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Fear Disorder In A Dog

by Karenrf - March 17, 2017 View Case Report

Hi Steve, it's Karen Fine, I hope you are well! This is regarding my own dog, an 11 year old SF lab/collie mix. She had a PDA as a puppy which was surgically repaired. About 5 months ago she began to have severe panic attacks related to noise, at night when the heat came on and began clicking. I treated her for Esophagitis per an internist on VIN but she did not respond. Her symptoms then became better at night (with Trazodone and alprazolam) but morphed into separation anxiety during the day with extremely destructive behavior. I tried Xiao Yao San, acupuncture, chiro adjustment, and Prozac, with no response. Finally I brought her for an MRI believing that she had a brain tumor, but it was clear. Bloodwork all n, rads n, abd US n. CSF tap showed mild inflammation (a few wbcs), tried trial of Pred per neurologist but no response. Current meds include buspirone bid, clonidine sid, Prozac sid, (all per behaviorist), trazodone and alprazolam pm (or she won't sleep). For herbs I took a seminar with Connie DiNatale and she said to try Sheng Mai San and Yunnan Baiyao for 10 days, which seemed to help! Then she said to switch to Gui Pi Wan, which I did about 2 weeks ago but she has regressed. This once happy dog is just miserable. I am home cooking about half her diet with beef and beef heart, millet and sweet potato. Her tongue was pale, but is now pinker and is Qi deficient/floppy. Her pulse is empty. Any suggestions much appreciated! Thank you.

by Karenrf

March 17, 2017

I forgot to add that she is on DES for leaking, 1 mg q7-10d. Also she dreams a lot now. We have tried thundershirt and DAP diffuser with no response and she is frantic if crated. Karen

by naturevet

March 21, 2017

Hi Karen,

Maybe keep going with Sheng Mai San for a while. It contains two adaptogens in high concentration, and also Rehmannia, which contains catalpol to help with cognition.

If that's not an option, consider giving a lot more Gui Pi Tang, or perhaps switching to Tian Wang Bu Xin Dan and giving that in higher amounts. Also, ensure the pre-blended formulas you're using contain Ginseng (Ren Shen), NOT Dang Shen, which won't work here. The TWBXD is theoretically more indicated, since the time of onset suggests potentially a Shao Yin (Heat?) pathogen. TWBXD is more cooling, whereas GPT is more heating, and thus potentially not a good idea for any Heart Fire due to Heart Blood or Yin deficiency, or a Heat pathogen. Additionally, TWBXD contains Sheng Mai San whereas GPT does not. Finally, TWBXD is a Kidney tonic (for the incontinence) whereas GPT is not.

Consider using Sang Piao Xiao San at the same time. It's mineral elements will probably be calming here, and it will probably help with the incontinence.

Hope that helps you out!

Steve

Tian Wang Bu Xin Dan

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