongly reactive to their environment - are particularly susceptible to developing this pattern, which can also be triggered by toxins, anesthesia, prolonged stress, frustration, and certain pharmaceuticals. Continuous or sporadic vomiting, especially when bile is present, gurgling abdominal sounds, and poor or picky appetite are all characteristic signs of liver overacting on spleen and stomach from a TCVM perspective. Available as a concentrated powder mixed into food. Dosing varies by species and body weight, and 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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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\u003eLiver qi coursing and stagnation relieving through Chai Hu as the chief herb:\u003c\/strong\u003e Courses the liver qi, relieves liver qi stagnation, raises the clear yang, and restores the liver's smooth spreading and flowing function through Chai Hu (bupleurum, Bupleurum). Chai Hu's bitter, acrid, and slightly cold nature enters the liver and gallbladder channels to directly address the liver qi stagnation that is the root of the formula's pattern, restoring the smooth and orderly qi flow that the liver stagnation has disrupted and relieving the constraint that is driving the liver to overact on the spleen and stomach. As the formula's chief herb, Chai Hu provides the primary liver qi-coursing action that all of the formula's supporting strategies depend upon. Mild saikosaponin content; monitoring warranted at high doses or prolonged use in animals with pre-existing liver conditions.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver blood nourishing and liver softening through Dang Gui:\u003c\/strong\u003e Nourishes the liver blood, tonifies the blood, activates blood circulation, and softens the liver to reduce the tension that liver blood insufficiency adds to the liver qi stagnation pattern through Dang Gui (angelica tang kuei, Angelica Tang Kuei). Dang Gui's sweet, acrid, and warm nature enters the heart, liver, and spleen channels to nourish and tonify liver blood, addressing the blood insufficiency that often accompanies and amplifies liver qi stagnation by depriving the liver of the blood it needs for smooth flow and spreading. In liver qi stagnation patterns, liver blood insufficiency and qi stagnation are mutually reinforcing: stagnant qi impedes blood production and circulation, while insufficient blood fails to moisten and soften the liver, causing it to become more constrained and stagnant. Coumarin and ferulic acid have anticoagulant effects; monitor animals on anticoagulant or antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver yin and blood nourishing and liver softening through Bai Shao:\u003c\/strong\u003e Nourishes the liver yin and blood, softens and emolliates the liver, moderates urgency and constraint, and calms the liver through Bai Shao (peony root, Peony Root). Bai Shao's sour, bitter, and slightly cold nature enters the liver and spleen channels to nourish the liver yin and blood and soften the liver's tendency toward hardness and constraint, providing the emolliation that reduces the liver's reactive and overacting quality. Bai Shao and Dang Gui form the formula's liver blood-nourishing pair, with Bai Shao's sour-softening and liver yin-nourishing action complementing Dang Gui's warm blood-tonifying and activating effect. Paeoniflorin content with mild anticoagulant and anti-inflammatory effects; monitoring warranted in animals on anticoagulant or antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSpleen qi tonifying and dampness drying through Bai Zhu:\u003c\/strong\u003e Tonifies the spleen qi, dries dampness, and strengthens the spleen's transforming and transporting function that the liver overacting on the spleen has weakened through Bai Zhu (atractylodes, Atractylodes). Bai Zhu's bitter, sweet, and warm nature enters the spleen and stomach channels to tonify the spleen qi and strengthen the middle jiao, rebuilding the spleen's functional capacity that the liver qi stagnation is disrupting. Strengthening the spleen directly with Bai Zhu helps the middle jiao recover its transforming and transporting function as Chai Hu relieves the liver constraint. Generally well tolerated at standard doses.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSpleen qi tonifying and dampness draining through Fu Ling:\u003c\/strong\u003e Tonifies the spleen qi, drains dampness, calms the shen, and supports the middle jiao through Fu Ling (poria, Poria). Fu Ling's sweet, neutral nature enters the heart, spleen, and kidney channels to support spleen qi and drain the dampness that spleen qi insufficiency accumulates, complementing Bai Zhu's spleen-strengthening action with a dampness-draining, middle jiao-supporting strategy. Fu Ling's shen-calming action through the heart channel also addresses the mild shen restlessness that can accompany liver qi stagnation from a constitutional perspective. