{"id":6898112200774,"title":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses","handle":"herbsmith-rx-ban-xia-bai-zhu-tian-ma-san-for-dogs-and-horses","description":"\u003cdiv style=\"text-align: right;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\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\/span\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHerbsmith 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.\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\u003ePhlegm transformation and stomach harmonizing through Ban Xia as the chief herb:\u003c\/strong\u003e Dries dampness, transforms phlegm, harmonizes the stomach, descends the rebellious stomach qi, and arrests the upward-rushing turbid phlegm that generates dizziness and nausea through Ban Xia (pinellia rhizome, Rhizoma Pinelliae Ternatae). Ban Xia's acrid, warm nature enters the spleen, stomach, and lung channels to dry accumulated dampness and transform phlegm at the middle jiao level, while harmonizing the stomach and descending the rebellious qi generated by upward-rushing phlegm. As the formula's chief herb, Ban Xia provides the primary phlegm-drying and stomach-harmonizing action that addresses the pattern's immediate manifestation. Use the processed preparation (zhi ban xia) only; do not use raw ban xia. Generally well tolerated in processed form; the processed preparation is standard in all Herbsmith Rx formulations.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eInterior wind extinguishing and phlegm-wind calming through Tian Ma:\u003c\/strong\u003e Extinguishes interior wind, calms the liver, stops tremors and dizziness, and addresses the wind component of the phlegm-dampness generating wind pattern through Tian Ma (gastrodia rhizome, Rhizoma Gastrodiae Elatae). Tian Ma's sweet and neutral nature enters the liver channel to extinguish the interior wind generated by upward-rushing turbid phlegm in the head and upper body, calming the dizziness, head shaking, and vestibular disturbance that characterize the pattern. Tian Ma is the most important single herb in the classical materia medica for phlegm-wind patterns affecting the head and for extinguishing interior wind from the liver channel regardless of pattern origin. Gastrodin content with CNS activity; monitoring warranted in animals on CNS-modulating or anticonvulsant 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 strengthening and dampness drying through Bai Zhu:\u003c\/strong\u003e Strengthens the spleen qi, dries dampness, and addresses the root spleen vacuity that is failing to transform and transport the body's fluids into phlegm accumulation through Bai Zhu (white atractylodes rhizome, Rhizoma Atractylodis Macrocephalae). Bai Zhu's bitter, sweet, and warm nature enters the spleen and stomach channels to tonify the spleen qi and dry the accumulated dampness from the middle jiao level, addressing the root cause of the pattern - the spleen vacuity that is generating the dampness and phlegm accumulation - alongside the formula's symptomatic phlegm-transforming and wind-extinguishing strategies. Bai Zhu's spleen-strengthening and dampness-drying action is the formula's primary root-treatment component, distinguishing Ban Xia Bai Zhu Tian Ma San from purely symptomatic phlegm-clearing strategies. 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\u003eQi moving and phlegm resolving through Ju Hong:\u003c\/strong\u003e Moves the qi, dries dampness, resolves phlegm, and warms the middle jiao to support the formula's phlegm-transforming strategy through Ju Hong (red tangerine peel, Pericarpium Citri Erythrocarpae). Ju Hong's acrid, bitter, and warm nature enters the spleen and lung channels to move the qi in the middle jiao and resolve the phlegm accumulation through its qi-moving and damp-drying action, ensuring the phlegm is not only transformed but that the qi obstruction generating and maintaining the phlegm accumulation is also addressed. Ju Hong is the red (outer) portion of the tangerine peel with a stronger acrid and drying quality than the full Chen Pi; its use in this formula reflects the need for strong damp-drying and qi-moving action in the middle jiao. 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\u003eDampness draining and spleen strengthening through Fu Ling:\u003c\/strong\u003e Strengthens the spleen, drains dampness through the urine, calms the spirit, and supports Bai Zhu's root spleen-strengthening strategy through Fu Ling (poria, Sclerotium Poriae Cocos). Fu Ling's sweet and neutral nature enters the heart, spleen, and kidney channels to drain accumulated dampness through the urinary route while strengthening spleen qi, ensuring the dampness is eliminated from the body rather than simply transformed in the middle jiao. The Bai Zhu-Fu Ling pair is the formula's primary root-treatment strategy, addressing the spleen vacuity from the drying-strengthening direction (Bai Zhu) and the draining-eliminating direction (Fu Ling) simultaneously. 