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Bai Hu Si Miao is a Jing Tang TCVM herbal formula recommended by holistic veterinarians to eliminate Wind-Damp Heat, resolve stagnation, and clear Heat to detoxify in dogs, cats, and horses. A combination formula drawing from two classical sources, Bai Hu Si Miao unites Bai Hu Tang (White Tiger Formula) from Shang Han Za Bing Lun (Discussion of Cold Induced Disorders and Miscellaneous Diseases) by Zhang Zhong-Jing in 220 AD with Si Miao San from Cheng Fang Bian Du (Convenient Reader of Established Formulas) by Zhang Bing-Cheng in 1904. This eight-ingredient formula combines potent Heat-clearing, Wind-Damp-eliminating, Damp-drying, and channel-opening ingredients specifically selected for Wind-Damp Heat Bi syndrome with Heat toxin accumulation in the channels and joints. Available in a 90g Concentrated Powder and 0.5g Concentrated Capsules (100 count). Contraindicated in Spleen Yang or Spleen Qi deficiency. May cause diarrhea or vomiting. Use as needed for up to 1 to 3 months. 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
- Wind-Damp Heat elimination: Eliminates the Wind-Damp Heat Bi pattern in which pathogenic Wind, Damp, and Heat invade the channels and joints simultaneously, generating the hot, swollen, painful joint presentations that characterize Heat Bi as distinct from the Cold Bi and Wind Bi patterns that other Bi syndrome formulas address
- Stagnation resolution: Resolves the Qi and Blood stagnation that accumulates in the channels and joints obstructed by Wind-Damp Heat, restoring the free flow of Qi and Blood through the affected channels and addressing the fixed, swollen obstruction that prolonged Bi syndrome generates
- Heat clearing and detoxification: Clears Heat toxin from the channels, joints, and Blood level, addressing the Heat toxin component of Wind-Damp Heat Bi that drives the inflammatory, hot, red presentations associated with active Heat Bi syndrome
TCVM Principles
- Primary action: Eliminate Wind-Damp Heat, resolve stagnation, clear Heat to detoxify
- Classical antecedent: Combination of Bai Hu Tang (White Tiger Formula) from Shang Han Za Bing Lun (Discussion of Cold Induced Disorders and Miscellaneous Diseases) by Zhang Zhong-Jing, 220 AD, and Si Miao San from Cheng Fang Bian Du (Convenient Reader of Established Formulas) by Zhang Bing-Cheng, 1904
- Contraindications: Contraindicated in Spleen Yang deficiency or Spleen Qi deficiency; the formula's cold, bitter, and Damp-drying herbs can further weaken an already deficient Spleen, exacerbating digestive weakness and cold signs
- Warning: May cause diarrhea or vomiting; monitor for digestive signs, especially in patients with any history of Spleen weakness, and reduce dose or discontinue if these signs persist
Available Forms
- 90g Concentrated Powder: Highly concentrated granule format; mix into food or use as a top dressing on feed. One 90g bottle lasts approximately 2 weeks
- 0.5g Concentrated Capsules (100 Count): Concentrated capsule format for precise dosing in dogs and cats; can be given directly or hidden in food or a soft treat
Suggested Use
Horse (90g Concentrated Powder): 3g twice daily as a top dressing on feed, or as directed by your veterinarian. 1 level large scoop holds approximately 1.2g of powder. One 90g Concentrated Powder bottle lasts approximately 2 weeks.
Dog and Cat (90g Concentrated Powder): 0.1g to 0.25g per 10 to 20 lb body weight twice daily, or as directed by your veterinarian.
Dog and Cat (0.5g Concentrated Capsules): One 0.5g capsule per 20 to 40 lb body weight twice daily, or as directed by your veterinarian. For small dogs and cats under 10 lbs, dose as directed by your veterinarian.
