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 25-28 September, 2018 | Singapore
b) Add Bu Yang Huan Wu for Qi or Yang Deficiency (rear weakness, pale and wet tongue, and deep/weak pulse). Better tolerated than Double P II, so can use instead of Double P II if animal is prone to diarrhea.
c) Add Di Gu Pi San for Yin Deficiency (cool-seeking, rear weakness, red/dry tongue, fast/thin pulse).
d) Add Hindquarter Formula for Qi and Yin Deficiency (cool-seeking, rear weakness, red or pale tongue, and fast/weak pulse).
e) Add Stasis Breaker if a tumor or mass is present in the spinal cord
f) Add Jie Gu San for fractures of the vertebra.
Acupuncture Researches in Neurological Conditions
a) Analgesic Effects
· After EA at GB-30 and BL-40 for 25 minutes daily for 7 days, rabbit with injured sciatic nerve had signifi- cant higher densities of normal myelinated fibers and more small myelinated fibers as compared to those in the diclofenac and control groups. Their results revealed and confirmed that EA promotes nerve regeneration while diclofenac does not have such an effect.12
b) Spinal Nerve Injury
· EA combined with standard Western medical treat- ment (group 1) was effective and resulted in shorter time to recover ambulation and deep pain percep- tion than Western treatment alone (group 2) in dogs with signs of thoracolumbar IVDD. Overall success rate (all dysfunction grades) for group 1 (23/26; 88.5%) was significantly higher than for group 2 (14/24; 58.3%).3
· The proportion of dogs with clinical success was significantly higher for dogs that underwent EAP (15/19 dogs, 79%) than decompressive surgery (DSX) (4/10 dogs, 40%); the proportion of dogs with clinical success for dogs that underwent DSX + EAP was in- termediate (8/11 dogs, 73%). EAP was more effective than DSX for recovery of ambulation and improve- ment in neurologic deficits in dogs with long-stand- ing severe deficits attributable to IVDD.2
· Acupuncture at GV26 and GB34 significantly alleviat- ed apoptotic cell death of neurons and oligodendro- cytes, thereby leading to improved functional recov- ery after spinal cord injury (SCI) in rats. Acupuncture also reduced the size of lesion cavity and extent of loss of axons. It also significantly reduced proinflam- matory factors after SCI.13
c) Brain Injury
· Acupuncture can improve neuranagenesis by pro- moting the proliferation and differentiation of neural stem cells in brain tissues.14
· Electroacupuncture (EA) at ST-36 acupoint improves neurological recovery in rats with intracerebral hem- orrhage. EA exerts neuroprotective effects on hemor- rhagic stroke by upregulation of Ang-1 and Ang-2.15
Outcome Measurement
Using a 0-5 grading scale to evaluate clinical neurological signs of IVDD (Table 2), it can be a valuable tool to help choose the mode of treatment, determine the prognosis, and assess the success of treatment. 9 For the most optimum recovery, it is best to use TCVM with decompressive surgery for cases with grades 4 and 5. IVDD with Grades 1 to 3 may be successfully treated with TCVM alone.2-8
A 2010 study evaluated the effectiveness of acupuncture in comparison to decompressive surgery, and a combination of both surgery and acupuncture, in forty dogs that had long standing clinical signs of IVDD
(>48 hours). The dogs were re-graded six months after onset of clinical signs, and were considered a success
if they returned to ambulation (i.e. they decreased from grade 4/5 to grades 1/2). This research demonstrated that electro-acupuncture had a greater success (79%
or 15/19 dogs) than did decompressive surgery alone (40% or 4/10 dogs). Dogs that had both decompressive surgery and electro-acupuncture had an intermediate response (72% or 8/11).2 This study indicates that the duration of clinical signs prior to treatment appears be an important factor in determining if decompressive surgery will benefit the patient. Therefore if the clinical signs of IVDD have persisted for over 48 hours, and the animal
is a grade 5 for a prolonged amount of time, electro- acupuncture is the treatment that shows the most benefit to these patients. In addition, if the client is unable
to afford surgery, TCVM may be the only potentially effective treatment option.2
Summary
Intervertebral disc disease is commonly seen in small animal clinics. Traditional Chinese Veterinary Medicine (TCVM), including acupuncture, food therapy and herbal medicine, can be an effective singular therapy, or part of integrated therapy with Western medicine and surgery, based on a grading scale of clinical signs and type of IVDD.
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43RD WORLD SMALL ANIMAL VETERINARY ASSOCIATION CONGRESS AND 9TH FASAVA CONGRESS







































































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