Question Details
IBD In A Dog
by henry - April 18, 2016    View Case Report
Tyson is a 3 year old male, neutered Boxer who has been diagnosed with IBD at the University of Wisconsin. His initial symptoms began last summer and consisted of ptyalism and regurgitation. There was also weight loss. Lab work was normal except for mild elevation of liver enzymes. He was diagnosed using fluoroscopy and biopsy and determined to have severe IBD that had progressed to esophagitis and led to the symptoms observed by the owner. He was treated with dexamethasone suspension and is currently taking prednisone, cerenia, and Prilosec. He also has muscle atrophy of the temporalis and masseter muscles that is not mentioned in his millions of pages of records.

The owner presented last week to see if acupuncture and herbs could decrease his need for prednisone. Tyson was active and friendly on initial exam. There was severe atrophy of the temporalis and masseter muscles. His tongue was pale with a red tip. His pulse was weak and rapid. His owner said that appetite was good and at this point he was eating canned Z/D. His stools were soft. His water consumption had increased but she had not noticed any concurrent increase in urination. She also said that since he had become sick, he had started snoring when he slept. Needling of SP 6 made the pulse stronger, but irregular.

Acupuncture treatment was aimed at Dissipating Heat and Strengthening the Spleen. Yi Guan Jian was sent home.

I haven't seen him back yet, but wanted to see if this formula makes sense. While there are signs of Dampness, pulse and tongue didn't evidence Dampness and overall he did not feel so much Damp as very Hot and Yin Deficient. The owner indicated that his weight loss had continued despite a strong appetite.

Just interested in your thoughts. Thanks, Deirdre
Replies
by naturevet
April 19, 2016
Hi Deirdre,

Generally, if an animal is Yin deficient, steroids are well tolerated with few side effects. In this case, the muscle atrophy and heat signs suggest that the steroids are causing issues - in other words, that he may be Damp. The pulse mentioned for for Damp in the classics is actually fairly weak and toneless, and snoring is a common symptom of Damp patients

If he does not respond to YGJ, I'd recommend trying Si Miao San next. At a minimum, it should reduce the required dose of immune suppressants, and is a good first choice when animals are reliant upon immune suppressants

Let us know how it goes!

Steve
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