Question Details
Arthritis And Spondylosis In A Dog
by
LJH
-
March 18, 2016 View Case Report
Replies
by
LJH
March 22, 2016
Hi Steve,
Just wanted to update on this dog. Seemed to be doing much better after 1st acupuncture but a week later appetite was reduced and he seemed to be drinking a lot in the morning. Because bloodwork hadn't been done in awhile rDVM repeated finding Alk Phos now up to 1400U/L, ALT sl up at 169 but Amylase and Lipase both increased (1660 and 5380U/L) Xray not definitive so are going to do ultrasound as soon as possible. I saw the dog briefly today and his tongue was more flabby, darker pink with a bit purplish tinge (had been panting). Pulse seemed a bit slippery and still rapid. BL 25, 27, 28 less sensitive but GB 30 still very sensitive.Thanks, Llewanda
Just wanted to update on this dog. Seemed to be doing much better after 1st acupuncture but a week later appetite was reduced and he seemed to be drinking a lot in the morning. Because bloodwork hadn't been done in awhile rDVM repeated finding Alk Phos now up to 1400U/L, ALT sl up at 169 but Amylase and Lipase both increased (1660 and 5380U/L) Xray not definitive so are going to do ultrasound as soon as possible. I saw the dog briefly today and his tongue was more flabby, darker pink with a bit purplish tinge (had been panting). Pulse seemed a bit slippery and still rapid. BL 25, 27, 28 less sensitive but GB 30 still very sensitive.Thanks, Llewanda
by
naturevet
March 23, 2016
Hi Llewanda,
Sorry about the delayed reply. This is a very complicated case. When I pick through it all, it seems to me the dog's core issue is a Shao Yang 'excess', causing:
So it makes sense to start with Minor Bupleurum and see if we're right. Since the pulse is now slippery, that might indicate the secondary Yang Ming excess is becoming as prevalent a concern, so if you want, you could see how the dog does on Da Chai Hu Tang (Major Bupleurum Combination). It's a stronger formula, though, so if you feel like baby-stepping your way in, you should use Minor Bupleurum alone, or perhaps even Chai Hu Jia Long Gu Mu Li Tang.
Hope that helps you out. Please let us know how this complicated case unfolds
Steve
Sorry about the delayed reply. This is a very complicated case. When I pick through it all, it seems to me the dog's core issue is a Shao Yang 'excess', causing:
- Yang to be trapped internally (creating the pancreatitis, thirst, Yin deficiency, and liver enzyme elevations)
- Yang to be deficient externally (creating the vulnerability to Wind Cold Damp invasion responsive to your acupuncture treatments)
- Blood stasis in the Shao Yang channels, responsive to NSAIDs
- Spring time aggravations (of the liver and pancreas)
So it makes sense to start with Minor Bupleurum and see if we're right. Since the pulse is now slippery, that might indicate the secondary Yang Ming excess is becoming as prevalent a concern, so if you want, you could see how the dog does on Da Chai Hu Tang (Major Bupleurum Combination). It's a stronger formula, though, so if you feel like baby-stepping your way in, you should use Minor Bupleurum alone, or perhaps even Chai Hu Jia Long Gu Mu Li Tang.
Hope that helps you out. Please let us know how this complicated case unfolds
Steve
by
LJH
March 26, 2016
Hi again,
Ultrasound on this dog showed vacuolar hepatopathy, not able to visualize the pancreas. rDVM thought there might be a mass present in the liver but couldn't clearly visualize with positioning. May repeat in a while. In mean time will start XCHT. Pulse was more wiry again when I saw him yesterday. If a mass is confirmed wondered about possibly introducing Ge Xia Zhu Yu Tang as well down the road. Thanks so much for all of your help,Llewanda
Ultrasound on this dog showed vacuolar hepatopathy, not able to visualize the pancreas. rDVM thought there might be a mass present in the liver but couldn't clearly visualize with positioning. May repeat in a while. In mean time will start XCHT. Pulse was more wiry again when I saw him yesterday. If a mass is confirmed wondered about possibly introducing Ge Xia Zhu Yu Tang as well down the road. Thanks so much for all of your help,Llewanda
by
naturevet
March 29, 2016
Hi Llewanda,
That's a good idea, the GXZYT, if the response to the XCHT is only partial, and the next step seems to be to address Blood stasis
Steve
That's a good idea, the GXZYT, if the response to the XCHT is only partial, and the next step seems to be to address Blood stasis
Steve
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