Case Studies

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History

Rowan is a handsome 12-year-old, neutered, 37lb. Irish terrier. He presented in August of 2022 with suspected spinal arthritis, secondary muscle weakness in his rears, and a history of a sensitive stomach (vomiting). He was eating an ultra-processed dry/kibble food diet high in carbohydrates. Rowan also began to show symptoms of laryngeal paralysis: hoarse barking, spitting up phlegm, and coughing/gagging, especially after getting up from lying down.

We recommended feeding Rowan a balanced, fresh, raw diet and well-sourced probiotics to better support his nutritional health. We also suggested Rowan receive regular acupuncture/aquapuncture treatments and to incorporate supplements to help his arthritis and laryngeal paralysis.

Treatment Goals

• To relieve pain and inflammation stemming from arthritis
• To relieve coughing, gagging, and other symptoms relating to laryngeal paralysis 
• To introduce a species appropriate diet and well-sourced supplements 

Treatment:

• Acupuncture 
• Aquapuncture
• Discontinue dry/kibble food and transition over to a commercially prepared, balanced, fresh, frozen/raw diet
• Supplements:
• Probiotics to support gut health
• Arnica to reduce pain and inflammation 
• Western herbs and Astaxanthin for anti-inflammation, free radical scavenging, and supporting muscle growth

Discussion

Both arthritis and muscle weakness seem to be accepted as normal conditions for older dogs. Instead of accepting that in Rowan’s case, his owners wanted to do more than simply manage the pain that comes with the onset of such diagnoses. In order to decrease systemic inflammation and improve circulation it was necessary to alter his diet to provide him with better tools to help improve and even resolve some of his issues. 

Acupuncture has been developed over thousands of years and can be incorporated in treatment plans to improve and/or resolve almost all medical conditions, including the arthritis, neuromuscular and intestinal conditions Rowan currently had. There are different methods used to employ acupuncture.  In Rowan’s case, in addition to dry needling, we regularly performed aquapuncture with Vitamin B12. Aquapuncture, the injection of liquid substances into acupuncture points to stimulate them instead of needles, has been clinically successful in treating laryngeal paralysis. Laryngeal paralysis can be secondary to neuromuscular degeneration in the larynx making it difficult for the larynx to open & close completely and also to clear saliva/fluid that builds up around the larynx when sleeping. 

We have found that even after just one or two acupuncture treatments many older animals with this condition have a noticeable decrease in their coughing and breathing noise. The treatment frequency at first is at least once a week and typically for a 6 to 12 week duration. After resolution of signs stabilizes, the interval between treatments is increased.  Sometimes treatment intervals can span several months before signs resurface. 

Rowan’s Acupuncture Dry Needle Points

• Governing Vessel (GV) 20, also known as the “permission point”, is located on the highest place of the head where all of the yang meridians meet. 
• Similar points include GV12 and GV14. These points are for neck and upper back pain and stiffness. They are often combined with GV20. 
• Bladder (BL) 40 is useful for all lumbar related issues, such as acute lower back pain.
• BL30 serves as a local point for low back, sacrum, tailbone, and hip pain.
• BL10 is used to relieve stiffness and increase range of motion.
• BL23 is an important energetic point and maximizes Kidney Jing. This is a useful point for Rowan as Kidney Jing is naturally depleted in older animals. 
• Kidney (K) 3 and BL60 are often used in combination and are referred to as the “aspirin point”. These points are useful for pain in the back end and overall inflammation. 
• Gallbladder (GB) 30 helps relieve pain as well as atrophy of the lower back, hip, hind end, and limbs.
• GB2 is used to influence symptoms relating to ear and hearing issues. It also serves as a vestibular point for balance.
• Hip Triangle - local points for arthritis
• HJJx4 Lumbosacral (LS) - local points for circulation and arthritis in the LS spine
• Bai Hui LS (BH) - commonly used for locomotor activity, circulation, inflammation and rear limb weakness
• Located in between BL 35 and BL 27 on the midline
• Interdigital points rears 

Rowan’s Aquapuncture (Vitamin B12) Points

• Equidistant Laryngeal Points (x 6)

Outcome

Rowan’s coughing episodes diminished after only one treatment, after the 3rd treatment his owner reported his mobility had significantly improved and his coughing was rare (1-2 times per week).  The owner comments that the acupuncture was a terrific therapy for Rowan and has improved his quality of life, comfort and overall well being. She is very grateful that he has been responding so well to his acupuncture treatments!

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Juniper

History

Juniper is an 11-year-old, spayed, shorthair, 10lb gray cat. She presented in 2022 with cerebellar hypoplasia and attendant ataxic/stilted jerky movements, borderline thyroid, constipation, potbelly, dry haircoat and suspected spinal arthritis. Juniper had been slowing down at home for about 2.5 years. She didn’t run or jump anymore and would fall over frequently. Juniper was on an ultra-processed dry/kibble food diet.
We discussed transitioning Juniper to a balanced, fresh raw diet with a combination of well-sourced supplements that support her overall health. We also recommended regular acupuncture treatments for her cerebellar hypoplasia, neurologic function, arthritis, and constipation symptoms.

