Long story short, I've been treating this 4YO golden retriever w/ Lyme nephritis that did not recover well from rDVM's course of doxy. Based on UPC (2.8), I started him on BWDHW, then started Clear Spiro. Although UPC decreased by Feb. (0.7), kidney function and mild non-regen. anemia persisted. I tested for co-infections, Rickettsia and Bartonella positive, so I did another round of doxy and added enrofloxacin, both 4 weeks, also XCHT + Qin Jiao in April, continued BWDHW (both full doses). On recheck this month, much improved clinically and improved renal function and CBC but now UPC is 7.5 (not sure how much 2+ occult blood in urine affecting that) and serum albumin is lower than ever at 1.7! Tongue is not as pale as it was, pulse is deep, tones, broad. I wanted to check w/ you if I stay the course w/ modifications. From a similar case posted here, you state, "The glomeruli may be so damaged that our normal rules of thumb surrounding UPC and what herbs to use don't hold, and that to get control of renal inflammation you have to introduce tonics more quickly. They might have the double benefit of stimulating albumin synthesis in the liver, and improving hematocrit." What are your thoughts on adding Huang Qi to BWDHW and dropping or continuing XCHT + QJ and/or do you have other suggestions to repair glomeruli? Renal values put him at stage 1 CKD right now which is great except for the kidneys are albumin sieves!
Thanks as always for your time!
Franchesca