4-year-old MN Fire Border Collie mix with acute onset of urinary incontinence since neutering at 3 1/2 years old.
Prior to neutering, he would dribble occasionally when excited. He is a very nervous fear biter kind of guy.
Now he dribbles a significant amount when he is laying down and sometimes while he is walking.
No urgency or straining to urinate
Post-neutering, he did attack a dog in the household (unusual)
Polydipsia: Always the case since a pup
Low-grade itching: no skin infections.
Diet: raw chicken, beef , sardines, bone broth, dehydrated Honest kitchen veggie mix
Exam: Minimal
Sensitive to BL23,22
Prefers warmth
Tongue: pale, lavender
Pulses: bilaterally weak and thin, better with GB34, no change with SP4
TCM: Shao yang disharmony and perhaps kidney yin def.
Start Ba Wei Di Huang Wan and XCHY , acupuncture: BL22 and KI3/BL60 (that's all I could do)
Initially improved but not 100% better: water consumption was more normal, holding urine at night except if expelled a lot of energy
Continued XCHYT and added BZYQW:
Was doing better than suddenly not great (around holidays)
O requested we start Proin.
Since Proin: Doing better but still occasionally dribbling
Notes:
I was convinced that this case would respond to BZYQw but seemingly not as much as I thought. He is on 3/4 tsp BID (35 lbs dog). I don't think this is a low dose but maybe?
TCM:
Kidney qi def with cold signs (worse when he is tired, prefers warmth although drinks a lot)
Spleen qi sinking: so added BZYQw
Since doing well with Proin or better at least: what does that mean from a TCM perspective?
Looking back, did better with Rehmannia eight. Maybe that is the key?
Thoughts
Thanks again
Hannah