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eLiver qi dispersing and constrained heat clearing through Bo He:\u003c\/strong\u003e Disperses the liver qi, clears mild constrained heat generated by liver qi stagnation, and assists Chai Hu's qi-coursing action through Bo He (mentha, Mentha). Bo He's acrid and cool nature enters the lung and liver channels to assist the liver qi coursing through its light and dispersing action and to clear the mild constrained heat that chronic liver qi stagnation generates, providing the heat-clearing complement to Chai Hu's primary stagnation-relieving action. Used in a small amount as an assistant herb. Generally well tolerated at standard doses; cool and dispersing nature warrants caution in animals with pre-existing qi deficiency or cold patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eMiddle jiao warming and spleen yang supporting through Gan Jiang:\u003c\/strong\u003e Warms the middle jiao, supports the spleen yang, disperses cold from the stomach, and addresses the cold from spleen yang insufficiency that can accompany or develop from chronic liver overacting on the spleen pattern through Gan Jiang (ginger rhizome, Ginger Rhizome). Gan Jiang is the dry ginger form, which is warmer and more drying than fresh ginger (Sheng Jiang); its acrid and hot nature enters the spleen, stomach, heart, and lung channels to warm the middle jiao, support the spleen yang, and help the stomach restore its descending function in the presence of cold. Gan Jiang's warming presence in this formula balances the cool and cold herbs (Chai Hu, Bo He, Bai Shao), ensuring the overall formula does not become too cooling for animals with a mixed liver stagnation and spleen cold pattern. Generally well tolerated at standard doses; hot nature warrants monitoring in animals with significant yin vacuity or heat signs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFormula harmonizing and middle jiao supplementing through Gan Cao:\u003c\/strong\u003e Harmonizes the formula's herbs, moderates the contrasting warm and cool natures of the formula's herbs, supplements the middle jiao qi, and protects the spleen and stomach from the formula's qi-moving strategy through Gan Cao (licorice root). Gan Cao's sweet, neutral nature enters the spleen, stomach, heart, and lung channels to harmonize the formula and ensure the liver-coursing and spleen-strengthening herbs work together effectively without friction from their contrasting temperatures. Glycyrrhizin content with mineralocorticoid-like effects; monitoring warranted in animals on corticosteroids and antihypertensive medications.\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 - liver qi stagnation overacting on the spleen and stomach pattern through the combined strategy of liver qi coursing (Chai Hu, Bo He), liver blood and yin nourishing (Dang Gui, Bai Shao), and spleen and middle jiao strengthening (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao):\u003c\/strong\u003e Bupleurum Harmonize Stomach addresses the liver overacting on spleen and stomach pattern through three simultaneous therapeutic strategies. The liver qi-coursing herbs directly relieve the stagnation driving the pattern: Chai Hu courses the liver qi and relieves the primary stagnation; Bo He disperses stagnant qi and clears mild constrained heat. The liver blood- and yin-nourishing herbs address the blood insufficiency that amplifies liver stagnation: Dang Gui tonifies and nourishes liver blood and activates circulation; Bai Shao nourishes liver yin and blood and softens the liver to reduce its reactive, overacting quality. The spleen and middle jiao-strengthening herbs rebuild the spleen and stomach function that the liver overacting has weakened: Bai Zhu tonifies the spleen qi and dries dampness; Fu Ling tonifies the spleen, drains dampness, and calms the shen; Gan Jiang warms the middle jiao and supports the spleen yang; Gan Cao harmonizes and supplements the middle jiao. Treatment Principles: course the liver qi, nourish the liver blood, strengthen the spleen, and address liver overacting on spleen and stomach.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eSecondary action - pattern differentiation from spleen qi vacuity without liver involvement (where liver qi-coursing herbs are not indicated and could provoke qi movement without the appropriate stagnation to resolve), stomach yin vacuity with rebellious qi (where cooling and nourishing stomach yin is primary rather than the liver-coursing strategy), and food accumulation (where dispersing accumulation rather than liver coursing is the primary strategy):\u003c\/strong\u003e Bupleurum Harmonize Stomach is indicated specifically for the liver qi stagnation overacting on spleen and stomach pattern, not for spleen qi vacuity without liver involvement (where the liver-coursing herbs could cause qi movement without the liver stagnation to resolve), stomach yin vacuity with rebellious qi (where cooling and stomach yin-nourishing strategies are primary and the formula's warm herbs would not be appropriate), or food accumulation (where dispersing accumulation is primary). The characteristic profile of the liver overacting pattern in dogs includes a constitutional propensity for high-energy, high-arousal, athletically oriented animals with a reactive constitution who respond strongly to environmental stress and frustration. The wiry pulse and slightly tense or tight tongue body reflecting liver constraint are the key differentiating signs. Your authorizing veterinarian will confirm the liver overacting pattern through tongue and pulse examination and assessment of the constitutional and clinical signs.\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\u003ePowder - Canine Blend (for dogs and cats):\u003c\/strong\u003e Available in 75 g, 150 g, and 500 g sizes; mix into food at the recommended dose for your pet's weight.