Owner’s complaint and History: Brutus presented to my clinic on June 1, 2010. He had been pruritic around his face for the previous 2 months. Diagnostics had been negative at another veterinary clinic 2 weeks ago. Oral antibiotics had been not been effective, a trial course of oral Dexamethasone has been effective.
Western Physical Examination, Diagnostics, and Treatment: Brutus’ heart rate, respiratory rate, and temperature were within normal limits. He had an area of red, dry skin above his right eye that was 2 inches in diameter. Further diagnostics were not done because of the recent workup with negative findings at another veterinary clinic. He was fed a commercial dry kibble with a chicken base. His Pruritus was intense enough that he had to wear an Elizabethan collar to prevent scratching at the lesion when he was unattended.
Traditional Chinese Veterinary Medical Examination: On examination, Brutus’ shen was normal. His tongue was red and pulses were rapid bilaterally. He had an Earth constitution.
Traditional Chinese Veterinary Medical Diagnosis and Analysis: A TCVM diagnosis of Wind-Heat was made based on the history, tongue, pulse, and physical examination findings.
Traditional Chinese Veterinary Medical Treatment Plan: The treatment plan included acupuncture, herbal, and food therapy. The plan was to cool the patient while clearing Wind-Heat.
TCVM Treatments (6/1/2010-7/13/2010): Treatment was initiated the day of the first visit and continued every two weeks for 5 sessions. Dry needle acupuncture was performed. The herbal formula prescribed was External Wind (Jing Tang Herbal) at a dose of 0.5 grams orally twice daily. He was also changed to a diet consisting of turkey and brown rice. His tongue and pulse findings improved over that time to become normal. His skin lesion started to resolve after two treatments. At the fourth treatment he had improved so much that he didn’t need to use his Elizabethan collar.
Follow-up: The patient continues to do well and was maintained on External Wind at a dose of 0.5 grams by mouth bid for an additional two weeks. The owners opted to switch to a commercial diet consisting of fish.
Case Summary: This was a typical case of Wind-Heat invasion. This patient presented with a history of a sudden onset of a dry rash with itching. History and signs of Wind-Heat invasion (Spring onset of itching, dry rash, red tongue, and rapid pulse) were present in this patient. He responded to TCVM treatment when he had been unresponsive to conventional veterinary therapy.
Xie, H. Chinese Veterinary Herbal Handbook. Reddick, Florida: Chi Institute of Chinese Medicine. 2008: 228.
Xie. H. Xie’s Veterinary Acupuncture. Blackwell Publishing. Ames, Iowa. 2007: 316.