Treatment Goals:

• To improve fine motor skills, hormone regulation and cognitive acuity including input on muscular function 
• To introduce a species appropriate diet
• To introduce well-sourced supplements for
• Neurological health 
• Resolving constipation
• Joint support and arthritis
• Cardiovascular support

Treatments:

• Acupuncture 
• Supplements: 
• Mushroom powder for inflammation and arthritis, to support neurological function, and as a source of fiber
• Psyllium husk (fiber) and aloe juice (cooling, motility) to help resolve constipation
• Arnica to help with mobility, arthritis, and pain relief
• Cardiovascular supplement along with freeze-dried hearts for added taurine and overall heart support
• Vitamin B12 for overall immune support and possible poor absorption due to GI issues
• Discontinue dry/kibble food and transition over to a commercially prepared, balanced, fresh, frozen/raw diet

Discussion

Acupuncture is an ancient Chinese medical technique used for 3,000 years in China, Japan, and Korea. Techniques have been shown to increase lymphatic flow to tissues, stimulate nerve function, restore neurologic functions, increase the release of neurotransmitters and pain modulators, influence inflammatory responses and help the release of hormones. We have been using a combination of acupuncture points and vitamin B12 in aquapuncture for Juniper’s treatment.

Juniper’s Acupuncture Points:

• Governing Vessel (GV) 16 (Fengfu) & GV20 Points where the sea of marrow and sea of yang enter (GV 16) and exit (GV20) the brain.  GV 20 is located on the highest place of the head where all of the yang meridians meet. These points are important in improving cerebellar neurologic function. They have been shown to improve vertigo and brain blood supply. We use these points on Juniper for cerebellar circulation and clearing, neurological support, grounding, in order to decrease tremors and dizziness. 
• Similar points include GV12 and GV14. These points are traditionally used for neck and upper back pain and stiffness as well as neurologic spinal issues. They are often combined with GV20 in neurologic cases. 
• Gallbladder (GB) 2 is used to influence symptoms relating to inner ear and hearing issues. It also serves as a vestibular point for balance.
• Yin tang, located between the eyebrows, has a mentally stabilizing effect and is commonly used for dizziness, calming and connection to the natural world.
• 2 to 4 Equidistant Dorsal Cervical points (including BL10) create muscular and skeletal release such as muscle spasms and tightness in the neck. They also support clearing, circulation and neurologic activity from the head and neck and possibly cerebral spinal fluid. 
• Bladder (BL) 23 is an important energetic point and maximizes Kidney Jing. This is a useful point for Juniper as Kidney Jing is naturally depleted in older animals. 
• BL26 and 28 are also regularly used for Juniper to help relieve constipation issues, abdominal distention, and to help relieve lower back stiffness, and remove obstructions from the channel. 
• HJJ points over Lumbosacral (LS) and pelvic shelf x 4 were periodically employed similarly, to help relieve constipation issues, abdominal distention, and to help relieve lower back stiffness, and to improve and connect spinal circulation from front to back.
• Large Intestine (LI) 11 targets head and neck is useful in dizziness and cognitive issues and local inflammation. It is useful to clear heat and cool blood, resolve dampness, and regulate Qi and blood.
• Kidney (K) 3 and BL60 are often used in combination and are referred to as the “aspirin point”. These points are useful for inflammation or pain in the lower body and legs, and to reconnect neurologically from the brain to the rear legs and feet. 
• BH is commonly used for locomotor activity, circulation, inflammation and rear limb weakness, and lower GI issues and constipation
• Located in between BL 35 and BL 27 on the midline/GV

Outcome

Juniper’s owner reports she sees significant change in mobility and comfort for Juniper.  She is moving with more ease, even jumping up on the bed, an action that has been absent for several years! Juniper’s additional symptoms such as her constipation, potbelly, and arthritis have also significantly improved in response to her treatments. She defecates regularly and her belly is softer, smaller, and more comfortable.

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History

Lola is a nine-year-old, female, spayed Collie Mix. She presented as a new patient at three-years-old with chronic gastrointestinal issues including recurrent diarrhea and vomiting, as well as significant dental tartar and gingivitis, overweight, and a decreased energy level.

Lola was eating an ultra-processed dry extruded kibble food. The macronutrient content of the kibble food consisted of approximately 50% carbohydrates, 23% protein and 11% fat. Included in the top five ingredients were brown rice, oatmeal, peas, and pearled barley along with a large amount of supplemental minerals and vitamins to balance it. We recommended that Lola transition to a species and moisture appropriate, fresh, balanced, commercial raw diet.

