Question Details
Feline Stomatitis/stomach Fire
by medvet - February 10, 2010
I have a 10 year old DSH m/n cat with SEVERE stomatitis. Previously, this cat has only had his symptoms relieved with Depo Medrol injections by a previous vet and periodic antibiotics. Predictably, he is transiently diabetic each time he receives a Depo injection and is also now becoming resistant to it helping him.

His tongue and gums were bright red and ulcerated when I first saw him a few weeks ago. The tip of his tongue was red/purple and the gums were bleeding bright red. His pulse was superficial, fast and surging and was WAY too easy to feel for a cat. He enjoys sleeping in warm, soft locations. He is hungry but will vomit soon after eating any DRY food, he does ok with wet food but does not want to eat when his mouth is at its worst. He is most active at 7-9 a.m. and 3-6 pm.

I treated ST 44 & 45, Sp 6 & 10, ST 36, LI 4, and BL 20 & 21. I also started him on oral Traumeel liquid and had them stop his steroid injections.

Even just two weeks later, his mouth is markedly improved, he is eating better and has gained weight, his gums are no longer bleeding and his tongue/gums are less red. He is grooming himself and is more affectionate. His insulin requirements are dropping.

I was thinking of starting him on Qing Wei San with Yu Nu Jian? What is your opinion on whether or not this would be an appropriate formula for him?

Thank you!
Replies
by naturevet
February 10, 2010
The superficial rapid pulse, history of insulin resistance, and severe inflammation is a perfect set of indications for Si Miao San. It's the first thing I'd try.

It would be great to get the cat on a home-cooked or raw diet and off kibble. Processing has a strong inflammatory effect. I half think that is why the cat vomits after eating - gastritis. It's quite common for stomatitis to occur with GI inflammation. Si Miao San should catch that, too.

Steve
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