he has a history of:
presumptive diabetes insipidus controlled with desmopressin
recurrent uti
cauda equina syndrome
degenerative myelopathy
perianal gland tumor
cecal malignant spindle cell tumor surgically removed
acute hepatitis after trimethorprim-sulfa for uti, liver enzymes almost back to normal
urine scalding caudal pelvic limbs and ventral abdomen
he currently has an enterobacter uti with severe hemorrhagic urine.
his pulse is wiry, his tongue is lavender.
I started him on yunnan bai yao which reduced the severity of blood in the urine.
I also started him on shao fu zhu yu tang which caused severe diarrhea.
I know this herb is not great for heat; despite his being an Akita, the owner feels he does not have a preference for cold and I can’t particularly detect heat or cold on exam.
I thought maybe of san ren tang, but I can’t detect any damp (and it is on backorder.)
Where did I go wrong? where do I go from here?