Herbal formulas used in a dog with cervical intervertebral disk disease

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Hi All,

 

See full-text of this fine case report at http://www.vetsci.org/2007/pdf/95.pdf

 

Ayne Murata Hayashi¹,*, Júlia Maria Matera¹, Tatiana Soares da Silva², Ana

Carolina Brandão de Campos Fonseca Pinto¹, Sílvia Renata Gaido

Cortopassi1 Electro-acupuncture and Chinese herbs for treatment of

cervical intervertebral disk disease in a dog. J Vet Sci(2007), 8(1), 95-98.

¹Dept of Surgery, Faculty of Veterinary Medicine, University of São Paulo,

São Paulo, Brazil ²Veterinary Hospital, Faculty of Veterinary Medicine,

University of São Paulo, São Paulo, Brazil. A non-ambulatory dog with

tetraparesis following a pain episode that had evolved over 2 months was

submitted for medical treatment and diagnosed with intervertebral disk

disease at C3-C4 and dorsal extradural compression at C1-C2 and C3-C4

using myelography and computed tomography. The dog experienced

ambulation recovery after 15 days of treatment with only electroacupuncture

and Chinese herbal medicine, with marked improvement occurring after only

10 treatments. Six months of followup demonstrated that the dog was stable

and had no recurrence of symptoms. Therefore, it was concluded that the

combination of electroacupuncture and Chinese herbal medicine was

responsible for motor rehabilitation.

 

NOTE: The three herbal formulas mentioned in this report were:

(1) Duhuo Jisheng Tang;

(2) Guifu Dihuang Wan;

(3) Guipi Tang.

 

My notes on these formulas (from WWW today) are:

 

(1) DUHUO JISHENG TANG (Pubescent Angelica & Loranthus Dec;

Pubescent Angelica & ??Vaeicum Dec); like Bazheng Tang w Rougui

substituted for Baizhu;

 

FORMULA CLASS: Scatter Wind & Damp; Free Channel Bi dt Damp Cold

Obstruction

 

INGREDIENTS:

Duhuo 9g [scatter Wind Damp Cold from SJL, Bone & Sinew];

Xixin 6g [scatter Wind Cold in Channels, Sinew & Bone; Stop Pain];

Fangfeng 6g [scatter Wind Damp];

Qinjiao 6g [Relax Sinew; Scatter Wind Damp];

Sangjisheng 6g [scatter Wind Damp; Tone LV; Tone KI];

Duzhong 6g [scatter Wind Damp; Tone LV; Tone KI];

Huainiuxi 6g [scatter Wind Damp; Tone LV; Tone KI; Envoy to body ~ lower

(Direct Hbs Down)];

Rougui 6g [Warm Channels; Open Channels; Tone Yangqi];

Danggui 6g [Tone Xue; Quicken Xue];

Chuanxiong 6g [Tone Xue; Quicken Xue];

Shengdihuang 6g [Tone Xue; Quicken Xue];

Baishao 6g [Tone Xue; Quicken Xue];

Renshen 6g [Tone Qi; Tone SP Qi; Scatter Damp];

Fuling 6g [Tone SP Qi; Drain Damp];

Zhigancao / Gancao 6g [Tone Qi; Harmonise other Hbs];

 

One may substitute Xuduan for Sangjisheng & Dangshen for Renshen;

 

Grind all Hbs & Dec & use as tea (Shuijianfu);

 

ACTIONS: Dispel Wind Damp (Qufengshi), Open Jingluo, Scatter Painful Bi

(obstruction) in Jingluo, Stop Bi Pain (Zhibitong), Aid / Tone LV & KI

(Yiganshen), Tone LV & KI Xu, Tone Xue & Tone Qi (Buxueqi), Tone Qixu &

Xuexu;

 