Use as needed for up to 1 to 3 months, or as directed by your veterinarian. Contraindicated in Spleen Yang deficiency or Spleen Qi deficiency. May cause diarrhea or vomiting; reduce dose or discontinue if these signs persist. Veterinary authorization is required before use.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Ingredients
Active ingredients: Cang Zhu (Atractylodes lancea) - Chinese Atractylodes rhizome, Chuan Niu Xi (Cyathula officinalis) - Cyathula root, Gui Zhi (Cinnamomum cassia) - Cinnamon twig, Hai Tong Pi (Erythrina variegata) - Erythrina bark, Huang Bai (Phellodendron amurense) - Phellodendron bark, Shi Gao (Gypsum fibrosum, raw) - Raw Gypsum mineral, Yi Yi Ren (Coix lacryma-jobi) - Coix seed (Job's tears), Zhi Mu (Anemarrhena asphodeloides) - Anemarrhena rhizome. Inactive ingredients vary by format: gluten-free maltodextrin (concentrated powder); bovine gelatin and gluten-free maltodextrin (concentrated capsules).
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Active Ingredient TCVM Actions
Bai Hu Si Miao is a combination formula organized around two classical frameworks: the Bai Hu Tang core of Shi Gao and Zhi Mu for intense Heat clearing, and the Si Miao San core of Huang Bai, Yi Yi Ren, and Cang Zhu for Damp-Heat elimination, expanded with channel-opening, Wind-Damp-dispelling, and guiding herbs:
- Shi Gao (Gypsum fibrosum, raw) - Raw Gypsum mineral: Clears intense Heat, drains Fire, and reduces fever; the chief ingredient of the Bai Hu Tang layer and the most powerful Heat-clearing mineral in the Chinese materia medica; Raw Gypsum (Sheng Shi Gao) is specifically used for clearing intense Qi-level and channel-level Heat - its cold, heavy mineral nature drives Heat downward and out with a speed and intensity that plant-derived herbs alone cannot match; in Bai Hu Tang, Shi Gao addresses the intense, blazing Heat that characterizes the Qi-level Heat pattern (Yang Ming syndrome), and in Bai Hu Si Miao it targets the intense Heat component of Wind-Damp Heat Bi affecting the joints and channels
- Zhi Mu (Anemarrhena asphodeloides) - Anemarrhena rhizome: Clears Heat, nourishes Yin, and drains Fire; works with Shi Gao as the primary herb pair of the Bai Hu Tang layer; while Shi Gao clears the intense Heat with its cold, heavy mineral nature, Zhi Mu adds a Yin-nourishing dimension that prevents the formula's strong Heat-clearing strategy from depleting the Yin and Fluids - Zhi Mu's bitter, cold nature clears Heat from the Qi level and Kidney channel while simultaneously nourishing the Yin consumed by the intense Heat pattern
- Huang Bai (Phellodendron amurense) - Phellodendron bark: Clears Heat, dries Damp, and resolves toxins; the primary Heat-clearing herb of the Si Miao San layer and the most important classical herb for Damp-Heat in the lower body and joints; Huang Bai's bitter cold nature specifically targets Damp-Heat in the lower Jiao and the channels of the lower limbs, making it the essential herb for the Damp-Heat Bi component of Wind-Damp Heat patterns affecting the joints, tendons, and lower limbs
- Yi Yi Ren (Coix lacryma-jobi) - Coix seed (Job's tears): Resolves Damp, clears Heat, relaxes sinews, and expels Wind-Damp from the channels; the second primary herb of the Si Miao San layer, providing a gentler Damp-resolving and channel-relaxing action that complements Huang Bai's stronger Heat-drying strategy; Yi Yi Ren's specific affinity for the sinews and channels of the limbs makes it particularly valuable in a formula targeting Wind-Damp Heat Bi, where it resolves both the Damp accumulation and the sinew stiffness that accompany joint channel obstruction
- Cang Zhu (Atractylodes lancea) - Chinese Atractylodes rhizome: Dries Damp strongly, dispels Wind-Damp, and strengthens the Spleen; the third primary herb of the Si Miao San layer, providing the formula's strongest Damp-drying action; Cang Zhu's acrid, bitter, warm nature specifically dries Damp in the channels and joints while also strengthening the Spleen's transforming function to prevent further Damp accumulation; it is the Damp-drying counterbalance to the formula's numerous cold herbs, and its channel-opening action opens the obstruction caused by Damp accumulation in the joints and sinews
