June 2010 Updated by Zhen - the Chi Institute

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 15, Summer 20118
TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 15, Summer 2011 “Roxy” is a five year-old femalespayed American Bulldog who wastreated at the Traditional ChineseVeterinary Medicine (TCVM) Clinic atMurdoch University for chronicurinary incontinence (Lin Syndrome).10 months ago, “Roxy’s” ownersnoticed that she was wetting herbedding and occasionally leavingpuddles of urine around the house . They observed that shewas most likely to dribble or leak between 5PM and 10PMafter play or vigorous exercise despite frequent toiletwalks. The volumes of urine leaked were significant andwould soak bedding and included sizeable puddles aroundthe house. Her regular veterinarian ascertained that therewas no detectable underlying cause and prescribedPhenylpropanolamine. This drug worked very well anddecreased the instances of her incontinence dramatically.However, the owners noted that whenever “Roxy” wasgiven Phenylpropanolamine, she developed head-shakingand tremoring episodes. This led to their disinclination tomaintain “Roxy” on this drug for the rest of her life andtheir pursuit of alternative options for this otherwisehealthy and vibrant young dog.Lin syndrome, without the complications of underlyingdisease, likely meant that Kidney Qi Deficiency was themain issue causing the proper closure of the urethralsphincter to falter. At this stage, her TCVM Exam findingswere non-specific and the Western Biomedical Diagnosis ofuncomplicated urinary incontinence underpinned herTCVM Diagnosis and Treatment.The owners elected to proceed initially with only ChineseHerbal medication. Jin Suo Gu Jing Wan was prescribed.This herbal formula is targeted at tonifying the Kidneys andastringing the Essence and is indicated in cases of chronicemissions, including urinary incontinence. The compositionof herbs in this preparation of Jin Suo Gu Jing Wan is listedin Table 1. The owners were instructed to gradually wean“Roxy” off the Phenylpropanolamine and asked to provideregular updates.Over the course of the next five months, “Roxy’s” ownersprovided regular updates via telephone of her progress.The first herbal formula Jin Suo Gu Jing Wan seemed tohave good effect for the first four months, only requiringone dose modification in those months. As the fifth monthbegan, “Roxy” started experiencing episodes ofbreakthrough incontinence and was thus seen again at theTCVM clinic to reassess her pattern.“Roxy’s” second visit to the TCVM clinic revealed that herpattern had progressed and she was now exhibiting coolsigns with cool ears and a cool nose. Her TCVM Diagnosiswas now Kidney Qi Deficiency with Mild Kidney YangDeficiency leading to Lin Syndrome which could explain thebreakthrough urinary incontinence. To address the TCVMPattern, a Kidney Yang tonic, You Gui Wan (table 2), wasHer first visit to the TCVM clinic found “Roxy” in goodhealth and her TCVM Diagnosis at the time was mild KidneyQi Deficiency leading to Lin Syndrome. According to Zang-Fu physiology, the Kidney controls the opening and closingof the urethral sphincters and the anus, also known as thetwo orifices. Specifically, adequate Kidney Qi is required toensure the steadfast functioning of these orifices. In thisinstance, “Roxy’s” problems with urinary incontinence orTable 1. Composition of herbs in Jin Suo Gu Jing WanPin Yin Name HerbLatin Name Part ActionsQian Shi Euryale ferox Seed Tonify the Kidney to control JingLian Zi Nelumbium speciosum Seed Reinforce the Kidney to control JingFu Pen Zi Rubuschingii FruitAugment and stabilize the Kidney and astringe Jing andrestrain urineJin Ying Zi Rosa laevigata Fruit Control Jing and stabilize the Kidney and decrease urinationSha Yuan Ji Li Astragalus adsurgens Seed Tonify the Kidney and astringe the EssenceGan Cao Glycyrrhiza uralensis Colouring/Coating Regulate and harmonize herbs9
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June 2010 Updated by Zhen - the Chi Institute

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