Question Details
Insulinoma In A Dog
by zenpony2000 - October 6, 2022    View Case Report
I have a 8.5 year old FS Shih Tzu 12 lbs, KCS OU who has confirmed Insulinoma since May 2021. She has been stable and doing well. O does great job with diet low carb/sugar, homecooked. She initially was damp, greasy coat, sticky tongue pink purple. She has ravenous appetite. She has been on Si Miao San and 1.25 mg of Pred daily. Her BG has been fine, no signs of fading/lethargy.

Her pattern has changed where now she is hyperactive at night, won't rest in evenings, overzealous begging for food. Keeping owner up at night. This is the primary driving reason why O reached out to me. Her coat is now dry, flaky, not seeing the obvious damp heat that would be seen with Insulinoma. Tongue is slightly dry, purple. Would switching her to Bupleurum, Dragon Bone, and Oyster Shell combo a good idea? O is most concerned with her insomnia at night and keeping her up. Is this due to damp traveling to different regions of the body vs Yin deficiency and Yang not descending inward?

Thank you kindly,
Sarah
Replies
by naturevet
October 19, 2022
Hi Sarah,

I think your idea has a lot of merit. Prolonged SMS use (while apparently very helpful!) can lead to Yin deficiency, secondarily. Yin deficiency can lead to problems anchoring Yang, especially at night and in the fall to winter months.

You can combine Chai Hu Jia Long Gu Mu Li Tang with Yi Guan Jian to remedy this, if that is what the problem is. Gold Standard Herbs sells this combination (essentially) as Halscion. It's probably the first thing I would try.

A runner up consideration is a Jue Yin excess, also caused by Yin deficiency. That is treated with Wu Mei Wan, but I haven't found it to be as effective as I would have thought in dogs, so Halscion (aka CHJLGMLT + YGJ) would be my first pick.

Hopefully that helps! Let us know how it goes!

Steve
by zenpony2000
January 2, 2023
Thank you for the help! I will keep you updated!
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