Question Details
Yokie With Urinary Issue/halitosis
by rmtran - February 27, 2010
Hi Steve,

My friend have an adopted Yokie and she has been trying to house break this little one with no success.

She was adopted 1.5 years ago as an adult dog. It was estimated as a middle aged dog with severe periodontal disease. The owner is retired, so she takes this dog every 2 hours for potty every day. It got better, but this dog continues to have accidents.

She also has a severe halitosis soon after each dental cleaning.

Her appetite is voracious, she drinks a large amount sporadically, but not often; her urine SpGr is 1.025~1.040.
Her tongue is red and her pulse is thin, wiry and fast.
Despite of abundant hot signs, she prefer to be in warm, soft place.

She recently started to show signs of urinary incotninence; she will make a puddle on the client's lap while asleep.

I am thinking about Si Miao San here but I am wondering if San Piao Xiao San can be added to consolidate her Qi/Jing.

What is your thoughts?

Thank you!

Rieko
Replies
by naturevet
March 1, 2010
Hi Rieko,

If the urine is quite concentrated, but there is urinary urgency, with stomatitis, I think first of Zhi Bai Di Huang Wan. It will also have the Yin nourishing effect you seek. It's okay for the dog to seek warmth as long as the pulse is that strong and fast, and the tongue that red.

It's where I would start.

Steve
by rmtran
March 1, 2010
Awesome.

I thought of ZBDH, but her preference of warmth kept me away from it.

Thanks!
by rmtran
May 11, 2010
Hi Steve,

I have performed two acupuncture on this patient so far.

Pts used: GV-14/20, BL-23, Bai Hui, ST-36, LI-11.

Both times, she rested comfortably the rest of the day, slept on my friend's lap, then urinated on her while asleep. The first time, she was not on Proin, the second time, she was.

Do you have any comment on how this could happened?

My friend is to start ZBDH (teapill by another company, since the patient only weighs less than 4 lbs). Do you think that this herb will address the symptom as well?

Rieko
by naturevet
May 11, 2010
Urination during sleep is at least in part a cognitive issue. Herbs that improve cortical blood flow help address it, and are often Kidney or Qi tonics. So the Rehmannia in ZBDHW should help, given its enhancement of cortical blood flow.

S
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