Signalment

• Age: 12 years
• Sex: male neutered
• Breed: DSH
• Species: cat

Disease Notes

• Certainty: confirmed
• Final Status:

Treatment and Outcome

Problem Notes

• On Going Weight Loss: Oliver is a 12 yrold, MN DSH. For over 1 year he has had chronic intermittent vomiting, with semi formed stools( the last portion of the stools being very soft and a lighter color). The last 3-4 months he has steadily lost weight but has a ravenous appetite.Most recent Labs revealed normal thyroid, normal chem, slightly elevated BUN. He eats mostly freeze dried foods ( he had many years of obesity secondary to dry food), and he also eats some canned.
  He also has a new heart murmur but remains asymptomatic. Ultrasound reveals possible lymphadenopathy in abdomen, mild jejunal wall thickening, nothing overtly worrisome.
  Currently he is on Si Mao San, digestive enzymes, B12, supplements to support Gi and pancreatic health. Hew continues to lose weight quickly.
  
  Western Diagnosis: IBD vs Lymphoma
  
  TCM dx: Rebellious stomach Qi, Spleen Qi Deficiency, Yin Deficiency.
  Tongue pink/lavender
  Pulses: Deep/toned/somewhat thin, resists compression, normal rate, mild finger lift
  
  My thinking with 8 parameters:
  
  Internal
  Hot ( ravenous appetite)
  Soft stools, very odorous- deficient ( cold?)
  Vomiting- ?
  Increased thirst- heat
  
  Do I need a yin tonic?
  
  Thank you in advance