We changed Lola’s treats to meat and organ-based treats instead of peanut butter or baked treats high in carbohydrates. We also encouraged well-sourced supplements including:

• Fish oil for Omega 3 fatty acids
• Prebiotic/probiotic support
• Immune support

Treatment Goals

• Improve GI symptoms
  • Manage GI dysbiosis and microbiome
• Improve dental condition
• Normalize weight and muscle mass
• Raise energy level

Treatment

• Discontinue dry/kibble food and transition over to a commercially prepared, balanced, fresh, frozen/raw diet
• Provide fresh, raw meaty bones for dental health
• Supplements:
  • Vitamin B-12 injections for nutritional support
  • Omega 3 for free radical scavenging, inflammation control, and fatty acid balance
  • Gastrointestinal pre/probiotics to support overall microbial health, improve absorption and GI function, and decrease diarrhea and vomiting
  • Bone broth for electrolytes and GI support

Discussion

Diet-related health issues may not show up immediately but can develop over time as animals age and imbalances magnify. Lola had been on a dry/kibble food diet since she was a puppy and her chronic health signs such as chronic vomiting and diarrhea began to appear as a young adult. Providing a nutritious, balanced, and complete diet with well-sourced protein and fats as the highest macronutrient percentages rather than carbs improved her gastrointestinal function and supported a healthy microbiome. For the first time in years, she was free of GI symptoms and had lost weight.

Fresh, raw bones provide the shearing force on the teeth to remove tartar and provided her with an additional healthy fat source, mental stimulation, and a naturally relaxing activity. While chewing on a bone, animals use muscles meant for this action in the head and neck. Without this satisfying activity, dogs lose those muscles and don’t have the benefit of an activity that is ancestrally practical and beneficial. Most animals in the wild do not require dental tartar removal because of normal chewing activities like this.

Outcome

Lola has been thriving since transitioning to a species appropriate diet and targeted supplements. Lola’s gastrointestinal issues have resolved completely. Her weight has normalized, and her dental tartar and halitosis are also resolved without further intervention. Yay, Lola!

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Sammy is a handsome 15-year-old, neutered, standard poodle who presented with seizures, mild/moderate ataxia/balance issues, laryngeal paralysis, AU yeast otitis, multiple skin masses and lipomas, generalized muscle weakness and decreased muscle mass, dry haircoat, 4/4 dental tartar, halitosis and gingivitis. He had a history of benign splenic tumors (splenectomy), liver cancer (suspect hepatic carcinoma), neurological issues, decreased stamina, and a “sensitive stomach” with daily diarrhea episodes. His owner was interested in dietary and nutrition recommendations to improve overall health.

Sammy was eating an ultra-processed dry extruded kibble food. The macronutrient content of the kibble food included nearly 50% carbohydrates, 26% protein (much from non-meat legume sources) and 15% fat. Ingredients included garbanzo beans, lentils, beet pulp, pea proteins, and pea flour. We encouraged Sammy’s family to transition Sammy to a species appropriate, fresh, balanced, commercial raw diet. We also recommended well-sourced supplements including anti-inflammatory herbs, probiotic/prebiotic support, and Omega 3 fatty acids. Further, we recommended feeding Sammy once a day and at random times.

Sammy was also diagnosed with significant dental tartar and gingivitis. We recommended offering fresh, raw meaty bones to improve dental health, oral health, and jaw/head/ears/neck musculoskeletal condition.

Treatment Goals

• To introduce a species appropriate diet and nutritional supplements that improve:
  • Overall health, skin/ear condition, biome
  • The oral biome and decrease dental tartar
  • Laryngeal function
  • Neurological function
  • Seizure prevention
  • Neuromuscular function and stability
  • Immune system functions in preventing further tumors/skin growths

Treatments

• Discontinue dry/kibble food and transition over to a commercially prepared, balanced fresh, frozen/raw diet
• Fresh, raw meaty bones
• Acupuncture
• Supplements:
  • CBD Oil for anti-inflammation and seizure control
  • Omega 3 for overall health, inflammation control, seizure support, free radical scavenging
  • Gastrointestinal supplements/probiotics to support overall microbiome health, absorption and improve GI function, decrease diarrhea
  • Anti-inflammatory herbal combination – musculoskeletal support –turmeric, Boswellia, corydalis, marine extract, hyaluronic acid, glucosamine, MSM

Discussion

Geriatric dogs have been shown to need more protein than younger dogs to avoid sarcopenia (muscle loss/atrophy) typically associated with age. They can require up to three times as much protein to maintain proper muscle mass. Providing a nutritious balanced and complete diet with protein and fats as the highest macronutrient percentages rather than carbs can improve muscle mass in a geriatric dog with sarcopenia. The protein from excellent meat sources will provide a digestible and complete amino acid profile, unlike protein from legumes like garbanzo beans, lentils or peas which will be deficient in amino acids like taurine or methionine.

Feeding once a day helps the body maintain condition and health by allowing more time for mitochondrial cleanup mode. While the body processes food, it shuts down its mitochondrial cleanup mode as it needs to instead assimilate nutrients into cells. When digestion is finished, it will then turn to “cleanup mode” and start repairing and healing body areas with inflammation, unusual cells, cancer cells, or damaged cells. This is the idea behind “intermittent fasting” as a helpful tool to improve health and longevity. More time “cleaning up” will mean healthier bodies. Feeding once a day provides this “clean up time.” In addition, a dog’s stomach is 70% of their GI tract (humans’ are 30%) and ancestrally they should really only expect one large meal per day. Feeding them half portions or even feeding smaller amounts more frequently can be unsatisfying to a dog. Once they get used to eating once a day again, their GI functionality improves, overall health improves, and they are very satisfied by their meals.

