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Herbsmith Rx Mai Men Dong Tang is a classical Chinese herbal formula recommended by holistic veterinarians to benefit the stomach, generate fluids, and direct rebellious qi downward in dogs, cats, and horses. Comparable to Ophiopogon Combination and Ophiopogon Powder, it benefits the stomach yin, generates fluids, and directs rebellious stomach qi downward, addressing stomach yin deficiency with upward-rebelling stomach qi. A six-herb formula from Zhang Zhong Jing's classical Jin Gui Yao Lue, Mai Men Dong Tang is built around a very high dose of Mai Men Dong (ophiopogon) that profusely nourishes the stomach yin and generates fluids to replenish the yin consumed by chronic heat or illness, while a small amount of Zhi Ban Xia descends the rebellious stomach qi without drying the yin - the classical combination's defining clinical genius, where the large Mai Men Dong dose keeps the Ban Xia's drying action fully controlled while Ban Xia's downward qi-directing action addresses the rebellious qi and helps the yin-nourishing herbs penetrate the stomach more effectively. Ren Shen and Da Zao tonify the stomach and spleen qi; Jing Mi (nonglutinous rice) nourishes the stomach and protects the stomach lining; Gan Cao harmonizes. Well suited for dogs, cats, and horses presenting with stomach yin deficiency with rebellious qi, characterized by dry retching or vomiting, nausea, decreased appetite, dry mouth and throat, thirst with preference for small sips, a dry or peeled tongue or a tongue with a scanty coating reflecting the yin deficiency, and a thin, rapid pulse reflecting the yin-deficiency-and-heat pattern in the stomach. Available as a concentrated powder mixed into food; cats and dogs 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 until the horse is accustomed to the taste. Most horses will readily accept the herbs in their grain.
Active Ingredients: Mai Men Dong (Ophiopogonis Radix), Ren Shen (Ginseng Radix), Jing Mi (Nonglutinous Rice), Da Zao (Jujubae Fructus), Gan Cao (Glycyrrhizae Radix), Zhi Ban Xia (Pinelliae Rhizoma preparatum)
Inactive Ingredient: Flaxseed
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Mai Men Dong Tang is a six-herb formula from Zhang Zhong Jing's Jin Gui Yao Lue addressing stomach yin deficiency with rebellious qi through the classical strategy of profuse stomach yin nourishment combined with carefully dosed downward qi direction, built around the defining large-Mai-Men-Dong and small-Zhi-Ban-Xia proportion that is the formula's structural and clinical signature:
Mai Men Dong Tang contains Ren Shen (ginseng), which has documented interactions with warfarin and anticoagulant medications, antidiabetic medications (ginseng has blood glucose-lowering effects), stimulant medications, and MAO inhibitors, and warrants monitoring in animals on these pharmaceutical classes. Zhi Ban Xia, despite processing, retains mild mucous-membrane-irritating properties and warrants monitoring in animals with pre-existing gastrointestinal mucosal sensitivity. The formula is specifically indicated for the stomach yin deficiency with rebellious qi pattern and is not appropriate for vomiting or nausea from cold patterns, excess patterns, or food stagnation without the accompanying yin deficiency signs (dry peeled tongue, dry mouth, thin rapid pulse), where the formula's yin-nourishing and cool nature may not address the root pattern. Pets on anticoagulant, antidiabetic, or stimulant medications should discuss this formula with their veterinarian before use, as herb-drug interaction research in dogs, cats, and horses remains limited.
Medication categories warranting extra caution include anticoagulant and antiplatelet medications (Ren Shen's interaction with warfarin and anticoagulants), antidiabetic medications and insulin (Ren Shen's blood glucose-lowering effects), stimulant and cardiovascular medications (Ren Shen's qi-activating and cardiovascular effects), and medications requiring careful fluid balance monitoring. Your authorizing veterinarian will determine appropriateness based on your animal's condition, current medications, and whether the presenting vomiting or nausea pattern is the stomach yin deficiency with rebellious qi pattern for which Mai Men Dong Tang is indicated.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
In Traditional Chinese Veterinary Medicine, Mai Men Dong Tang is indicated for stomach yin deficiency with rebellious qi, presenting with dry retching or vomiting, nausea, decreased appetite, dry mouth and throat, thirst with preference for small sips, a dry or peeled tongue or a tongue with a scanty coating reflecting the yin deficiency, and a thin rapid pulse. Comparable to Ophiopogon Combination and Ophiopogon Powder, it is indicated specifically when the nausea and vomiting pattern is accompanied by the yin deficiency signs of dryness, thin rapid pulse, and depleted fluids rather than the excess, cold, or food stagnation patterns that require different formulas. It is particularly well suited for animals with chronic gastrointestinal nausea, vomiting, or decreased appetite following illness, prolonged heat exposure, or sustained fluid loss that has depleted the stomach yin.
Mix the powder directly 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. Dogs and cats receive the formula twice daily; horses receive two tablespoons twice daily for the first 20 days, then once daily for maintenance. If the horse initially refuses, start with a small amount mixed into grain and gradually increase until the horse is accustomed to the taste. Most horses will readily accept the herbs in their grain. Your authorizing veterinarian will confirm the appropriate dose and schedule for your individual animal and also confirm that adequate hydration support is in place alongside the herbal treatment, given the formula's indication for the fluid-depleted stomach yin deficiency pattern.
Because Mai Men Dong Tang addresses stomach yin deficiency - a pattern that typically develops gradually over time from chronic heat, illness, or fluid loss - rebuilding the depleted stomach yin requires a sustained treatment course. Many animals show improvement in nausea, vomiting frequency, and appetite within 2 to 4 weeks of consistent use as the rebellious qi is progressively descended and the stomach yin begins to be replenished. Sustained improvement in the underlying yin deficiency signs (tongue moisture, dry mouth, fluid balance) typically requires 2 to 3 months or more of continued use. Your veterinarian will monitor tongue quality, appetite, vomiting or retching frequency, hydration status, and body condition as indicators of the stomach yin deficiency's progressive resolution and the formula's effectiveness throughout the treatment course.
This is the most frequently asked clinical question about Mai Men Dong Tang, and the answer is the formula's defining classical insight. Ban Xia (pinellia) is normally warming and drying and would appear to contradict the formula's yin-nourishing purpose. Zhang Zhong Jing included Zhi Ban Xia at a small proportion specifically because stomach yin deficiency with rebellious qi cannot be resolved by yin nourishment alone - the rebellious qi must also be directed downward, and Ban Xia is one of the most effective downward qi-directing herbs available. The critical structural feature is that Ban Xia is used at a very small proportion relative to the large Mai Men Dong dose: the large amount of Mai Men Dong fully controls Ban Xia's drying nature, while Ban Xia's downward qi-directing action addresses the rebellious qi and helps the yin-nourishing herbs penetrate the stomach more effectively. This large-yin-tonic-to-small-qi-descender proportion is the formula's defining clinical architecture and the reason it works for a pattern that would otherwise seem to require opposing treatment strategies.
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