I treat this 11 yr old MN Lab, who has confirmed atypical Cushing's. Started treating him last summer with Si Miao San; primary complaints were a chronic moderate ^ in Alkp and slight ^ ALT. (both LDDS and ACTH sim from rDVM were normal), decreased energy, thirsty and hungry for several yrs. , possibly somewhat ^ in the 18 most. previous to his dx, when the liver numbers had ^. He is somewhat anxious and a little dog aggressive, mild allergies worst summer. On first exam 2-18-14 he had sl. abdominal dissension, was overweight w/ waxy ears, had rounded liver margins.
On SMS, his energy level improved, pot belly resolved , appetite leveled off. The rDVM said he looked the best he'd seen him in years. As winter approached this yr, I added in Xiao Yao San, since his liver enzymes always has ^ some in winter. He did fine on the XYS/ SMS combo , so I switched him to only XYS around Jan. 1. His pulse was a a bit feeble, deeper than normal on the SMS, so I was concerned about drying him out too much, esp.. w/ our MN winters. Thought the XYS might have more indications for atypical Cushings as well? The owner feels his appetite may have ^ a little, but otherwise no big changes w/ the herb switch.
Yesterday, he had an acute onset of abdominal pain, with fever and vomiting food. His rDVM saw him on emergency; unfortunately no labs or X-rays were done. The dog has had 3 previous bouts of possible pancreatitis, with similar symptoms, ^ cPLI, etc. He was given fluids, antiemetics, antibiotics and is much better 24 hours later.
So, even tho' he had no diagnostics this episode,I'm wondering if this could be related to the XYS? Or at least that we didn't prevent another episode w/ this herb. He was off the SMS and on full XYS ~ 2 weeks before this episode.
I don't have his very old records handy, but his 2012 bout of abdominal pain was in December.
Any thoughts on this?
Thanks much,
:)Cathy