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\u003eFormula harmonization and spleen-stomach tonification through Gan Cao:\u003c\/strong\u003e Harmonizes the formula's herbs, tonifies the spleen qi and stomach, and moderates the harsh drying properties of Ban Xia and Ju Hong through Gan Cao (licorice root, Radix Glycyrrhizae Uralensis). Gan Cao's sweet and neutral nature enters all twelve channels to harmonize the formula's diverse herb actions and protect the middle jiao from the formula's strongly drying and dispersing herbs. Raw Gan Cao (as opposed to honey-fried Zhi Gan Cao) is specified here for its harmonizing and qi-tonifying action without the stronger warming and lung-moistening properties of the honey-fried preparation. Glycyrrhizin content has mineralocorticoid-like effects; long-term use warrants monitoring in animals with fluid retention or on corticosteroids and antihypertensive 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\u003eMiddle jiao warming and Ban Xia toxicity moderating through Sheng Jiang:\u003c\/strong\u003e Warms the middle jiao, harmonizes the stomach, reduces Ban Xia's residual alkaloid content, and supports the formula's stomach-harmonizing and nausea-arresting strategy through Sheng Jiang (fresh ginger rhizome, Rhizoma Zingiberis Officinalis Recens). Sheng Jiang's acrid and warm nature enters the spleen, stomach, and lung channels to warm the middle jiao against the cold-damp pattern, reduce Ban Xia's alkaloid content through its classical detoxifying interaction with the processed rhizome, and provide direct anti-nausea action through its stomach-harmonizing properties. 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\u003eSpleen qi nourishment and formula harmonization through Da Zao:\u003c\/strong\u003e Nourishes the spleen qi, moderates the drying herbs, and harmonizes the formula alongside Sheng Jiang through Da Zao (jujube fruit, Fructus Zizyphi Jujubae). Da Zao's sweet, warm nature enters the spleen, stomach, and heart channels to nourish spleen qi and provide sweetness to moderate the formula's bitter, acrid drying herbs, preventing the strongly drying herbs from over-drying and injuring the spleen's fluids. Generally well tolerated.\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 - phlegm-dampness generating wind pattern through the combined strategy of phlegm transformation and stomach harmonizing (Ban Xia, Ju Hong, Sheng Jiang), interior wind extinguishing (Tian Ma), and spleen strengthening with dampness draining to address the root (Bai Zhu, Fu Ling, Gan Cao, Da Zao):\u003c\/strong\u003e Addresses the phlegm-dampness generating wind pattern through three simultaneous therapeutic strategies that address both the branch manifestation and the root cause. Ban Xia dries dampness and transforms phlegm at the middle jiao level while harmonizing the stomach; Tian Ma extinguishes the interior wind that the ascending turbid phlegm generates in the head; Ju Hong moves the qi and resolves the phlegm; Sheng Jiang warms the middle and supports Ban Xia. Bai Zhu and Fu Ling address the root spleen vacuity generating dampness and phlegm; Gan Cao and Da Zao harmonize the formula and protect the spleen. Treatment Principles: strengthen the spleen, dry dampness, transform phlegm, extinguish interior wind, and harmonize the 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 liver yang rising with wind (where the formula's warm drying herbs would aggravate the liver yang and heat), kidney yin vacuity generating wind (requiring nourishing rather than drying strategies), and liver blood vacuity wind (requiring blood nourishment rather than phlegm transformation):\u003c\/strong\u003e Ban Xia Bai Zhu Tian Ma San is indicated specifically for interior wind from the phlegm-dampness generating wind pattern, not for liver yang rising (heat signs, red tongue, wiry-rapid pulse - where the formula's warm drying herbs would aggravate the yang), kidney yin vacuity wind (malnourishment signs, dry tongue, thin pulse - where the drying herbs would further deplete the yin), or liver blood vacuity wind (pale tongue, thin pulse, blood vacuity signs - where tonifying strategies are needed). The pale, swollen tongue with a white, greasy coating and the slippery pulse are key differentiating signs that confirm the phlegm-damp origin of the wind. Your authorizing veterinarian will confirm the phlegm-dampness-generating wind pattern through tongue and pulse examination and a comprehensive clinical assessment.\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, 500 g, 900 g, and 1200 g sizes; mix into food at the recommended dose for your pet's weight. Cats and dogs both use this blend.\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\/Horse Blend (for horses):\u003c\/strong\u003e Available in 150 g, 500 g, 900 g, and 1200 g sizes; mix into grain at the recommended dose for your horse.