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Herbsmith 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.
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: 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)
Inactive Ingredient: Flaxseed
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Sang 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:
Sang 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.
Medication 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.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
In 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.
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 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.
Many 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.
Sang 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.
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