Success Story: Cruciate Tear in Poodle - Page 7 Quick Questions and Answers with Dr. Xie - Page 8 Success Story: Prostatitis Resolved by Integrated Medicine - Page 9 Dr. Xie demonstrates flying needle acupuncture techniques for circling the dragon on a 5-year old male llama, Tat, to treat abscessed tooth. F E AT U R E A R T I C L E : HEADLINE NEWS - by Huisheng Xie, DVM PhD and Justin Shmalberg, DVM CVA 1. Introduction Qi gives life to the world. Where there is Qi, there must be life. For Chinese herbal medicine, Qi mainly refers to the physiological activity of each Zang-Fu organ. For example, Spleen Qi represents the Spleen’s function of transporting and transforming water and food. Heart Qi refers to the Heart’s physiological activities of controlling the Blood and storing the Mind. Lung Qi refers to the Lung’s function of dominating inspiration and expiration. Kidney Qi represents the Kidney’s control of the bladder, sexual function, and bones. Qi Deficiency is characterized by weakness or vacuity of these physiological activities with respect to each internal Zang-fu organ. The major clinical signs of Qi Deficiency include general weakness, fatigue, exercise intolerance, anorexia, diarrhea, loss of body weight, muscle atrophy, dyspnea, asthma, or urinary or fecal incontinence. In these patients, the tongue is often pale and wet and the pulses are usually weak. A Qi Deficiency Pattern is often seen in older patients with chronic illnesses in- cluding renal failure, congestive heart failure, chronic diarrhea, lower airway diseases, and immunodeficiency. According to the Huang Di Nei Jing, “deficiency is treated with tonification” to restore the equilibrium of the body. There are four categories of Chinese herbs which tonify deficiency: Qi Tonics, Blood Tonics, Yin Tonics and Yang Tonics. Each herb category treats a specific Deficiency Pattern because the herbs provide counteracting properties to the particular deficiencies within that patient. Qi Tonic Herbs are primarily for Spleen, Lung, Kidney or Heart Qi Deficiency Patterns. The Liver stores and spreads the body’s Qi, so it generally is not deficient in this respect. The mechanism of herbal action is to invigorate and enhance the physiological functions of the Zang-fu organs in order to provide a cure. The majority of these Qi tonic herbs are neutral or warm with a sweet taste. We are proud to announce that starting in Feb 2009, the Chi Institute has been approved to offer the new diploma of Certified Veterinary Food Therapist (CVFT) by the China National Society of TCVM. For details of this certification, please visit www.tcvm.com. Dr. Xie’s Jing Tang Herbal is pleased to start offering the teapill form of Liver Happy formula. For details of this product, please visit www.tcvmherbal.com. 95 licensed veterinarians from USA, CANADA, AUSTRALIA, BELGIUM, HONDURAS, HONG KONG, JAPAN, SINGAPORE and SPAIN have successfully completed the Chi Institute 1st On-line class, Veterinary Herbal Medicine Kidney Module. The Veterinary Food Therapy program is also available for On-line study now at the Chi Institute. (Continue to Page 3) Page 2: the author of the article "Di Gu Pi in a Hip Dysplasia Case" is Dr. Cynthia West. 1 Jia-yu-guan, the west end of the Great Wall, that will be visited in the TCVM Annual Conference 2010. TCVM Sports Medicine A 14 year old Hanoverion mare owned by Dr. Gloria Weintrub won a Fourth Level competition with the TCVM aid in New Jersey. Conference Syllabus 8:30 - 8:45: Welcome Ceremony 8:45 - 9:20: TCVM Sports Medicine: Overall View 9:30-12:30: TCVM for Equine Sports Medicine Part I 1:30 - 2:20: TCVM for Equine Sports Medicine Part II 2:30- 5:30: Overview on All Canine Sports Canine TCVM Sports Medicine How to Approach Canine Athletes (Lab Demo) 7:45 - 8:25: Tai-Ji Practice 8:30 - 11:20: Comparison of Top 20 Chinese Herbal Formulas How to Make a Final Herbal Selection for Clinical Cases 11:30-12:30: How to Customize a Herbal Formula for Each Individual Patient 1:30 - 5:30: Advanced TCVM for Treatment of Cushing’s Disease and Addison’s Disease Advanced TCVM for Treatment of Hypothyroidism 7:45 - 8:25: Tai-Ji Practice 7:45 - 8:25: Tai-Ji Practice 