- Hai Tong Pi (Erythrina variegata) - Erythrina bark: Dispels Wind-Damp, opens the channels, and alleviates Bi syndrome discomfort; the formula's primary Wind-Damp-dispelling and channel-opening herb beyond the Si Miao San core; Hai Tong Pi has a specific classical affinity for dispelling Wind-Damp from the channels and joints and is one of the most important classical herbs in the Chinese materia medica specifically for Wind-Damp Bi patterns affecting the limbs; its channel-opening and Wind-Damp-expelling action directly addresses the Wind-Damp component of the formula's Wind-Damp Heat Bi target pattern
- Chuan Niu Xi (Cyathula officinalis) - Cyathula root: Invigorates Blood, resolves stagnation, and guides the formula downward to the lower limbs and joints; the formula's guiding herb for the lower body, directing the formula's Heat-clearing, Damp-drying, and channel-opening actions to the lower limbs, joints, and skeletal channels where Wind-Damp Heat Bi most commonly manifests; its Blood-invigorating action also addresses the Blood stagnation that develops secondary to channel obstruction
- Gui Zhi (Cinnamomum cassia) - Cinnamon twig: Warms and opens the channels, promotes Yang circulation through the limbs, and dispels Cold; the formula's channel-warming and opening herb, and notably the only warming herb in an otherwise cold-natured formula; Gui Zhi is included specifically to open the channels and promote the circulation of Yang Qi through the obstructed limb channels - its warming, channel-opening action ensures the formula's cold Heat-clearing herbs do not cause Cold stagnation in the channels, while its twig nature gives it a specific affinity for the channels of the extremities where Wind-Damp Heat Bi manifests
Potential Drug Interactions
Bai Hu Si Miao contains a potent mineral Heat-clearing ingredient (Shi Gao), a Yin-nourishing Heat-clearing herb (Zhi Mu), Damp-Heat-clearing herbs (Huang Bai), Damp-resolving herbs (Yi Yi Ren, Cang Zhu), a Wind-Damp-dispelling herb (Hai Tong Pi), a Blood-invigorating guiding herb (Chuan Niu Xi), and a channel-warming herb (Gui Zhi) that may interact with certain medications. The formula's multiple cold, Damp-drying herbs can cause digestive discomfort in patients with Spleen weakness and are contraindicated in Spleen Yang or Qi deficiency. Pets on prescription medications should use this formula under veterinary supervision, as herb-drug interaction research in dogs, cats, and horses remains limited.
Medication categories warranting extra caution include non-steroidal anti-inflammatory medications, immunosuppressive medications, anticoagulant or antiplatelet medications (due to Chuan Niu Xi), and multiple concurrent prescription medications. May cause diarrhea or vomiting; reduce dose or discontinue if these signs persist. Use as needed for up to 1 to 3 months, or as directed by your veterinarian. Your veterinarian can determine appropriateness based on the patient's condition, medications, and laboratory results.
VETERINARY AUTHORIZATION REQUIRED: Submit Your Authorization Request or Request a TCVM Telemedicine Consultation
Frequently Asked Questions
What is Bai Hu Si Miao used for in TCVM?
Bai Hu Si Miao is used in TCVM for Wind-Damp Heat Bi syndrome - the Bi pattern in which pathogenic Wind, Damp, and Heat invade the channels and joints simultaneously and generate hot, swollen, painful joint presentations. In TCVM, Bi syndrome (obstruction syndrome) is broadly categorized by the predominant pathogen: Wind Bi is characterized by migratory discomfort that moves between joints, Cold Bi by severe fixed discomfort that is worse with cold, Damp Bi by heavy, fixed swelling in the joints, and Heat Bi by hot, red, swollen joints with heat signs at the affected sites. Bai Hu Si Miao specifically targets the Heat Bi and Wind-Damp Heat pattern through its potent Shi Gao and Zhi Mu Heat-clearing core from Bai Hu Tang combined with the Damp-Heat-drying Si Miao San layer. Contraindicated in Spleen Yang deficiency or Spleen Qi deficiency; may cause diarrhea or vomiting.