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003ePowder - Equine Blend (for horses):\u003c\/strong\u003e Available in 900 g and 1200 g sizes; mix into feed at the dose recommended by your authorizing veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eSuggested Use\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Dogs (Powder):\u003c\/strong\u003e\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);\"\u003eUnder 30 lbs: ½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30-80 lbs: 1 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e80-120 lbs: 1½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOver 120 lbs: 2 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Cats (Powder):\u003c\/strong\u003e ¼ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Horses (Powder):\u003c\/strong\u003e Dosing provided by your authorizing veterinarian based on body weight and clinical assessment.\u003c\/span\u003e\u003c\/p\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);\"\u003e\u003cstrong\u003eActive Ingredients:\u003c\/strong\u003e Chai Hu (Bupleurum), Dang Gui (Angelica Tang Kuei), Bai Shao (Peony Root), Bai Zhu (Atractylodes), Bo He (Mentha), Gan Jiang (Ginger Rhizome), Gan Cao (Licorice Root), Fu Ling (Poria)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eInactive Ingredient:\u003c\/strong\u003e Flaxseed\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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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);\"\u003eBupleurum Harmonize Stomach is the veterinary adaptation of the classical Xiao Yao San (Free and Easy Wanderer), an eight-herb formula organized around three therapeutic strategies: liver qi coursing and stagnation relieving (Chai Hu, Bo He), liver blood and yin nourishing (Dang Gui, Bai Shao), and spleen and middle jiao strengthening and harmonizing (Bai Zhu, Fu Ling, Gan Jiang, Gan Cao):\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\u003eChai Hu (Bupleurum) - Bupleurum Root \/ Chinese Thoroughwax Root:\u003c\/strong\u003e Chief herb; courses the liver qi, relieves liver qi stagnation, and restores the liver's smooth flowing function. Mild saikosaponin content; monitoring warranted at high doses in animals with pre-existing liver conditions.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eDang Gui (Angelica Tang Kuei) - Dong Quai \/ Chinese Angelica Root:\u003c\/strong\u003e Nourishes and tonifies liver blood, activates circulation, and softens the liver; addresses blood insufficiency that amplifies liver qi stagnation. Coumarin and ferulic acid have anticoagulant effects; monitoring is warranted with anticoagulant and antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBai Shao (Peony Root) - White Peony Root \/ Chinese Peony Root:\u003c\/strong\u003e Nourishes liver yin and blood, softens and emolliates the liver, and moderates constraint; forms the liver blood-nourishing pair with Dang Gui. Paeoniflorin content with mild anticoagulant effects; monitoring warranted with anticoagulant and antiplatelet medications.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBai Zhu (Atractylodes) - White Atractylodes Rhizome \/ Large-Headed Atractylodes:\u003c\/strong\u003e Tonifies spleen qi and dries dampness; strengthens the middle jiao function weakened by liver overacting. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFu Ling (Poria) - Poria \/ Hoelen \/ China Root:\u003c\/strong\u003e Tonifies spleen qi, drains dampness, and calms the shen; supports middle jiao recovery and addresses shen restlessness from liver stagnation. Generally well tolerated.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eBo He (Mentha) - Peppermint Herb \/ Field Mint Herb:\u003c\/strong\u003e Assistant herb; disperses stagnant liver qi and clears mild constrained heat generated by liver qi stagnation. Used in small amounts. Cooling and dispersing; caution in animals with qi deficiency or cold patterns.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eGan Jiang (Ginger Rhizome) - Dried Ginger Rhizome \/ Chinese Dried Ginger:\u003c\/strong\u003e Warms the middle jiao, supports spleen yang, and disperses cold from the stomach; the dry ginger form is warmer and more drying than fresh ginger (Sheng Jiang). Balances the formula's cooling herbs to prevent over-cooling the middle jiao. Generally well tolerated; hot nature warrants monitoring in animals with yin vacuity or heat signs.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eGan Cao (Licorice Root) - Licorice Root:\u003c\/strong\u003e Harmonizes the formula and moderates the contrasting temperatures of the formula's herbs; supplements the middle jiao qi. Glycyrrhizin content; monitoring warranted with corticosteroids and antihypertensive medications.\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);\"\u003eBupleurum Harmonize Stomach has a manageable drug interaction profile centered primarily on its two blood-nourishing herbs. Dang Gui's coumarin and ferulic acid content and Bai Shao's paeoniflorin content both have mild anticoagulant effects; animals on warfarin, heparin, aspirin, clopidogrel, or other anticoagulant or antiplatelet medications warrant veterinary review before initiating this formula. The combined anticoagulant contribution of Dang Gui and Bai Shao together is more significant than either herb alone. Chai Hu's mild saikosaponin content warrants monitoring in animals with pre-existing liver conditions at standard doses, and prolonged high-dose use without veterinary monitoring is not recommended. Gan Cao's glycyrrhizin content warrants monitoring in animals on corticosteroids (potential additive sodium retention and potassium loss) and antihypertensive medications. Gan Jiang's warming nature warrants monitoring in animals on anticoagulant medications, where ginger's mild platelet-affecting properties could add to the anticoagulant concern from Dang Gui and Bai Shao.