Last Spring I ran a senior screen and his T4 was extremely low for the first time so we ran a full thyroid panel. Interestingly, other than his reactivity, he was showing no signs of hypothyroidism, but came back with very low T4/free T4/T4/FT4 Ratio/T3. The owner was very adamant that she didn't want to start thyroid meds yet and chose to start thyroid glandulars and I added Dang Gui Shao Yao San to further support him. He appeared to do very well until this past week. Saturday doing a lot of bowing, V+, not eating, thought GIT. His poop had some bright red blood, but was still urinating well. At 4am bowing constantly, O started walking him around yard, concerned then about a bone obstruction (his brother had had one). Went to emerg, determined eventually BPH with U/S yesterday (under sedation). Given Cerenia TGH, did not take Baytril that was offered. Still under affects of sedation today, but back to E/D well, feeding fish and rice. O feels he is missing raw bones and raw food but did restart his Westcoast muffins. Dropped a pile of wt over 3 days period but is regaining quickly as well according to O. Stools still not well formed but improving. Has only been on Probenz, stopped TCM herbs (DGSYS, XFZYT, Dan Shen, Halscion), and continued thyroid glandulars. Foster's pulses are fairly toned but can be compressed; tongue is reddish-pink, moist, normal size. His prostate is palpably enlarged ~6cm-round, and yet U/S only says 2.75cm?? May not be reading right.
I put him on Ge Xia Zhu Yu Tang knowing he would restart the herbs above as well. I felt the GXZYT was the best way to Move Blood due to Qi Stagnation, invigorate the circulation, and relieve any pain. These are difficult cases so I want to make sure I am on the right track?
Thank you so much for your time and help Dr Marsden, as always,
Corinne