8:30- 12:30: Advanced TCVM for Treatment 8:30 - 9:20: Herbal Quality Control of Diabetes 9:30 -10:20: Herbal Safety and Herbal Advanced TCVM for Treatment Interaction with Western Drug of Hyperthyroidism 10:30-11:20: Herbals for Parasite Control 1:30 - 3:20: TCVM Wet Lab (Canine/Equine) Other Recent Herbal Studies 4:00 - 6:00: TCVM Wet Lab (Canine/Equine) 11:30-12:30: Acupuncture for Immune 6:00 - 9:00: Social Party Response Major Speakers Dr. Xie received his DVM at the Sichuan CVM in China 1983, his Master of Science in Veterinary Acupuncture in 1988 and his PhD from University of Florida in 1999. He is the Director of Veterinary Acupuncture Internship Program at the Veterinary Medical Center of the University of Florida. He has been invited to lecture veterinary acupuncture and herbal medicine all over the world. He has published 10 books and over 100 scientific papers. 2 (Continued from page 1) Lung Qi Deficiency 2. Comparison of Qi Deficiency Patterns 7) Cough, Dyspnea or Asthma: Bu Fei San General Qi Deficiency and clinical differentiation of Spleen, Lung, Heart and Kidney Qi Deficiency are listed in Table 1. 8) Poor performance or Exercise Intolerance : Qi Performance 9) Recurrent respiratory infections or other generalized immunodeficiency: Wei Qi Booster Table 1 Qi Deficiency and Corresponding Qi Tonic Herbal Formulations Pattern General Qi Deficiency Clinical Differentiation Example of Qi Tonic Herbs General weakness Older patients and/or chronic illness; Tongue pale and wet; Pulse - weak Si Jun Zi Tang (Four Gentlemen) 10) Lin syndrome or Urinary Incontinence a. Young patient: Suo Quan Wan b. Older patient: Jin Suo Gu Jing Wan c. With yang deficiency or IVDD: Wu Bi Shan Yao Poor appetite, fatigue or lethargy, diarrhea, muscle atrophy abdominal distention, edema, prolapsed rectum Xiang Sha Liu Jun Zi Tang (Eight Gentlemen) Shen Ling Bai Zhu Bu Zhong Yi Qi Tang Lung Qi Deficiency Cough, asthma, dyspnea Weak voice, exercise intolerance; Recurrent respiratory infections, spontaneous sweating Bu Fei San Qi Performance Wei Qi Booster Heart Qi Deficiency Sweating; Palpitation / Cardiac arrhythmias; Listlessness; Anxiety or Shen disturbance Heart Qi Tonic Kidney Qi Deficiency Urinary dribbling or incontinence; Weakness, thoracolumbar pain; Infertility, or impotence; Intervertebral disc disease (IVDD) Suo Quan Wan Jin Suo Gu Jing Tang Wu Bi Shan Yao Spleen Qi Deficiency Kidney Qi Deficiency 11) Renal failure: Rehmannia 8 (Jin Gui Shen Qi) 12) Bi Syndrome or general arthritis: Dok’s Formula or Equine Du Huo 13) Wei Syndrome or hindlimb weakness: Bu Yang Huan Wu 14) Infertility: Epimedium Powder Heart Qi Tonic 15) Congestive heart failure: Heart Qi Tonic 16) Heart Yang and Qi Collapse: Chinese Ginseng or Ginseng and Astragalus Liquid Other Qi Deficiency Conditions 17) Diabetes or Insulin Resistance: Jiang Tang Cha 18) With Concurrent Yin Deficiency a. Heart disease: Sheng Mai Yin b. Diabetes, Cushings: Rehmannia 11 c. Thyroid disorder: Jia Bing Fang 19) With Blood Deficiency 3. How to select Qi Tonic Herbal Medicines a. General: Eight Treasures (Ba Zhen Tang) Chinese herbal selection is based on the diagnostic pattern. All of the following herbal medicines can be used for generalized Qi Deficiency, but a formula is specifically selected to match the main clinical complaint associated with a specific internal organ Qi Deficiency (Table 2). Acupoints with similar actions have been listed in Table 2 along with comparisons of each formula’s clinical application and its relative strength with respect to Qi tonification. b. Immune-mediated hemolytic anemia or thrombocytopenia: Gui Pi Tang 20) With Yang Deficiency a. Cushing’s disease: Rehmannia 14 b. CHF: Zhen Wu Tang 21) With Blood and Yang Deficiency: Shi Quan Da Bu Spleen Qi Deficiency 1) Anorexia: Eight Gentlemen (Xiang Sha Liu Jun Zi Tang) 2) Vomiting: Happy Earth 3) Body Weight Loss or Muscle Atrophy: Qi Performance 4) Diarrhea: Shen Ling Bai Zhu 5) Edema: Shi Pi Yin Qi tonic herb - Da Zao (jujube) 6) Prolapse or Fecal Incontinence: Bu Zhong Yi Qi 3 Table 2: Most Common Qi Tonics: Comparison of clinical applications, relative strength, and acupoints with similar actions