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Saw Palmetto

by leegregory - March 9, 2010

Looking for a dose for a 95 pound canine with intermittent stranguria. Planning on giving 3ml TID, but I have no basis for this dose other than the general guidelines of 1ml/10lb/d.
Likely a functional obstruction- no mass on repeated U/S, multiple u-cultures negative. Difficult to express. Next step is urethroscopy, but right now the poor bugger has an indwelling foley that I want to get out of him, and was planning on starting the saw palmetto 24 hours before pulling the u-cath.

Thanks so much,
Lee Gregory

by naturevet

March 9, 2010

Hi Lee,

3 ml BID seems fine. You could even add in an extra dose a day. The problem will be in giving too little, not too much.

Lately, in both dogs and cats, we've found that Bu Zhong Yi Qi Tang is helping expedite a return to normalcy during urinary obstruction or retention. You might want to consider using that simultaneously at a dose of, say, 1 1/2 to 2 tsp BID.

Once a urine stream has been successfully and consistently established, you can look at reducing the dose of Saw Palmetto and BZYQT gradually.

Let us know how it goes!

Steve

by bannink

March 10, 2010

Hi Steve,

Can you please explain the treatment rationale for BZYQT and urine retention or obstruction. I do see an indication in Bensky "for painful urinary difficulty in the elderly due to sunken yang qi add Ze Xie and Mu tong". I don't quite understand the TCM pathophys behind that. I would think more urinary incontinence with sunken Yang qi.

Thanks for the TCM phys lesson :)

Erin

by naturevet

March 11, 2010

Hi there,

It may actually refer to a heat or Yang accumulation in the Bladder, since that is what Mu Tong treats - elimination of Heart Fire through the urine.

As for the FUS indication, I'm looking at the formula as something that will treat Jue Yin excesses. This is when Yin is in its most compressed form in the lower abdomen. I'm beginning to look at urinary obstruction patterns in dogs and cats, particularly when they occur in the Jue Yin waxing phase of year (December or so) as Jue Yin excesses. So any formula that addresses 'pressurization' in the lower burner may help here. BZYQT is one of those. Hence it's ability to also help Chong Mai imbalances where Blood and Qi are stagnating in the lower burner, in addition to the misleadingly and benignly termed 'Spleen Qi Sinking'.

Hope that clarifies. Have a great day,

Steve

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