Equine Cushings Stage 2 - Yin and Qi Support Blend

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Integrative Veterinary Products Equine Cushing's Stage 2 — Yin and Qi Support Blend is a veterinarian-compounded traditional Chinese herbal formula developed to support horses and ponies with Equine Cushing's Disease (PPID). It is designed for animals showing signs of combined Yin and Qi deficiency.

In Traditional Chinese Medicine, some horses with progressing PPID move beyond the earlier “hot and sweaty” Yin-deficient stage and begin developing reduced energy, declining resilience and impaired recovery alongside ongoing Heat and fluid depletion.

These horses may remain sweaty, thirsty or heat intolerant, but now also appear more fatigued, weaker or less able to maintain normal energy and muscle tone.

This formula is designed for this more depleted transitional stage, supporting both cooling Yin fluids and the body’s underlying Qi and metabolic resilience.

By matching herbal formulas to the horse’s current pattern and combining them with appropriate dietary management, some clinical signs may improve and overall resilience may be supported alongside conventional veterinary care.

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 progressing Equine Cushing’s Disease (PPID) move beyond the earlier “hot and sweaty” Yin-deficient stage and begin developing deeper exhaustion and reduced metabolic resilience.

At this stage, horses may still show signs of Heat and fluid depletion — such as sweating, thirst or heat intolerance — but now also appear more fatigued, weaker or slower to recover following exercise or stress.

This reflects the development of combined Yin and Qi deficiency, where the body is no longer simply losing cooling fluids, but also losing the energy required to maintain recovery, circulation and normal metabolic regulation.

This formula is designed to:


  • restore cooling Yin fluids

  • support Qi and metabolic resilience

  • improve recovery and stamina

  • reduce Heat and fluid depletion without excessively trapping Dampness

Clinically, this formula is commonly used in horses showing:

  • excessive sweating
  • heat intolerance
  • increased thirst or mild PU/PD
  • reduced energy or stamina
  • poor recovery
  • muscle loss or reduced topline
  • ongoing PPID signs alongside fatigue
  • horses that appear both hot and depleted

As disease progression continues further, some horses may eventually transition into colder, frailer Yang-deficient stages requiring more warming and restorative support.

This formula is generally less appropriate where:

  • marked coldness or frailty predominate
  • severe Damp accumulation or obesity dominate the presentation
  • strong inflammatory or infectious Heat patterns are present.
Ingredients

Astragalus, Cinnamon, Rehmannia, Sioscorora, Fructus, Moutan cortex, Poria, Alismatis, Rubi, Fructus rosae, Mantidis ootheca

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

What types of horses tend to suit this formula best?

This formula is designed for horses with PPID that remain hot, sweaty or heat intolerant but are now also showing reduced energy, declining stamina or slower recovery.

These horses often appear both depleted and overheated at the same time.

How is Stage 2 different from Stage 1?

Stage 1 horses are primarily showing Yin deficiency, with signs such as excessive sweating, thirst and heat intolerance.

Stage 2 horses still show these signs, but now also display reduced energy, poorer recovery, muscle loss or declining resilience, indicating that Qi deficiency has developed alongside Yin depletion.

Why does my horse seem both hot and tired?

In Traditional Chinese Medicine, this pattern is often interpreted as combined Yin and Qi deficiency.

The horse is no longer simply struggling to regulate Heat and fluids but is also losing the energy required for recovery, circulation and normal metabolic function.

My horse is losing topline despite eating well. Is that relevant?

It can be.

As PPID progresses, some horses begin losing muscle mass and topline despite maintaining appetite.

When this occurs alongside sweating, thirst or heat intolerance, it may indicate progression beyond simple Yin deficiency into a combined Yin and Qi deficient pattern.

Can this formula be used alongside Prascend?

Yes.

This formula is commonly used alongside conventional PPID management, including Prascend, dietary modification and appropriate exercise programs where suitable.

The aim is to support recovery, resilience and comfort while working alongside conventional veterinary care.

How do I know if my horse needs Stage 2 rather than Stage 3?

Stage 2 horses generally remain warm or heat intolerant but are becoming progressively more tired and depleted.

Stage 3 horses tend to become colder, frailer, weaker and less able to maintain body temperature, reflecting a shift towards Yang deficiency.

Will every horse with PPID progress through all three stages?

Not necessarily.

The stages describe common Traditional Chinese Medicine patterns rather than a fixed disease pathway.

Some horses remain predominantly Yin deficient for many years, while others progress more quickly into combined Qi or Yang deficiency patterns.