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Recommended by holistic veterinarians, Herbsmith Rx Ji Sheng Shen Qi Wan supports the traditional functions of warming Kidney Yang and regulating fluid transformation in dogs, cats, and horses with a veterinarian-confirmed Kidney Yang deficiency pattern with water accumulation. Also known as the Cyathula and Plantago Combination, this ten-herb formula combines a nourishing six-herb foundation with warming Fu Zi and Rou Gui, plus Chuan Niu Xi and Che Qian Zi for downward direction and fluid regulation. Traditional pattern features include cold intolerance, lower back or hindlimb weakness, dependent swelling, a pale, moist, swollen tongue, and a deep, weak, slow pulse. Changes in urination or swelling require clinical evaluation, not pattern assessment alone. Available as powder; dogs and cats use the Canine Blend, while horses use the Equine/Horse Blend. Dosing varies by species and body weight; your authorizing veterinarian will provide specific guidance.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
What It Supports
- Kidney Yang support: Fu Zi and Rou Gui provide traditional warming actions within a nourishing Yin and Essence foundation. TCVM Kidney patterns do not establish a biomedical kidney diagnosis or a replacement for renal care.
- Fluid transformation: Che Qian Zi, Ze Xie, and Fu Ling contribute traditional Dampness-draining and fluid-regulating actions. Swelling and reduced urine output still require investigation of their underlying cause.
- Yin and Essence foundation: Shu Di Huang, Shan Zhu Yu, and Shan Yao provide nourishing and consolidating support, balanced by Fu Ling, Mu Dan Pi, and Ze Xie.
- Lower-body direction: Chuan Niu Xi moves Blood and directs the formula downward, complementing the fluid-regulating strategy for the selected pattern.
TCVM Principles
- Primary action: Warm Kidney Yang, support Qi transformation, and regulate water accumulation in a confirmed deficiency-Cold pattern.
- Classical antecedent: Ji Sheng Shen Qi Wan augments the eight-herb Jin Gui Shen Qi Wan framework with Chuan Niu Xi and Che Qian Zi. The six-herb Liu Wei Di Huang Wan foundation supplies the nourishing and balancing scaffold.
- Pattern differentiation: Kidney Yin deficiency without Yang deficiency, Heat patterns, or swelling without the appropriate deficiency-Cold pattern calls for a different assessment. Do not choose this formula for edema or urinary changes based on symptoms alone.
- Contraindications: The existing listing contraindicates use in animals with cardiac arrhythmias, bradycardia, or heart block. Preserve this restriction unless the authorizing veterinarian and manufacturer clarify otherwise. Review pregnancy, nursing status, cardiac and renal status, and all medications before use.
- Prepared aconite warning: Fu Zi requires careful veterinary oversight. Processing does not make aconite risk-free or establish the finished product's alkaloid content. Stop administration immediately and seek urgent veterinary advice for suspected toxicity, including sudden weakness, excessive drooling, vomiting, collapse, or an abnormal heartbeat. Breathing difficulty or inability to pass urine requires emergency care.
Available Forms
- Powder - Canine Blend (dogs and cats): Listed in 75 g, 150 g, 500 g, 900 g, and 1200 g sizes; mix into food using the prescribed dose.
- Powder - Equine/Horse Blend (horses only): Listed in 150 g, 500 g, 900 g, and 1200 g sizes; mix into grain using the horse-specific directions.
Suggested Use
- Canine Blend Powder - Dogs under 30 lbs: ½ tsp twice daily, or as directed by your veterinarian.
- Canine Blend Powder - Dogs 30-80 lbs: 1 tsp twice daily, or as directed by your veterinarian.
- Canine Blend Powder - Dogs 80-120 lbs: 1½ tsp twice daily, or as directed by your veterinarian.
- Canine Blend Powder - Dogs over 120 lbs: 2 tsp twice daily, or as directed by your veterinarian.
- Canine Blend Powder - Cats: ¼ tsp twice daily, or as directed by your veterinarian.
- Equine/Horse Blend - 1,000 lb horse, initial dose: Two tablespoons twice daily mixed into grain, or as directed by your veterinarian. Continue the initial schedule for 20 days, or as directed by your veterinarian.