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMedication categories warranting extra caution: anticoagulant and antiplatelet medications (Dang Gui and Bai Shao combined anticoagulant effects - primary concern), corticosteroids (Gan Cao glycyrrhizin effects), antihypertensive medications (Gan Cao fluid-retaining tendency), and hepatically metabolized medications in animals with pre-existing liver conditions (Chai Hu saikosaponin monitoring). Because vomiting in dogs and cats can indicate conditions requiring urgent veterinary attention, including obstruction, pancreatitis, toxin ingestion, and metabolic disease, veterinary diagnosis before initiating this formula is important. Your authorizing veterinarian will determine appropriateness based on your pet's condition, current medications, tongue quality, pulse character, and constitutional assessment.\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: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" style=\"color: rgb(0, 0, 0);\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\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 digestive signs indicate the liver overacting on spleen and stomach pattern that Bupleurum Harmonize Stomach addresses?\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, the liver overacting on the spleen and stomach pattern produces characteristic digestive signs that reflect the stomach's inability to descend and the spleen's inability to transform effectively. The most distinctive signs are vomiting - particularly when bile is present, as bile-containing vomit indicates stomach qi rebelliously ascending rather than descending - along with gurgling abdominal sounds reflecting the disrupted qi movement in the middle jiao, and a picky or poor appetite reflecting the spleen's weakened receiving and transforming function. These signs may be continuous or sporadic, often worsening with stress, environmental change, or frustration, which directly provokes the liver qi stagnation. The constitutional profile is also characteristic: dogs with this pattern are often high-energy, high-arousal, athletic, and reactive, and their constitution predisposes them to liver qi constraint. The tongue may show a slightly tense or tight body with a thin coating, and the pulse is characteristically wiry, reflecting the liver qi constraint. These signs distinguish the liver overacting pattern from simple spleen vacuity or stomach yin vacuity patterns.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Bupleurum Harmonize Stomach administered to dogs, cats, and horses?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eMix the powder into food or feed at the dose recommended for your pet's species and body weight. The Canine Blend (75 g, 150 g, 500 g) is used for dogs and cats; the Equine Blend (900 g, 1200 g) is used for horses with dosing provided by your authorizing veterinarian. Because this formula contains Dang Gui and Bai Shao with combined anticoagulant effects, veterinary review of all current medications is important before use in animals on anticoagulant or antiplatelet medications. Animals with pre-existing liver conditions should have Chai Hu use monitored by their veterinarian. Because vomiting can indicate conditions requiring immediate veterinary attention (obstruction, pancreatitis, toxin ingestion), veterinary assessment before starting this formula is essential to confirm liver qi overacting on the spleen and stomach as the underlying cause.\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 with Bupleurum Harmonize Stomach?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eAs a formula that addresses both acute liver qi stagnation (branch) and underlying liver blood insufficiency and spleen weakness (root), Bupleurum Harmonize Stomach works on two timeframes. The liver qi-coursing herbs (Chai Hu, Bo He) may provide relatively earlier improvement in the acute digestive signs, with some reduction in vomiting frequency, appetite improvement, and reduction in abdominal gurgling potentially seen within 2 to 4 weeks as the liver constraint is relieved and the stomach qi begins to descend more normally. The deeper liver blood-nourishing and spleen-strengthening strategy (Dang Gui, Bai Shao, Bai Zhu, Fu Ling) requires sustained treatment over 6 to 12 weeks to meaningfully address the constitutional blood insufficiency and spleen weakness that underlie the pattern and provide more lasting digestive stability. Long-term use under veterinary supervision is often appropriate for animals with a constitutional propensity for this pattern, particularly high-arousal dogs for whom liver qi stagnation is a recurring tendency. Your authorizing veterinarian will monitor tongue quality, pulse, and clinical signs throughout.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eCan Bupleurum Harmonize Stomach be used for horses as well as dogs and cats?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eYes, Bupleurum Harmonize Stomach is available in both a Canine Blend (75 g, 150 g, 500 g) for dogs and cats and an Equine Blend (900 g, 1200 g) for horses. The liver overacting on spleen and stomach pattern occurs in horses and companion animals, and Xiao Yao San is used in equine TCVM practice for horses presenting with the characteristic signs of liver qi stagnation affecting the digestive system. Equine dosing is determined by your authorizing veterinarian based on the horse's body weight, clinical presentation, tongue quality, and pulse character. Drug interaction considerations for horses are the same as for dogs and cats: the primary concern is the anticoagulant effects of Dang Gui and Bai Shao, along with Gan Cao's glycyrrhizin content in horses on corticosteroids. Your authorizing veterinarian will provide equine-specific dosing and monitoring guidance.\u003c\/span\u003e\u003c\/p\u003e"}