Question Details
Uncontrolled Epilepsy
by Allyson - February 2, 2010
This is further to a case I previously discussed. Dog has been epileptic since 4 mons, also has constant spontaneous muscle faciculation. Seen Jan 14 T bright pink, red, P def wiry, BL 16 active excess, responds to draining. Tx AP and start TMGTY. Dec spontaneous movement but seizures increased. Visit Jan 21 P slip and excess. Too much Yin, damp accumulation? Can I mix BXBZTMT with TMGTY or should I switch tx totally. Allyson
Replies
by naturevet
February 3, 2010
Hi Allyson,

It's odd that you saw a Dampening effect to the TMGTY, since it doesn't have that much in the way of Yin tonics. Right now the pulse best suits something that quite strongly pulls in, drains and descends. I'd wonder what Long Dan Xie Gan Tang or Si Miao San would do here. LDXGT, the way we make it, is still quite supportive of Liver Blood and Yin, so it shouldn't be counterproductive. Sedation of BL 16 might also suggest a need to drain Yang (which LDXGT), since it is the Shu point of the Governing Vessel, and the GV is all about Yang energy. It has a strong cooling effect, including on the Blood and Heart. LDXGT has strong cooling effects on the Heart, too, so it's where I'd start.

All the best,

Steve
by Allyson
April 21, 2010
I am hoping posting to this message will bring it back up to top of the pile. Owner had been feeling the dog is overall better. Taking longer walks more responsive to family members and her environment but still having grand mal seizures a couple of times a week and also sudden vocalizations with complete spasm of facial muscles. I recently added scorpion to the LDXGT but this has not controlled problem either. The owner is upset because the dogs urinary habits have deteriorated. She waunders around outside for a long time doesn't seem to be able to posture to urinate then comes in the house and has accidents, some even in her bed. It is like she is not comfortable enough in her space to urinate. Allyson
by naturevet
April 22, 2010
Hi Allyson,

Homoepathic Causticum springs to mind for dogs that are decrepit, dribbling urine, and seizuring.

Your initial post here was brief. With more information, I may be able to help further. For example, how old is the dog? Is there a seasonal aggravation of the seizures? What time of day are the seizures occurring? These facts may be important to helping you out.

Meanwhile, if the dog is looking less Excess, and more deficient, then reinstuting TMGTY with the LDXGT may be the next step.

Let me know if you have more information.

Steve
by Allyson
April 24, 2010
Sienna is a 4 year old female spayed Nova Scotia Duck Tolling Retriever. She has seizured 3-7 times a week since she was 8 weeks old. She has been examined at the Ontario Veterinary College, including and MRI and they diagnosed epilepsy. When I first met her she was seizing 3-7 times per week, was on phenobarb, potassium bromide, various homeopathics, a chinese herbal mix kidney yin builder and daily doxycycline for life due to a previous dx of tick borne meningitis. Her body was in constant motion. There were muscle twitches of eyes, ears and flanks and spastic hypermetric gait that made it difficult for her to walk. Her pulse was wiry and excess and active acupuncture point was heat at BL 16. She is now off the doxy, homeopathics and weaning her off KBr. The seizures stopped almost immediately with keppra and the twitching and gait problems resolved with LDXGT and AP. The owner currently has two main problems which are making her life intolerable. The dog has spontaneous muscle spasm of all muscle of the face which result in a high pitched squealing which is I think due to muscle spasm in throat. Happens 10 times a night and dog is waking owner every time. Also from the beginning owner has complained of dogs urinary habits. Whenever she is outside or in an unusual environment, ie visiting other homes, she seems to get so overstimulated that she cannot assume a position to urinate. Then she comes in the house and relaxes and has an accident. Steve once in the past you did a phone consult with me, dog and owner are you still doing this? I believe Iva would be interested in such a consult. Allyson
by naturevet
April 24, 2010
Hi Allyson,

We can set up a consult if you like. Just give the girls a call at 780-436-4944. I think the rate is $60 per half hour - hopefully the owner will be fine with that. I know there'll be a bit of a delay, though, until we can swing it. But you can call and get the first available appointment, and then make sure the dog and owner are with you during the consult, so you can act as my eyes, hands, and ears.

Meanwhile, it appears an antispasmodic approach is called for. This would make sense, since these excess cases slowly morph into deficient ones, and Yin and Blood deficiency (which are the main cause of spasms) are common following sustained use of cooling draining therapies.

Rather than stop anything that you're doing, you could just see how adding Bu Gan Tang helps the situation. It is an antispasmodic. Du Huo Ji Shen Tang is another consideration, especially if sedating BL 40 were to help with any pulse wiriness. For BGT to be appropriate, you'd want the pulse to feel thin and somewhat weak.

Even Valerian root is a consideration here, given its antispasmodic effects.

Hope that gets you through to the consult.

Steve
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