Feeding at random times prevented Sammy from developing a hyper acidic response from anticipating a meal. Feeding at random times will mean that the dog will not know when mealtime is. We understand that would be unusual for a dog/canine in the wild to know exactly when they might catch and eat a rabbit every day. Being on a schedule is relatively unnatural for them although they get used to it and certainly can tell time. When a dog is used to a fixed schedule of eating, there are other health concerns. They will start anticipatory bile production in the stomach sometimes 30-60 minutes before a meal. A random amount of bile and saliva and enzymes will be produced and is waiting in the stomach for the food. The food amount will not be necessarily what the canine expects (especially if the meals are being split and fed two times a day or more) and the acid may be too much for that meal, creating possible vomiting, diarrhea and at best a strange over-acidic pH for the GI tract to deal with. Sometimes if an animal that expects a meal at a certain time is not fed on time, they will vomit the bile that has been waiting in the stomach for the meal. The best way to avoid this bilious vomiting syndrome is not to feed acid reducing medication, or feed earlier. It is best to simply avoid feeding at a specific time. Then the dog can return to a more natural state of not knowing when mealtime is, not overproducing acids/bile, and the GI tract can function more normally.

Bone Chewing

Fresh, raw bones provide the shearing force on the teeth to remove tartar, and provided him with an additional healthy fat source, mental stimulation and a naturally relaxing activity. While chewing on a bone, animals use muscles meant for this action in the head and neck. Without this satisfying activity, dogs lose those muscles and don’t have the benefit of an activity that is ancestrally practical and beneficial. Most animals in the wild do not require dental tartar removal under anesthesia.

Outcome

Since transitioning to a species appropriate diet and targeted supplements, Sammy is a healthy, happy dog. Sammy’s seizures have subsided, and his stamina has drastically improved as evidenced by daily two plus mile walks (a distance he was previously unable to accomplish – he would barely go around the block). Sammy’s tartar and gingivitis were resolved with fresh raw bones. We have loved watching Sammy rediscover his vitality!

Words from Sammy’s Owner

“It’s unreal. Sometimes we look at him and wonder how he is 15 years old with liver cancer and a history of seizures. His stamina is great. He’s even jumping on the bed again! That was the most notable change when switching to raw food. Feeding him one big meal a day really helped with his digestion; we were able to discontinue medications such as famotidine. The low keto diet helped him neurologically too. Sammy’s absolute best prognosis in October 2021 was that he would get seven months. We’re thrilled and amazed to have such quality of life for him after twice that many months – and counting!”

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Mr Glenny's owner says he now finally tolerates his food better than ever and his energy levels continue to be amazing. He is a lot more active than he was the last couple of years.

History:

Mr Glenny is a very handsome 12 year old male castrated tabby cat who presented with renal/kidney disease and ongoing constipation. He has had a long history of digestive issues (over many years), abdominal cramps, severe difficulty and pain around passing stools (about 2-3 years duration) furballs and in recent months he started developing early renal/kidney disease. His owner had experimented with many different diets with no change in his general well-being.

When I first started working with Glenny his diet was a non-processed raw diet, but he still vomited and had digestive issues including constipation on this. Over time we have worked with a diet that suited Glenny’s needs and he is now on a balanced home-made non-processed diet which he loves eating and supports him well.  

To aid his constipation maintenance CatLax (oral laxative) and lactulose was given as needed, but he did react to these conventional products, presenting with abdominal discomfort. He also had to have enemas to help relieve his constipation problems. 

Treatment Goals:

• To support the gastrointestinal system and avoid constipation
• To prevent furball accumulation, vomiting and abdominal discomfort
• To support the kidneys and try and prevent further kidney disease
• To support the immune system and aid with detoxification

Treatment Protocol:  

He was prescribed a herbal treatment which supported his kidneys, helped to prevent anaemia, constipation and continued disease progression.  A Heel Remedy – utilising a modality known as homo-toxicology was made for him to support the abdominal discomfort, mild osteoarthritis, kidney disease and constipation. Probiotics, Omega 3’s, Vitamins, Fibre and Slippery Elm were introduced. He was also put on a phosphorus binder to help support his kidneys. A prebiotic was also put into his water to help with the gingivitis. Ozone gel was used to support his sore bottom. 

Outcome:

His normal signs of aging have improved, the stomach cramps have resolved and he is now passing his stool regularly and comfortably. He no longer needs laxatives and enemas. His gums are looking healthier and it will be interesting to retest his kidney profiles as his owner feels that his kidney disease appears to have also improved as he is urinating less frequently. Most importantly his vitality and general well-being have returned, he meows and chats to his owner throughout the day, working his magic. 

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Maggie is a five-year-old Golden Retriever. She presented at our rehabilitation facility on 9^th June 2022. Her symptoms had been present for four weeks. The client simply wanted her companion to be able to walk again, without requiring surgery. Based on the clinical presentation polyradiculoneuritis was suspected. There were no funds available for any diagnostics, so our treatment program began.

Initially, Maggie lay in lateral recumbency and could wag her tail. On presentation for rehab, she could lift her head, roll over and wag her tail. Deep pain perception was present, but she was unable to pull away. We treated Maggie on that day using electroacupuncture. A further three sessions were suggested which included electroacupuncture, manual therapies and hydrotherapy. Maggie’s guardian was very capable and involved in her recovery. We advised on how to stimulate movements at home, beginning with moving Maggie into sternal recumbency. She was propped up in that position for short periods throughout the day.

