First- for those who don’t know me, I’m a veterinarian who does acupuncture (Sa’am, classical acupuncture, balance method) and Chinese herbal and Food therapy. I mostly do internal medicine cases.
She is a middle aged spayed female Visla.
I have a dog that presented to me a couple of months ago, dyspneic, sent home to die from Specialty/Referral Clinic She was very thin, wet mouth, with small salivary glands on palpation. Her tongue was pale pink at the edges with a lavender center. Her respiration was clearly labored with clear intercostal and diaphragmatic excursions. Energy was significantly reduced. Her pulses were similar bilaterally and were slippery w/ faint wiry component. Pulse size was smaller than expected. In a dog, because of motion and anatomy, I usually don’t attribute an organ component unless it’s really profoundly different. There is no comment in my chart, so I suspect that she felt similar in all positions. Hair coat was slightly greasy and was underpigmented.
She was eating (not a lot and reluctantly) a processed food diet. Her personality was a sweet, engaging Earth dog with a slight TH component from a Sa’am perspective.
She had 1.7 liters of chylous fluid drained from her pleura (in a 35lb dog) the previous day.
I switched her to a cooked food diet with the addition of fresh Shitake mushrooms and fresh ginger. I did a double LI Sa’am treatment and started her on Wu Ling San at a big dose.
And she got better. Not fixed, but progressively better over a period of 2-3 months. Pleural tap volume reduced. Dog regained normal body condition score, coat quality improved and color became rich. Dyspnea resolved, energy back to normal. She loved the food, appetite returned to normal dog appetite. Tongue lost lavender center and became a uniform pale pink but thin, it was still slightly wet. Pulses became soft, still a little superficial, still a little small and weak as compared to the dog’s vitality.
And then the pleural tap volume started to creep up. The rest of the physical exam remained improved, so I added in a low dose of Jin Gui Shen qi in the hopes that Kidney would start grasping a little more of the fluid from the Lung. I switched over to Sa’am ST on the Left, Kidney on the right because she was no longer greasy on the outside. I also did a treatment, approaching it with a Jeffrey Yuen meridian sequence approach using LU/KID/TH, which also helped but not fixed.
The herb change helped her drop her pleural tap volume a bit, but it started creeping up a bit.
Then, I broke my hand and the owner threw his back out and I didn’t get to treat her for about a month.
She has maintained her progress, but I would like to help her completely clear this pleural effusion which is trying to creep back up in volume.
What am I missing from an herbal perspective? Herb Gurus please weigh in. She’s still on a biggish dose of Wu Ling San extract granules with the addition of a 1/2 dose of Jin Gui Shen Qi. I can modify herbal formulas as needed if we do it in extract granules.