Question Details
Self Mutilation In A Dog
by mldvm - February 24, 2026    View Case Report
I have been seeing a 3 1/2 year old Malinois mix for what the owner initially described as "spinning" but is also to some degree an issue with self mutilation. His tail was amputated by 16 months of age due to him chewing on it and he continues to "spin" but on his last appointment has also begun to chew on haunches/hips, etc. Hairloss/barbered hair but the skin itself looks okay at the moment. Noise does seem to make things worse according to owner, and he thinks he does this more later in the day. No other clinical problems. No response to Xiao Yao San, Xiao Chai Hu Tang, Chai Hua Jia Long Gu Mu Li Tang at all. Pulses are mid-depth to deeper, full with some tone.
Replies
by naturevet
February 28, 2026
The relentless itch that escalates when the dog is stimulated suggests Heart Fire is driving it. Qing Ying Tang is a formula that addresses Heart Fire and fits that full pulse.

So, too, do Shao Yang formulas. You’ve seemingly tried them, but I find they don’t work that well in skin issues unless paired with a Blood tonifying and moving formula like Si Wu Tang or Yi Guan Jian.

Lastly, if this dog is still on processed food, they may have Damp Heat, whose pulse can occasionally come across as Full. If a move to real food aids this dog, then Si Miao San, Long Dan Xie Gan Tang and Long Dan Er Miao San are all worth a look.

Hopefully, this helps you out and the dog gets better soon!
by mldvm
February 28, 2026
Actually did the Xiao Chai Hu Tang with both the Yi Guan Jian or Si Wu Tang, but Qing Ying Tang never even entered my mind! Thanks!
He's currently doing a 4 week fresh food diet trial, so depending on how that impacts his behavior the Qing Ying Tang may be next.

I will say, other than the mutilated tail, he does not have any skin lesions, just the missing hair and the "tail-chasing/spinning behavior.
by naturevet
March 1, 2026
Yes, I got that impression from your description. I would still proceed as planned. Good luck!
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