Question Details
TCC, Chronic UTIs
by ericahawker - October 5, 2009
Hi Steve-

I am treating a 14 yr old FS Standard Poodle that has a history of urine incontinence since 1 1/2 yrs of age, UTIs for the past year and on recent bladder ultrasound a mass in the bladder that is suspected to be a transitional cell carcinoma.

She also has Cushings dz which is untreated and is stiff and weak in the hindlimbs.

She does have signs of Yang deficiency with the hind limb weakness, incontinence , deafness and lethargy. However, she also has signs of heat with being very thirsty and only drinking out of the toilet, laying on cool floors and near the fan. She also shows signs of blood defic with lots of dreaming where she vocalizes.

On exam she is slightly thin, quiet, hyperkeratosis of nose, mild brown waxy otic debris. Tongue is dark pink and pulse is strong and moderate depth.

So, I read your Manual of Natural Vet Medicine about using Shao Fu Zhu Yu Tang with added Hua Shi. I know this is helpful with Yang deficiency but I feel that she also has a lot of heat signs so was also considering Damp and Toxic Heat protocol of vit A, vit D, low carb diet, DHA, and Hoxsey-like formula.

What do you think?

Thanks!
Erica
Replies
by naturevet
October 5, 2009
Hi Erica,

I've also just used Si Miao San simultaneously with the Shao Fu Zhu Yu Tang. I'd probably do that here, given the history of Cushing's, especially if it is pituitary-dependent.

Another option is the Dispel Stasis from the Bladder combination made by K'an, which treats hot animals. Indeed, even Ge Xia Zhu Yu Tang has enough lower abdominal punch that it can help more hot animals. So lots of options to choose from here.

Good luck,

Steve
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