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Thyroid/stomatitis Cat

by Lauren Chattigre - September 28, 2009

(I keep forgetting to login before I post...so this may show up twice).

Hi Steve. I'm wondering if I should get a custom blend from you for my kitty (and if it can be made into liquid for easy administration)?

Summary: early hyperthyroidism, early renal failure, chronic stomatitis despite full mouth extractions.

BW: T4 2.7 (0.5-4.7), FT4 4.3 (1.2-4.3), BUN 40 (15-34), Creat 2.3 (0.8-2.3), urine SG 1.018.

Clinical: weight loss, polyphagia, pu/pd, red gumline and fossa with difficulty eating, stiff hips swung low when she walks, licking her carpi over the LI meridian and below her L stifle over the ST meridian.

Tongue: greyish and mildly pale.
Pulses: deep, thin, weak, rapid, slippery.
Coat: mild evidence dehydration.

I remember Terri Grow with PetSage saying she had developed some formulas with you, but this seems more complicated. And I don't know if we should combine an ingestible formula with something you like topically for the mouth. Thanks!
-Lauren

by naturevet

September 28, 2009

Hi Lauren,

I'm not sure what formulas Terri is referring to. I don't remember developing anything with her. Perhaps I just recommended something for her own animal that worked well, or that she modified.

At any rate, with a case like this, I sometimes step back and ask: Hot or Cold, Excess or Deficient, and see what I'd answer. It seems to me you're dealing with a Hot Deficient animal. If everyone is a Tai Ji symbol at heart, then for this cat to be Hot and Deficient, it must lack Yin. So I'd wonder about a Yin tonic. Zhi Bai Di Huang Wan certainly helps with hyperthyroidism and supports renal function, but I would expect the tongue to look more red. It's also a good stomatitis remedy, so with all those ducks in a row, maybe we can overlook the tongue. So that's one option.

The tongue sounds like the color we see with either San Ren Tang animals (where Qi descent is obstructed due to Damp accumulation) or Kidney Yang deficiency. You can have both Yin and Yang deficiency if Yin deficiency lasts long enough. For that I would try Er Xian Tang. If the cat likes warmth, that would be my first choice.

Dampness and Damp Heat accumulation causes PU/PD, stomatitis, polyphagia, and can be remedied by San Ren Tang at times. San Ren Tang aids azotemia where it is caused by cortical inflammation, which I'm not sure is the case here. If urine pr/cr ratios are over 1, then SRT is more of an option. Otherwise, I'd look at ZBDHW or EXT.

Hope that's enough to get you started. It is important to just start. The cat will guide you from there, by how it responds (or doesn't!).

Steve

by Lauren Chattigre

September 28, 2009

Thank you so much...and thanks for those vital words "It is important to just start." :)

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