Qi Tonic Strength (Relative) Name of Formula TCVM Indications Chief Complaint(s) Acupoints with similar actions 20% Happy Earth Stomach Qi Stagnation with Spleen Qi Deficiency Vomiting CV-12, GB-34, PC-6 40% Eight Gentlemen Spleen Qi Deficiency with Stomach Qi Deficiency Poor Appetite ST-36, GB-34, Shan-gen 50% Suo Quan Wan Kidney Qi Deficiency, Urinary Incontinence Urinary Incontinence BL-26/39 55% Jia Bing Fang Qi Deficiency with Yin Deficiency Hypothyroidism BL-26, BL-23, KID-27 60% Jiang Tang Cha Spleen Qi Deficiency with Kidney Yin Deficiency Diabetes BL-23/26, ST-36 65% Wei Qi Booster Spleen Qi + Lung Qi Deficiency Immunodeficiency, Neoplasia LI-10, ST-36, GV-14, LI-4 65% Qi Performance Qi Deficiency with Stagnation Muscle atrophy, Poor appetite ST-36, Qi-hai-shu, SP-10 65% Dok’s Formula or Equine Du Huo Kidney Qi/Yang Deficiency Generalized Arthritis BL-11, BL-26 65% Sang Zhi San Kidney Qi Deficiency Bi Syndrome in limbs BL-11, GB-39 70% Four Gentlemen Global Qi Deficiency Any weakness ST-36, LI-10 70% Wu Bi Shan Yao Kidney Qi Deficiency with Yang Deficiency or IVDD Urinary Incontinence, IVDD BL-26, BL-39, CV-4/6 70% Shen Ling Bai Zhu Spleen Qi Deficiency Chronic Diarrhea ST-36, LI-10 70% Bu Fei San Lung Qi Deficiency Dyspnea or cough ST-36, LU-7/9 70% Heart Qi Tonic Heart QI Deficiency Heart failure ST-36, CV-17 Jin Suo Gu Jing Kidney Qi Deficiency Urinary incontinence or premature ejaculation BL-26/39, CV-4 75% Shi Quan Da Bu Qi+Blood+ Yang Deficiency Geriatric Weakness ST-36, SP-10, GV-3 80% Bu Zhong Yi Qi Spleen Qi Deficiency Prolapse or Fecal Incontinence ST-36, GV-1 80% Bu Yang Huan Wu Qi Deficiency Wei Syndrome or hindlimb weakness ST-36, Liu feng Ba Ji San Kidney Qi/Yang Deficiency Bi Syndrome at Spine 80% Bao Yuan Tang Heart Yang Deficiency Congestive Heart Failure, Cardiomypothy ST-36, GV-3, CV-14 80% Shi Pi Yin Spleen + Kidney Qi Deficiency Edema GV-3/4, CV-4/6 85% Rehmannia 8 Kidney Qi/Yang Deficiency Renal Failure GV-3/4, KID-3 85% Rehmannia 14 Kidney Qi/Yang Deficiency Cushing’s Syndrome GV-3/4, CV-4/6 95% Zhen Wu Tang Heart +Kidney Yang Deficiency Ascites or CHF GV-3/4, Bai-hui, SP-6/9 95% You Gui Wan Yang Deficiency Infertility, renal failure GV-3/4, Bai-hui, CV-4/6 100% Chinese Ginseng or Ginseng & Astragalus Liquid Yang Qi Collapse Syncope or collapse GV-26, KID-1 75% 80% 4 BL_26, Bai-hui, GV-3, CV-14 Are you feeling challenged by the chronic Gastrointestinal cases? Do you long to offer herbal solutions for Spleen cases? Limit On-Site Class Size to 30 Students On-Site Class: July 16 - 19, 2009 On-Line Class: July 26 - Oct 26, 2009 Veterinary Herbology Equine/Canine Wet-lab: Tongue and Pulse Diagnosis Study On-Site / On-Line Gastrointestinal / Spleen Module Syllabus * Thursday, July 16, 2009 8:30 to 9:20 Spleen Physiology (Dr. Shen Xie) 9:30 to 10:20 Relationship of Spleen with Other Organs (Dr. Shen Xie) 10:30 to 12:20 Spleen Pathology (Dr. Shen Xie) 13:30 to 17:30 Herbal Studies (Dr. Shaolin Deng) Friday, July 17, 2009 8:30 to 12:30 IBD and Diarrhea Anorexia Syndrome, Megaesophagus and Vomiting Abdominal Pain (Colic) Megaesophagus and Constipation (Dr. Shen Xie) 13:30 to 16:30 TCVM Approach for Clinical Cases (Demo/Lab) (Dr. Connie Dinatale: Canine Lab) (Dr. Shen Xie: Equine) 17:00 to 18:30 How to Approach Canine Cases (Dr. Dinatale and Dr. Xie) Saturday, July 18, 2009 8:30 to 12:20 How to Treat Small Animal GI Disorders (Dr. Dinatale) 13:30 to 17:30 Stomatitis and Gingivitis GI Ulceration and Pancreatitis Chronic Hemorrhage, Muscle Atrophy, Obesity Food Therapy for GI Disorders (Dr. Roger Clemmons) Sunday, July 19, 2009 8:30 to 12:30 Equine GI Disorders (Dr. Shen Xie) On-Site 2009 On-Line 2009 Liver/Endocrine Feb 26 - Mar 1 Mar 8 - June 8 Dermatology/Oncology/ Immune-mediated April 23 - 26 May 3 - Aug 3 Gastrointestinal/Spleen July 16 - 19 July 26 - Oct 26 Respiratory/Cardiovascular Oct 15 - 18 Oct 25 - Jan 25 Kidney/Geriatric/Urinary/ Reproductive Dec 10 - 13 Dec 20 - Mar 20,10 Veterinary Herbal Medicine Major Speakers Shen Huisheng Xie, DVM, PhD On-Site Class Location Dr. Xie is a third generation TCM practitioner who was born and educated in China. He received his DVM at the Sichuan CVM in