Question Details
Pleural Effusion
by Michelle1 - April 22, 2009
Lastly an icteric 10yo DSH cat referred for pleural effusion and I feel consolidation in her mid-abdomen as well. I am concerned she may have lymphoma and the owner doesn't have funds for biopsy. Chest tap was transudate , no obvious neoplastic cells. I am planning on starting her on Open the Liver Channels and low dose of pred- thoughts/changes?
Replies
by naturevet
April 22, 2009
Hi Michelle,

Technically it is the job of the Triple Burner to ensure fluids descend to the Bladder. An effusion, especially consisting of a transudate, suggests a Triple Burner obstruction. That fits with the sense of consilidation around the middle. In this case, you'd want to use a formula like Minor Bupleurum to open it back up, as well as deal with possible lymphoma and liver inflammation in real terms. That's what Open the Liver Canals does, so it's a great place to start. I'd give it a chance for a few days, unless the appetite is nil, before playing the prednisone card. That way, any improvements would suggest the formula choice is correct.

I hope that helps you out!

Steve
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