I have a 5.5 yr old Australian Shepherd as a second opinion for acute renal failure. Patient stopped eating at home ( processed) , sneezing and coughing and hyporexic. Patient was initially pu/pd upon presentation.
BUN129, Creatinine 12, Phosphorous 9, Cholesterol 400, UPC 4.9, SG 1.012.
Due to the UPC and cholesterol and lack of response to fluid therapy at the referral hospital I summized this to be the inflammatory phase of renal failure.
Patient was hospitalized, place on a very low rate of IV fluids, gastroprotectants, phosphate binders and Xiao Chai Hu Tang for a few days.
Initially both the BUN and Creatinine were creeping down very slowly, but now has gone back up to above 12 for creatinine and >130 for BUN, phosphorous is a little higher as well. Today I d/c the XCHT and added San Ren Tang at 1/4 tsp BID Natural Path....Patient is 20lbs
Pulses today were toned, somewhat wiry, increased in rate. The tongue is pale pink with lavender center. The patient is still alert and taking low protein syringe feeding very well, still coughing some, she has slowed down with the pu/pd.
BL 25 was active today and modulated the pulse when sedated.
I repeated the labs and the creatinine went down to 8.5, BUN 123, cholesterol 389 ( 110-320) phosphorous is 15.2 ( 6.8 is high normal). I can't believe this happened so quickly!
TCM:
Triple Burner Obstruction
Damp obstructing flow of kidney Qi
How long do I keep her on San Ren Tang? I am assuming to add Rehmannia when the inflammatory phase passes?
Thank you so much!
~Allison