Question Details
Excessive Panting In A Dog
by CorinneC - June 15, 2020    View Case Report
I have a 12yo FS Golden Retriever that has been overweight her entire life. She is covered in ventral lipomas as well. When I first met her 2 years ago she was the typical SP Qi deficient Damp-Heat girl and responded well to Si Miao San. Last Fall she was seen by an associate for initial unilateral and then bilateral prolapsed third eyelids. When I reviewed the file I thought the SMS may be drying her out too much but I was unable to see her myself and the owner continued with SMS intermittently until recently. I just saw her this week and she has been very aggitated at night, restless, pacing, and pants. She pants all the time as a rule, but it is very frustrating for the owner who stays up with her when she's like this. She has also spiked her water intake but seems about the same for urination. Her appetite has rarely slowed but recently she may be a little more fussy. She has been on a cooked diet since 2018 but never lost weight. A full blood screen was all WNL as was her urine, decent USG too at 1.035. She refuses to go for walks now, won't go farther than a block and turns around. Her hindlegs tremble a lot.

I have always had a really hard time feeling Olivia's pulses as she is so BIG and lumpy, they feel very deficient to me all the time but she screams Damp. Her tongue is a darkish pink, wet, slightly swollen, minor phlegm strands. This new bunch of signs suggest Yin deficiency is brewing I think? I'm wondering if a Kidney tonic like Rehmannia 8 or Zhi Bai Di HUang Wan are in order? I initially went to THO but her pulses don't feel overtly strong, although I can't feel them well ever.
Replies
by naturevet
June 16, 2020
Hi Corinne,

Your ideas area all great. The first thing to make sure of, though, is that the dog is not in pain. Pain worsens at night and can cause panting and a secondary increase in thirst. A thorough chiropractic evaluation and possible adjustments seem called for. Often after adjustment, massage or manipulation, the pulse is much more palpable, allowing you to test its response to acupuncture. Given the purple tongue, ruling out a Shao Yang disharmony manifesting as pain in the L-S region would be most important. Points that would improve the pulse were that present include BL 28 and GB 34

Some other possibilities also exist. The purple tongue, hard to feel pulse and Dampness all suggest San Ren Tang to me, which can be of use in low back pain if it turns out to be present. Otherwise, a purple tongue, weak pulse and trembling legs suggests Kidney Qi deficiency, calling for Rehmannia Eight. Any suggestion of cardio-pulmonary disorders? If so, then Xue Fu Zhu Yu Tang sounds like it is called for given the tongue and pulse. If you used Modified Xue Fu Zhu Yu Tang, you'd get the benefits of Turmeric on joint inflammation.

Lastly, have you explored how this dog could be so heavy on a homemade diet? Is it high in fat or carbs? If so, that will keep any dog Damp. Otherwise, if it is a lean meat- and vegetable-based diet, you should rule out or address any hypothyroidism.

Sorry to just be asking questions and not giving you a single definitive answer. Hopefully these ideas help you out anyway

Steve
by CorinneC
June 16, 2020
Sorry! I was writing from home and didn't have her file. Olivia is hypothyroid and on Synthroid 600mcg BID. Her owner is on a very tight budget so I did offer Gabapentin and it really helped for the first few nights but has since lost its effectiveness. I am trying to get her in with my boss for chiro too!

I think if we can get a chiro assessment that will really help. I like the idea of SRT but was also wondering about XCHT. I think she is in this week (I hope) for a recheck.
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