China 1983, his Master of Science in Veterinary Acupuncture in 1988 and his PhD from University of Florida (UF) in 1999. Currently he is the Director of Veterinary Acupuncture Internship Program at the Veterinary Medical Center of the UF. Tuition and Registration Constance DiNatale, DVM, CVA Dr. Constance DiNatale owns a holistic practice in Winter Park, Florida. She uses predominantly herbs, acupuncture, nutrition, and spinal manipulation to treat patients. She took the IVAS acupuncture course in 1989, and has studied and taught with Dr. Xie at Chi Institute since 1999. Her favorite things to do in her spare time are to spend time with her son, Valenttine, and to teach and learn at the Chi Institute. Chi Institute of Chinese Medicine 9700 West Hwy 318, Reddick, FL 32686 Tel: (800)891-1986 Fax: (866)700-8772 www.tcvm.com [email protected] On-Site: $750; On-Line: $850; On-Site+On-Line: $900 On-Line Student Benefits: 3-month Online Access to 24 hrs Lectures and 5 hrs Lab Demo Homework Assignment Daily Email Mentorship Class Notebook Binder in Mail Class Herbal Samples Kit in Mail Eligible for the Diploma of the Certified Veterinary Chinese Herbologist (CVCH) 32 C.E. Hours by RACE Please visit www.tcvm.com or call 800-891-1986 for questions or registration. 5 Chinese Medical Manipulation Pulse Diagnosis Ba-shen-fa stretching of the hind limb Ban-fa wrenching of the lumbar in horses counterclockwise 1. Gain competence and confidence in techniques 2. Learn and practice Tui-na on each other for Self-healing 3. Review and refine TCVM Pattern Differentiation 4. Review of the Channels and Sinew systems 5. Leave with practical level of proficiency in technique Tui-na, also called An-mo, is Chinese manual therapy used for preventing and treating disease. Tui-na practitioners use various manipulations applied to acupuncture points and meridians; or apply special limbstretching movements to prevent and treat diseases. Tui-na can regulate meridians, soothe joints and sinews, promote circulation of Qi and Blood, balance Zang-fu organs and strengthen the body's resistance. therapeutic “Another Excellent class offered at the Chi Institute. The instruction is superior. I believe Tui-na will be a valuable addition to my practice and I plan to utilize it immediately. Thank you all for providing such wonderful support in the classroom and outside the classroom. I enjoy feeling part of the Chi family and it is an honor to study with Dr. Xie” - Anne Hyle, DVM, Sarasota, FL To enhance acupuncture and herbal therapy Useful as part of a daily home-care program for owners. Some animals dislike acupuncture but enjoy Tui-na therapy. Can be widely applied in musculoskeletal conditions, geriatric and pediatric disease, and internal medicine. Veterinary Tui-na Class Schedule Class 2009 Tuition Class 2010 Tuition Nov 12-15 , 2009 $ 975* Dec 9-12 , 2010 $ 1050* * Application Fee: $100 (new student only); Take-home Exam, Case Report & Certification Fee: $150 (optional, only required for the students willing to be certified) Chi Institute of Chinese Medicine 9700 West Hwy 318, Reddick, FL 32686, USA Tel: (800)891-1986 Fax: (866)700-8772 Yin Yang, Five Elements and Eight Principles (5-lectures) are part of the basic Veterinary Acupuncture program. For those who haven’t taken this training, these lectures must be studied on DVD before the class. Since the first certified Veterinary class was conducted in 2003, 181 veterinarians have attended our certified Veterinary Program and 64 of them have been certified as a Certified Veterinary Tui-na Practitioner. They have integrated this special medical body work into their daily practice. Feedback from the practitioners, owners and patients has been very positive. 