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 25-28 September, 2018 | Singapore
seven other herbs including Chinese rhubarb, confers nephroprotection in chemical-induced acute and
chronic renal failure in rats.18 Animal studies have shown that Dong-cong-xia-xao (Cordyceps sinensis) delays progression of worsening kidney function in 5 of 6 nephrectomized rats, through the inhibition of glomerular hypertrophy, reduction of proteinuria, and reversal of metabolic abnormalities of protein and the lipid profile.19 Fang-ji (Stephania tetrandra) decreases the accumulation of extracellular matrix and reduces glomerulosclerosis
in adriamycin-induced nephrotic rats.20 Lei-gong- teng (Tripterygium wilfordii) has been known to protein excretion in many types of CRF.21
III. Pattern Differentiation & Treatment 1)Kidney Qi Deficiency
· Signs: Dysuria, polyuria, stranguria, lower back pain, hindlimb weakness, exercise intolerance, tired easily, urinary incontinence, uremia, prefer warm area. Tongue is pale and wet. Pulses are deep and weak (right pulse is weaker)
· Acupuncture treatment: Strengthen Kidney Qi (BL- 23/52, BL-26, KID-3, Shen-shu); Benefit urination (BL- 22/28, SP-9/15, GB-25, ST-28, CV-9); Add additional points above to manage clinical signs if needed
· Herbal formula:
· 1) Suo Quan Wan, 0.5 g per 1020 lb body weight BID-TID, to treat renal failure with mild urinary incontinence
· 2) Jin Suo Gu Jing, 0.5 g per 1020 lb body weight BID-TID, to treat renal failure with chronic urinary incontinence and weakness
2) Kidney Yang Deficiency
· Signs: often older animals or end-stage CRF, low body temperature, cold ears, back and extremities, aversion to cold, warm-seeking behavior, subdued manner, lower back or lumbar region soreness, hearing loss, copious/long clear urine, urinary inconti- nence, general debility/ weakness, morning diarrhea, edema in limbs or ventral abdomen. Tongue is pale, wet and swollen with teeth marks. Pulses are weak, deep and slow (right pulse is weaker).
· Acupuncture treatment: Warm Kidney Yang (GV-3/4, BL-24, CV-6, Bai-hui, Shen-shu/peng/jiao); Benefit urination (BL-22/28, SP-9/15, GB-25, ST-28, CV-9); Add additional points above to manage clinical signs if needed; Use less acupoints (typically 5-10 needles in total) for debilitated patients
· Herbal formula:
· 1. Jin Gui Shen Qi Wan or Rehmannia 11, 0.5 g per 1020 lb body weight BID-TID, to tonify Kidney Qi and Yang, nourish Yin, Blood and Jing, drain Damp and strength- en the Spleen. Jin Gui Shen Qi Wan is slightly warmer than Rehmannia 11
· 2. Zhen Wu Tang, 0.5 g per 1020 lb body weight BID- TID, if edema is noted. It tonifies Kidney Yang, drain Damp and promote urination
· 3. Caution should be taken when using either for- mula in cats or geriatrics as they both contain Fu Zi (Aconite)
3) Kidney Yin Deficiency
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·
·
Signs: dysuria, stranguria, polyuria, easily de- hydrated, dry coat with dandruff, warm to the touch, cool-seeking behavior, excessive panting, generalized erythema, restlessness or abnormal behavior at night, signs often worse at night. Tongue is red and dry with cracks and little to no coating. Pulses are weak, deep, thready and fast (left pulse is weaker)
Acupuncture treatment: Nourish Yin (BL-23, KID- 1/3/7, SP-6/9, Shen-shu); Benefit urination (BL- 22/28, SP-9/15, GB-25, ST-28, CV-9); clear Heat is needed (LI-4, LI-11, GV-14, Er-jian, Wei-jian); Add additional points above to manage clinical signs if needed
Herbal formula:
1. Liu Wei Di Huang Wan, 0.5 g per 1020 lb body weight BID-TID, to nourish Yin and Jing, tonify Kidney Qi and drain excess Damp
2. Zhi Bai Di Huang, 0.5 g per 1020 lb body weight BID-TID, to nourish Yin and Jing, tonify Kidney Qi, drain excess Damp, and clear Heat; it is used when apparent Heat signs are noted
3. In CRF patients with both Kidney Qi and Yin deficiency, use Jin Gui Shen Qi Wan or You Gui Wan in the morning to tonify Kidney Qi- Yang; in the afternoon, use Liu Wei Di Huang Wan or Zuo Gui Wan to nourish Yin and Jing. The dosage is 0.5 g per 1020 lb body weight of each formula
· ·
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4) Kidney Jing Deficiency
· Signs: renal failure at a young age, other con- genital problems from an early age, congenital defects, poor neonatal growth and development, developmental bone diseases, premature aging, poor dentition, failure to thrive, often also show signs of Kidney Yin or Yang deficiency. Tongue is pale or red but can be normal. Pulses are usually weak but can be normal
· Acupuncture treatment: Benefit urination (BL- 22/28, SP-9/15, GB-25, ST-28, CV-9); For Qi de- ficiency, use BL-23/52, BL-26, KID-3, Shen-shu; For Yang deficiency, use GV-3/4, BL-24, CV-6, Bai-hui, Shen-shu/peng/jiao; For Yin deficien- cy, use BL-23, KID-1/3/7, SP-6/9, Shen-shu; Add additional points above to manage clinical signs if needed
· Herbal formula: Sheng Jing San or Epimedium Powder, 0.5 g per 1020 lb body weight BID-TID, to tonify Qi, nourish Kidney Yin and Yang, Jing and Blood. Because this formula is warm, if the patient shows more signs of Yin deficiency with Heat, treat it as a case of Kidney Yin deficiency initially
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43RD WORLD SMALL ANIMAL VETERINARY ASSOCIATION CONGRESS AND 9TH FASAVA CONGRESS
































































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