\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\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs under 30 lbs:\u003c\/strong\u003e ½ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs 30-80 lbs:\u003c\/strong\u003e 1 tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs 80-120 lbs:\u003c\/strong\u003e 1½ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs over 120 lbs:\u003c\/strong\u003e 2 tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Cats:\u003c\/strong\u003e ¼ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eEquine\/Horse Blend - 1,000 lb horse, initial dose:\u003c\/strong\u003e Two tablespoons twice daily, or as directed by your veterinarian. Continue the initial schedule for 20 days, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eEquine\/Horse Blend - 1,000 lb horse, maintenance dose:\u003c\/strong\u003e After the initial period, give two tablespoons once daily in grain, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIf the horse initially refuses, start with a small amount mixed into grain and gradually increase, or as directed by your veterinarian. Most horses will readily accept the herbs in their grain.\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 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)\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);\"\u003eBan 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):\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\u003eBan Xia (Rhizoma Pinelliae Ternatae) - Pinellia Rhizome (processed):\u003c\/strong\u003e Chief herb; dries dampness, transforms phlegm, harmonizes the stomach, and descends rebellious qi. Use processed form only. Processed preparation is standard in Herbsmith Rx formulations.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eTian Ma (Rhizoma Gastrodiae Elatae) - Gastrodia Rhizome:\u003c\/strong\u003e Extinguishes interior wind and calms dizziness, head shaking, and vestibular disturbance from ascending turbid phlegm-wind. Gastrodin content with CNS activity; monitoring warranted with CNS-modulating and anticonvulsant 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 (Rhizoma Atractylodis Macrocephalae) - White Atractylodes Rhizome:\u003c\/strong\u003e Strengthens the spleen qi and dries dampness; addresses the root spleen vacuity generating the phlegm-damp accumulation. 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\u003eJu Hong (Pericarpium Citri Erythrocarpae) - Red Tangerine Peel:\u003c\/strong\u003e Moves the qi, dries dampness, and resolves phlegm in the middle jiao; stronger drying action than full Chen Pi. 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 (Sclerotium Poriae Cocos) - Poria \/ Hoelen:\u003c\/strong\u003e Drains dampness through the urine and strengthens the spleen; eliminates dampness from the body alongside Bai Zhu's drying action. 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\u003eGan Cao (Radix Glycyrrhizae Uralensis) - Licorice Root:\u003c\/strong\u003e Harmonizes the formula, tonifies the spleen qi, and moderates the harsh drying properties of Ban Xia and Ju Hong. Glycyrrhizin content; monitoring warranted with corticosteroids and antihypertensive medications in 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\u003eSheng Jiang (Rhizoma Zingiberis Officinalis Recens) - Fresh Ginger Rhizome:\u003c\/strong\u003e Warms the middle jiao, harmonizes the stomach, reduces nausea, and moderates Ban Xia's residual alkaloid content. 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\u003eDa Zao (Fructus Zizyphi Jujubae) - Jujube Fruit \/ Chinese Date:\u003c\/strong\u003e Nourishes the spleen qi and moderates the formula's drying herbs; prevents over-drying of the spleen's fluids. Generally well tolerated.\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);\"\u003eBan Xia Bai Zhu Tian Ma San contains wind-extinguishing herbs, including Tian Ma, and licorice root (Gan Cao), which warrant consideration when reviewing medications. Pets taking prescription medications should use this formula under veterinary supervision because herb-drug interaction research in dogs and cats is limited. Horses taking prescription medications should also have their veterinarian review the formula before use. Use processed Ban Xia only; do not use preparations containing raw Ban Xia.\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 include anticonvulsant and other CNS-modulating medications, corticosteroids, and antihypertensive medications. Veterinary confirmation of the phlegm-dampness generating wind pattern is important because the formula's warm, drying herbs may be inappropriate for liver yang rising, kidney yin vacuity, or liver blood vacuity patterns. Your authorizing veterinarian can determine appropriateness based on your animal's condition, current medications, and laboratory results, together with tongue, pulse, and clinical 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 conditions is Ban Xia Bai Zhu Tian Ma San 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, 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.