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12yo gelding

 

HEREDITY:

Mother had the same underlying pattern, though slightly different

presentation. She was physically strong, very bold, bright and alert, great

stamina, intelligent and gregarious but quite 'highly strung'.

Had acute episode one summer - lethargy, muscle wasting and weakness and was

never really right again.

She developed lumber/pelvic/back problems and HQ weakness/myopathy, and a

debilitating fear/anxiety/paranoia which progressed over the years.

High cortisol, high insulin, thyroid problems (adenocarcinoma) - no

diagnosis but started to look a bit cushingoid at the end of her life.

 

Their seasonal pattern in common was:

 

Spring: digestive disturbance and tenderness over abdomen, electrolyte

disturbance (dehydrated skin), hyper, nervous behaviour (high sugar grass?).

Summer: collapse in energy, lethargy, weakness, irritable/abdominal

discomfort, excessive appetite, muscle myopathies.

Autumn: recovery of energy, hyperactive again,

Winter: always seemed quite well

 

Gelding- problems appeared at an early age

 

Born June 27, large, weak for a couple of days (lost placental blood).

Very bright, bold, joyful, and extremely playful for first 5 weeks.

Summer heat came - very dull and lethargic, unable to adapt, grew poorly.

Autumn - lost his home, removed from other foals, VERY frustrated play urge,

plus new autumn grass - became very hyperactive, very aggressive, angry,

gained weight instead of height, got epiphysitis.

Dentition late all through 'childhood'.

 

 

Went into same annual pattern as mare, but with aggression and weightgain

problems, started to get noticeably fearful around 5 yrs of age,

progressively worse each year (not behavioural, not scared of handlers).

 

Symptoms (remaining*, or resolved in part by whatever)

 

Anxiety/fear (thyroxine)

Confusion (thyroxine)

*Aggression (if he gets Kd tonics)

*Irritability (peony formula)

*Low drinking (possibly a bit low still)

*Low urine (ditto)

Low temperature (warm now on thyroxine)

*Mild leg oedema occasionally

*Lethargy

**Heat intolerance (stressed by heat)

Total exercise intolerance (thyroxine)

*Partial exercise intolerance

*Touch intolerance

*Slow, uncomfortable gut/bloating? (better on peony formula)

*Anhidrosis (can sweat in winter with heavier coat, not usually summer)

*Poor stress response

*Muscle pain/weakness/myopathies (thyroxine improved)

Hyper-ness (antacids - overnight response)

Emotional lability (better thyroxine/peony formula)

*Liquid with normal stool (caused by grass sugar)

**Laminitis (ischemic condition of feet - inflammation and/or veno

constriction)

*Digital pulses (sign of some hoof inflam/reduced circulation still)

*Allergic/hypersensitivities (eg buttercup, clover)

*Irritability/impatience (better with high level Vit E/antoxidents and

peony)

Abnormally high appetite (better with vits and peony formula)

Dull coat - thyroxine/vits

Greasy coat - late summer worst

*Topline muscle wasting summer (extra oil helps but damages spleen)

Relative hypoglycemia (thyroxine)

*Fat pads (unusual fat distribution - insulin resistance)

*Weight gain (started to gain weight early summer - now holding)

*Excess smegma

*Itchiness in summer

Dehydrated appearance to skin (early spring particularly)

Fast shallow breathing (summer mostly, esp when nervous)

*Shortness of breath which does not improve with training

*Runny eyes (more noticeable/or worse winter)

**Lumbar discomfort - noticed this year for the first time

 

CLINICALLY:

 

Glucose in range (tendancy to reactive hypoglycemia)

T4, T3 normal range, FT4 always below range

Insulin at high normal or just above range.

Cortisol at high normal or just above range.

Rest of bloods totally normal, high AP accasionally.

 

OTHER ILLNESS:

 

Had anaemia once, long post-viral white cell reversal.

No respiratory or urinary abnormality ever seen.

Some localised skin problems in youth.

Holds his tension somewhere behind saddle.

Blocked naso-lacrimal ducts

Photosensitises on clover

Muscle myopathy on buttercups

Mild congenital heart murmer (grade two out of five - no problem)

Hypomagnesemia - needs extra Mg

One anaphalactic reation to something in the grass

 

CHARACTER

 

Very physical, communicative, intense, gregarious, pushy, intelligent,

fun-loving, mischeivous, dominant, aggressive, demanding - but very

insecure.

