Cupar, 4 years old, 194 pounds, castrated male, Irish Wolfhound
Owner’s complaint and History: Cupar was presented to the referral clinic on May 7, 2010 to be seen by the surgery service. He had a two -day history of neck pain and ataxia in the rear limbs after jumping down from a height of three feet.
Western Physical Examination, Diagnostics, and Treatment:
Cupar’s heart rate, respiratory rate, and temperature were within normal limits. He had limited lateral neck flexion to the left. Conscious proprioceptive (CP) deficits were noted in both rear limbs. Plain radiographs of the cervical spine had no visible lesions. The owners opted for conservative management and he was started on Prednisone (40 mg bid, with a taper), Tramadol (200 mg tid) and Methocarbamol (1000 mg bid).
Traditional Chinese Veterinary Medical Examination:
One day after the consultation with the Surgeon, Cupar presented for examination. His shen was normal. His tongue was purple and pulses were wiry bilaterally. The owner reported that he was more comfortable on his medication, but on examination he still had reduced left lateral neck flexion. He had an Earth constitution.
Traditional Chinese Veterinary Medical Diagnosis and Analysis:
A TCVM diagnosis of Cervical Bi
syndrome was made based on the history, tongue, pulse, and physical examination findings. Blood and Qi
stagnation were present based on the tongue and pulse findings as well as the pain found on palpation of the cervical spine.
Traditional Chinese Veterinary Medical Treatment Plan: The treatment plan included both acupuncture and herbal therapy along with the concurrent western medicine. The goal of treatment was to resolve Blood stagnation and pain.
TCVM Treatments (5/8/2010- 6/5/2010):
Treatment was initiated the day of the first visit. Dry needle acupuncture was performed. The herbal formulas prescribed were Cervical Formula and Double P II (both from Jing Tang Herbal). Double P II is derived from the classical formula Da Huo Luo Dan
. Cervical Formula was dosed at 5 grams by mouth bid, Double P II was dosed at 5 grams by mouth bid. Over the course of 6 visits at weekly intervals, Cupar’s tongue became more normal in color and his pulses became normal. Pain decreased and the range of motion in his neck became normal. Herbal formulas and Western medications were continued together until the third week. At that point the Western medications were discontinued. At the fourth visit the Double P II was discontinued.
The patient continues to do well and is being maintained on Cervical Formula at a dose of 2.5 grams by mouth bid.
This case was typical for a case of cervical intervertebral disc disease with a traumatic history. This patient presented with a history of acute pain following a jump down from about a 3-foot height. Blood and Qi
stagnation were present in the neck. Both formulas worked well to removed stagnation and pain. I do not think that this patient would have recovered fully or as quickly without the TCVM treatment.