Maggie returned eight days later, and she had responded very well. Her legs were moving, she was rolling onto her back and kicking. She was trying to sit up. Maggie was fitted with a float coat, assisted into the underwater treadmill, and encouraged to move in the water. Care was taken to support her head as she struggled to hold it up.

Maggie improved in leaps and bounds! The next step was to teach her to stand. Maggie lives on a smallholding, so we used hay bales to support her. By the end of June (28^th) Maggie started to crawl. At the rehabilitation centre we added rhythmic stabilisations and gait training to her therapy sessions. The electroacupuncture was repeated. In the water, her legs started to move, and Maggie was keen to participate. This was the day we got over the “hump” and never looked back!

There were more home interventions (under our guidance) than therapy sessions because of financial constraints. There was home hydrotherapy in the farm dam, and lots of support from her siblings! Maggie was mobile in less than three months from the onset of her neurological signs.

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Rudyard is a 9 year old male, neutered Devon Rex cat. Rudyard has a history of chronic, painful toes and toenails on both hind feet.  Many of his nailbeds had dark brown discoloration at the base of the nails.

Malassezia spp. yeasts are common inhabitants of feline nail folds, especially in Devon Rex cats, and the presence of a high number of yeasts on cytology correlates with the clinical observation of brown, greasy material in the nail folds. His diagnosis was chronic pododermatitis and paronychia.  Cytology and culture and sensitivity testing revealed a mixed bacterial and fungal (Malassezia pachydermatis) infection.  All other lab testing was within normal limits except for stress hyperglycemia and eosinophilia, and the infection was presumed secondary to environmental allergies (or food allergy).

A custom blend of 50% Purple Bee Balm hydrosol (Monarda fistulosa) and 50% German Chamomile hydrosol (Matricaria recutita) was created.  Matricaria recutita hydrosol is known for its antibacterial, antifungal and anti-inflammatory effects along with wound healing properties. 

Monarda fistulosa was selected for its antiseptic and antifungal properties. Monarda fistulosa has a very similar chemical composition to Thyme ct (chemotype geraniol), which is one of the gentler varieties of thyme, but well known for its antibacterial and antifungal properties. Therefore, this hydrosol combination was expected to exhibit strong antibacterial and antifungal effects, but also have a high safety profile for use in cats, even if the patient were to lick his toenails after application and ingest a minute amount of the blend. 

The owner was instructed to gently scrub the affected toes and toenails with a cotton-tipped applicator or gauze pad daily to remove as much exudate as possible, followed by application of the blend with a moistened cotton-tipped applicator to affected areas. 

After 14 days, the owner reported a dramatic reduction of exudate and brown discoloration of the nailbeds, as well as increased comfort and reduced grooming of the hind feet.  Subsequent physical examination revealed complete resolution of clinical signs.  The owner continues to use the hydrosol blend for Rudyard as needed to maintain comfort and prevent a recurrence of infection.

References

Catty S.  Hydrosols, The Next Aromatherapy. 

Colombo S, Nardoni S, Cornegliani L, Mancianti F. Prevalence of Malassezia spp. yeasts in feline nail folds: a cytological and mycological study. Vet Dermatol. 2007;18(4):278-283. doi:10.1111/j.1365-3164.2007.00592.x

Malassezia dermatitis in Dogs and Cats: https://vetmed.illinois.edu/2019/04/16/malassezia-dermatitis-dogs-cats/

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PoPo is a Japanese Spitz currently aged 10 years and 7 months. Popo first came to see me in November 2017 (at 5 years of age) as her owner had always fed her a home cooked diet and was prompted to seek my advice on ensuring this was complete and balanced for her. After analysing her diet of cooked meat, rice and green vegetables, a nutritional balancer was added to her diet to approach a nutritionally complete recipe. PoPo’s owner was very averse to feeding any commercially prepared diets. Baseline blood and urine testing at the time returned normal results.

In October 2018, PoPo returned to see me as she had been urinating indoors which was very unusual for her. Blood and urine testing was performed and it became evident that PoPo had developed early chronic renal disease. Her diet was again analysed and recalculated to provide a diet with moderate protein, moderate carbohydrates and a reasonable amount of fat.

On a Dry Matter basis, the diet was formulated to provide 30% protein, 25% fat, 35% carbohydrates (7% fibre and 3% ash). Proteins were chosen to be white meat only (chicken, turkey, pork and fish), avoiding the extra DNA breakdown products from lean, red meats. The Ca:P ratio was adjusted to be higher (2:1) and the B group vitamins, and other micronutrients were increased by adding a micronutrient supplement, to help cope with her metabolic stress. A calculated omega 3 fatty acid supplement was added, as was a TCM Rehmannia 8 herbal formula. Silymarin was also later introduced.

During the almost four years since her diagnosis, PoPo has progressed from IRIS Stage 1, normotensive, normo-proteinuric to now being IRIS Stage 2 (SDMA of 34 and Creatinine of 200 in July 2022). Her blood pressure and urine protein remain normal. Ipakitine was introduced in November 2021 as her blood phosphate levels increased but ground eggshells were also introduced to her diet to increase the calcium further and the Ipakitine was later discontinued as PoPo refused her food with this added. Her blood phosphate levels have since remained near the upper end of normal.

