P had TPLO sx on both stifles in the last year and has documented hip dysplasia and hip arthritis. Otherwise she has been overall historically healthy (no GI concern, great energy, normal recent labwork, drinking/eating normally, no temperature preference but likes to lay on cozy surfaces). She does have a tendency to get anxious and likes to be with her owner – O’s presence is likely comforting to her.
She is currently on Adequan, Carprofen, Gabapentin, Myos, MovoFlex Advanced as well.
She recently saw an orthopaedic specialist for her FR lameness (pronounced head bob) and unless the client does an MRI, the only dx on the table for now is multifocal spondylomyelopathy. No improvement with a prednisone trial.
Western and TCM exam findings:
Pd dz grade 1/4 - had a dental
Osteoarthritis in both hips (hip dysplasia and previous ACL sx in both stifles) and in R elbow
Severe muscle atrophy in both hind end and shoulder areas
Trigger points caudal to scapula in the Fei-Pan area – muscle spasms when massaged
She tends to be more lame as the day goes on and with more exertion.
Tongue is wet, pink/lavender
Pulses were recently very deep, normal width, but weak
Body temperature: hind feet feel cool
Typically sensitive over Bl23, Bl18/19, Bl17 and when palpating upper thoracic vertebrae
Minor CP deficits in the hind end. Does not like putting weight on the FR (pain? vs. neuro deficit?)
Working TCM patterns or diagnosis(es):
Constitution: Earth and Fire
Kidney Qi Deficiency (osteoarthritis/ hip dysplasia, older patient, although energy level is quite good- she’s a Lab !)
Liver Blood Deficiency – ACL injuries, dandruff, mild nervousness/anxiety
Spleen Qi Deficiency – Muscle atrophy (general)
Bone Bi (Stagnation in both hips, stifles (Excess) and R elbow (Excess)
What herbal would you choose to help her lameness/overall issues? I was thinking CGJJT or XCHT with Qin Jiao or Xiao Huo Luo Dan?