- Equine/Horse Blend - 1,000 lb horse, subsequent dose: After the initial period, two tablespoons once daily mixed into grain, or as directed by your veterinarian.
Mix the Canine Blend into food. If a horse initially refuses the Equine/Horse Blend, introduce a small amount in grain and gradually increase until accustomed to the taste, or as directed by your veterinarian. Confirm the dog dose at the overlapping 80 lb boundary before administration. These existing dose amounts are preserved, not independently manufacturer-verified. Veterinary authorization and medication review are required before starting. Continue only for the prescribed duration, or as directed by your veterinarian; do not assume the subsequent schedule authorizes indefinite use. Stop immediately and seek urgent veterinary advice for a suspected adverse reaction or aconite toxicity.
Ingredients
Active Ingredients: Shu Di Huang (Radix Rehmanniae Praeparata) - Prepared Rehmannia root; Shan Zhu Yu (Fructus Corni) - Cornus fruit; Shan Yao (Rhizoma Dioscoreae) - Chinese yam rhizome; Fu Ling (Poria) - Poria; Mu Dan Pi (Cortex Moutan) - Tree peony root bark; Ze Xie (Rhizoma Alismatis) - Water plantain rhizome; Fu Zi (Radix Aconiti Lateralis Praeparata) - Prepared aconite lateral root; Rou Gui (Cortex Cinnamomi) - Cinnamon bark; Chuan Niu Xi (Radix Cyathulae) - Cyathula root; Che Qian Zi (Semen Plantaginis) - Plantago seed.
Inactive Ingredient: Flaxseed.
Source confirmation: These ingredient designations are preserved from the existing listing. Several are pharmacognostic names rather than complete species identifications; confirm species, plant parts, preparation, proportions, and finished-product quality testing against the manufacturer label. The listing identifies prepared Fu Zi but does not establish its processing method or residual alkaloid levels. Do not substitute raw aconite. Che Qian Zi is retained as Plantago seed without assuming it is interchangeable with commercial psyllium.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Active Ingredient TCVM Actions
The ten ingredients form three complementary layers: the six-herb nourishing and balancing foundation, two Yang-warming herbs, and two downward-directing and fluid-regulating additions. The following describe traditional functions rather than guaranteed finished-product outcomes.
- Shu Di Huang (Radix Rehmanniae Praeparata) - Prepared Rehmannia Root: Nourishes Kidney Yin and Essence, supports Liver Blood, and fills the Marrow in the traditional framework. It supplies the nourishing foundation for the warming strategy; relative quantities are not supplied in this listing.
- Shan Zhu Yu (Fructus Corni) - Cornus Fruit: Nourishes Liver and Kidney and consolidates Essence. Its astringing role complements the nourishing foundation.
- Shan Yao (Rhizoma Dioscoreae) - Chinese Yam Rhizome: Tonifies Spleen, Lung, and Kidney Qi and Yin and stabilizes Essence. It links Middle Jiao support with the lower-body strategy.
- Fu Ling (Poria) - Poria: Strengthens the Spleen, leaches Dampness, and traditionally quiets the Spirit. Its role here complements the fluid-regulating group without independently establishing a calming indication.
- Mu Dan Pi (Cortex Moutan) - Tree Peony Root Bark: Cools Blood, clears deficiency Heat, and moves Blood. It provides a balancing and restraining contribution within the nourishing and warming framework.
- Ze Xie (Rhizoma Alismatis) - Water Plantain Rhizome: Promotes urination and drains Dampness in traditional practice. It balances the richer tonics and complements Fu Ling and Che Qian Zi.
- Fu Zi (Radix Aconiti Lateralis Praeparata) - Prepared Aconite Lateral Root: Traditionally warms Yang, disperses interior Cold, and warms the channels. This is a high-caution ingredient, not a home treatment for collapse or a cardiac emergency. Prepared status does not eliminate toxicity risk; cardiac contraindications and stop-immediately guidance apply.
- Rou Gui (Cortex Cinnamomi) - Cinnamon Bark: Warms Kidney Yang, disperses interior Cold, and warms the channels. It complements Fu Zi within the traditional warming layer without implying a proven thyroid-stimulating effect.
- Chuan Niu Xi (Radix Cyathulae) - Cyathula Root: Invigorates Blood, moves stasis, and conducts downward. Its identity is retained as Cyathula rather than silently substituting Huai Niu Xi or assigning the two herbs identical functions.
