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HAVF & SAS

by Lauren Chattigre - October 14, 2009

Arthur is a 1.5yr MN boxer with a history of hepatic arteriovenous fistula corrected by thromboembolic method (original symptoms V/D, pu/pd, weight loss, finicky appetite, mild ascited and elevated liver values) and moderate subaortic stenosis (2/6 heart murmur). He is a high energy dog who's easily excited and worked up (better since neuter). Remaining symptoms include variable appetite and soft stool (I need to ask her about water intake but I think it's still more than normal). Tongue tends to be normal to pale puffy, sometimes lavender. Pulses tend to be a bit thin and rapid. No temperature preferences. Is there a formula that will accomodate SP qi and blood/yin tonification at the same time while protecting the heart from overworking? Thanks!

by naturevet

October 14, 2009

Whenever there's a need to both tonify Blood, yet avoid Damp and support the Spleen, the first formula I think of is Dang Gui Shao Yao San (Angelica and Peony Powder). You may want to look into that one.

Steve

by Lauren Chattigre

October 15, 2009

Thanks! Is a heart murmur considered damp because of the whooshing sound or blood stagnation?

by Lauren Chattigre

October 15, 2009

Thanks! Is a heart murmur considered damp because of the whooshing sound or blood stagnation?

by naturevet

October 17, 2009

I look at murmurs as promoting Blood stasis.

S

by Lauren Chattigre

October 17, 2009

Would it be too early to add something like Xue Fu Zhu Yu Tang; is it better to wait until the patient is symptomatic?

by naturevet

October 17, 2009

You could try it. Ordinarily it can be dampening and hard on the Spleen. But if DGSYS is on board, then it might be well tolerated. Otherwise, you may get a decent enough blood moving effect with DGSYS alone.

S

by Lauren Chattigre

October 18, 2009

Thanks, I'll start with just the DGSYS. Will see if the blood tonifying effect will also help his tendency toward rash on either side of his scrotal sac.

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