10 yr old std poodle with severe ITP last December/January. She was put on high doses of prednisone and azothioprine. She had significant side effects from the prednisone - to the point of poor quality of life.
I saw her 2/28/14 and she was weak, PU/PD, lethargic, distended abdomen, anemic and wide, slippery with a little bit of tone that responded to typical damp heat points. We started Si Miao San and immediately started tapering off prednisone. She did great and platelets back up to 300,000 by April.
Her T4 was consistently low and based on a panel sent to Hemopet, thyroid supplementation was started late fall. Her platelet count late October was 68,000 with clumps. HCT 46. She stayed on DGSYS over summer and pulse moved deeper and became thinner and slightly toned. We added SMS since she had responded well to it in the past.
Typical points are BL 17 S, BL 20 T, BL 21 S, BL 23 T. She often can have active GB points, too, but not last visit 1/29/14. She developed diarrhea shortly after taking CHJLGMLT but not sure if related so I am a little gun shy on the XCHT or mods.
Last blood panel 12/29/14 shows platelet count still at 69 with giant platelets and some clumps but now they estimate she is low. HCT still 46%.
It looks like I should probably go with QYT but curious about BL 23 T, which is consistent - do you have other thoughts for this consistent late fall/winter pattern? I checked SP 4 with no improvement.
Thanks!
Marnee