long term Hx of sensitive stomach - diarrhoea regularly. Weight loss recently gradual. Recently decreased appetite too. activity reduced, hind limb weakness - including some stumbling - but no neuro signs on exam
- purple tongue,pulse
deep, weak - perhaps a bit wiry, pants constantly (always has), breath has recently become smelly with minimal dental disease, NSAIDs recently for acute elbow lameness helped genrally quite well.
With mixed bag arthritis case and SP def signs - was tending toward YYRT but tongue and pulse are notable NOT typical YYRT indicators. Dog can't stand acupuncture so Dx from that not possible. Has been treated in past (not by me) with Major Bupleurum for GIT issues initially. Unsure of reasoning etc but did seem to help somewhat.
BL 18,20,23 all a bit touchy today. Fine powdery dander noted today for first time.
Any better ideas - feel Blood stasis, SP and Blood deficiencies, maybe KID and LIV yin issues too?