Signalment
- Age: 12 years
- Sex: male neutered
- Breed: Mixed Breed
- Species: dog
Disease Notes
- Certainty: confirmed
- Comments: 10/07/2014: History: Patient had jaundice, vomiting and anorexia with elevated liver enzymes and gall bladder pre-mucocele (ultrasound) 7 months earlier which had resolved with supportive care, Chinese herbs, ursodiol and acupuncture.
TCVM exam: toned, weak pulse. Lavender tongue. Tender at BL 17 - BL 20. Elevated liver enzymes (ALT, AST, GGT, ALP - see uploaded labs file). Abdominal ultrasound: Gallbladder pre-mucocele.
- Final Status: resolved as of day 128 of treatment
Treatment and Outcome
Problem Notes
- Vomiting: 10/07/2014
Treatments
Notes:
10/07/2014:
TCVM Exam: toned, weak pulse; lavender tongue. Sensitive at BL 17 - BL 20.
Dry Needle Acupuncture 20 min: GV 20, GB 21, GB 34, BL 18, BL 20, LIV 3, ST 36
10/08/2014:
TCVM Exam: toneless pulse.
Dry Needle Acupuncture 20 min: GV 20, GB 21, GB 34, BL 18, BL 19, LIV 3, LIV 14, ST 36, SP 6
Acupuncture points were stimulated
Files:
- 10/7/14 Initial Blood Work View
Notes:
TCVM Exam: toned, thin pulse. pink tongue. Mild sensitivity BL 17- BL 20.
Dry Needle Acupuncture: GV 20, GB 21, GB 34, LIV 3, LIV 14, BL 18, BL 19, BL 20, SP 6
Blood work improved.
Acupuncture points were stimulated
Files:
- 10/9/14 Blood Work View
Notes: None submitted
Acupuncture points were stimulated
Notes:
Follow up labs
Dry Needle Acupuncture on 10/16/2014: GB 21, GB 34, BL 19 (tender), GV 4. toneless pulse, pink tongue
Acupuncture points were stimulated
Files:
- Liver Chemistries View
Notes:
Dry Needle acupuncture: GV 20, BL 18, BL 18, LIV 3, LIV 14, GB 21, GB 34
toneless pulse, pink tongue
Acupuncture points were stimulated
Notes: Dry Needle acupuncture: GV 20, BL 18, BL 19, LIV 3, LIV 14. Toneless pulse, pink tongue.
Acupuncture points were stimulated
Notes: Dry Needle acupuncture: GV 17, BL 18 (tender), BL 20, GB 21, GB 34, LIV 14, LI 4, LIV 3. Toneless pulse, pink tongue
Acupuncture points were stimulated
Notes: Discontinued Wei Ling Tang
Notes: Dry Needle acupuncture: GV 20, GB 25, GB 34, GB 21, BL 19, LIV 4
Acupuncture points were stimulated
Notes:
Follow up labs - all values normal. No clinical symptoms. Sensitivity at BL 18-23 remains.
Reduced Ursodiol dose to every other day, reduced Open Liver Canals (Xiao Chai Hu Tang) dose and added taurine
Files:
- Labs View
Notes: Discontinued Ursodiol because of expense and theoretical long-term risk of bile duct neoplasia and added SAM-e