Question Details
Seizures In A Dog/GI Upset
by equinesportsmed - April 30, 2020    View Case Report
Chai and Java are 4 year old lab/Pittie full brothers, MC, who have been having seizures since fall of 2018. They are more frequent in the fall/winter, and are always in the early morning, so I have begun treating them as Jue Yin Excess, with Wu Mei Wan and Qing Ying Tang. So far so good, each has had one sz in late April since we started the herbs and diet change to fresh meat/low carbs, but both were very mild episodes. Java has aggression associated with his seizures, and Chai has nausea/vomiting associated.

The problem is Chai's sensitive stomach. He has always been fussier about food, would just stop eating until they changed brands of kibble. Since a violent GI episode in early February, he periodically acts off for a few days-- inappetent especially in the morning, acts like he has reflux: lip smacking, gagging, drooling, and is lethargic. Seems to have a belly ache BEFORE eating. Stools are normal. No abdominal gassiness, but a radiograph at Cornell in February seemed to indicate he had upper SI inflammation. He does have chronic Lyme, but is too fragile for a full course of antibiotics, and his numbers are not high. In between episodes, he is his normal self. He runs super hot a lot of the time, can't tolerate temps higher than 70s. No damp heat signs. He is extremely anxious away from his brother, but at home is relaxed. His tongue was on the pale side, while his gums looked red-orange-- a strange combo. Perhaps back of tongue more purplish. Eyes normal, not red. Chunky-- maybe 7/9 BSC. Pulse was difficult to feel because he was shaking too hard. My impression was thin and taut. Definitely not a Shao Yang pulse.

I know you are allowed to have more than one thing wrong with you, but I can't quite see a pattern that encloses the whole picture. I sent him home with a homotox symptom remedy, and a few doses of Ant. Crud 30C, which seemed to fit his symptoms-- I'm not a classical homeopath, but this remedy was part of Gastrucumeel: loss of appetite, belching. Any thoughts?
Replies
by naturevet
May 8, 2020
Hi Karen,

Nausea in the morning is always either due to Dampness or Yang Ming Heat and Dryness. Give your success with WMW+QYT, which suggests Liver Blood deficiency, I'm suspecting there is a more generalized Yin deficiency as well, which creates the Yang Ming (i.e. Stomach) symptoms. I know he is a heavier dog, but given the heat intolerance, pallor, yet hotter looking gums, and weak pulse, I'd still explore Liver Blood and Yin deficiency first. The pallor might be from the Blood deficiency and the orange-redness in the gums indicating the Stomach Yin deficiency.

Assuming all that is correct, I'd try Yi Guan Jian and would hope for a prompt improvement over the next couple of weeks. The gastric pain pattern is typical of a gastric ulcer, which YGJ addresses

Hope that helps!

Steve

P.S. Did you add Tian Ma to the WMW?
by equinesportsmed
May 8, 2020
I did not add Tian Ma. Should I have? How much as an add on?

Will definitely get him started on YGJ, thanks!
by naturevet
May 8, 2020
I would put about 20g in the WMW

S
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