Earlier this year CBD oil was introduced to manage back pain related to osteoarthritis and her mobility and general demeanour have improved with this addition. PoPo has required yearly dental treatments under general anaesthesia, sometimes requiring dental extractions. Analgesia during these times were with carefully calculated non-steroidal medications, as well as opioids and paracetamol. A combination Silymarin, SAMe and Vitamin E preparation was used to support PoPo in the peri-anaesthesia period.

Sadly (for us), PoPo’s family will be returning to Korea in early 2023 and PoPo’s ongoing care may be lost to us as she will migrate with her family. Her back pain will be managed with palmitoylethanolamide and a concentrated green lipped mussel extract due to concern over the different prescribing laws for CBD oil in that country. This case is a good example of how a combination of tailored nutrition and herbal supplementation can be used to manage a case of chronic ill health for many years.

PoPo is now four years into her diagnosis and remains a bright and alert and very happy little dog. Whilst many practitioners and owners may baulk at performing general anaesthesia and dental treatments for a dog with a diagnosis of kidney disease, we feel this has enabled PoPo to remain well over the past four years. We are constantly amazed at the care and dedication her owner provides her, her compliance and her gratitude for our care. She has been a darling little dog to know and to care for. We wish both her and her owners the best of luck for their move to another country.

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“Princess”, a 9 year old spayed female Shepherd Cross, presented as a new client. Princess used to leak urine daily after coming in from her walk. She had a history of urinary infections and her previous vet regularly ran urinalysis which were normal. Her only medication was Proin (phenylpropanolamine) 50mg ¼ tablet every other day, due to the owner’s concerns about using the drug. This was controlling the issue just enough for the owner to be able to tolerate the leakage. The owner was willing to try herbal medicine, so Princess was started on Restore Restraint (Kan Herbal version of Sang Piao Xiao Wan) and kept on Proin for one week after which time the Proin was stopped and she was only given the herbs. Two weeks later the owner called wanting to buy 360 tablets to last her a good while because she had not seen any incontinence since started on the herbs and taken off the Proin. She was obviously highly impressed with the result. 

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Baxter is a seven year old, male neutered dachshund. Eleven months ago, Baxter developed back pain which progressed to bilateral hindlimb paresis. CT/myelogram revealed significant spinal cord compression at T12-L1 and multiple mineralised intervertebral discs. A hemilaminectomy was performed over T12-L1 by a specialist orthopaedic surgeon.

After recovering from surgery, Baxter was under the care of a rehabilitation therapist and doing home exercises and hydrotherapy to regain his mobility. Six months later Baxter was recommended for acupuncture as he had plateaued with his progress.

Baxter was ambulant but had weakness and mild conscious proprioceptive (CP) deficits in his hindlimbs as well as some back pain. Acupuncture treatments were directed at strengthening the hindlimbs and back and alleviating any pain. After his first acupuncture treatment, Baxter was able to lift his left hindleg up to urinate for the first time. Baxter’s mobility continued to improve such that he was trying to climb the stairs again (even though he shouldn’t!). Since starting acupuncture, Baxter has gained more strength in his hindlimbs and the CP deficits have resolved.

Baxter now has maintenance acupuncture treatments every two to three months to support his mobility and back pain. Acupuncture continues to be a beneficial modality for Baxter alongside his regular hydrotherapy and rehabilitation sessions.

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Crystal is a 2 year old spayed/vaccinated all white cat.  She was in foster care for more than 12 months because nobody wanted to adopt her due to her skin issues.  She was losing fur and had dry, bumpy skin with bleeding sores. She also had pockets of swelling all over her body, as well as a yeasty discoloured coat. Her diet while in foster care consisted of two commercial food products. During that time she was administered an allergy injection, topical steroids and steroidal shampoo baths with no visible change reported. After 12 months the foster carer could no longer afford Crystal’s vet care. Fortunately, she was adopted by an owner who had a sound knowledge of natural nutrition and therapies. She immediately set about switching the cat to a more natural diet. It took only a week to transition Crystal to a raw food diet with the help of some added 100% natural canned cat food. Raw goat’s milk was also gradually added to the diet for its naturally occurring probiotic properties to support a healthy gut and immune function. Over the next few weeks Crystal was moved onto two all natural food products – one frozen and one freeze dried – as well as fish oil and CBD oil. In less than a month her coat was dramatically improved as seen in the photos.

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Sebastian is a 10 month old Blue Point Birman kitten with dysuria - straining to urinate and frequent urination - over several days. He was examined by his vet and a urine test showed no infection, but quite a lot of blood and inflammatory white blood cells in the urine, and a urine pH of 7.

Often in such a case, ongoing anxiety or a recent stress event can cause a dysuria or cystitis, but Sebastian’s owner said that there had been no stress and that he was a very relaxed character. However, she was feeling guilty that he was eating mainly dried kibbled food, and that she was concerned this could be the problem. He was a fussy eater, who would only eat other fresher foods for one day, then would refuse them the next, so it was easier for the owner to just leave the dried food out all the time.