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Ban Xia Bai Zhu Tian Ma San 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 grain. Dogs and cats use the Canine Blend. For dogs under 30 lbs, give ½ tsp twice daily, or as directed by your veterinarian. For dogs 30-80 lbs, give 1 tsp twice daily, or as directed by your veterinarian. For dogs 80-120 lbs, give 1½ tsp twice daily, or as directed by your veterinarian. For dogs over 120 lbs, give 2 tsp twice daily, or as directed by your veterinarian. For cats, give ¼ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHorses use the Equine\/Horse Blend. For a 1,000 lb horse, give two tablespoons twice daily, or as directed by your veterinarian. Continue the initial schedule for 20 days, or as directed by your veterinarian. Then give two tablespoons once daily in grain, or as directed by your veterinarian. If the horse initially refuses, start with a small amount mixed into grain and gradually increase, or as directed by your veterinarian. Veterinary review of all current medications, particularly anticonvulsant or CNS-modulating medications, is important before use. The formula's warm, drying nature makes pattern confirmation important; it is not appropriate for animals with heat signs, yin vacuity, or liver yang rising patterns.\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 Ban Xia Bai Zhu Tian Ma San?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eResults 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, or as directed by your veterinarian. Your authorizing veterinarian will monitor tongue, 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);\"\u003eIs Ban Xia Bai Zhu Tian Ma San appropriate for all types of dizziness or vestibular signs in pets?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNo - 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.\u003c\/span\u003e\u003c\/p\u003e","published_at":"2022-05-20T18:00:10-05:00","created_at":"2022-04-28T11:50:30-05:00","vendor":"Herbsmith Rx","type":"Pet Vitamins \u0026 Supplements","tags":["Herb_Type_Powder","Product_Type_Herb","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":40690807799878,"title":"Poweder - Canine Blend \/ 75 g Powder","option1":"Poweder - Canine Blend","option2":"75 g Powder","option3":null,"sku":"HBBX-75","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Poweder - Canine Blend \/ 75 g Powder","public_title":"Poweder - Canine Blend \/ 75 g Powder","options":["Poweder - Canine Blend","75 g Powder"],"price":7000,"weight":75,"compare_at_price":null,"inventory_management":null,"barcode":"810210021837","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40690807832646,"title":"Poweder - Canine Blend \/ 150 g Powder","option1":"Poweder - Canine Blend","option2":"150 g Powder","option3":null,"sku":"HBBX-150","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Poweder - Canine Blend \/ 150 g Powder","public_title":"Poweder - Canine Blend \/ 150 g Powder","options":["Poweder - Canine Blend","150 g Powder"],"price":8400,"weight":75,"compare_at_price":null,"inventory_management":null,"barcode":"810210021844","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40690807865414,"title":"Poweder - Canine Blend \/ 500 g Powder","option1":"Poweder - Canine Blend","option2":"500 g Powder","option3":null,"sku":"HBBX-500","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Poweder - Canine Blend \/ 500 g Powder","public_title":"Poweder - Canine Blend \/ 500 g Powder","options":["Poweder - Canine Blend","500 g Powder"],"price":14200,"weight":75,"compare_at_price":null,"inventory_management":null,"barcode":"810210021851","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40690807898182,"title":"Poweder - Canine Blend \/ 900 g Powder","option1":"Poweder - Canine Blend","option2":"900 g Powder","option3":null,"sku":"HBBX-900","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Poweder - Canine Blend \/ 900 g Powder","public_title":"Poweder - Canine Blend \/ 900 g Powder","options":["Poweder - Canine Blend","900 g Powder"],"price":17700,"weight":75,"compare_at_price":null,"inventory_management":null,"barcode":"810210021868","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40690807930950,"title":"Poweder - Canine Blend \/ 1200 g Powder","option1":"Poweder - Canine Blend","option2":"1200 g Powder","option3":null,"sku":"HBBX-1200","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Poweder - Canine Blend \/ 1200 g Powder","public_title":"Poweder - Canine Blend \/ 1200 g Powder","options":["Poweder - Canine Blend","1200 g Powder"],"price":22200,"weight":75,"compare_at_price":null,"inventory_management":null,"barcode":"810210021875","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40018639650886,"title":"Powder - Equine\/Horse Blend \/ 150 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"150 g Powder","option3":null,"sku":"HEBX-150","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Powder - Equine\/Horse Blend \/ 150 g Powder","public_title":"Powder - Equine\/Horse Blend \/ 150 g