{"id":6902957113414,"title":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses","handle":"herbsmith-rx-sang-piao-xiao-san-for-cats-dogs-and-horses","description":"\u003cdiv style=\"text-align: right;\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0021\/2110\/5457\/files\/veterinary_authorizaton_required_for_tcvm_herbal_formulas_240x240.jpg?v=1787081808\" alt=\"Veterinary Authorization Required for TCVM Herbal Formulas - TCVM Pet Supply\" style=\"margin: 5px 5px 5px 5px; float: right;\"\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHerbsmith Rx Sang Piao Xiao San is a classical Chinese herbal formula recommended by holistic veterinarians to regulate and tonify the heart and kidneys, stabilize the essence, and stop leakage in dogs, cats, and horses. Comparable to Mantis Egg Case Formula and Mantis Cradle Teapills, it regulates and tonifies the heart and kidneys, stabilizes the essence, and stops leakage, addressing heart-kidney disharmony with spirit instability and failure to secure the lower jiao. One of the few classical TCVM formulas that simultaneously addresses the spirit, the essence, and urinary leakage through a combined heart-kidney tonifying and essence-astringing strategy, making it the formula of choice when heart-kidney disharmony has produced concurrent spirit unsettledness and failure of the kidney's securing and astringing function at the lower jiao. Well suited for pets and horses presenting with urinary incontinence, frequent urination, or dribbling urine alongside signs of spirit instability such as restlessness, anxiety, or poor sleep, with concurrent qi, blood, and yin deficiency producing fatigue, a pale or slightly red tongue, and a thin or frail pulse reflecting the heart-kidney disharmony underlying the pattern. 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.\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\u003eEssence stabilization and urinary leakage stopping:\u003c\/strong\u003e Stabilizes the kidney essence and stops urinary leakage using Sang Piao Xiao and Long Gu as the principal essence-astringing and lower-jiao-securing herbs, addressing the failure of the kidney's securing and astringing function that is producing the urinary incontinence, frequent urination, or dribbling urine of the pattern, restoring the kidney's ability to hold and astringe the essence and urine at the lower jiao.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHeart-kidney axis regulation and spirit settling:\u003c\/strong\u003e Regulates the heart-kidney axis and settles the spirit using Fu Shen, Yuan Zhi, and Chang Pu to calm the heart spirit and open the orifices, addressing the spirit instability that arises when the heart and kidney are no longer communicating and the kidney yin is insufficient to anchor the heart fire and calm the spirit, producing the restlessness, anxiety, or unsettled behavior that accompanies the urinary leakage pattern in animals with heart-kidney disharmony.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eKidney yin nourishment and yang anchoring:\u003c\/strong\u003e Nourishes the kidney yin and anchors the yang using Zhi Gui Ban's heavy yin-nourishing and yang-anchoring action, addressing the kidney yin deficiency that underlies the heart-kidney disharmony by replenishing the kidney yin needed to maintain the heart-kidney axis, anchor the heart fire, and prevent the upward floating of deficiency heat that unsettles the spirit and further disrupts the heart-kidney communication.\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 and blood tonification and constitutional support:\u003c\/strong\u003e Tonifies the qi and nourishes the blood using Ren Shen and Dang Gui, addressing the concurrent qi and blood deficiency that often accompanies chronic heart-kidney disharmony and essence instability in aging or debilitated animals, providing the constitutional support needed for the essence-astringing and spirit-settling herbs to take effect on a foundation of adequate qi and blood.\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 - essence astringing and heart-kidney regulation:\u003c\/strong\u003e Stabilizes the kidney essence and stops urinary leakage with the Sang Piao Xiao-Long Gu astringing pair targeting the lower jiao's securing function, and regulates the heart-kidney axis with Fu Shen (the spirit-calming, heart-rooted form of Poria), Yuan Zhi (the orifice-opening and heart-kidney-connecting herb), and Chang Pu (the aromatic orifice-opener that clears the spirit orifices and facilitates heart-kidney communication), providing the dual strategy of astringeing the leakage at the lower jiao while simultaneously restoring the heart-kidney communication and spirit stability at the upper jiao needed to address both dimensions of the heart-kidney disharmony pattern.