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Herbsmith Rx Bai He Gu Jin San is a classical Chinese herbal formula recommended by holistic veterinarians to nourish the yin, moisten the lungs, transform phlegm, and address dry, persistent coughing from lung yin vacuity in cats, dogs, and horses. Also known as Lily Bulb to Preserve the Metal, Lilium Teapills, Lily Combination, and Lily Preserve Metal, Bai He Gu Jin San is one of the most important classical Chinese formulas for the lung yin vacuity pattern with dryness coughing, where insufficient lung yin fails to moisten the lung passages, generating dry cough, hoarseness, dryness of the throat and respiratory passages, and the characteristic dry or scanty phlegm that accompanies yin-deficient respiratory patterns. The formula's name (Preserve the Metal) reflects its role in protecting the lung (the metal organ) by nourishing the yin and moisture that the lung requires to maintain its descending and diffusing function. The ten-herb formula addresses the lung yin vacuity pattern through three simultaneous therapeutic strategies: nourishing the lung and kidney yin and moistening the lung passages to address the root yin insufficiency (Bai He, Sheng Di Huang, Shu Di Huang, Mai Men Dong, Xuan Shen), transforming phlegm and directing the lung qi downward to address the symptomatic coughing (Bei Mu, Jie Geng), and nourishing the blood, softening the liver, and harmonizing the formula (Dang Gui, Bai Shao, Gan Cao). Well suited for dogs, cats, and horses presenting with the lung yin vacuity pattern, characterized by a dry, persistent, or unproductive cough; dryness of the throat and respiratory passages; scanty or sticky phlegm or mucus; a red tongue with little or no coating reflecting yin vacuity and dryness; and a thin or thin-rapid pulse. Available as a concentrated powder mixed into food; dogs and cats use the Canine Blend, while horses use the Equine/Horse Blend. Dosing varies by species and body weight, and your authorizing veterinarian will provide specific guidance.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
For Dogs (Canine Blend Powder):
For Cats (Canine Blend Powder): ¼ tsp twice daily, or as prescribed
For Horses (Equine/Horse Blend, 1,000 lb horse): Two tablespoons twice daily for 20 days, then two tablespoons once daily in grain. If the horse initially refuses, start with a small amount mixed into grain and gradually increase. Most horses will readily accept the herbs in their grain.
Active Ingredients: Bai He (Bulbus Lilii), Sheng Di Huang (Radix Rehmanniae Glutinosae), Shu Di Huang (Radix Rehmanniae Glutinosae Conquitae), Mai Men Dong (Tuber Ophiopogonis Japonici), Xuan Shen (Radix Scrophulariae Ningpoensis), Bei Mu (Bulbus Fritillariae), Jie Geng (Radix Platycodi Grandiflori), Dang Gui (Radix Angelicae Sinensis), Bai Shao (Radix Paeoniae Lactiflorae), Gan Cao (Radix Glycyrrhizae Uralensis)
Inactive Ingredient: Flaxseed
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Bai He Gu Jin San is a ten-herb formula organized around three therapeutic strategies: lung and kidney yin nourishment with lung moistening (Bai He, Sheng Di Huang, Shu Di Huang, Mai Men Dong, Xuan Shen), phlegm transformation and lung qi diffusing (Bei Mu, Jie Geng), and blood nourishment with formula harmonization (Dang Gui, Bai Shao, Gan Cao):
Bai He Gu Jin San has a moderate drug interaction profile centered on its blood-nourishing and yin-nourishing herbs. The primary concern is the combined mild anticoagulant and antiplatelet effects of Dang Gui (ferulic acid and coumarin content) and Bai Shao (paeoniflorin content), which warrant monitoring in animals on warfarin, heparin, aspirin, clopidogrel, or other anticoagulant or antiplatelet medications, as the combined blood-moving and blood-activating effects could compound the medication's anticoagulant action. Secondary concerns include Gan Cao's glycyrrhizin-based mineralocorticoid-like effects (monitoring warranted with corticosteroids, where additive fluid retention and electrolyte effects are possible, and antihypertensive medications, where the fluid-retaining tendency could counteract the medication); and the rich, cold-natured yin-nourishing herbs (Sheng Di Huang, Shu Di Huang, Mai Men Dong) potentially impairing the middle jiao's transforming function in animals with significant spleen qi vacuity, which could affect the absorption and metabolism of oral medications.