Powder","options":["Powder - Equine\/Horse Blend","150 g Powder"],"price":8400,"weight":150,"compare_at_price":null,"inventory_management":null,"barcode":"810210021882","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40018639683654,"title":"Powder - Equine\/Horse Blend \/ 500 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"500 g Powder","option3":null,"sku":"HEBX-500","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Powder - Equine\/Horse Blend \/ 500 g Powder","public_title":"Powder - Equine\/Horse Blend \/ 500 g Powder","options":["Powder - Equine\/Horse Blend","500 g Powder"],"price":14200,"weight":500,"compare_at_price":null,"inventory_management":null,"barcode":"810210021899","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40018639716422,"title":"Powder - Equine\/Horse Blend \/ 900 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"900 g Powder","option3":null,"sku":"HEBX-900","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Powder - Equine\/Horse Blend \/ 900 g Powder","public_title":"Powder - Equine\/Horse Blend \/ 900 g Powder","options":["Powder - Equine\/Horse Blend","900 g Powder"],"price":17700,"weight":900,"compare_at_price":null,"inventory_management":null,"barcode":"810210021905","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40018639749190,"title":"Powder - Equine\/Horse Blend \/ 1200 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"1200 g Powder","option3":null,"sku":"HEBX-1200","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs, Cats and Horses - Powder - Equine\/Horse Blend \/ 1200 g Powder","public_title":"Powder - Equine\/Horse Blend \/ 1200 g Powder","options":["Powder - Equine\/Horse Blend","1200 g Powder"],"price":22200,"weight":1200,"compare_at_price":null,"inventory_management":null,"barcode":"810210021912","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}}],"images":["\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_37938348-7364-4ce5-98b2-105012d4e006-sw.jpg?v=1665239677","\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_98428f01-f890-4fca-a56c-edf48d1c9f10-sw.jpg?v=1665239548"],"featured_image":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_37938348-7364-4ce5-98b2-105012d4e006-sw.jpg?v=1665239677","options":["Herb Type","Herb Size"],"media":[{"alt":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs and Horses Package Front \u0026 Herb Display","id":21966531788870,"position":1,"preview_image":{"aspect_ratio":1.638,"height":260,"width":426,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_37938348-7364-4ce5-98b2-105012d4e006-sw.jpg?v=1665239677"},"aspect_ratio":1.638,"height":260,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_37938348-7364-4ce5-98b2-105012d4e006-sw.jpg?v=1665239677","width":426},{"alt":"Herbsmith Rx Ban Xia Bai Zhu Tian Ma San for Dogs and Horses Herbal Powder","id":21966531821638,"position":2,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_98428f01-f890-4fca-a56c-edf48d1c9f10-sw.jpg?v=1665239548"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_98428f01-f890-4fca-a56c-edf48d1c9f10-sw.jpg?v=1665239548","width":960}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"\u003cdiv style=\"text-align: right;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\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\/span\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHerbsmith 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.\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\u003ePhlegm transformation and stomach harmonizing through Ban Xia as the chief herb:\u003c\/strong\u003e Dries dampness, transforms phlegm, harmonizes the stomach, descends the rebellious stomach qi, and arrests the upward-rushing turbid phlegm that generates dizziness and nausea through Ban Xia (pinellia rhizome, Rhizoma Pinelliae Ternatae). Ban Xia's acrid, warm nature enters the spleen, stomach, and lung channels to dry accumulated dampness and transform phlegm at the middle jiao level, while harmonizing the stomach and descending the rebellious qi generated by upward-rushing phlegm. As the formula's chief herb, Ban Xia provides the primary phlegm-drying and stomach-harmonizing action that addresses the pattern's immediate manifestation. Use the processed preparation (zhi ban xia) only; do not use raw ban xia. Generally well tolerated in processed form; the processed preparation is standard in all Herbsmith Rx formulations.