6 Acupuncture and Herbal Medicine Treatment of Cruciate Tear in Poodle Western Diagnosis: Torn cruciate ligament. GB 34 is Influential point for tendons and ligaments, LIV Qi stagnation, stifle pain ST 36 for pain and general Qi tonification For Liver Yin deficiency: LIV 3, SP 9 To nourish Liver Blood: SP 10, BL 17, BL 18 TCVM Examination: Tongue pink, a bit lavender, moist. Pulses – a bit wiry. History of liver disharmony—ligament tear, red sclera, cataract, seizure following vaccination. History of loose stool – Earth weakened by Wood, Ke cycle. Walker has an Earth personality. By Cydria Manette Schaefer, DVM Walker, a 12 year-old Black poodle weighing 25 pounds, first came to see me for acupuncture six days after he started limping while going down the stairs. He was non-weight bearing lame on his right-hind leg. Walker’s physical exam: He had a positive draw sign on the right hind leg and slight effusion at his stifle, indicating a torn cruciate ligament. His owner did not want him to have surgery. Also noted during the exam: his left eye had chronic red sclera and was non-visual from cataract. His right eye had a moderate cataract but was still visual. He had a history of a seizure following vaccination. For 2-3 months he had soft, loose stool, sometimes with mucus, no blood. His stool symptoms were palliated with Science Diet. He had a good appetite and no history of vomiting. The hair on his rump tended to get dry and changed to the color of the dry kibble. He had moderate dental tartar. Walker was very friendly and cooperative. TCVM Diagnosis: Qi-blood stagnation, liver blood or Yin deficiency. Disorder of Jin (tendons, ligaments, fascia). Injury blocks flow of Qi, leading to local stagnation (pain and lameness). TCVM Treatment: Change diet. The primary focus of Walker’s treatment was to move Qi to stop pain (Qi-blood stagnation causes pain), and nourish liver blood and tonify liver Yin deficiency to strengthen Jin (tendons, ligaments, fascia). Walker had four acupuncture treatments, one month apart and was on Jing Tang Tendon Ligament Formula, BID with food for six months. Walker had both DN and EA. The following acupuncture points were chosen: For Qi-Blood stagnation LIV 3 to smooth liver Qi, circulate Liver Blood and relieve stagnation (pain) BL 54 as Master point for hind limbs BL 60 to relax muscles and provide pain reliefGB 33 for stifle pain Tendon/Ligament Formula Walker responded very well to his diet change and TCVM treatment. The next day after his first acupuncture was the first day Walker came out of his kennel on his own since he hurt his leg. One month later his right hind-leg was toe-touching. Two months after his initial treatment, he was using his leg more and starting to stand on right hind leg to urinate. By the third month, he was continuing to improve slowly, but was showing atrophy of the hind muscles. By the following month, muscle mass was returning with controlled exercise and he was balancing on both hind legs when he had a bowel movement. Eight months after his initial injury, Walker was walking significantly better and was able to stand on his right hind leg and lift his left hind to urinate. Ten month follow up: Walker is walking evenly on all four legs and able to stand up (rear) on hind legs. TM Tendon/Ligament Formula focuses on nourishing Liver Yin and Blood and strengthening ligaments and tendons. It can be used for chronic ligament and tendon problems. In order to hasten healing of injuries, combine the formula with topical application of Relief Salve (K9010). After three months of administering Chinese herbal medications to affected horses, there was sonographic evidence of completely healed tendons. General Dosage: Horse: 15 g BID as top dressing on feed Dog/Cat: 0.5 g per 10 to 20 lb body weight BID This formula is available in: 100g, 200g, 600g, 900g Powder 100/200 counts 0.5g Capsules Other points used: Bai hui as master point for overall condition; Shen-shu for hindquarter pain; ST 34 for stifle pain and swelling; ST 36 for general Qi tonification and stifle pain; BL 23 for pelvic limb weakness; and SP 3 as brief prick after initial acupuncture treatment for stifle pain and also as Yuansource point for his personality Ingredient Actions Bai Shao Yao Nourish Blood and Yin, soothe Liver Yang Bu Gu Zhi Nourish Kidney Yang and Yin Chuan Xiong Move blood, resolve stagnation Dang Gu Nourish Blood Gou Qi Zi Nourish Liver Yin and Blood Gui Zhi Activate the Channels and limbs Niu Xi Strengthens Kidney and benefit knees Sang Zhi Smoothen limbs Shan Zhu Yu Nourish Liver Yin Shu Di Huang Nourish Blood and Yin 100 counts 0.2g