Medication categories warranting extra caution: anticoagulant and antiplatelet medications (Dang Gui and Bai Shao combined effects - primary concern), corticosteroids (Gan Cao glycyrrhizin additive mineralocorticoid effects), antihypertensive medications (Gan Cao fluid-retaining tendency), and oral medications requiring consistent absorption in animals with spleen qi vacuity (rich yin-nourishing herbs' potential middle jiao impairment). Because this formula's rich yin-nourishing herbs are incompatible with active exterior patterns (wind-cold, wind-heat) and phlegm-damp accumulation, veterinary confirmation of the lung yin vacuity pattern is particularly important before initiating use. Your authorizing veterinarian will determine appropriateness based on your animal's condition, current medications, tongue quality, pulse character, and clinical assessment of the cough character and respiratory signs.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
In Traditional Chinese Veterinary Medicine, Bai He Gu Jin San is indicated for the lung yin vacuity pattern with dry coughing and scanty phlegm. The clinical presentation centers on a dry, persistent, or unproductive cough with little or no phlegm, or with scanty sticky phlegm that is difficult to expectorate; dryness or hoarseness of the throat and respiratory passages; a red tongue with little or no coating reflecting the yin vacuity and dryness; and a thin or thin-rapid pulse. This formula is suited for chronic or subacute coughing with clear yin vacuity signs, not for acute coughing from exterior wind patterns or for coughing with abundant phlegm from phlegm-heat or phlegm-damp accumulation. Your authorizing veterinarian will confirm the lung yin vacuity pattern through tongue and pulse examination and assessment of the cough character and respiratory signs.
Mix the powder into food or grain at the dose recommended for your animal's species and body weight. Dogs and cats use the Canine Blend; horses use the Equine/Horse Blend. All species receive the formula twice daily, with horses following the standard 20-day twice-daily loading protocol before transitioning to once-daily maintenance dosing. Because Bai He Gu Jin San contains Dang Gui and Bai Shao with mild anticoagulant and antiplatelet effects, we recommend veterinary review of all current medications before use, particularly in animals on anticoagulant medications. The formula's rich, cold-natured yin-nourishing herbs are not appropriate for animals with active exterior patterns (current wind-cold or wind-heat infection) or with significant phlegm-damp accumulation; pattern confirmation by your authorizing veterinarian is important before initiating use.
As a formula addressing the deep yin level, Bai He Gu Jin San typically requires sustained treatment before significant improvement is seen, since nourishing the yin and rebuilding the lung's fluid reserves is a gradual process. Early improvement in the most responsive signs (reduced frequency of coughing episodes, decreased throat dryness, improved moisture in the respiratory passages) may be seen within 3 to 4 weeks in subacute cases. Significant improvement in the tongue coating (from little or no coating toward a thin white coating returning) and pulse quality (from thin-rapid toward less prominent) typically requires 6 to 10 weeks. Chronic lung yin vacuity with established dryness may require 3 to 6 months of treatment to fully rebuild the lung yin. Your authorizing veterinarian will monitor tongue, pulse, and respiratory signs throughout the treatment course.
Bai He Gu Jin San is appropriate for horses presenting with the lung yin vacuity pattern, including horses with dry, persistent coughing with little phlegm production, dryness of the upper respiratory passages, and the characteristic yin vacuity tongue and pulse signs. In horses, the lung yin vacuity pattern may appear in chronic lower airway conditions with dryness as a primary feature, prolonged illness depleting the lung yin, or constitutional yin vacuity with respiratory involvement. The formula is not appropriate for horses with abundant phlegm production (where phlegm-clearing formulas are needed) or for horses with the lung phlegm-heat pattern (where Bei Mu San or similar formulas addressing heat and phlegm accumulation are more appropriate). Because horses with respiratory conditions may have complex presentations involving multiple patterns, veterinary tongue and pulse assessment is essential to confirm the lung yin vacuity pattern before starting this formula.
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