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eInterior wind extinguishing and phlegm-wind calming through Tian Ma:\u003c\/strong\u003e Extinguishes interior wind, calms the liver, stops tremors and dizziness, and addresses the wind component of the phlegm-dampness generating wind pattern through Tian Ma (gastrodia rhizome, Rhizoma Gastrodiae Elatae). Tian Ma's sweet and neutral nature enters the liver channel to extinguish the interior wind generated by upward-rushing turbid phlegm in the head and upper body, calming the dizziness, head shaking, and vestibular disturbance that characterize the pattern. Tian Ma is the most important single herb in the classical materia medica for phlegm-wind patterns affecting the head and for extinguishing interior wind from the liver channel regardless of pattern origin. Gastrodin content with CNS activity; monitoring warranted in animals on CNS-modulating or anticonvulsant 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 strengthening and dampness drying through Bai Zhu:\u003c\/strong\u003e Strengthens the spleen qi, dries dampness, and addresses the root spleen vacuity that is failing to transform and transport the body's fluids into phlegm accumulation through Bai Zhu (white atractylodes rhizome, Rhizoma Atractylodis Macrocephalae). Bai Zhu's bitter, sweet, and warm nature enters the spleen and stomach channels to tonify the spleen qi and dry the accumulated dampness from the middle jiao level, addressing the root cause of the pattern - the spleen vacuity that is generating the dampness and phlegm accumulation - alongside the formula's symptomatic phlegm-transforming and wind-extinguishing strategies. Bai Zhu's spleen-strengthening and dampness-drying action is the formula's primary root-treatment component, distinguishing Ban Xia Bai Zhu Tian Ma San from purely symptomatic phlegm-clearing strategies. 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\u003eQi moving and phlegm resolving through Ju Hong:\u003c\/strong\u003e Moves the qi, dries dampness, resolves phlegm, and warms the middle jiao to support the formula's phlegm-transforming strategy through Ju Hong (red tangerine peel, Pericarpium Citri Erythrocarpae). Ju Hong's acrid, bitter, and warm nature enters the spleen and lung channels to move the qi in the middle jiao and resolve the phlegm accumulation through its qi-moving and damp-drying action, ensuring the phlegm is not only transformed but that the qi obstruction generating and maintaining the phlegm accumulation is also addressed. Ju Hong is the red (outer) portion of the tangerine peel with a stronger acrid and drying quality than the full Chen Pi; its use in this formula reflects the need for strong damp-drying and qi-moving action in the middle jiao. 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\u003eDampness draining and spleen strengthening through Fu Ling:\u003c\/strong\u003e Strengthens the spleen, drains dampness through the urine, calms the spirit, and supports Bai Zhu's root spleen-strengthening strategy through Fu Ling (poria, Sclerotium Poriae Cocos). Fu Ling's sweet and neutral nature enters the heart, spleen, and kidney channels to drain accumulated dampness through the urinary route while strengthening spleen qi, ensuring the dampness is eliminated from the body rather than simply transformed in the middle jiao. The Bai Zhu-Fu Ling pair is the formula's primary root-treatment strategy, addressing the spleen vacuity from the drying-strengthening direction (Bai Zhu) and the draining-eliminating direction (Fu Ling) simultaneously. 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\u003eFormula harmonization and spleen-stomach tonification through Gan Cao:\u003c\/strong\u003e Harmonizes the formula's herbs, tonifies the spleen qi and stomach, and moderates the harsh drying properties of Ban Xia and Ju Hong through Gan Cao (licorice root, Radix Glycyrrhizae Uralensis). Gan Cao's sweet and neutral nature enters all twelve channels to harmonize the formula's diverse herb actions and protect the middle jiao from the formula's strongly drying and dispersing herbs. Raw Gan Cao (as opposed to honey-fried Zhi Gan Cao) is specified here for its harmonizing and qi-tonifying action without the stronger warming and lung-moistening properties of the honey-fried preparation. Glycyrrhizin content has mineralocorticoid-like effects; long-term use warrants monitoring in animals with fluid retention or on corticosteroids and antihypertensive 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\u003eMiddle jiao warming and Ban Xia toxicity moderating through Sheng Jiang:\u003c\/strong\u003e Warms the middle jiao, harmonizes the stomach, reduces Ban Xia's residual alkaloid content, and supports the formula's stomach-harmonizing and nausea-arresting strategy through Sheng Jiang (fresh ginger rhizome, Rhizoma Zingiberis Officinalis Recens). Sheng Jiang's acrid and warm nature enters the spleen, stomach, and lung channels to warm the middle jiao against the cold-damp pattern, reduce Ban Xia's alkaloid content through its classical detoxifying interaction with the processed rhizome, and provide direct anti-nausea action through its stomach-harmonizing properties. 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\u003eSpleen qi nourishment and formula harmonization through Da Zao:\u003c\/strong\u003e Nourishes the spleen qi, moderates the drying herbs, and harmonizes the formula alongside Sheng Jiang through Da Zao (jujube fruit, Fructus Zizyphi Jujubae). Da Zao's sweet, warm nature enters the spleen, stomach, and heart channels to nourish spleen qi and provide sweetness to moderate the formula's bitter, acrid drying herbs, preventing the strongly drying herbs from over-drying and injuring the spleen's fluids. Generally well tolerated.