USES: Great formula to Tx Bi ~ chronic (Biju) / Wind Damp Bi Syndrome

pain dt Qizhi & Xueyu, w underlying LV & KI Xu (LV & KI Dual Depletion

(Ganshen Liangkui)), Xue-Qi Insufficiency (Queqi Buzu) w chronic arthralgia,

loin & knee ache & pain (Yaoxi Tengtong), loin & knees weak & cold, loin &

limbs ~ lower heaviness, joint flexibility impaired (Guanjie Qushen Buli) /

numb wo feeling (insensitive / paralysed) (Mamu Buren), joints stiff & numb /

muscles weak & fatigued, Averse to Cold (Weihan) (easily upset by cold

weather / gets cold easily) & loves Warmth (Xiwen), arthralgia ~ chronic,

better in warmth, HT palpitations & breath shortness (Xinji Qiduan); Tongue

(Shedan) & possibly swollen / puffy w Fur white (Taibai); Pulse condition thin

& weak (Maixiang Xiruo) / slippery & rapid; chronic disease is Xu w possible

PFs lodged in body; formula addresses these issues by expelling PFs &

acting to Tone Xu in many diseases, like osteoarthritis, RA, disc disease,

loin pain & sciatica ~ chronic]

 

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

 

(2) GUIFU DIHUANG WAN (Cinnamon, Aconite & Rehmannia Pill

 

FORMULA CLASS: Tone Qi & Tone KI Qi, esp KI Yang in KI Yangxu

 

INGREDIENTS:

Rougui / Neigui / Guizhi 3.7-3.8% [Calm & Composed (Zhenjing), Stop Pain;

Warm Channels; Open Channels; Tone Yangqi];

Fuzi (Pao) 3.7-3.8% [strengthen HT (Qiangxin), Reduce Inflammation

(Xiaoyan), Ease Pain (Zhentong)];

Shudihuang / Gandihuang 29.6-30.8% [Nourish Xue];

Shanzhuyu 14.8-15.4%,

Mudanpi 11.1-11.5%,

Zexie 11.1-11.5%,

Shanyao 14.8-15.4%,

Fuling 7.8-11.2%;

 

Grind Hbs & bind w honey as pills; Taste: Sweet-Sour & Acrid; Astringent

(Suanse);

 

DOSE: Oral dose (Koufu): 8 Pills /time (Yici 8 Wan 8) TID (Yiri 3 Ci

3); [8 Pills correspond w (Xiangdang) 3g of original Hbs; 24 pills / d = 9g

original Hbs / d; a Chinese source says to take 9g of pills BID]; take before /

w food / take w wine;

 

ACTIONS: Warm & Tone KI Qi (Wenbu Shenqi)

 

USES: to address KI Yangxu & Depletion (Shenyang Xuruo) / KI Yang

Insufficiency (Shenyang Buzu) w Loin & Knees weak & Cold (Yaoxi

Suanleng), loin & knees pain dt Cold, lower abdomen restriction urgency

(Shaofu Juji), loin & legs tired & Cold (Yaotui Suanruan), lower body

(Xiabanshen) usually (Changyou) has cold sensation (Lenggan) as part of KI

Yang Xu Pattern; limbs & trunk oedema (soggy & swollen) (Zhiti Fuzhong) /

urinary frequency, oedema ~ facial, urinary impairment (dysuria) (Xiaobian

Buli), Phlegm ( & Fluid) Retention w asthma & cough (Tanyin Chuanke) &

other discomfort / indisposition (Bushi), incl sputum ~ profuse w dyspnoea dt

Phlegm Fluid Retention in Interior; OK in chronic bronchial asthma & chronic

tracheitis

 

CAUTIONS: CI in Yinxu Fire w Yang Exuberance; CI in pregnancy (Yunfu

Jifu); AVOID (Buyi, not suitable) w simultaleous use (Tongshi Fuyong) of

Hbs that influence Exterior (He Waigan Yao); AVOID w simultaneous use of

Chishizhi / its preparations; Rougui is Warm-Hot Hb, unsuitable for case w

thirst, mouth dry (parched) & tongue dry (Kougan Shezao),agitation /

fidgety (Fanzao, vexation & impetuousity), breath urgent (Qiji),faeces dry w

urine yellow Pattern (Biangan Niaohuang Zheng) symptoms (Zhengzhuang)

as in diabetes (Tangniaobing, glucosuria), chronic nephritis (Manxing

Shenyan), hypertension (Gaoxueya), HT disease (Xinzang Bing); go for

hospital treatment if S & Ss not much better after two weeks / appetite ~ poor

w headache, ST cavity discomfort (Weiwan Xiashu);

 

