• Integrative Veterinary Products Equine Cushing's Stage 3 Warming Yang Blend veterinarian-compounded Chinese herbal formula

By Integrative Veterinary Products

Equine Cushings Blend Stage 3 – Warming Yang Blend

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Integrative Veterinary Products Equine Cushing's Blend Stage 3 – Warming Yang Blend is a veterinarian-compounded powdered traditional Chinese herbal formula designed to support horses with advanced Pituitary Pars Intermedia Dysfunction (PPID or Equine Cushing's Disease) that have progressed beyond predominantly Yin deficiency into a more depleted Yang-deficient state.

As PPID advances, some horses transition from being hot, sweaty and heat intolerant to becoming cold, lethargic, weak and less able to maintain muscle mass and vitality. This formula focuses on gently warming and supporting Yang while continuing to nourish the body's underlying deficiencies, helping maintain comfort, strength and quality of life in appropriately selected horses.

In Australia, certain traditional Chinese herbal formulas can only be dispensed by a registered veterinarian.

Traditional Chinese herbal medicine is most effective when the formula is selected for the individual animal. An in-person assessment with an integrative veterinarian is ideal, but telehealth can provide access when this is difficult or not possible.

If you would like to access Integrative Veterinary Products practitioner-dispensed herbal formulas, you can book a 15–30 minute phone or video consultation with Dr Tanya Meares BVSc.

Before your appointment, you will be asked to complete a form providing background information about your animal and their health concerns.

Consultation: $80
If herbal treatment is recommended, you will receive a $40 credit towards your first herbal order.

These formulas require practitioner dispensing under current regulatory guidelines.

How it Works

In Traditional Chinese Medicine, some horses with advanced Equine Cushing's Disease (PPID) gradually progress beyond the earlier Yin- and Qi-deficient stages into a state where Kidney Yang becomes depleted.

At this stage, horses often lose the warmth, energy and metabolic drive needed to maintain normal body function. They may become cold, lethargic and increasingly frail, with poor muscle development, declining topline and reduced resilience. While some signs of Yin deficiency, such as thirst or mild sweating, may still be present, the predominant pattern has shifted towards Yang deficiency, where the body is no longer able to generate sufficient warmth and vitality.

This formula is designed to:

  • gently warm and support Kidney Yang
  • improve energy, vitality and metabolic function
  • support muscle maintenance and topline
  • promote healthy fluid metabolism
  • continue nourishing Yin and Blood to avoid excessive warming
  • support long-term comfort and quality of life in advanced PPID

Clinically, this formula is commonly used in horses showing:

  • advanced or long-standing PPID
  • coldness or seeking warmth
  • lethargy and reduced stamina
  • muscle wasting and loss of topline
  • poor recovery
  • reduced vitality
  • age-related weakness and frailty
  • horses that appear predominantly cold and depleted

This formula is generally less appropriate where:

  • the horse remains predominantly hot, sweaty and heat intolerant (Stage 1 is often a better fit)
  • significant fatigue has developed but Heat signs still predominate (Stage 2 is often more appropriate)
  • obesity, insulin dysregulation or laminitis remain the primary concern without evidence of Yang deficiency
Ingredients


Rehmannia, Chinese Yam, White Peony, Astragalus, Anemarrhena, Phellodendron, Schisandra, Ophiopogon, Poria, Alisma, Cinnamon Twig, Areca Peel, Cornus, Moutan Bark.
Dosing

Minis 1/4 - 1/2 teaspoon once or twice daily

Horses 250-500kg 1/2 - 1 teaspoon once or twice daily

Horses 550-700kg 1-2 teaspoons once or twice daily

Dose may be halved as maintenance dose.

Shipping

We currently ship only to Australia. Contact us if you are in NZ and interested in getting our products.  (Not Canada or USA)

For more information, click here >

Frequently Asked Questions

Why are there three different Equine Cushing's (PPID) blends?

Traditional Chinese Medicine recognises that PPID often changes as the disease progresses.

Many horses begin with signs of Heat and Yin deficiency, such as excessive sweating and heat intolerance. As the disease advances, some develop increasing fatigue and muscle loss before eventually becoming colder, weaker and more depleted.

The three blends are designed to match these different stages rather than using the same formula throughout the disease.
How do I know if my horse needs Stage 3 rather than Stage 2?

Stage 3 is generally considered when the horse has progressed beyond fatigue alone and now appears predominantly cold, frail or lacking vitality.

Common signs include reduced energy, loss of topline, muscle wasting, poor recovery and a preference for warmth. Many horses have also been living with PPID for several years before reaching this stage.
Can my horse move from one blend to another?

Yes. PPID is a progressive condition, so the most appropriate herbal formula may change over time.

Regular reassessment helps ensure the formula continues to match your horse's current pattern rather than the stage they were in when treatment first began.
Can this formula be used alongside conventional PPID medication?


Yes. Traditional Chinese herbal medicine is commonly used alongside conventional veterinary management, including pergolide, to provide additional support. Herbal treatment is selected according to the horse's individual pattern and should complement, rather than replace, appropriate veterinary care.
Why doesn't every horse with PPID need a warming formula?

Not all horses with PPID develop Yang deficiency.

Many remain predominantly hot and Yin deficient for years, while others progress into more fatigued or colder patterns. Choosing the blend that best matches your horse's current signs is more important than simply selecting the highest stage.