\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 - yin nourishment, yang anchoring, and qi and blood support:\u003c\/strong\u003e Nourishes the kidney yin and anchors the yang with Zhi Gui Ban to address the yin deficiency root of the heart-kidney disharmony and prevent deficiency yang from floating upward to further unsettle the heart spirit; tonifies the yuan qi and calms the spirit with Ren Shen to provide the qi foundation for the essence-astringing action and support the heart's spirit-housing function; and nourishes the blood with Dang Gui to ensure the heart has adequate blood to house the spirit and the kidney has adequate yin and blood nourishment to restore the securing and astringing function at the lower jiao.\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 only):\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\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Dogs (Canine Blend Powder):\u003c\/strong\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnder 30 lbs: ½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30-80 lbs: 1 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e80-120 lbs: 1½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOver 120 lbs: 2 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Cats (Canine Blend Powder):\u003c\/strong\u003e ¼ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Horses (Equine\/Horse Blend, 1,000 lb horse):\u003c\/strong\u003e 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.\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 Sang Piao Xiao (Ootheca Mantidis), Long Gu (Os Draconis), Ren Shen (Radix Ginseng), Fu Shen (Sclerotium Poriae Cocos Pararadicis), Yuan Zhi (Radix Polygalae Tenuifoliae), Chang Pu (Rhizoma Acori Graminei), Zhi Gui Ban (Honey-fried Plastrum Testudinis), Dang Gui (Radix Angelicae Sinensis)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eInactive Ingredient:\u003c\/strong\u003e Flaxseed\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eVETERINARY AUTHORIZATION REQUIRED: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eActive Ingredient TCVM Actions\u003c\/h2\u003e\n\u003cp\u003eSang Piao Xiao San is an eight-herb formula addressing heart-kidney disharmony with essence instability and urinary leakage through three coordinated herb groups: an essence-astringing and lower-jiao-securing group, a heart-kidney regulating and spirit-settling group, and a yin-nourishing, qi-tonifying, and blood-nourishing support group:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eSang Piao Xiao (Ootheca Mantidis) - Mantis Egg Case:\u003c\/strong\u003e Principal herb; tonifies the kidney yang and essence, astringes the essence, and stops urinary leakage and frequent urination; the primary essence-securing and urinary-astringing herb of the formula, directly addressing the failure of the kidney's securing and astringing function at the lower jiao that produces the urinary incontinence, frequent urination, and essence leakage of the heart-kidney disharmony pattern, working with Long Gu to provide comprehensive essence astringing at the lower jiao.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLong Gu (Os Draconis) - Dragon Bone \/ Fossilized Bone:\u003c\/strong\u003e Settles the spirit, calms the liver, astringes the essence, and anchors the floating yang; the second essence-astringing herb of the formula with the additional action of settling the spirit and anchoring the floating yang, bridging the formula's essence-astringing and spirit-settling functions by addressing both the leakage at the lower jiao and the spirit instability at the upper jiao simultaneously, working with Sang Piao Xiao to astringe the essence and with Fu Shen and Yuan Zhi to settle the heart spirit.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRen Shen (Radix Ginseng) - Ginseng Root:\u003c\/strong\u003e Powerfully tonifies the yuan qi, calms the spirit, and generates fluids; the principal qi tonic of the formula, providing the qi foundation needed for the essence-astringing and spirit-settling herbs to take effect, tonifying the heart qi to support the heart's spirit-housing function, and calming the spirit through its direct effect on the heart and spirit alongside Fu Shen and Yuan Zhi.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFu Shen (Sclerotium Poriae Cocos Pararadicis) - Poria with Pine Root \/ Spirit Poria:\u003c\/strong\u003e Calms the heart spirit, quiets the mind, and strengthens the spleen; the specifically spirit-calming form of Poria that grows attached to the pine root, used in this formula rather than standard Fu Ling specifically for its stronger heart spirit-calming and mind-quieting properties, addressing the spirit instability and restlessness of the heart-kidney disharmony pattern at the heart level while simultaneously strengthening the spleen to support the qi and blood generation needed for the formula's tonic actions.