I suggested not giving any dried food, so he would actually be hungry! Then I asked her to list the foods he did like for a day – raw lamb, cooked lamb, egg, cheese, canned sardines, canned salmon, one flavour of a good quality sachet food and a good quality freeze died raw complete diet for cats.

We drew up a calendar so that he had one of these foods in rotation at each meal, so would only have each food for about two meals a week, and they added up to a complete and balanced diet over one week.

We were able to get Sebastian to eat the raw lamb several times a week, which was important as raw meat is nature’s urinary acidifier, and if we could keep his urine at pH 6, it would be near impossible for him to get cystitis again.

A follow up urine test a month later showed healthy urine, and he had no more symptoms of dysuria. Sebastian has now been well for over 6 months on his frequently changing natural diet.

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Mr Brownie, an eleven-year-old, 2.27 kg, Chihuahua, was diagnosed in December 2021 with Laryngeal Paralysis and Renal Disease. He also suffers with severe food allergies and as his owner shared, he would go through bouts of inappetence due to coughing and resulting regurgitation. His treatments began with the transition to a kidney-friendly homemade diet incorporating food therapy principles to support healthy lungs, increase kidney yin, and strengthen Spleen Qi. His favorite recipe includes cooling pungent aromatic peppermint to stimulate circulation and move energy up and out; sweet and sour properties of apples to moisten dryness and cool heat of the lungs; sweet, neutral flavors of green beans to strengthen digestion and increase yin fluids; cooling and sweet flavors of Napa cabbage for inflammation and qi deficiency; with warming energetics of turkey to balance the overall cooling nature of the recipe; and blueberries, not only for kidney yin but the added benefits of antioxidants and phytochemicals. Food texture was also adjusted for his preferences, and he now dances in anticipation of his meals. Additionally, Xiao Chai Hu Tang was introduced to address the collapsing trachea, along with Yi Guan Jian for the renal disease. Recent blood test results reveal his renal functions have improved significantly. And while he’s still challenged with Laryngeal Paralysis, coughing is minimal, vomiting of meals has been eliminated, and he can sleep through the night with the support of hydrocodone. With a goal of removing this last medication, we are adjusting the herbal therapies and adding aromatherapy.

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Jinx is a thirteen year old domestic shorthair who presented with chronic rhinitis non-responsive to conventional medications despite a full diagnostic work-up and interventions over many years. His treatment approach included transitioning to a homemade diet supplemented with EPA/DHA, probiotics, antioxidants and turmeric, steam therapy, medicinal mushrooms and a western herbal formula of tinctures and glycetracts of Marshmallow Root, Elder Flowers, Echinaceae, Eyebright, Goldenseal and Gotu Kola. He has now been weaned off all conventional medications and breathes freely with only occasional minor episodes of nasal discharge and has excellent quality of life.  Several years following the introduction of natural therapies Jinx is still going strong! His owners travel around Queensland with Jinx in their caravan working and periodically phoning with an update and a request for more herbs to be posted to them. 

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Oreo, an anxious six year old male neutered Chihuahua, presented with a long history of recurrent anal gland abscessation and a more recent history of unusual neurologic episodes that appeared to be triggered by stressful events and exposure to certain foods and toxins. Bloodwork and urinalysis were unremarkable. Further diagnostics were declined and the owner sought an integrative medicine consultation. Oreo’s diet was changed from kibble-based to a balanced lightly cooked novel protein homemade diet supplemented with fibre and probiotics, and a western herbal tincture containing Passionflower, Bacopa, Chamomile, Baical skullcap, Burdock and Milk Thistle. This was implemented alongside behavioural modification strategies and a consistent home environment. Oreo’s stool bulk improved and his anal gland disease resolved. Neurologic episodes became very rare and only mild when they did occur, and his anxiety was well managed. He is now a very happy and healthy nine year old and the owners are delighted with his quality of life!

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Kyser, a 7 year old male Rhodesian Ridgeback, presented with a history of reoccurring Mast Cell Tumours, chronic anal gland infections, conjunctivitis, dermatitis and hindleg discomfort. He had received many courses of antibiotics, non-steroidal anti-inflammatories, skin supportive medication, antioxidants and Vitamin C. The aim was to support Kyser’s immune system, reduce the inflammation, detoxify the body, address any food intolerances, possible gut imbalances and possible nutritional deficiencies. He was treated with herbal tinctures, a course of stem cell treatments and his diet was changed from processed foods to a raw diet. Probiotics and further supplements were also introduced. Two years later Kyser’s mast cell tumours have been managed, the anal gland infections, dermatitis and conjunctivitis have resolved and he is maintaining a good quality of life. His owners feel that he is a happier dog, often walking up to one hour a day.