Capsules 200 counts Teapills 7 Wu Jia Pi Strengthen ligaments and tendons Yin Yang Huo Nourish Kidney Yang and Yin Quick Questions and Answers with Dr. Xie Q: What does tremor or quivering in dogs mean in the TCVM? A: Tremor, quivering, shuddering, shaking/trembling in dogs can be caused by one or more of the following patterns: 1) Internal Wind due to Liver Blood or Yin Deficiency leading to Liver Yang Rising, which causes tremor, or quivering; 2) Qi Deficiency, which fails to hold the body, leading tremor of the body, or limbs; 3) Qi or/and Blood Stagnation (the body is trying to shake stagnation away); 4) Fear or submissive behavioral issue which is associated with the disharmony between the Heart and Kidney. Q: Are there the TCVM therapeutic that may help in cases of Headshaking Syndrome in horses? A: If the causes of mechanical problems (cervical, TMJ etc) are ruled out, then headshaking in horses must be associated with behavior issue (Heart-Shen). Heart Blood and Yin anchor the Mind (Shen). Shen Disturbance including headshaking is often caused by Heart Blood or/and Yin Deficiency, Liver Qi Stagnation, Phlegm, and Excess Fire. The TCVM therapy is based on Pattern Differentiation (other clinical signs, tongue, pulse etc). If the pattern is NOT definite, I would do the following steps: 1) Points: Aquapuncture at An-shen (10 cc of saline per point) if applicable. Dry needle at PC-9, HT-9/7, BL14/15/43/44/47/69, GB-44; 2) Herbal Medication: Shen Calmer, 30 g bid for 1 month. It can soothe Liver Qi, nourish heart blood and yin to calm the Mind; 3) Use cooling foods (barley, celery, watermelon rim etc); About 80% of headshaking horses respond to above TCVM treatments. If no improvement in one month, you have to figure out the underlying PATTERN, and treat the pattern. Q: What does polyphagia tell me? A: Polyphagia can be caused by one or more of the following factors: 1) Excess Stomach Heat or Fire; 2) Global Heat (excess heat or false heat); 3) Strong Earth Constitution; 4) Fear to starve (associated with Shen Disturbance); 5) To calm down stress associated with Liver Qi Stagnation or Liver Yang Rising. Q: What is the difference between Atractylodes Bai Zhu and Atractylodes Cang Zhu? A: Atractylodes Cang Zhu and Bai Zhu are two main different herbs for the Spleen (going to Spleen Meridian). Their taste and actions are similar because they are very similar plants (the same family) even though not the same species. Cang Zhu is darker while Bai Zhu looks much pale. They can be substituted for each other in a shortage. However, Atractylodes Cang zhu is preferred to Atractylodes Bai Zhu for damp conditions, whereas Atractylodes Bai Zhu is preferred as a Spleen Qi tonic. In addition, Atractylodes Bai Zhu is more expensive. 8 Conventional Approach Prostatitis Resolved by a Conventional Protocol plus Acupuncture and Chinese Herbal Medicine Owners just accepted therapeutical treatment and the hormonal part was also rejected. Treatment was follow as detailed: • Baytril 150mg: 10mg/kg SID for 5 days, then 5mg/kg SID for 7 days. Melissa Alvarenga Haddad. MV. MS. CVA. CVT. Tegucigalpa, Honduras • Prednisolone 20mg: 1mg/kg BID for 4 days, then 1mg/kg SID for 4 days. History But owners requested alternative or different treatment as the dog did not show behavioral change, was still no eating well, no defecating neither with normal urination and mass still felt present by palpation. A 9 year old, intacted male Akita-Chow, showed signs of abdominal discomfort. While dog was palpated, a rounded mass was felt on the upper abdominal area, behind urinary bladder location and under sacral area, by the same time, the dog showed signs of pain. Through rectal palpation, prostate was dislocated cranially, what suggest an increase on the prostate size. With this, the patient was submitted to radiological and ultrasound assessment. TCVM Approach The dog was presented to the Traditional Chinese Veterinary Medicine (TCVM) practitioner for assessment and treatment. Evaluation through TCVM showed: By radiography, an increase on prostate size was confirmed as shown in Figure 1., then was confirmed by ultrasound (Figure 2.). Measure was 2.77cm and 3.54cm