She has a history of pruritus following rabies vaccine in 2018, hair loss, hot spots. A diet change to raw w/o chicken helped resolve that. She is the Boss, food and dog aggressive, will fight if challenged, but tolerates submissive dogs, fiercely protective of her person. She is very heat intolerant, overheats easily.
On exam, T is normal pink w/ a hint of lavender, wet, drooling; P is deep, toneless, thin for a dog her size. Other than the stridor and continuous panting, the exam was unremarkable. I adjusted her hips (normal gait), but don't do AP, yet. She is stable on no meds, but I'd like to try and help her condition so she can breathe easier and enjoy swims and hunting again. She has a history of Dampness 2' to Spleen deficiency, but I am curious if an iatrogenic laryngeal injury / dysfunction is considered to be SYD like laryngeal paralysis or collapsing trachea in your assessment. Certainly, the hip dysplasia is seen as SYD, but the hips are also believed to be controlled by Kidney Essence (Yin), so Kidney Yin deficiency? I am thinking of starting her on XCHT w/ Qin Jiao and would like your opinion if this is the best approach (main concern is stridor) and if I should add SWT as well. Will adding SWT dilute the effects of XCHT and appropriate w/o overt Blood deficiency signs?
Thanks for all you do, Steve!
Franchesca