Signalment

• Age: 9 years
• Sex: male neutered
• Breed: Boston Terrier
• Species: dog

Disease Notes

• Certainty: confirmed
• Comments: I started seeing Baxter in 2024 for his epilepsy.
  Grand mal seizures lasting 3-5 minutes and he is prone to cluster seizures.
  Meds: Keppra ER 500mg:1 BID, Phenobarbital 32.4mg: 1BID, Potassium Bromide 250mg: 1/2 in AM, 1 in PM. Midazolam IN prn. Hepato supplement
  Diet: Raw
  
  PE: BAR, FAS 2, BCS 5/9
  tongue pink-lavender base with lavender edges
  pulses superficial, thin, wiry, forceful
  bilateral corneal lipid deposits (OD lesions resolved after starting hepato, OS lesions improved without resolution)
  Mild rear limb ataxia with normal CPs and no cervical/spinal pain
  
  Dx: 12/2025
  CBC- thrombocytosis
  Chem- mild elevation ALT (127), ALP (323)
  
  My goals for treatment is to clear wind and damp, and improve circulation.
  I commonly use points BL 10/18/40, LV 3 and when he was not improving with this point prescription, we replaced/added PC 6, LI 4/10.
  His seizures were better for the end of 2025 but frequency has increased in 2026. He is now having episodes within a week of acu treatments. I have always moderated his pulse with acu treatments so I am a little confused as to why he has episodes so close to treatment dates. My working diagnosis has been Liver Blood Deficiency
  We have not started herbs since he is on many meds. The owner wanted acu to do the heavy lifting but I can likely get her to buy into herbs.
  
  Any suggestions for modifying his treatment plan are welcomed!
• Final Status:

Treatment and Outcome