Porter very sens to meds, sens personality, flattened with a dewormer (Interceptor?), general vaccines - very lethargic, even Bord. Don't take him out much, but tends to get along well with other dogs, many dogs attack Porter though. Once neutered, made him more reactive, comes off strong. LOVES little dogs. Great with people, kids.
He is fed kibble, Can Naturals, with some veggies, fresh foods added but O said in August she could not afford to feed these too big boys raw.
On exam, tongue is lavender with pink edges, moist, normal size, some thin phlegm at back of tongue; pulses are toned, broad. He has sl mucoid OU ocular discharge; several scars around face and ears (from Ames who attacks him frequently); AU NAF; dorsal neck several raised 1cm-round irregular pustules, centre of one easily bleeds; Rt axilla 3-4 soft 10mm-round SQ/dermal masses vs swellings?
For part of Porters' exam I had both dogs in room as too hot in car. Ames got really agitated and attacked Porter at one point. O very good at controlling dogs and were separated quickly and Ames taken out.
Pustules on dorsal neck - told = pyogranulomatous furunculosis, chronic inflammatory lesions, TCM: Blood Heat and Stasis, ShaoYang disharmony, Wind Heat invasion?
Becomes very lethargic, drained after vaccination, TCM: Blood Heat and Stasis, ShaoYang disharmony?
Worse skin and mucoid exudate Spring/early summer - TCM: classic Damp Heat
I Rx'd QYT as I felt that so many signs resonated with this herbal. I also rec'd switching off processed food to raw at least temporarily to see if things improve. Initially he seemed to really improve, but then O emailed me to say she'd asked her rDVM to RX abx because he was now rubbing his cheeks on furniture and developing sores, as well as shaking his head, still sneezing. He also had a bunch of new lumps in his armpits. He was on a raw diet by then for 2 weeks (so I think now I should have gone with the ShaoYang angle...).
O lives 1.5 hours away and I didn't see her until Sept 15th - feeding raw and kibble now, with veggies and berries. Digestion way better, great appetite, formed stools completely now and dense (forgot to mention previous off/on soft stools). O only seeing 10-15% improvement in skin, shaking his head and ears a lot in heat wave, got aural hematomas AU, had to put on abx. O says AD inner ear canal was really red, prone to bleeding, sores on cheeks weren't healing, had lumps and abscesses in his armpits as well. Since abx skin finally healing. Tongue was lavender, moist, normal size to sl swollen, some thin phlegm at back of tongue; pulses toned but had a slippery feel. Rx'd SMS due to Heat, redness, still on kibble so could not 100% say worse on raw. Emailed a report Oct 22 and no change in skin, Porter drinking WAY less water than usual was only concern.
At this point O not wanting to bring dogs in again, since I was already thinking ShaoYang disharmony, I rec'd they order the Cessorex directly to try. So waiting to hear if this is correct or not. Just watched your skin dz webinar again and it seems to fit the best. No better or worse on raw. Worse in early Spring or Fall. Yang rising with ear issues, needs to be restrained and mobilized to cast out pathogens. His reactivity should also have reminded me. Tempers ST Heat and adrenal cortisol fluctuations, thereby improving microbiome. Scratching at GB channel areas. And I didn't know that SYD dogs can have a slippery type of pulse until this weekend?
Brother Ames is VERY reactive, tx'd with Stramonium homeopathic for early trauma as was adopted under duress, O very worried about his temper. Has attacked Porter many times. Used to be very unsocial, now much more involved and social, used to have a hard time relaxing/sleep, now able to unwind and sleep. Tends to be prone to a yeasty-vinegar sour odour. Definitely runs hot and anxious as a rule. Tends to get little pustules/bumps on outer neck, lateral shoulders and lateral hindlegs, O bathes with Chlorhexadine shampoo and can minimalize them, but never completely goes away unless weekly baths, all year round. On PE in Sept he was touchy, a little anxious, but allowed most of exam. Over dorsum (neck to back) multiple 3-5mm-round sl raised greyish masses with scale. COuld not get a good pulse reading, tongue lavender-pink, sl swollen. Put him on SMS with Porter, no real benefit either. Now thinking Cessorex as well to get the benefits of the Blood tonification and ShaoYang clearance for anxiety and reactivity as well as chronic skin issues (immune dysfunction). Seem like a good plan?
Thanks in advance,
Corinne