Stong-willed, determined, tenacious but very sensitive- is very willing

if handled right and made to feel safe, loved, admired, appreciated.

 

Needs to be close, bonded, connected. Hates to feel isolated, disconnected,

misunderstood or not heard.

 

RISK

 

He remains at risk from laminitis, it can cripple a horse. It is usually

associated with toxins from excess sugar/starch disrupting caecal/colonic

microflora, can be caused by corticosteroids, and high insulin.

 

Formulas tried:

 

Gastric British herbs - marshmallow, meadowsweet, chamomile,

slippery elm, ginger, dandelion etc- little or no response seen.

Milk Thistle for one year - little or no response seen

Vitex Agnus Castus - aggression?.

 

TCM vet diagnosed Liver qi stagnation and Spleen qi deficiency in autumn:

 

50g Bu Zhong Yi Qi Tang - very large response immediately - anxious, fearful

to the point of panic almost.

50g Chai Hu Qing Gan 'Tang - very large response immediately - greatly

increased aggression, irritability, signs of stomach acidity returning

(excessive appetite), digital pulses worse, eyes started running.

 

Ayurvedic liver and general tonic formula:

At 50g liquid HUGE initial response in a few days - became happier than he

had been for years, BIG surge of energy and enthusiasm for work, bouncing

joyfully, feet even improved a bit I think. Settled to a lower level as

dosage reduced according to instructions - still more playful, touchable and

less aggressive, irritable, but not enough energy to work.

 

Medical herbalist of world renown saw horse in winter on above tonic and 30g

Ashwaganda, felt pulse fine, no sign of liver qi stagnation, just low in

energy and still fat so prescribed spleen qi tonic:

 

Spleen qi tonic formula - lots of energy at first, then increasing

irritability and aggression then at 3 weeks developed gastric ulcers.

 

Herbalist prescribed new formula including chai hu (with peony) under

protest from me - immediately caused digital pulses, worsening of ulcer

symptoms. Herbalist resigned.

 

I arrived at the following formula, by trial and error, which never got any

adverse reaction, and kept his liver/stomach/ulcer quiet for 3 months, no

aggression, no irritability etc:

 

Bai Shao 30

Bai Zhu 20

Mu Dan Pi 15

Fu Ling 15

Chen Pi 10

Shan Zha 5

Gan Cao 5

Lately Dan Shen 15g - seems to suit well

 

Sometimes add Dang Shen 5-10, currently trying Suan Zao Ren 5-10

 

0.5-1g daily Jiao Gu Lan sent him through the roof in three days, his yang

literally lifting him off the ground, with fear and rising sense of panic.

Also gave him digital pulse.

 

Horse needed increasing amount of above Lv formula to stay content. All

attempts to give him Kd tonic/heart formulas failed, however many heat

clearers were included in the formula. He would become aggressive and get a

digital pulse.

 

Finally one trial gave him laminitis 5 weeks ago, with which he has twice

relapsed

just as he seemed to be recovering, and be able to go out to exerise. He is

now confined to a stable for a min of four weeks, needed NSAID's to get him

over the last relapse, and as of yesterday has had a bad relapse of his

gastric ulcer.Now on omeprazole for that, at a cost of nigh on $400 per

week. Feet are quiet after a week on box rest.

 

We have taken an ACTH blood to test for Cushings disease, which I know is Kd

yin deficiency, and which I am sure he does not have in winter when all his

hormonal bloods return to normal, just. Cushings cases are normally worse in

winter - he is worse in summer. Cushings have less than 30% cortisol

rhythm - his tested 30% summer, 62% autumn.

 

Comments from LAc following.

 

Jackie

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Guest guest

Your horse was sexually abused as a yearling?

 

jackie <jackie wrote:12yo gelding

 

HEREDITY:

Mother had the same underlying pattern, though slightly different

presentation. She was physically strong, very bold, bright and alert, great

stamina, intelligent and gregarious but quite 'highly strung'.

Had acute episode one summer - lethargy, muscle wasting and weakness and was

never really right again.

