He was being tx with Vanectyl-P and had previously been treated with Ab/Anti-histamines and food trials. We worked with diet and topical therapies and were able to wean off Vanectyl-P, until he was presented to the hospital with an acute Addisonian crisis.
At that time, in addition to conventional tx from their 'regular' vet, we started Xiao Chai Hu Tang, based on a Dx of Ki Yin Def with false heat.
According to the owner, he has done very well, and is currently maintained on regular DOCP inj and 5mg pred SID.
When owner reduces pred however, Casey gets itchy again and notice increased "doggy odour".
Earlier this summer, Casey developed urinary incontinence dx as cystitis, but incontinence persisted despite neg C&S, so started tx with PPA.
He has now had another bout of cystitis.
I'm wondering if I should be changing his herbal formula, perhaps to Zhi Bai Di Huang Wan? to encompass some of his newer symptoms.
On his exam 2 weeks ago, Casey was found to have a lavender-purple tongue with a light white coating, and deep, wiry?, taught pulses.
Any thoughts?