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Proteinuria In A Dog

by ajerger - April 1, 2026 View Case Report

Hi there,
I have a 8.5yr old FS Yorkie Poo, second opinion for proteinuria and has been placed on Benazepril. BUN/Creatinine are normal. The proteinuria has improved on this medicine. The patient is eating a fresh food home made diet. The Pulses are mid depth, toned, moderate fingerlift, resists compression and increased rate.
Patient has a history of processed foods, with a history( Several years ago) of a C section and pups did not make it, as a complicating issue she developed aspiration pneumonia while hospitilized, so many antibiotics were administered over a period of time.

I did not modulate the pulse with GB points as far as I can tell.

I was thinking Xiao Chai Hu Tang but also wanted to know if addressing the history of damp would be in order using San Ren Tang?
Thank you so much!
~Allison

by naturevet

April 6, 2026

Hi there!

Yes, a San Ren Tang pulse can present like a Shao Yang pulse (and like the one you described), so starting with it should be fine.

As a general rule, if urine UPC ratios are above 3 and especially above 5, than an anti-inflammatory approach using Xiao Chai Hu Tang is often called for, but I would have expected GB points to improve the pulse.

If UPCs are below 3, I think first of tonifying approaches that increase renal blood flow, using some some version of Rehmannia.

A clear benefit of a hypotensive drug suggests a more acute renal hypertension that might respond to XCHT. If the UPC is well above 3, it's worth trying, I guess. But maybe try the SRT first.

The nice thing is that San Ren Tang can help animals benefiting from both Rehmannia and Bupleurum. It is an anti-inflammatory but also reduces mesangial cell proliferation, allowing increased renal perfusion. So, it benefits both scenarios.

Let us know how things turn out!

Steve

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