Hi there!
If the liver enzymes were elevated in December but are not now, then Liver Blood deficiency is part of the diagnosis. If they are more elevated NOW, then you're looking at a Liver excess type of condition.
The forceful pulse tells us it may not be a simple Liver Blood deficiency, since usually a Liver Blood deficient pulse is thin, toned yet weak in force. A combination of a thin pulse that is nonetheless forceful suggests you may ALSO have a Shao Yang disharmony going on. The two conditions - Liver Blood deficiency and Shao Yang disharmony - commonly co-exist in dogs. Shao Yang disharmony causes damage to Yin (and thus Blood) when present long term.
Essentially, then, "Wood Yang Excess" and Wood Yin Deficiency" appear to be co-existing. From an acupuncture perspective, you can confirm this role of Shao Yang disharmony if you see the pulse moderate with inclusion of important GB points like GB 20, BL 19 and GB 34
Shao Yang disharmony is common in raw fed dogs, particularly if the diet is lacking in plant material (which many raw diets are). I find at least 1/6 and as much as 1/3 of what is in the bowl needs to be plant material for Shao Yang dogs to thrive. Probiotics like Lactobacillus and Bifidobacterium need to be added as well to make use of the plant material. By "checking this box", you will be addressing any seizures arising from dysbiosis or a disrupted "brain-gut" axis - something we have yet to learn about in regular medicine but which research is confirming is an issue.
Regarding the other findings: (1) high platelets usually is attended by chronic systemic inflammation, which is usually mediated by Shao Yang disharmony; and (2) the improvement of the cholesterol deposits on "Hepato" means that improved liver function is an ideal feature of whatever we use and that the liver issues are having a comprehensive impact on this patient. Logically, that would include the seizures.
Rolling that all together, we need an anti-seizure approach that:
- nourishes Liver Blood
- harmonizes the Shao Yang
- promotes improved liver function
- has a reputation for reducing seizures
To address these, I would suggest using three things in tandem:
- Chai Hu Jia Long Gu Mu Li Tang (Bupleurum, Dragon Bone and Oyster Shell Combination)
- Yi Guan Jian (Glehnia and Rehmannia Combination)
- Tian Ma Gou Teng Yin (Gastrodia and Uncaria Combination)
The first two come pre-mixed from Gold Standard Herbs as Halscion, or you can mix them yourself. Use 2 parts CHJLGMLT and 1 part of YGJ. Give 1/4 tsp of that mix and 1/4 tsp of TMGTY, and do that twice daily. If seizure control is partial, you can easily double both doses if necessary, starting with the TMGTY.
The combination above does seem pretty reliable, though, in making seizures milder, less likely to cluster, and less frequent. Meanwhile, see if adding GB points into your protocol extend the seizure-free period between acupuncture treatments.
Hopefully, that is exactly what you see!
Steve