Signalment
- Age: 12 years
- Sex: male neutered
- Breed: Shih Tzu X Lhasa Apso
- Species: dog
Disease Notes
- Certainty: confirmed
- Comments: Murmur first noted one year ago. Condition has steadily declined despite benazepril and furosemide use
- Final Status: better as of day 120
Treatment and Outcome
Problem Notes
- Coughing: Worse in mornings, with excitement and upon rising
Worse also in summer - Inappetance: Owners associate this with the use of Rehmannia Eight Combination
- Low Energy: Even when not exerting himself
- Low Stamina: Capable of 2 x 45 minute walks a day with lots of rests
- Mitral Valve Murmur: Grade V/VI with palpable thrill
Treatments
- Bupleurum and Dragon Bone And Oyster Shell Combination
- Hawthore Tincture
- Six Gentlemen Combination
- Carbo Vegetabilis
- Furosemide
- Benazepril
- Rehmannia Eight Combination
Day 13
Notes: None submitted
Acupuncture points were stimulated
Day 60
Notes: None submitted
Acupuncture points were stimulated
Day 120
Notes: Murmur is now grade III. Crackles faintly audible. Tongue still purples with stress of exam, but is otherwise a dark pink. Wheezing if pressure at thoracic inlet, suggesting it may be due to collapsing trachea
Acupuncture points were stimulated