NOTE: Formula is like Jingui Dihuang Wan; based on Shenqi Wan (Jingui

Shenqi Wan), using Liuwei Dihuang Wan + Fuzi & Rougui; Liuwei Dihuang

Wan has 3 Yin & 3 Yang (Sanyin Sanyang), 3 Tonics & 3 Draining Hbs

(Sanbu Sanxie), used in LV & KI Yin Depletion (Ganshen Yinkui) & similar

various diseases (Gezhong Jibing); Fuzi & Rougui are main Hbs to Warm &

Tone Yin within Yang (Wenyang Yin Zhongzhi Yang), Warm & Tone KI

Yang** (Wenbu Shenyang) & Augment Yuan-Source Fire (Yihuo Zhiyuan) to

Reduce Yin Shadow / Opacity (Xiao Yinyi)]

 

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

 

(3) GUIPI TANG (Strengthen SP ( & HT) Dec; Ginseng & Longan Dec

 

FORMULA CLASS: Tone Qi-Xue (Both); Tone Qi-Xue for Dual Qixu &

Xuexu

 

INGREDIENTS:

Huangqi 6-12g [Tone SP Qi, Tone Xue];

Renshen 3-6g (/Dangshen 7-15g )[Tone SP Qi];

Baizhu 6-12g [Tone SP Qi, Dry Damp];

Fushen / Fuling 6-12g [Calm Shen, Tone SP];

Danggui 6-9g [Tone Xue, Rectify Menses];

Muxiang 3-6g [Rectify Qi];

Longyanrou 6-12g [Tone Xue, Calm Shen];

Suanzaoren 6-12g [Calm Shen];

Yuanzhi 3-6g [Calm Shen, Nourish HT Qi];

Zhigancao 3-6g [Tone SP Qi];

 

Grind all Hbs & use 12g /time as Dec / Tea, adding:

 

Shengjiang 5pcs 12g [Release Exterior ~ Warm+Acrid; Warm Interior; Expel

Wind Cold; Warm / Tone / Rectify SJM-SP-ST*; Stop Emesis; Haemostat*;

Quicken Xue; Tone HT];

 

+ Dazao 1pcs 12g [Tone Qi; Nourish Xue; Tone SP; Tone HT; Calm Shen;

Harmonise other Hbs]

 

Alternatively, take all those Hbs in chicken soup (Jitang) as powerful Tonic;

 

ACTIONS: Tone Qi & Support SP (Buqi Jianpi), Tone / Strengthen SP Qi &

HT Xue, Digestive, Tone Xue; Nourish Xue (Yangxue, correct anaemia),

Calm Shen (Anshen); Tx Xu dt overthinking, which damages SP Qi &

creates HT Xuexu;

 

USES: HT & SP Dual Xu (Xinpi Liangxu) w Panic (Zhengzhong), irritability,

anxiety & fear, fright palpitations (Jingji) & night sweat (Daohan),

forgetfulness (Jianwang) , memory poor, insomnia (Shimian), dreams

frequent & heavy, withdrawal, fatigue, weakness, appetite lack / low

(Shishao) & skinny / underweight (Tishou), weight loss / gain, diarrhoea,

obsession (Silu Guoduo, thinking too much), SP Xu (Pixu) cannot (Buneng)

Retain Xue (Shexue) & causes Xue uncontrolled motion (Zhi Xuewangxing),

Xue Irritabilty / instability, bleeding ~ chronic, female (Furen) menses

irregular (Yuejing Butiao), menses early / prolonged / scanty, menses

copious & pale-coloured (Liangduo Sedan), metrorrhagia (Benglou, collapse

& leak), leucorrhoea (Daixia), Qi-Xue Insufficiency (Qixue Buzu) w fever ~

low grade dt Xuexu (Xuexu w emission of Heat (Xuexu Fare)), face yellow

(Mianse Huang) / face pale; Tongue pale w swollen body; Fur thin & white;

Pulse wiry, slippery, deep / thin & frail;

 

NOTE: SP Generates Xue for HT; obsession / prolonged deliberation easily

damages SP; SP damage can cause HT Xuexu; SP stores intelligence & HT

stores Shen; in SP & HT Xu, Shen is disturbed & patient cannot concentrate

properly]

 

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

 

Best regards,

 

1 Esker Lawns, Lucan, Dublin, Ireland

Tel: (H): +353-(0);

VOIP Number: +353-1482-7068;

Tel: (M): +353-(0)

 

 

 

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