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eYuan Zhi (Radix Polygalae Tenuifoliae) - Polygala Root \/ Senega Root:\u003c\/strong\u003e Calms the spirit, opens the heart orifices, expels phlegm, and facilitates heart-kidney communication; the orifice-opening and heart-kidney-connecting herb of the formula that facilitates the restoration of heart-kidney communication disrupted by the disharmony pattern, opening the heart orifices to allow the kidney water to communicate with and cool the heart fire, settling the spirit through both its direct calming action and its role in restoring the heart-kidney axis needed for sustained spirit stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eChang Pu (Rhizoma Acori Graminei) - Acorus Rhizome \/ Stone Calamus:\u003c\/strong\u003e Opens the orifices, transforms phlegm, and awakens the spirit; the aromatic orifice-opening herb that works with Yuan Zhi to clear the orifices and facilitate the heart-kidney communication and spirit clarity disrupted by the disharmony pattern, ensuring the heart orifices are open and the spirit can be stably housed in the heart as the formula's tonic and astringing herbs rebuild the kidney essence and restore the heart-kidney axis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eZhi Gui Ban (Honey-fried Plastrum Testudinis) - Honey-fried Tortoise Plastron:\u003c\/strong\u003e Nourishes the yin, anchors the yang, tonifies the kidney and heart, and clears deficiency heat; the principal yin-nourishing and yang-anchoring herb of the formula, addressing the kidney yin deficiency root of the heart-kidney disharmony by replenishing the kidney yin needed to anchor the heart fire, prevent deficiency yang from floating upward to further unsettle the spirit, and restore the water-fire balance between the kidney and heart that defines a functional heart-kidney axis. The honey-frying enhances its tonifying and nourishing properties.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDang Gui (Radix Angelicae Sinensis) - Dong Quai Root:\u003c\/strong\u003e Tonifies and invigorates the blood and nourishes the liver; provides blood nourishment to ensure the heart has adequate blood to house the spirit, and the formula's spirit-settling and essence-astringing actions are supported by a foundation of adequate yin and blood, working with Zhi Gui Ban's yin-nourishing action to provide both the yin and blood nourishment needed to address the deficiency underlying the heart-kidney disharmony and spirit instability pattern.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003ePotential Drug Interactions\u003c\/h2\u003e\n\u003cp\u003eSang Piao Xiao San contains Ren Shen (ginseng), which has known effects on platelet aggregation, blood glucose regulation, and certain hepatic enzyme pathways, and Zhi Gui Ban (tortoise plastron), which is a heavy yin-nourishing substance that may affect the absorption of concurrently administered pharmaceuticals when given in close proximity. Yuan Zhi has documented neurological activity and may interact with sedative, anxiolytic, or centrally acting medications. Pets on cardiac, antidiabetic, or anticoagulant medications, as well as sedatives or neurologically active pharmaceuticals, should use this formula under veterinary supervision, and herb-drug interaction research in dogs, cats, and horses remains limited.\u003c\/p\u003e\n\u003cp\u003eMedication categories warranting extra caution include sedative and anxiolytic medications (where Yuan Zhi's and Long Gu's spirit-settling actions may have additive effects), anticoagulant and antiplatelet medications, antidiabetic medications and insulin, cardiac medications, and hepatically metabolized pharmaceuticals. Your authorizing veterinarian will determine appropriateness based on your animal's condition, current medications, and laboratory results.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eVETERINARY AUTHORIZATION REQUIRED: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eWhat conditions is Sang Piao Xiao San used for in TCVM?\u003c\/h3\u003e\n\u003cp\u003eIn Traditional Chinese Veterinary Medicine, Sang Piao Xiao San is indicated for heart-kidney disharmony with spirit instability and failure of the kidney's securing and astringing function, presenting with urinary incontinence, frequent urination, or dribbling urine alongside signs of spirit unsettledness such as restlessness, anxiety, or disturbed sleep, with concurrent qi, blood, and yin deficiency reflecting the constitutional deficiency underlying the heart-kidney disharmony. Comparable to Mantis Egg Case Formula and Mantis Cradle Teapills, it is indicated when urinary leakage and spirit instability occur together as expressions of the same heart-kidney disharmony pattern rather than as independent conditions requiring separate treatment.\u003c\/p\u003e\n\u003ch3\u003eHow is Sang Piao Xiao San administered to dogs, cats, and horses?\u003c\/h3\u003e\n\u003cp\u003eMix 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 based on your animal's individual pattern, and will review the full medication list given the formula's spirit-settling herbs and their potential interaction with sedative or centrally acting medications.\u003c\/p\u003e\n\u003ch3\u003eHow long does it take to see results with Sang Piao Xiao San?