How is Bai Hu Si Miao administered and dosed?
For horses, give 3g of concentrated powder twice daily as a top dressing on feed, or as directed by your veterinarian; the large scoop holds approximately 1.2g (approximately 2.5 scoops for 3g). For dogs and cats using the 90g Concentrated Powder, give 0.1g to 0.25g per 10 to 20 lb body weight twice daily. For the 0.5g Concentrated Capsule format, give one capsule per 20 to 40 lb body weight twice daily; for small dogs and cats under 10 lbs, dose as directed by your veterinarian. Use as needed for up to 1 to 3 months, or as directed by your veterinarian.
What are the two classical formulas that make up Bai Hu Si Miao, and why are they combined?
Bai Hu Si Miao combines two classical formulas from very different periods of Chinese medical history. Bai Hu Tang (White Tiger Formula) is one of the most important classical formulas in Zhang Zhong-Jing's Shang Han Za Bing Lun (Discussion of Cold Induced Disorders and Miscellaneous Diseases), written around 220 AD during the Han dynasty - one of the oldest and most authoritative clinical texts in Chinese medicine. Bai Hu Tang is specifically designed to clear intense Qi-level Heat (Yang Ming channel syndrome) through its chief pair of Shi Gao and Zhi Mu, and its name "White Tiger" refers to the powerful, cooling force of Metal (White Tiger is the symbol of the West and Metal element in Chinese cosmology). Si Miao San comes from the much later Cheng Fang Bian Du written by Zhang Bing-Cheng in 1904 during the Qing dynasty, and is the classical formula for Damp-Heat Bi syndrome specifically affecting the lower limbs and joints, built around Huang Bai, Yi Yi Ren, Cang Zhu, and Chuan Niu Xi. Jing Tang combines these two frameworks because Wind-Damp Heat Bi requires both intense Heat clearing (from the Bai Hu Tang layer) and Damp-Heat drying in the channels and joints (from the Si Miao San layer) simultaneously.
Why is Bai Hu Si Miao contraindicated in Spleen Yang deficiency or Spleen Qi deficiency?
Bai Hu Si Miao is contraindicated in Spleen Yang deficiency or Spleen Qi deficiency because the formula's core herbs are predominantly cold and Damp-drying in nature - properties that can further weaken an already deficient Spleen and cause digestive complications. Shi Gao and Zhi Mu from the Bai Hu Tang layer are both cold and heavy, and their intense Heat-clearing action can damage Spleen Yang and Qi if the Spleen is already deficient. Huang Bai and Cang Zhu from the Si Miao San layer, while useful for clearing Damp-Heat, are both bitter and drying, and prolonged use of drying herbs in a patient with Spleen Qi deficiency can deplete the Spleen's already limited transforming capacity. In TCVM pattern differentiation, it is essential to distinguish Heat Bi from deficiency-type joint conditions: many older animals with joint conditions have a Cold Bi or Bi syndrome rooted in Kidney Yang or Spleen Yang deficiency rather than Wind-Damp Heat, and giving a cold Heat-clearing formula like Bai Hu Si Miao to a patient with a Cold deficiency pattern would significantly worsen the underlying deficiency and potentially cause serious digestive side effects, including diarrhea and vomiting.
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Customer Reviews
My doggie has IMPA, this formula started working within weeks! Thank you Dr. Marc!♥️
Thanks for taking the time to leave us a great review, Kim! I'm so happy to hear Jing Tang herbs have been beneficial for your dog's immune system. And it's great to hear they worked so fast - herbs sometimes take awhile to work because they are so gentle. We appreciate you supporting our small business, and don't hesitate to ask us if you need anything. Sincerely, Samantha
