Tcvm approach to inflammatory bowel disease
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TCVM Approach to Inflammatory Bowel Disease. IBD. Group of GI disorders with inflammatory infiltrates in the lamina propria of SI & LI Damage from tissue cytokines Caused by Genetic factors Environment. Feline IBD touch prep. IBD. Ulcerative colitis Crohn’s disease (regional enteritis)

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IBD

  • Group of GI disorders with inflammatory infiltrates in the lamina propria of SI & LI

  • Damage from tissue cytokines

  • Caused by

    • Genetic factors

    • Environment

Feline IBD touch prep


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IBD

  • Ulcerative colitis

  • Crohn’s disease (regional enteritis)

  • Systemic disease (arthritis, uveitis, liver disease, etc.)



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IBD- -Signs

  • Dogs:

    • Chronic vomiting, diarrhea, weight loss

  • Cats

    • Vomiting followed by diarrhea

  • Other signs

    • Flatulence, gas, altered appetite, abdominal pain & mucois stools

    • Dry hair coat

    • Thickened loops of bowel on palpation


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IBD- -Causes

  • Infectious

    • (Damp-Heat)

  • Dietary

    • (Stomach Heat/Stagnation)

  • Genetic

    • (Kidney Jing)

Diagnosis usually by biopsy


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IBD- -Treatment

  • Anti-infectives

    • Sulfasalazine (Azulfidine)

  • Dietary

    • Diet elimination

    • Vitamin support (all but high vitamin C)

    • Western herbals

      • Bromelain/curcumin

      • Ginger

      • Cat’s Claw

  • Immunosuppressive


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Mechanism of Action of Azulfadine

  • Antibacterial activity

  • Local and systemic immunity-lymphs, IgG

  • Arachidonic acid metabolism-PG, Thr, leukotrienes

  • Free radical scavengers (5-ASA)

  • Inhibit PAF, histamine release (mast cells)


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TCM Pathology of IBD

  • Excess

    • Heat Toxin/Damp Heat

    • Qi/Blood Stagnation

  • Deficiency

    • SP Qi Deficiency

  • Parvovirus


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Heat Toxin/Damp Heat

  • Signs

    • Bloody/watery diarrhea (mucoid) with foul smell

    • Acute

    • Heat signs (nose/ears)

    • Vomiting

    • Thristy

  • Tongue

    • Deep red  yellow coating

  • Pulse

    • Superficial/Deep and fast


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Qi-Blood Stagnation

  • Signs

    • Chronic diarrhea with stink smell

    • Abdominal pain

    • Vomiting

    • Loss of appetite

  • Tongue

    • Purple or red

  • Pulse

    • Wiry


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Spleen Qi Deficiency

  • Signs

    • Chronic diarrhea with undigested material

    • Anorexia

    • Loss of body weight (muscle mass)

    • Exercise intolerance

  • Tongue

    • Pale

  • Pulse

    • Deep & weak


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Parvovirus

  • Signs

    • Bloody diarrhea with mucous and/or foul odor

    • Anorexia

    • Vomiting

  • Tongue

    • Red & dry

  • Pulse

    • Fast (superficial or deep)


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TCM Treatment of IBD

  • Heat Toxin/Damp Heat

    • Great Saussurea Coptis

  • Qi/Blood Stagnation

    • Xiang Lian San

  • SP Qi Deficiency

    • Shen Ling Bai Zhu

  • Parvovirus

    • Red Back Door


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Great Saussurea Coptis

Saussurea Mu Xiang Move Qi & relieve pain

Coptis Huang Lian Clear Damp-Heat in the intestines

Evodia Wu Zhu Yu Warm the middle Jiao & stop vomiting


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