This dog was originally a rescue. Has been on/off Van-P for 8 years. Received a set of vaccines @ rescue then repeated shortly afterwards. Skin issues seemed to have started on from that point. Affecting primarily armpits and upper half of body. Relatively intense Pruritus. Skin issues resolved promptly with Vanectyl-P however dog become more aggressive on this med even at lower doses. If owner stops meds the Pruritus returns. Dog has even bitten owner when she reacted to a spider. Dog is very dog aggressive.
Previous Medical Problems: (please attempt to list from newest to oldest if possible)
Recent bloods show increased BUN/Creat/AlkP
Was allergy tested (serology) – positive to Corn, Rice, Oatmeal, Soybean and various weeds.
Current Medications (including dose/frequency/effect) : N/A
1. Vanectyl-P – owner has stopped since bit girlfriend
2. Banadryl—minimal effective
3. Cortisoothe Shampoo
Current Supplements (including Vitamins and Arthritis products): N/A
1. None
Current Diet (Brand, Amount, Frequency, Wet/Dry) :
Orijen 6 fish
1. Appetite Increased
Weight Change : About same
2. Thirst About the same
3. Stool About the same occ Diarrhea(soft)
4. Vomiting No
5. Stomach Noise Yes
6. Gas/ Burping No Halitosis (Bad Breath) No
7. Sneezing Yes occ fits Any discharge? No
8. Coughing No
9. Panting Increased esp after exercise
10. Urination About the same concentrated clear/yellow
11. Sleeping About the same
12. Sleeps through the night? Yes
13. Dreams when sleeping? Yes, occasionally
14. Restless during the day? Yes always “on alert”
Restless at night? No _______
15. Energy level (overall) Increased
16. Energy level better at any particular time of day? No
17. My pet prefers Cool places or weather and Hard surface
18. Pain: No
19. Skin : Smelly / Itchy / Localized thorax, axilla & feet
20. Pick one of these 5 descriptions that best describes your pet’s personality :
??Dominant, very active, moves fast, competitive, stubborn, gets mad when he doesn’t get his way, barks at strangers.
??Excitable, hard to calm down, likes to be center of attention, mischievous, wags tail when greeting strangers.
EXAMINATION FORM
Constitution: Fire
Shen: Disturbance -- increased aggression, restless, high prey drive
Tongue
Color: Red
Coat: Thin
Moisture: Normal
Size: wide/Swollen/Thick
Pulse:
Depth: Superficial
Rate : Fast Forceful
Quality : toned bounding
Weaker slightly on RIGHT (Qi/ Yang)
Active Points on Palpation
_XX__BL-20 _XX__ LIV-13
_XX __BL-23
Ears, Head and thorax felt hot to touch, feet warm. thickened skin to axillae with moist (non exudative) skin. Could sense distinct cooler areas over TL area (BL20-23). Most sensitive on LIV13 would turn and growl
Am suspecting underlying Spllen deficiency with damp/damp heat but there was so much heat on this dog ( suspect heat was causing shen disturbance) that I've started the dog on Qing Ying Tang and plan to reassess him in 2 weeks.
Your thoughts would be greatly appreciated as always Steve
Daren