Nutmeg is an 11 year DSH. She presented to her DVM 1 year ago with the complaint of having generalized seizures. At that point she had 2 which were 2 weeks apart. Fungal titers were negative, labwork normal at that time. The owners declined a workup for the suspected culprit (meningioma) and chose to watch the cat. Within 2 months her seizures were weekly to every other week and she was put on a Prednisone trial which made her lethargic and did not effect the frequency. The seizures occur randomly. At times weekly, sometimes a month is skipped then they come Q 2 weeks. They can happen any time of day but may be more common late night or early AM. Her appetite and mentation are normal between. They came to see me because after a 6 week break from the seizures she began having them every 2 weeks again. She is unconscious and urinates during the seizure. She had also developed a dry cough X 1 month. She was "clumsy" on exam and intermittantly stumbled which the owners said Nutmeg has done her whole life. She has also always been timid. She was normal her whole life otherwise, no GI signs and appetite always good.She sleeps "too deeply" and can be hard to awaken per her owner. Her tongue was purple, her pulses thin, toned but weak. I was expecting TBO but these pulses were really not consistent with that. Quite honestly they felt more consistent with a blood deficiency pulse but I haven't heard of using XFZYT for seizures. I was considering an XCHT derivative because of the cough but now am considering San Ren Tang because it can also help with TBO and pulmonary issues (she has a bronchial pattern on xrays). Her labwork and blood pressure were normal. I doubt this is cancer though. Her signs have not appreciably progressed and she looks great otherwise.
Sorry Steve, I know this is a little all over the place, Kathy