of width and height, respectively. Referral veterinarian suggested castration and hormones as conventional treatment, which was rejected by owner, the dog is epileptic since one month old and the life risk was a major worry to the owner, then just therapeutical conventional treatment was follow. Tongue: pale and wet (color cannot be evaluated on behalf of natural purple tongue color). Pulse: thin, weak and fast, weaker on right side. Shen: low. Prostate: by abdominal palpation between 2.53.0cm in diameter and by rectal palpation was unreached and during process, signs of pain. Body temperature: most of the body normal, warmer on lumbar and sacral area. History of idiopathic epilepsy, some Liver Yin/Blood issues before, because of seizures and skin problems and Spleen Qi Deficiency when sometimes malformed feces. Urination was frequent and in small amounts. TCVM Diagnosis: BL Excess Heat and certain level of Qi Stagnation. Shen disturbance. Acupoints treated were Bai Hui, Da Feng Meng, GV-14, LI-4, LI-11, BL-23, BL-28, BL-39, BL-40,BL-60, LIV-2, LIV-3 and SP-6. Figure 1. Radiograpgh of a nine year old Akita-Chow with prostatitis. Main Herbal Formula recommended: Prostate Invigorator (Table 1). This was used for 25 days on a dosage of 0.5g /5kg of body weight BID and then was recommended to follow 1-2 months with half of last dose. By the end of first part of the Chinese herbal protocol, size of the prostate was decreased (Figure 3 and Figure 4). During the first three days of treatment, diarrhea was developed on the patient. Dosage on herbal recommendation was not altered, but another herbal formula was prescribed to control diarrhea, Eight Gentleman (Table 1 and Table 2). This formula was given on a basic dosage Figure 2. Ultrasound of a nine year old Akita-Chow with prostatitis. 9 Conclusions of 0.5g /5kg of body weight BID for 5 days, although diarrhea was controlled by the second day of this last prescription. No antibiotics for this developed diarrhea were prescribed. After one acupuncture session and 25 days of herbal treatment, prostate size decreased from 3.54 to 2.00cm (44%) in height and from 2.77 to 1.42cm (49%) in length. In general, 50% of the prostate size was diminished. On prostatitis cases, TCVM can help on assessment and treatment, integrated with conventional treatment. Furthermore, with the TCVM approach, castration is not always recommended for this kind of cases. With TCVM treatment resolution of prostatitis can be achieved and better quality of life can be given. Table 1. Chinese Herbal Formulas used in a prostatitis case1 Herbal Formula Figure 3. Ultrasound of a nine year old Akita-Chow with prostatitis after 25 day treatment with Chinese Herbal Medicine (Prostate Invigorator). Figure 4. Ultrasound of a nine year old Akita-Chow with prostatitis after 25 day treatment with Chinese Herbal Medicine (Prostate Invigorator). TCVM Principles Indications Prostate • Prostate stagnation Invigorator • Prostate mass • Prostatitis • Pulse: wiry • Tongue: purple • Move blood • Clear heat • Resolve stagnation • Stop the pain Eight • Chronic GI problems Gentleman • Poor apetite • Abdominal pain or fullness • Vomiting • Spleen Qi Deficiency with stagnation of Cold-Damp • Tonify Qi • Strengthen Spleen • Move Qi • Eliminate Damp Table 2: Ingredient and action of Prostate Invigorator1 Ingredient Actions Bai Jiang Cao - Patrinia Clear Heat, detoxify Bai Zhi - Angelica Resolve stagnation, relieve pain General Dosage: Horse: 15 g BID as top dressing on feed Dog/Cat: 0.5 g per 10 to 20 lb body weight BID Chi Shao Yao - Peony Cool Blood, resolve stagnation Dan Shen - Salvia Move Blood Hong Hua - Carthamus Break down Blood stasis Contraindications: Do not use during pregnancy Mo Yao - Myrrh Move Blood Directions: Use as needed up to 3 months Pu Gong Ying - Taraxacum Clear Heat, detoxify This formula is available in: 100g, 200g, 600g, 900g Powder 100/200 counts 0.5g Capsules 100 counts 0.2g Capsules 200 counts Teapills Qing Pi - Citrus Move Qi Ru Xiang - Olibanum Move Blood, relieve pain Tao Ren - Persica Break down Blood stasis Wang Bu Liu Xing Zi Vaccaria Move Blood How To Order: www.tcvmherbal.com (save 5%) Call 800-891-1986 Fax 866-700-8772 Email: [email protected] Xiao Hui Xiang - Foeniculum Warm the lower jiao Ze Lan - Lycopus Clear Damp Prostate Invigorator TM References 1. Xie H. Chinese Veterinary Herbal Handbook. Chi Institute of Chinese Medicine. Reddick, Florida. p. 84, p. 122. 