\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 - phlegm-dampness generating wind pattern through the combined strategy of phlegm transformation and stomach harmonizing (Ban Xia, Ju Hong, Sheng Jiang), interior wind extinguishing (Tian Ma), and spleen strengthening with dampness draining to address the root (Bai Zhu, Fu Ling, Gan Cao, Da Zao):\u003c\/strong\u003e Addresses the phlegm-dampness generating wind pattern through three simultaneous therapeutic strategies that address both the branch manifestation and the root cause. Ban Xia dries dampness and transforms phlegm at the middle jiao level while harmonizing the stomach; Tian Ma extinguishes the interior wind that the ascending turbid phlegm generates in the head; Ju Hong moves the qi and resolves the phlegm; Sheng Jiang warms the middle and supports Ban Xia. Bai Zhu and Fu Ling address the root spleen vacuity generating dampness and phlegm; Gan Cao and Da Zao harmonize the formula and protect the spleen. Treatment Principles: strengthen the spleen, dry dampness, transform phlegm, extinguish interior wind, and harmonize the 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 liver yang rising with wind (where the formula's warm drying herbs would aggravate the liver yang and heat), kidney yin vacuity generating wind (requiring nourishing rather than drying strategies), and liver blood vacuity wind (requiring blood nourishment rather than phlegm transformation):\u003c\/strong\u003e Ban Xia Bai Zhu Tian Ma San is indicated specifically for interior wind from the phlegm-dampness generating wind pattern, not for liver yang rising (heat signs, red tongue, wiry-rapid pulse - where the formula's warm drying herbs would aggravate the yang), kidney yin vacuity wind (malnourishment signs, dry tongue, thin pulse - where the drying herbs would further deplete the yin), or liver blood vacuity wind (pale tongue, thin pulse, blood vacuity signs - where tonifying strategies are needed). The pale, swollen tongue with a white, greasy coating and the slippery pulse are key differentiating signs that confirm the phlegm-damp origin of the wind. Your authorizing veterinarian will confirm the phlegm-dampness-generating wind pattern through tongue and pulse examination and a comprehensive clinical assessment.\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, 500 g, 900 g, and 1200 g sizes; mix into food at the recommended dose for your pet's weight. Cats and dogs both use this blend.\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\/Horse Blend (for horses):\u003c\/strong\u003e Available in 150 g, 500 g, 900 g, and 1200 g sizes; mix into grain at the recommended dose for your horse.\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\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs under 30 lbs:\u003c\/strong\u003e ½ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs 30-80 lbs:\u003c\/strong\u003e 1 tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs 80-120 lbs:\u003c\/strong\u003e 1½ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Dogs over 120 lbs:\u003c\/strong\u003e 2 tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eCanine Blend Powder - Cats:\u003c\/strong\u003e ¼ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eEquine\/Horse Blend - 1,000 lb horse, initial dose:\u003c\/strong\u003e Two tablespoons twice daily, or as directed by your veterinarian. Continue the initial schedule for 20 days, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eEquine\/Horse Blend - 1,000 lb horse, maintenance dose:\u003c\/strong\u003e After the initial period, give two tablespoons once daily in grain, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eIf the horse initially refuses, start with a small amount mixed into grain and gradually increase, or as directed by your veterinarian. Most horses will readily accept the herbs in their grain.\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 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)\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);\"\u003eBan 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):\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\u003eBan Xia (Rhizoma Pinelliae Ternatae) - Pinellia Rhizome (processed):\u003c\/strong\u003e Chief herb; dries dampness, transforms phlegm, harmonizes the stomach, and descends rebellious qi. Use processed form only. Processed preparation is standard in Herbsmith Rx formulations.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eTian Ma (Rhizoma Gastrodiae Elatae) - Gastrodia Rhizome:\u003c\/strong\u003e Extinguishes interior wind and calms dizziness, head shaking, and vestibular disturbance from ascending turbid phlegm-wind. Gastrodin content with CNS activity; monitoring warranted with CNS-modulating and anticonvulsant 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 (Rhizoma Atractylodis Macrocephalae) - White Atractylodes Rhizome:\u003c\/strong\u003e Strengthens the spleen qi and dries dampness; addresses the root spleen vacuity generating the phlegm-damp accumulation. 