She developed lumber/pelvic/back problems and HQ weakness/myopathy, and a

debilitating fear/anxiety/paranoia which progressed over the years.

High cortisol, high insulin, thyroid problems (adenocarcinoma) - no

diagnosis but started to look a bit cushingoid at the end of her life.

 

Their seasonal pattern in common was:

 

Spring: digestive disturbance and tenderness over abdomen, electrolyte

disturbance (dehydrated skin), hyper, nervous behaviour (high sugar grass?).

Summer: collapse in energy, lethargy, weakness, irritable/abdominal

discomfort, excessive appetite, muscle myopathies.

Autumn: recovery of energy, hyperactive again,

Winter: always seemed quite well

 

Gelding- problems appeared at an early age

 

Born June 27, large, weak for a couple of days (lost placental blood).

Very bright, bold, joyful, and extremely playful for first 5 weeks.

Summer heat came - very dull and lethargic, unable to adapt, grew poorly.

Autumn - lost his home, removed from other foals, VERY frustrated play urge,

plus new autumn grass - became very hyperactive, very aggressive, angry,

gained weight instead of height, got epiphysitis.

Dentition late all through 'childhood'.

 

 

Went into same annual pattern as mare, but with aggression and weightgain

problems, started to get noticeably fearful around 5 yrs of age,

progressively worse each year (not behavioural, not scared of handlers).

 

Symptoms (remaining*, or resolved in part by whatever)

 

Anxiety/fear (thyroxine)

Confusion (thyroxine)

*Aggression (if he gets Kd tonics)

*Irritability (peony formula)

*Low drinking (possibly a bit low still)

*Low urine (ditto)

Low temperature (warm now on thyroxine)

*Mild leg oedema occasionally

*Lethargy

**Heat intolerance (stressed by heat)

Total exercise intolerance (thyroxine)

*Partial exercise intolerance

*Touch intolerance

*Slow, uncomfortable gut/bloating? (better on peony formula)

*Anhidrosis (can sweat in winter with heavier coat, not usually summer)

*Poor stress response

*Muscle pain/weakness/myopathies (thyroxine improved)

Hyper-ness (antacids - overnight response)

Emotional lability (better thyroxine/peony formula)

*Liquid with normal stool (caused by grass sugar)

**Laminitis (ischemic condition of feet - inflammation and/or veno

constriction)

*Digital pulses (sign of some hoof inflam/reduced circulation still)

*Allergic/hypersensitivities (eg buttercup, clover)

*Irritability/impatience (better with high level Vit E/antoxidents and

peony)

Abnormally high appetite (better with vits and peony formula)

Dull coat - thyroxine/vits

Greasy coat - late summer worst

*Topline muscle wasting summer (extra oil helps but damages spleen)

Relative hypoglycemia (thyroxine)

*Fat pads (unusual fat distribution - insulin resistance)

*Weight gain (started to gain weight early summer - now holding)

*Excess smegma

*Itchiness in summer

Dehydrated appearance to skin (early spring particularly)

Fast shallow breathing (summer mostly, esp when nervous)

*Shortness of breath which does not improve with training

*Runny eyes (more noticeable/or worse winter)

**Lumbar discomfort - noticed this year for the first time

 

CLINICALLY:

 

Glucose in range (tendancy to reactive hypoglycemia)

T4, T3 normal range, FT4 always below range

Insulin at high normal or just above range.

Cortisol at high normal or just above range.

Rest of bloods totally normal, high AP accasionally.

 

OTHER ILLNESS:

 

Had anaemia once, long post-viral white cell reversal.

No respiratory or urinary abnormality ever seen.

Some localised skin problems in youth.

Holds his tension somewhere behind saddle.

Blocked naso-lacrimal ducts

Photosensitises on clover

Muscle myopathy on buttercups

Mild congenital heart murmer (grade two out of five - no problem)

Hypomagnesemia - needs extra Mg

One anaphalactic reation to something in the grass

 

CHARACTER

 

Very physical, communicative, intense, gregarious, pushy, intelligent,

fun-loving, mischeivous, dominant, aggressive, demanding - but very

insecure.

Stong-willed, determined, tenacious but very sensitive- is very willing

if handled right and made to feel safe, loved, admired, appreciated.