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Abby is a five year old female neutered German Shorthaired Pointer. She was referred to me by a locum veterinarian who was concerned about tendon contracture in the right hind paw. The practice principal had diagnosed a partial rupture of the Achilles tendon in May 2020. Rest and NSAIDs were advised. 13 months later Abby was referred to me. I immediately recommended a consultation with a specialist surgeon. Amazingly, the surgeon was able to reconnect the tendon despite the time that had elapsed. Apart from the contracture of the digital flexor tendons, there was severe muscle atrophy of the hind limb. The difference in thigh circumference between the two rear limbs was 4.6 cms. Following on five weeks from the repair,  Abby started rehabilitation and our challenges were:

- breed tendencies (active and highly strung)

- tendon contracture

- decreased ROM of the right hock (especially in flexion) 

- muscle atrophy

We tried to teach the client to perform heat and stretching of the distal limb, but the dog was not cooperative. The compromise was to treat Abby twice a week. The first three weeks of therapy consisted of photobiomodulation, heat and massage to release the tendons. This was very uncomfortable for Abby. After release we performed gentle weight shifting exercises to encourage weight bearing. The water in the underwater treadmill assisted with support in the early phases. After two months of therapy Abby was becoming increasingly resistant to our efforts. The circumferential difference between the two rear limbs had decreased to 1.5 cms. The digits remained slightly flexed and hock ROM improved marginally. It was decided to stop therapeutic interventions and reassess a month later. (This still has to happen). 

I am surprised and very pleased at the response. I was uncertain that we would be able to regain use of the limb because of the length of time that the injury had been present. 

Please click HERE to watch a video of Abby's rehabilitation progress.

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Pippin, a two-year-old male neutered Chihuahua, presented with a one year history of progressive alopecia, diagnosed by his DVM as Alopecia X.

For review, Alopecia X or Adrenal Hyperplasia-Like Syndrome, is a rare, cosmetic skin condition characterized by areas of alopecia and hyperpigmentation as seen in the images of Pippin. For some unknown reason, the growth phase of the hair follicle is arrested which causes the hair loss. This condition can happen as early as one year of age but can also occur much later in life. There is no known therapy or treatment for this condition in conventional veterinary practice. His TCVM clinical presentation of weak, deep pulses, cold extremities, pale tongue with cracks and diffuse alopecia indicated a Blood Deficiency pattern. 

Following Pippin’s first visit, his treatment plan included implementing a fresh, balanced, species appropriate diet, and a Chinese Herbal formula: Bu Gan Tang. Specifically, we used the Kan Essentials, Liver Support Formula, starting with the normal dosing for his body weight. After three months there was a mild improvement in hair growth, but it is not significant. During this visit, the Chinese herb dose was increased to double the amount daily. During this time, the owner was in email communication and expressing excitement about the results. The second image was taken after six months on the doubled dose of Bu Gan Tang, full hair coat regrowth was eventually achieved shortly after this image was taken. Pippin was slowly weaned off the Chinese herbs completely over the next six months and his owner was absolutely grateful. We think Pippen was also likely thankful for not having to shiver as much! 

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Mindy, a 9yo Maltese cross, presented with a history of frequent recurrent urinary tract infections and two surgeries for struvite bladder stones. Her dedicated owners were finding it challenging to tablet her, collect repeat urine samples and feed her a prescription diet. They were also highly motivated to implement a more natural preventative strategy. Her treatment approach involved a high moisture containing homemade diet supplemented with probiotics and Cranberry extract, as well as the administration of a twice daily Western herbal tincture based on Crataeva, Astragalus, Marshmallow Root, Withania and Chamomile. She has had no further urinary tract infections since commencement of this regime over a year ago and is a very happy little dog who willingly takes her food and supplements!

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Wobbler’s disease, or cervical spondylomyelopathy, is a genetic disease of Doberman pinschers, characterized by primary stenosis of the cervical vertebral canal, exacerbated by type 2 herniated disc disease typically involving the C4-C7 intervertebral disc spaces.  Clinical manifestations include hypermetria of the front legs with concurrent hind end weakness and ataxia, and pain on lateral, dorsal, and/or ventral cervical flexion. These individuals are conventionally treated with anti-inflammatory medications, analgesics, and husbandry changes such as feeding on an elevated platform and use of a harness instead of a collar.

Acupuncture is easily integrated into treatment of Wobblers disease. “Paris”, a 7 year old female spayed Doberman pinscher, was presented for neck pain and hind end weakness. TCM exam findings included a moist red-pink tongue with a slight purple center, toned mid-depth pulses and small white skin flakes, along with sensitivity at acupuncture points GB 21 and BL11.  A TCM diagnosis of Kidney Yin (Jing) deficiency with Wind invasion, and local cervical Qi-Blood stagnation was assigned.  TCM treatment principles of tonifying Blood and Yin, and relieving stagnation and pain were employed using dry needle acupuncture.  Acupoints were chosen above and below the area of obstruction (GB 20-GB 21, BL 10-BL 11, GV 20-GV 14).  Master point for the Head and Neck LU 7, Master point for the Face and Mouth LI4, and SI 3 used distal limb points to treat the neck.  Kidney and Yin tonification was performed using KID 3 and SP 6. LI 4 and BL 60 assisted with pain relief. 

Twice-weekly treatments were performed for two weeks, and then weekly treatments for four weeks, resulting in significant improvement to the point the owner discontinued acupuncture therapy, and has maintained health with prednisone and management practices only. There have been no relapses of cervical pain over the last year. This case is an example of how acupuncture can be safely and effectively used integratively to treat cervical spondylomyelopathy.