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\u003eJu Hong (Pericarpium Citri Erythrocarpae) - Red Tangerine Peel:\u003c\/strong\u003e Moves the qi, dries dampness, and resolves phlegm in the middle jiao; stronger drying action than full Chen Pi. 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 (Sclerotium Poriae Cocos) - Poria \/ Hoelen:\u003c\/strong\u003e Drains dampness through the urine and strengthens the spleen; eliminates dampness from the body alongside Bai Zhu's drying action. 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\u003eGan Cao (Radix Glycyrrhizae Uralensis) - Licorice Root:\u003c\/strong\u003e Harmonizes the formula, tonifies the spleen qi, and moderates the harsh drying properties of Ban Xia and Ju Hong. Glycyrrhizin content; monitoring warranted with corticosteroids and antihypertensive medications in 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\u003eSheng Jiang (Rhizoma Zingiberis Officinalis Recens) - Fresh Ginger Rhizome:\u003c\/strong\u003e Warms the middle jiao, harmonizes the stomach, reduces nausea, and moderates Ban Xia's residual alkaloid content. 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\u003eDa Zao (Fructus Zizyphi Jujubae) - Jujube Fruit \/ Chinese Date:\u003c\/strong\u003e Nourishes the spleen qi and moderates the formula's drying herbs; prevents over-drying of the spleen's fluids. Generally well tolerated.\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);\"\u003eBan Xia Bai Zhu Tian Ma San contains wind-extinguishing herbs, including Tian Ma, and licorice root (Gan Cao), which warrant consideration when reviewing medications. Pets taking prescription medications should use this formula under veterinary supervision because herb-drug interaction research in dogs and cats is limited. Horses taking prescription medications should also have their veterinarian review the formula before use. Use processed Ban Xia only; do not use preparations containing raw Ban Xia.\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 include anticonvulsant and other CNS-modulating medications, corticosteroids, and antihypertensive medications. Veterinary confirmation of the phlegm-dampness generating wind pattern is important because the formula's warm, drying herbs may be inappropriate for liver yang rising, kidney yin vacuity, or liver blood vacuity patterns. Your authorizing veterinarian can determine appropriateness based on your animal's condition, current medications, and laboratory results, together with tongue, pulse, and clinical 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 conditions is Ban Xia Bai Zhu Tian Ma San 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, 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.\u003c\/span\u003e\u003c\/p\u003e\n\u003ch3 style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHow is Ban Xia Bai Zhu Tian Ma San 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 grain. Dogs and cats use the Canine Blend. For dogs under 30 lbs, give ½ tsp twice daily, or as directed by your veterinarian. For dogs 30-80 lbs, give 1 tsp twice daily, or as directed by your veterinarian. For dogs 80-120 lbs, give 1½ tsp twice daily, or as directed by your veterinarian. For dogs over 120 lbs, give 2 tsp twice daily, or as directed by your veterinarian. For cats, give ¼ tsp twice daily, or as directed by your veterinarian.\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHorses use the Equine\/Horse Blend. For a 1,000 lb horse, give two tablespoons twice daily, or as directed by your veterinarian. Continue the initial schedule for 20 days, or as directed by your veterinarian. Then give two tablespoons once daily in grain, or as directed by your veterinarian. If the horse initially refuses, start with a small amount mixed into grain and gradually increase, or as directed by your veterinarian. Veterinary review of all current medications, particularly anticonvulsant or CNS-modulating medications, is important before use. The formula's warm, drying nature makes pattern confirmation important; it is not appropriate for animals with heat signs, yin vacuity, or liver yang rising patterns.\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 Ban Xia Bai Zhu Tian Ma San?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eResults 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, or as directed by your veterinarian. Your authorizing veterinarian will monitor tongue, 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);\"\u003eIs Ban Xia Bai Zhu Tian Ma San appropriate for all types of dizziness or vestibular signs in pets?\u003c\/span\u003e\u003c\/h3\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eNo - 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.\u003c\/span\u003e\u003c\/p\u003e"}