 

Needs to be close, bonded, connected. Hates to feel isolated, disconnected,

misunderstood or not heard.

 

RISK

 

He remains at risk from laminitis, it can cripple a horse. It is usually

associated with toxins from excess sugar/starch disrupting caecal/colonic

microflora, can be caused by corticosteroids, and high insulin.

 

Formulas tried:

 

Gastric British herbs - marshmallow, meadowsweet, chamomile,

slippery elm, ginger, dandelion etc- little or no response seen.

Milk Thistle for one year - little or no response seen

Vitex Agnus Castus - aggression?.

 

TCM vet diagnosed Liver qi stagnation and Spleen qi deficiency in autumn:

 

50g Bu Zhong Yi Qi Tang - very large response immediately - anxious, fearful

to the point of panic almost.

50g Chai Hu Qing Gan 'Tang - very large response immediately - greatly

increased aggression, irritability, signs of stomach acidity returning

(excessive appetite), digital pulses worse, eyes started running.

 

Ayurvedic liver and general tonic formula:

At 50g liquid HUGE initial response in a few days - became happier than he

had been for years, BIG surge of energy and enthusiasm for work, bouncing

joyfully, feet even improved a bit I think. Settled to a lower level as

dosage reduced according to instructions - still more playful, touchable and

less aggressive, irritable, but not enough energy to work.

 

Medical herbalist of world renown saw horse in winter on above tonic and 30g

Ashwaganda, felt pulse fine, no sign of liver qi stagnation, just low in

energy and still fat so prescribed spleen qi tonic:

 

Spleen qi tonic formula - lots of energy at first, then increasing

irritability and aggression then at 3 weeks developed gastric ulcers.

 

Herbalist prescribed new formula including chai hu (with peony) under

protest from me - immediately caused digital pulses, worsening of ulcer

symptoms. Herbalist resigned.

 

I arrived at the following formula, by trial and error, which never got any

adverse reaction, and kept his liver/stomach/ulcer quiet for 3 months, no

aggression, no irritability etc:

 

Bai Shao 30

Bai Zhu 20

Mu Dan Pi 15

Fu Ling 15

Chen Pi 10

Shan Zha 5

Gan Cao 5

Lately Dan Shen 15g - seems to suit well

 

Sometimes add Dang Shen 5-10, currently trying Suan Zao Ren 5-10

 

0.5-1g daily Jiao Gu Lan sent him through the roof in three days, his yang

literally lifting him off the ground, with fear and rising sense of panic.

Also gave him digital pulse.

 

Horse needed increasing amount of above Lv formula to stay content. All

attempts to give him Kd tonic/heart formulas failed, however many heat

clearers were included in the formula. He would become aggressive and get a

digital pulse.

 

Finally one trial gave him laminitis 5 weeks ago, with which he has twice

relapsed

just as he seemed to be recovering, and be able to go out to exerise. He is

now confined to a stable for a min of four weeks, needed NSAID's to get him

over the last relapse, and as of yesterday has had a bad relapse of his

gastric ulcer.Now on omeprazole for that, at a cost of nigh on $400 per

week. Feet are quiet after a week on box rest.

 

We have taken an ACTH blood to test for Cushings disease, which I know is Kd

yin deficiency, and which I am sure he does not have in winter when all his

hormonal bloods return to normal, just. Cushings cases are normally worse in

winter - he is worse in summer. Cushings have less than 30% cortisol

rhythm - his tested 30% summer, 62% autumn.

 

Comments from LAc following.

 

Jackie

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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> Your horse was sexually abused as a yearling?

 

Was that really a serious question?

 

No. He was rather 'oversexed' after weaning - covering fillies at 9 months.

 

Jackie

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Shai mahn hu? I think that since all other methods for this horse have been

tried that it is necessary to look for the cause of the problem. Delayed stress

can happen in horses as well and some early problem will cause the weaker horse

to die at an earlier age. That is why I reccomende the head wrap to cover the

ears 4-6 pm and the cornshuck poultice which is native amaerican horse medicine

Tu ahi shda ma tdgi eiien/

 

jackie <jackie wrote:Shame on you.

 

Jackie

 

 

 

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