Question Details
Pleural Effusion
by kristinrennie - October 13, 2009
Hi Steve,

Thank you for your time in answering all of our questions. This forum has been a wonderful resource.

I have a colleague's dog who has had pleural effusion since 8/07/09. She is a 9yr fs Sheltie. The effusion has been extensively worked up with fluid analysis, cytolgy, biopsies, double cavity CT scans and thorascopy. The biopsies of the pericardium and pleura came back as chronic, severe inflammation. The dog currently has a vascular access port in the thoracic cavity with a drain that opens to the exterior. She gets 160ml of clear fluid every 4 days. Has been on high doses of Prednisone for 4 weeks with no change to the pleural effusion. I had placed her on Wu ling san and pinellia, citrus, poria and licorice 6 weeks ago with no change. She is energetic, happy, and has a propensity to gain weight. She has a slight decrease in energy on day 4 when she needs to have the fluid removed. She has a hx of elbow djd.
Her tongue is pale pink with slight lavender in the middle. Her pulses are toned and firm.
I am looking for any food suggestions, acupuncture, and herbal suggestions. I was thinking of Xu Fu Zhu Yu Tang to move the fluid from the chest?
Thank you for your time.
Sincerely, Kristin

Kristin Rennie DVM, CVA
Dover Veterinary Hospital
Dover, NH 03820
Replies
by naturevet
October 13, 2009
Hi Kristin,

That would be my choice, too. Moving the blood supply peripherally would help to address chronic inflammation externally (by flushing out free radicals, etc.). At the same time, it would undermine more acute fulminant inflammatory processes in the lungs. So you should get somewhere. You may enhance its effects with Xiao Chai Hu Tang, which has the same hemodynamic, but also opens the Triple Burner. Whenever fluid is trapped in the upper burner, it must be due to an obstruction in the Triple Burner. So I'd use both.

Please let us know how this goes. It could be a good case for you.

Steve
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