- Che Qian Zi (Semen Plantaginis) - Plantago Seed: Promotes urination, drains Dampness, and traditionally clears lower-jiao Damp-Heat. In this combination it contributes targeted fluid regulation alongside the warming and nourishing foundation.
Potential Drug Interactions
Herbsmith Rx Ji Sheng Shen Qi Wan contains prepared aconite, warming herbs, Blood-moving ingredients, and fluid-regulating herbs. Pets taking prescription medications should use it only under veterinary supervision because herb-drug interaction research in dogs and cats is limited. Horses taking prescriptions also require review. Fu Zi warrants particular attention because preparation does not eliminate cardioactive toxicity risk. The existing contraindications for arrhythmias, bradycardia, and heart block remain in place; the ingredient list alone does not establish finished-product alkaloid levels or the magnitude of individual interactions.
Medication categories warranting extra caution include cardiac medicines, digoxin and other cardiac glycosides, antiarrhythmics, beta-blockers, calcium channel blockers, diuretics, anticoagulant or antiplatelet medicines, thyroid medicines, and multiple concurrent prescriptions. Stop administration immediately and seek urgent veterinary advice for suspected toxicity or an abnormal heartbeat, sudden weakness, excessive drooling, vomiting, or collapse. Your veterinarian can determine appropriateness based on your animal's condition, current medications, and laboratory results, including cardiac and renal assessment and electrolyte status when relevant.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Frequently Asked Questions
What is Ji Sheng Shen Qi Wan used for in TCVM?
It supports a veterinarian-confirmed Kidney Yang deficiency pattern with water accumulation. Traditional features may include cold intolerance, lower back or hindlimb weakness, dependent swelling, a pale, moist, swollen tongue, and a deep, weak, slow pulse. Swelling and altered urination can also signal serious cardiac, renal, urinary, or other conditions requiring clinical investigation. A TCVM Kidney pattern is not the same as a diagnosis of kidney disease, and the formula does not replace prescribed care.
How is Ji Sheng Shen Qi Wan administered to dogs, cats, and horses?
Dogs and cats use the Canine Blend mixed into food. Dogs under 30 lbs receive ½ tsp twice daily, or as directed by your veterinarian. Dogs 30-80 lbs receive 1 tsp twice daily, or as directed by your veterinarian. Dogs 80-120 lbs receive 1½ tsp twice daily, or as directed by your veterinarian. Dogs over 120 lbs receive 2 tsp twice daily, or as directed by your veterinarian. Cats receive ¼ tsp twice daily, or as directed by your veterinarian. Confirm the dog dose at the overlapping 80 lb boundary.
For a 1,000 lb horse using the Equine/Horse Blend, give two tablespoons twice daily in grain, 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 initially refused, introduce a small amount in grain and gradually increase until accustomed to the taste, or as directed by your veterinarian. Continue only for the prescribed duration, or as directed by your veterinarian. Prepared aconite requires medication review and close veterinary oversight before any dose is started.
What safety checks and reassessment are needed?
The existing listing contraindicates use with arrhythmias, bradycardia, or heart block. Your veterinarian reviews cardiac and renal status, medications, hydration, swelling, urination, tolerance, and relevant laboratory results rather than relying on a fixed response timeline. Discuss pregnancy or nursing before use. Prepared aconite is not risk-free: stop immediately and seek urgent veterinary advice for suspected toxicity, including sudden weakness, drooling, vomiting, collapse, or an abnormal heartbeat. Breathing difficulty or inability to urinate is an emergency. Continue only for the prescribed duration, or as directed by your veterinarian.
How does Ji Sheng Shen Qi Wan differ from Jin Gui Shen Qi Wan?
Jin Gui Shen Qi Wan provides the eight-herb nourishing and Yang-warming framework. Ji Sheng Shen Qi Wan adds Chuan Niu Xi for downward direction and Blood movement and Che Qian Zi for fluid regulation, emphasizing the water-accumulation aspect of the selected pattern. This does not establish that the base formula is ineffective or that every animal with swelling should receive the augmented version. Your veterinarian chooses the formula and accompanying medical care from the full clinical assessment.
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