\u003c\/h3\u003e\n\u003cp\u003eMany pets show improvement in urinary control and spirit calmness within 4 to 8 weeks of consistent use as kidney essence progressively stabilizes, heart-kidney communication is restored, and the spirit settles. Because heart-kidney disharmony with essence instability typically reflects a longstanding constitutional deficiency rather than an acute pattern, a longer course of 3 to 6 months or more is often needed to fully restore the kidney's securing function, rebuild the yin and blood needed to sustain the heart-kidney axis, and maintain improvement in both urinary continence and spirit stability over time. Your veterinarian will reassess the pattern periodically as the formula takes effect.\u003c\/p\u003e\n\u003ch3\u003eHow does Sang Piao Xiao San differ from other TCVM formulas for urinary incontinence?\u003c\/h3\u003e\n\u003cp\u003eSang Piao Xiao San is specifically indicated when urinary incontinence or leakage is accompanied by spirit instability as an expression of heart-kidney disharmony, distinguishing it from formulas that address urinary incontinence arising from kidney yang deficiency alone (such as Jin Suo Gu Jing Wan), kidney qi deficiency without the spirit component, or bladder damp-heat patterns. The formula's inclusion of spirit-settling herbs (Fu Shen, Yuan Zhi, Chang Pu, Long Gu) alongside essence-astringing herbs (Sang Piao Xiao, Long Gu) reflects its unique dual indication for lower jiao leakage and upper jiao spirit instability as concurrent expressions of the same heart-kidney disharmony root. Your authorizing veterinarian will determine which urinary formula best matches your animal's specific TCVM pattern based on whether the incontinence arises from kidney yang deficiency, heart-kidney disharmony, bladder damp-heat, or other concurrent patterns.\u003c\/p\u003e","published_at":"2022-05-20T18:02:40-05:00","created_at":"2022-05-04T09:49:03-05:00","vendor":"Herbsmith Rx","type":"Pet Vitamins \u0026 Supplements","tags":["Herb_Type_Powder","Species_Cat","Species_Dog","Species_Horse","Vendor_Herbsmith_Rx"],"price":7000,"price_min":7000,"price_max":22200,"available":true,"price_varies":true,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":40032645709894,"title":"Powder - Canine Blend \/ 75 g Powder","option1":"Powder - Canine Blend","option2":"75 g Powder","option3":null,"sku":"HBSP-75","requires_shipping":true,"taxable":true,"featured_image":{"id":29301807153222,"product_id":6902957113414,"position":2,"created_at":"2022-06-07T03:24:33-05:00","updated_at":"2022-06-07T03:24:34-05:00","alt":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses","width":960,"height":997,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_021d7c52-5ff0-4b6a-a673-e3eb2755b201.jpg?v=1654590274","variant_ids":[40032645709894]},"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses - 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Canine Blend \/ 150 g Powder","options":["Powder - Canine Blend","150 g Powder"],"price":8400,"weight":150,"compare_at_price":null,"inventory_management":null,"barcode":"180001137018","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645775430,"title":"Powder - Canine Blend \/ 500 g Powder","option1":"Powder - Canine Blend","option2":"500 g Powder","option3":null,"sku":"HBSP-500","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses - Powder - Canine Blend \/ 500 g Powder","public_title":"Powder - Canine Blend \/ 500 g Powder","options":["Powder - Canine Blend","500 g Powder"],"price":14200,"weight":500,"compare_at_price":null,"inventory_management":null,"barcode":"180001137025","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645808198,"title":"Powder - Canine Blend \/ 900 g Powder","option1":"Powder - Canine Blend","option2":"900 g Powder","option3":null,"sku":"HBSP-900","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses - Powder - Canine Blend \/ 900 g Powder","public_title":"Powder - Canine Blend \/ 900 g Powder","options":["Powder - Canine Blend","900 g Powder"],"price":17700,"weight":900,"compare_at_price":null,"inventory_management":null,"barcode":"180001137032","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645840966,"title":"Powder - Canine Blend \/ 1200 g Powder","option1":"Powder - Canine Blend","option2":"1200 g Powder","option3":null,"sku":"HBSP-1200","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses - Powder - Canine Blend \/ 1200 g Powder","public_title":"Powder - Canine Blend \/ 1200 g Powder","options":["Powder - Canine Blend","1200 g Powder"],"price":22200,"weight":1200,"compare_at_price":null,"inventory_management":null,"barcode":"180001137049","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645873734,"title":"Powder - Equine\/Horse Blend \/ 150 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"150 g Powder","option3":null,"sku":"HESP-150","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs 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":"180001137056","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645906502,"title":"Powder - Equine\/Horse Blend \/ 500 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"500 g Powder","option3":null,"sku":"HESP-500","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs 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":"180001137063","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645939270,"title":"Powder - Equine\/Horse Blend \/ 900 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"900 g Powder","option3":null,"sku":"HESP-900","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs 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":"180001137070","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}},{"id":40032645972038,"title":"Powder - Equine\/Horse Blend \/ 1200 g Powder","option1":"Powder - Equine\/Horse Blend","option2":"1200 g Powder","option3":null,"sku":"HESP-1200","requires_shipping":true,"taxable":true,"featured_image":null,"available":true,"name":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs 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":"180001137087","requires_selling_plan":false,"selling_plan_allocations":[],"quantity_rule":{"min":1,"max":null,"increment":1}}],"images":["\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_1_5bc8eeb6-f334-4a46-95b0-71c45b1a1cf3.jpg?v=1651680853","\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_021d7c52-5ff0-4b6a-a673-e3eb2755b201.jpg?v=1654590274"],"featured_image":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_1_5bc8eeb6-f334-4a46-95b0-71c45b1a1cf3.jpg?v=1651680853","options":["Herb Type","Herb Size"],"media":[{"alt":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses","id":21489349754950,"position":1,"preview_image":{"aspect_ratio":1.638,"height":260,"width":426,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_1_5bc8eeb6-f334-4a46-95b0-71c45b1a1cf3.jpg?v=1651680853"},"aspect_ratio":1.638,"height":260,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/RxLineup-e1459798560289_1_5bc8eeb6-f334-4a46-95b0-71c45b1a1cf3.jpg?v=1651680853","width":426},{"alt":"Herbsmith Rx Sang Piao Xiao San for Cats, Dogs and Horses","id":21577694347334,"position":2,"preview_image":{"aspect_ratio":0.963,"height":997,"width":960,"src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_021d7c52-5ff0-4b6a-a673-e3eb2755b201.jpg?v=1654590274"},"aspect_ratio":0.963,"height":997,"media_type":"image","src":"\/\/tcvmpet.com\/cdn\/shop\/products\/herbsmith3_969x997px_021d7c52-5ff0-4b6a-a673-e3eb2755b201.jpg?v=1654590274","width":960}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"\u003cdiv style=\"text-align: right;\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0021\/2110\/5457\/files\/veterinary_authorizaton_required_for_tcvm_herbal_formulas_240x240.jpg?v=1787081808\" alt=\"Veterinary Authorization Required for TCVM Herbal Formulas - TCVM Pet Supply\" style=\"margin: 5px 5px 5px 5px; float: right;\"\u003e\u003c\/div\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eHerbsmith Rx Sang Piao Xiao San is a classical Chinese herbal formula recommended by holistic veterinarians to regulate and tonify the heart and kidneys, stabilize the essence, and stop leakage in dogs, cats, and horses. Comparable to Mantis Egg Case Formula and Mantis Cradle Teapills, it regulates and tonifies the heart and kidneys, stabilizes the essence, and stops leakage, addressing heart-kidney disharmony with spirit instability and failure to secure the lower jiao. One of the few classical TCVM formulas that simultaneously addresses the spirit, the essence, and urinary leakage through a combined heart-kidney tonifying and essence-astringing strategy, making it the formula of choice when heart-kidney disharmony has produced concurrent spirit unsettledness and failure of the kidney's securing and astringing function at the lower jiao. Well suited for pets and horses presenting with urinary incontinence, frequent urination, or dribbling urine alongside signs of spirit instability such as restlessness, anxiety, or poor sleep, with concurrent qi, blood, and yin deficiency producing fatigue, a pale or slightly red tongue, and a thin or frail pulse reflecting the heart-kidney disharmony underlying the pattern. 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.\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\u003eEssence stabilization and urinary leakage stopping:\u003c\/strong\u003e Stabilizes the kidney essence and stops urinary leakage using Sang Piao Xiao and Long Gu as the principal essence-astringing and lower-jiao-securing herbs, addressing the failure of the kidney's securing and astringing function that is producing the urinary incontinence, frequent urination, or dribbling urine of the pattern, restoring the kidney's ability to hold and astringe the essence and urine at the lower jiao.