2004. 10 Study On-Site / On-Line Class Syllabus Limit On-Site Class Size to 30 Students 8:30 -12:30: TCVM Dermatology: Overview, Etiology and Pathology, and Treatment Strategies Topical Application for Skin Conditions - By Dr. Huisheng Xie 13:30-17:30: Herbal Studies - By Dr. Shaolin Deng 7:45 - 8:25: Tai-ji Practice 8:30 -12:30: TCVM Clinical Application for Skin Conditions - Shi-zhen TCVM Oncology - By Dr. Huisheng Xie Veterinary Herbal Medicine 13:30-16:30: TCVM Approach for Clinical Cases (Demo/Lab) - By Dr. Greg Todd (Canine) - By Dr. Dinatale (Canine) - By Dr. Shen (Equine) Dermatology, Oncology and Immune-mediated Diseases Module 17:00-18:30: How to Approach Canine Cases (Wet-lab) - By Drs. Greg Todd and Connie Dinatale features tongue and pulse diagnosis, real case studies (wet lab), a TCVM approach to Western diseases, herbal medicine, advanced TCVM theories & principles. Major Speakers 7:45 - 8:25: Tai-ji Practice 8:30 -12:30: TCVM for Skin Diseases TCVM for Tumor Patients - By Dr. Connie DiNatale 13:30-17:30: Chinese Medicine in Immune-mediated Diseases - By Dr. Greg Todd Dr. Xie received his DVM at the Sichuan CVM in China 1983, his Master of Science in Veterinary Acupuncture in 1988 and his PhD from University of Florida in 1999. He is the Director of Veterinary Acupuncture Internship Program at the Veterinary Medical Center of the University of Florida. He has been invited to lecture veterinary acupuncture and herbal medicine all over the world. He has published 10 books and over 100 scientific papers. Dr. Constance DiNatale owns a holistic practice in Winter Park, Florida. She uses predominantly herbs, acupuncture, nutrition, and spinal manipulation to treat patients. She took the IVAS acupuncture course in 1989, and has studied and taught with Dr. Xie at Chi Institute since 1999. Her favorite things to do in her spare time are to spend time with her son, Valenttine, and to teach and learn at the Chi Institute. Dr. Gregory Todd graduated from the University of Florida with a D.V.M. in 1988. In 1993 Dr. Todd became an apprentice to Dr. Patrick Sullivan A.P., and began studying Traditional Chinese Medicine. In 1996 he became certified by the International Veterinary Acupuncture Society. His studies continue at the Chi Institute. He has lectured and instructed nationally for IVAS, the North American Veterinary Conference and the Chi Institute. Dr. Todd practices integrative veterinary medicine at the Animal Hospital of Dunedin in the Tampa Bay area. 11 7:45 - 8:25: Tai-ji Practice 8:30 -12:30: TCVM Immunology in Clinical Application - By Dr. Huisheng Xie Chi Institute of Chinese Medicine 9700 West Hwy 318, Reddick, FL 32686 Tel: (800)891-1986 Fax: (866)700-8772 www.tcvm.com [email protected] On-Site: $750; On-Line: $850; On-Site+On-Line: $900 3-month Online Access to 24 hrs Lectures and 5 hrs Lab Demo Homework Assignment Daily Email Mentorship Class Notebook Binder in Mail Class Herbal Samples Kit in Mail Eligible for the Diploma of the Certified Veterinary Chinese Herbologist (CVCH) 32 C.E. Hours by RACE Please visit www.tcvm.com or call 800-891-1986 for questions or registration. Zhen Zhao, MS Chester Wheeler, BS We are very proud to announce that Dr. Justin Shmalberg has joined Jing Tang Herbal case consultation teams. Please send your case consultation email to [email protected] in order to get your answer promptly. 20% off CVC East in Baltimore, MD on April 24-27, 2009 Limited Time Offer. Valid through 04/15/09. Atlantic Coast Vet. Conference in Atlantic City, NJ on Oct 12-15, 2009 On 200ct Teapills of AAEP Conference in Las Vegas, Nevada on Dec 4-9, 2009 Published by Dr. Xie’s Jing Tang Herbal, Inc. Serving Veterinarians Exclusively Since 1999 Tel: 800-891-1986 URL: www.tcvmherbal.com Dr. Xie Jing Tang Herbal 9700 W. Highway 318 Reddick, FL 32686, USA 12 Email:[email protected]
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