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Recommended by holistic veterinarians, Herbsmith Rx Sound Tendon is a Traditional Chinese Veterinary Medicine (TCVM) herbal formula designed to nourish Liver Yin and Liver Blood, strengthen sinews, and restore resilience and flexibility to tendons, ligaments, and fibrous connective tissue in dogs and cats. In TCVM, the Liver controls the sinews: it governs the health, suppleness, and strength of all tendons, ligaments, and fibrous tissue throughout the body, nourishing them through its Blood and Yin. The Liver is analogous to a healthy green tree: strong enough to support weight and structure, yet supple and flexible enough to bend with the forces placed upon it without breaking. Tendons and ligaments require this same combination of strength and flexibility to support the body through movement and absorb the concussive forces of activity. When Liver Yin or Liver Blood becomes deficient, the sinews lose their nourishing supply and become brittle - like a dried-out tree whose fibers have lost their moisture and resilience. This brittleness reduces the flexibility needed for normal motion and increases the risk of fiber tearing, strain, and chronic sinew injury. The eleven herbs in Sound Tendon nourish Liver Yin and Blood to restore moisture and resilience to the sinews, while also incorporating Yang-warming and circulation-moving herbs that activate the delivery of nourishment to the sinew tissue, open the channels and collaterals to the limbs, and consolidate the Kidney Yang that anchors and activates the Liver Yin-Blood nourishing function. Available in powder for dogs and cats (75g, 150g, 500g, 900g, 1200g). Dosing varies by body weight; your authorizing veterinarian will provide specific guidance.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Active ingredients: Yin Yang Huo (Epimedium brevicornu) - Epimedium (Horny Goat Weed); Sang Zhi (Morus alba, branch) - Mulberry twig; Dang Gui Tou (Angelica sinensis, head) - Angelica root head (Tang Kuei); Bai Shao Yao (Paeonia lactiflora) - White Peony root; Chuan Niu Xi (Cyathula officinalis) - Cyathula root; Chuan Xiong (Ligusticum chuanxiong) - Szechuan Lovage rhizome; Gou Qi Zi (Lycium barbarum) - Lycium berry (Wolfberry); Gui Zhi (Cinnamomum cassia, twig) - Cinnamon twig; Shan Zhu Yu (Cornus officinalis) - Cornus fruit; Wu Jia Pi (Acanthopanax gracilistylus) - Acanthopanax root bark; Bu Gu Zhi (Psoralea corylifolia) - Psoralea fruit.
Inactive ingredients: Flaxseed (in all powder forms).
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Sound Tendon is an eleven-herb formula organized around three complementary strategies: Liver Blood and Yin tonification to restore the nourishing substance the sinews depend on, channel and collateral opening to circulate that nourishment to the sinew tissue, and Yang activation to provide the thermal driving force that mobilizes Yin nourishment and consolidates the Kidney Yang root from which Liver Yin is generated:
Herbsmith Rx Sound Tendon contains Dang Gui Tou (Angelica sinensis), which has mild Blood-nourishing and Blood-moving properties; Chuan Xiong, which moves Qi and Blood; Chuan Niu Xi, which invigorates Blood in the lower limbs; and Yin Yang Huo (Epimedium), which tonifies Kidney Yang and may influence hormone-related pathways. Dogs and cats on prescription medications should use this formula under veterinary supervision.
Medication categories warranting extra caution include anticoagulant or antiplatelet medications (Dang Gui Tou, Chuan Xiong, and Chuan Niu Xi all have Blood-moving properties that may potentiate anticoagulant effects; concurrent use with warfarin, heparin, or antiplatelet medications warrants veterinary monitoring), hormone-sensitive conditions (Yin Yang Huo may influence estrogen-related pathways and should be used cautiously in animals with hormone-sensitive conditions or those on hormone therapies), and animals on multiple concurrent prescription medications. Your veterinarian can determine appropriateness based on your pet's condition, current medications, and laboratory results.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Sound Tendon is most appropriate for dogs and cats showing signs of Liver Blood and Yin deficiency affecting the sinews: chronic tendon or ligament stiffness, recurrent sinew strains or tears, slow recovery from connective tissue injuries, general connective tissue fragility, and the subtle brittleness and reduced flexibility that comes with aging or constitutional Liver Blood deficiency. Animals that repeatedly strain the same tendon or ligament, or that seem to have less connective tissue resilience than expected for their age and activity level, are often good candidates for this formula. It is particularly suited to the aging dog or cat in whom Liver Blood and Yin are naturally declining with age, and to athletic or active animals whose demanding activity has exhausted their Liver Blood and Yin reserves. Your authorizing veterinarian can confirm the appropriate TCVM pattern diagnosis for your pet.
Mix the powder directly into your pet's food twice daily. For dogs: under 15 lbs, give 1/4 teaspoon twice daily; 15-30 lbs, give 1/2 teaspoon twice daily; 31-80 lbs, give 1 teaspoon twice daily; 81-120 lbs, give 1-1/2 teaspoons twice daily; over 120 lbs, give 2 teaspoons twice daily. For cats: give 1/4 teaspoon twice daily. Administer as prescribed by your authorizing veterinarian, who may adjust dosing based on your pet's specific pattern and response.
This is one of the most important clinical features of Sound Tendon. In TCVM, Yin cannot nourish tissue effectively without Yang's activating warmth to circulate it. A formula that nourishes Liver Yin and Blood without adequate Yang activation may leave the nourishment static - the herbs may build the Yin-Blood substance, but without Yang warmth to drive circulation, that nourishment does not effectively reach the sinew tissue. Yin Yang Huo, Gui Zhi, and Bu Gu Zhi provide the Yang-warming and activating action that drives the Yin-nourishing herbs into circulation and to the sinews, while Sang Zhi, Chuan Niu Xi, and Gui Zhi open the channels and collaterals of the limbs to ensure the nourishment can physically reach the tendons and ligaments in the extremities. This Yin-Yang paired strategy reflects the TCVM principle that Yin and Yang are mutually interdependent and must be addressed together for complete therapeutic effect.
Because Sound Tendon addresses a constitutional Liver Blood and Yin deficiency pattern, improvement typically unfolds gradually over weeks to months. Animals with mild or shorter-standing sinew deficiency may show improved flexibility, reduced stiffness, and better recovery from activity within 4 to 6 weeks of consistent twice-daily use. Animals with more severe or long-standing Liver Blood and Yin deficiency, or with significant chronic connective tissue injury, may require 2 to 3 months before the full benefit is apparent. This formula is well-suited for long-term use as a constitutional sinew support, particularly in aging animals or those with ongoing activity demands that continue to challenge the Liver Blood and Yin reserves. Your authorizing veterinarian can monitor your pet's response and adjust dosing or duration as needed.
How many grams do I need to purchase for my boxer if using 1 tsp twice a day?
Hi, thank you for your question.
Please note that a standard 75g container will provide approximately a 12-day supply at this dosage. As the required duration for the formula can vary from patient to patient, we recommend purchasing a larger-size container.
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