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eHeart-kidney axis regulation and spirit settling:\u003c\/strong\u003e Regulates the heart-kidney axis and settles the spirit using Fu Shen, Yuan Zhi, and Chang Pu to calm the heart spirit and open the orifices, addressing the spirit instability that arises when the heart and kidney are no longer communicating and the kidney yin is insufficient to anchor the heart fire and calm the spirit, producing the restlessness, anxiety, or unsettled behavior that accompanies the urinary leakage pattern in animals with heart-kidney disharmony.\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eKidney yin nourishment and yang anchoring:\u003c\/strong\u003e Nourishes the kidney yin and anchors the yang using Zhi Gui Ban's heavy yin-nourishing and yang-anchoring action, addressing the kidney yin deficiency that underlies the heart-kidney disharmony by replenishing the kidney yin needed to maintain the heart-kidney axis, anchor the heart fire, and prevent the upward floating of deficiency heat that unsettles the spirit and further disrupts the heart-kidney communication.\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 and blood tonification and constitutional support:\u003c\/strong\u003e Tonifies the qi and nourishes the blood using Ren Shen and Dang Gui, addressing the concurrent qi and blood deficiency that often accompanies chronic heart-kidney disharmony and essence instability in aging or debilitated animals, providing the constitutional support needed for the essence-astringing and spirit-settling herbs to take effect on a foundation of adequate qi and blood.\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 - essence astringing and heart-kidney regulation:\u003c\/strong\u003e Stabilizes the kidney essence and stops urinary leakage with the Sang Piao Xiao-Long Gu astringing pair targeting the lower jiao's securing function, and regulates the heart-kidney axis with Fu Shen (the spirit-calming, heart-rooted form of Poria), Yuan Zhi (the orifice-opening and heart-kidney-connecting herb), and Chang Pu (the aromatic orifice-opener that clears the spirit orifices and facilitates heart-kidney communication), providing the dual strategy of astringeing the leakage at the lower jiao while simultaneously restoring the heart-kidney communication and spirit stability at the upper jiao needed to address both dimensions of the heart-kidney disharmony pattern.\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 - yin nourishment, yang anchoring, and qi and blood support:\u003c\/strong\u003e Nourishes the kidney yin and anchors the yang with Zhi Gui Ban to address the yin deficiency root of the heart-kidney disharmony and prevent deficiency yang from floating upward to further unsettle the heart spirit; tonifies the yuan qi and calms the spirit with Ren Shen to provide the qi foundation for the essence-astringing action and support the heart's spirit-housing function; and nourishes the blood with Dang Gui to ensure the heart has adequate blood to house the spirit and the kidney has adequate yin and blood nourishment to restore the securing and astringing function at the lower jiao.\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 only):\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\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Dogs (Canine Blend Powder):\u003c\/strong\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003cul style=\"text-align: left;\"\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eUnder 30 lbs: ½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e30-80 lbs: 1 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e80-120 lbs: 1½ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003cli style=\"color: rgb(0, 0, 0);\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003eOver 120 lbs: 2 tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Cats (Canine Blend Powder):\u003c\/strong\u003e ¼ tsp twice daily, or as prescribed\u003c\/span\u003e\u003c\/p\u003e\n\u003cp style=\"text-align: left;\"\u003e\u003cspan style=\"color: rgb(0, 0, 0);\"\u003e\u003cstrong\u003eFor Horses (Equine\/Horse Blend, 1,000 lb horse):\u003c\/strong\u003e 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.\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 Sang Piao Xiao (Ootheca Mantidis), Long Gu (Os Draconis), Ren Shen (Radix Ginseng), Fu Shen (Sclerotium Poriae Cocos Pararadicis), Yuan Zhi (Radix Polygalae Tenuifoliae), Chang Pu (Rhizoma Acori Graminei), Zhi Gui Ban (Honey-fried Plastrum Testudinis), Dang Gui (Radix Angelicae Sinensis)\u003c\/span\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eInactive Ingredient:\u003c\/strong\u003e Flaxseed\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eVETERINARY AUTHORIZATION REQUIRED: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eActive Ingredient TCVM Actions\u003c\/h2\u003e\n\u003cp\u003eSang Piao Xiao San is an eight-herb formula addressing heart-kidney disharmony with essence instability and urinary leakage through three coordinated herb groups: an essence-astringing and lower-jiao-securing group, a heart-kidney regulating and spirit-settling group, and a yin-nourishing, qi-tonifying, and blood-nourishing support group:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eSang Piao Xiao (Ootheca Mantidis) - Mantis Egg Case:\u003c\/strong\u003e Principal herb; tonifies the kidney yang and essence, astringes the essence, and stops urinary leakage and frequent urination; the primary essence-securing and urinary-astringing herb of the formula, directly addressing the failure of the kidney's securing and astringing function at the lower jiao that produces the urinary incontinence, frequent urination, and essence leakage of the heart-kidney disharmony pattern, working with Long Gu to provide comprehensive essence astringing at the lower jiao.