I have a case that I need a bit of help...
Ritz...8 1/2 year old intact male Aussie
History: Diarrhea and flatulence since puppyhood
Primary symptoms now: Severe bloating after eating (Dampness, Stasis)and flatulence with soft stool and diarrhea (Dampness and Spleen Qi Deficiency). The flatulence has moderate odor (Damp Heat), but the odor has become more mild lately.
Has lost over 11 lbs. since November 2009 (Spleen Deficiency). He has a ravenous appetite (Damp Heat).
Had emergency GDV surgery on 12/4/09.
Biopsies taken at time of GDV surgery: Stomach and intestine, revealed helicobacter and lymphoplasmacytic/eosinophilic gastritis and enteritis, no evidence of neoplasia
Fecal cultures: negative (campylobacter and salmonella)
Giardia: negative
Cobalamin and folate: WNL
PLI and TLI: WNL
TP: 4.3 (5.2-8.2)
Albumin: 1.8 (2.3-4.0)
Current meds:
Zantac BID
Cisapride BID
Amoxicillin BID
Metronidazole BID
Budesonide SID
Probiotics and Gas-X
Tongue: mddium pink, no coating, slightly thick
Pulse: good rate and rhythm, medium position, fairly strong, tight and wiry and thin
TCM diagnosis: Dampness with some Heat, Blood Stasis with underlying Spleen Qi Deficiency
At first I was focusing on the Dampness and thinking about San Ren Tang, as I don't think I have enough Heat signs to try Si Miao San.
But, more recently, I was considering Dang Gui Shao Yao San for tonifying, moving and draining Damp. The other formula is more moving but also tonifies with mild dampness properties...Xiao Yao San.
Your thoughts are always appreciated!
Thank you!
Heather