Question Details
Four Marvels For Pancreatitis
by Hen4761@gmail.com - June 5, 2026
I have a 15 yr old FS Fox terrier with chronic allergies on Cessorex and Immunobalm currently who had developed pancreatitis. Can I use Four Marvels in addition to the other herbs or should I stop the other herbs and start only the Four Marvels?

Thanks so much in advance.
Replies
by naturevet
June 7, 2026
Hi there,

Yes, there would be no problem using them together. Pancreatitis is either Damp Heat (meaning kibble and processed foods are the issue), Shao Yang disharmony (suggesting a microbiome issue, possibly from too little plant material in the diet) and Blood deficiency.

For acute Damp Heat, I use Si Miao San. Dampening herbs like Cessorex can be stopped if they are not otherwise helping. If Cessorex has helped a lot, then this is a Shao Yang disharmony. Make sure the diet is not pure meat and add some probiotics (Bifidobacterium, Lactobacillus) along with making the diet 1/6 to 1/3 plants. If it's Blood deficiency and the pancreatitis is mild, then Yi Guan Jian (Natural Path Herb Company) should address it. YGJ is compatible with Shao Yang formulas and is often needed as a follow up where the Shao Yang approach is working for allergies.

Hopefully, that's enough to help you sort things out. Simple answer, though: Four Marvels is fine to try with Cessorex. If it helps, the dog is Damp and the next step is to change the diet (whether for pancreatitis or allergies).

Steve
by Hen4761@gmail.com
June 12, 2026
Thank you so much for your reply! Josie has been on a whole food diet for years (with added 1/3 veg since starting Cessorex and immunobalm about 6 mo ago), but has had dysbiosis in the recent past, so she had 3 mo of Legacy Biome FMT capsules, then we rechecked her microbiome again revealing elevated E.Coli and Clostridium perfringens, with continued severe dysbiosis. The microbiome recheck was about 1 week after she developed pancreatitis. It sounds like possible Shao Yang Disharmony then.

I appreciate all your help!
Heather Nickel
by Hen4761@gmail.com
June 12, 2026
Thank you so much for your reply! Josie has been on a whole food diet for years (with added 1/3 veg since starting Cessorex and immunobalm about 6 mo ago), but has had dysbiosis in the recent past, so she had 3 mo of Legacy Biome FMT capsules, then we rechecked her microbiome again revealing elevated E.Coli and Clostridium perfringens, with continued severe dysbiosis. The microbiome recheck was about 1 week after she developed pancreatitis. It sounds like possible Shao Yang Disharmony then.

I appreciate all your help!
Heather Nickel
by naturevet
June 13, 2026
Hi Heather,

Observed improvements of the skin on Cessorex and ImmunoBalm confirm this Shao Yang approach is the right way to go. Hopefully, those have been seen.

Hopefully, the pancreatitis is responding quickly. If not, there are two options for this Shao Yang patient:
1. Just use plain old Minor Bupleurum (Xiao Chai Hu Tang) to get any severe acute inflammation under control
2. If the pancreatitis is smouldering, instead, add Yi Guan Jian.
Hopefully, that helps you out!

Steve
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