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLong Gu (Os Draconis) - Dragon Bone \/ Fossilized Bone:\u003c\/strong\u003e Settles the spirit, calms the liver, astringes the essence, and anchors the floating yang; the second essence-astringing herb of the formula with the additional action of settling the spirit and anchoring the floating yang, bridging the formula's essence-astringing and spirit-settling functions by addressing both the leakage at the lower jiao and the spirit instability at the upper jiao simultaneously, working with Sang Piao Xiao to astringe the essence and with Fu Shen and Yuan Zhi to settle the heart spirit.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eRen Shen (Radix Ginseng) - Ginseng Root:\u003c\/strong\u003e Powerfully tonifies the yuan qi, calms the spirit, and generates fluids; the principal qi tonic of the formula, providing the qi foundation needed for the essence-astringing and spirit-settling herbs to take effect, tonifying the heart qi to support the heart's spirit-housing function, and calming the spirit through its direct effect on the heart and spirit alongside Fu Shen and Yuan Zhi.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFu Shen (Sclerotium Poriae Cocos Pararadicis) - Poria with Pine Root \/ Spirit Poria:\u003c\/strong\u003e Calms the heart spirit, quiets the mind, and strengthens the spleen; the specifically spirit-calming form of Poria that grows attached to the pine root, used in this formula rather than standard Fu Ling specifically for its stronger heart spirit-calming and mind-quieting properties, addressing the spirit instability and restlessness of the heart-kidney disharmony pattern at the heart level while simultaneously strengthening the spleen to support the qi and blood generation needed for the formula's tonic actions.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eYuan Zhi (Radix Polygalae Tenuifoliae) - Polygala Root \/ Senega Root:\u003c\/strong\u003e Calms the spirit, opens the heart orifices, expels phlegm, and facilitates heart-kidney communication; the orifice-opening and heart-kidney-connecting herb of the formula that facilitates the restoration of heart-kidney communication disrupted by the disharmony pattern, opening the heart orifices to allow the kidney water to communicate with and cool the heart fire, settling the spirit through both its direct calming action and its role in restoring the heart-kidney axis needed for sustained spirit stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eChang Pu (Rhizoma Acori Graminei) - Acorus Rhizome \/ Stone Calamus:\u003c\/strong\u003e Opens the orifices, transforms phlegm, and awakens the spirit; the aromatic orifice-opening herb that works with Yuan Zhi to clear the orifices and facilitate the heart-kidney communication and spirit clarity disrupted by the disharmony pattern, ensuring the heart orifices are open and the spirit can be stably housed in the heart as the formula's tonic and astringing herbs rebuild the kidney essence and restore the heart-kidney axis.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eZhi Gui Ban (Honey-fried Plastrum Testudinis) - Honey-fried Tortoise Plastron:\u003c\/strong\u003e Nourishes the yin, anchors the yang, tonifies the kidney and heart, and clears deficiency heat; the principal yin-nourishing and yang-anchoring herb of the formula, addressing the kidney yin deficiency root of the heart-kidney disharmony by replenishing the kidney yin needed to anchor the heart fire, prevent deficiency yang from floating upward to further unsettle the spirit, and restore the water-fire balance between the kidney and heart that defines a functional heart-kidney axis. The honey-frying enhances its tonifying and nourishing properties.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDang Gui (Radix Angelicae Sinensis) - Dong Quai Root:\u003c\/strong\u003e Tonifies and invigorates the blood and nourishes the liver; provides blood nourishment to ensure the heart has adequate blood to house the spirit, and the formula's spirit-settling and essence-astringing actions are supported by a foundation of adequate yin and blood, working with Zhi Gui Ban's yin-nourishing action to provide both the yin and blood nourishment needed to address the deficiency underlying the heart-kidney disharmony and spirit instability pattern.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003ePotential Drug Interactions\u003c\/h2\u003e\n\u003cp\u003eSang Piao Xiao San contains Ren Shen (ginseng), which has known effects on platelet aggregation, blood glucose regulation, and certain hepatic enzyme pathways, and Zhi Gui Ban (tortoise plastron), which is a heavy yin-nourishing substance that may affect the absorption of concurrently administered pharmaceuticals when given in close proximity. Yuan Zhi has documented neurological activity and may interact with sedative, anxiolytic, or centrally acting medications. Pets on cardiac, antidiabetic, or anticoagulant medications, as well as sedatives or neurologically active pharmaceuticals, should use this formula under veterinary supervision, and herb-drug interaction research in dogs, cats, and horses remains limited.\u003c\/p\u003e\n\u003cp\u003eMedication categories warranting extra caution include sedative and anxiolytic medications (where Yuan Zhi's and Long Gu's spirit-settling actions may have additive effects), anticoagulant and antiplatelet medications, antidiabetic medications and insulin, cardiac medications, and hepatically metabolized pharmaceuticals. Your authorizing veterinarian will determine appropriateness based on your animal's condition, current medications, and laboratory results.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eVETERINARY AUTHORIZATION REQUIRED: \u003ca href=\"https:\/\/tcvmpet.com\/pages\/get-an-authorization\" rel=\"noopener\" target=\"_blank\"\u003eSubmit Your Authorization Request\u003c\/a\u003e or \u003ca href=\"https:\/\/tcvmpet.com\/pages\/schedule-a-consultation\" rel=\"noopener\" target=\"_blank\"\u003eRequest a TCVM Telemedicine Consultation\u003c\/a\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eWhat conditions is Sang Piao Xiao San used for in TCVM?\u003c\/h3\u003e\n\u003cp\u003eIn Traditional Chinese Veterinary Medicine, Sang Piao Xiao San is indicated for heart-kidney disharmony with spirit instability and failure of the kidney's securing and astringing function, presenting with urinary incontinence, frequent urination, or dribbling urine alongside signs of spirit unsettledness such as restlessness, anxiety, or disturbed sleep, with concurrent qi, blood, and yin deficiency reflecting the constitutional deficiency underlying the heart-kidney disharmony. Comparable to Mantis Egg Case Formula and Mantis Cradle Teapills, it is indicated when urinary leakage and spirit instability occur together as expressions of the same heart-kidney disharmony pattern rather than as independent conditions requiring separate treatment.\u003c\/p\u003e\n\u003ch3\u003eHow is Sang Piao Xiao San administered to dogs, cats, and horses?\u003c\/h3\u003e\n\u003cp\u003eMix 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 based on your animal's individual pattern, and will review the full medication list given the formula's spirit-settling herbs and their potential interaction with sedative or centrally acting medications.\u003c\/p\u003e\n\u003ch3\u003eHow long does it take to see results with Sang Piao Xiao San?\u003c\/h3\u003e\n\u003cp\u003eMany pets show improvement in urinary control and spirit calmness within 4 to 8 weeks of consistent use as kidney essence progressively stabilizes, heart-kidney communication is restored, and the spirit settles. Because heart-kidney disharmony with essence instability typically reflects a longstanding constitutional deficiency rather than an acute pattern, a longer course of 3 to 6 months or more is often needed to fully restore the kidney's securing function, rebuild the yin and blood needed to sustain the heart-kidney axis, and maintain improvement in both urinary continence and spirit stability over time. Your veterinarian will reassess the pattern periodically as the formula takes effect.\u003c\/p\u003e\n\u003ch3\u003eHow does Sang Piao Xiao San differ from other TCVM formulas for urinary incontinence?\u003c\/h3\u003e\n\u003cp\u003eSang Piao Xiao San is specifically indicated when urinary incontinence or leakage is accompanied by spirit instability as an expression of heart-kidney disharmony, distinguishing it from formulas that address urinary incontinence arising from kidney yang deficiency alone (such as Jin Suo Gu Jing Wan), kidney qi deficiency without the spirit component, or bladder damp-heat patterns. The formula's inclusion of spirit-settling herbs (Fu Shen, Yuan Zhi, Chang Pu, Long Gu) alongside essence-astringing herbs (Sang Piao Xiao, Long Gu) reflects its unique dual indication for lower jiao leakage and upper jiao spirit instability as concurrent expressions of the same heart-kidney disharmony root. Your authorizing veterinarian will determine which urinary formula best matches your animal's specific TCVM pattern based on whether the incontinence arises from kidney yang deficiency, heart-kidney disharmony, bladder damp-heat, or other concurrent patterns.\u003c\/p\u003e"}