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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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Presentation Transcript
slide2
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

slide3
IBD
  • Ulcerative colitis
  • Crohn’s disease (regional enteritis)
  • Systemic disease (arthritis, uveitis, liver disease, etc.)
ibd signs
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
ibd causes
IBD- -Causes
  • Infectious
    • (Damp-Heat)
  • Dietary
    • (Stomach Heat/Stagnation)
  • Genetic
    • (Kidney Jing)

Diagnosis usually by biopsy

ibd treatment
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
mechanism of action of azulfadine
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)
tcm pathology of ibd
TCM Pathology of IBD
  • Excess
    • Heat Toxin/Damp Heat
    • Qi/Blood Stagnation
  • Deficiency
    • SP Qi Deficiency
  • Parvovirus
heat toxin damp heat
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
qi blood stagnation
Qi-Blood Stagnation
  • Signs
    • Chronic diarrhea with stink smell
    • Abdominal pain
    • Vomiting
    • Loss of appetite
  • Tongue
    • Purple or red
  • Pulse
    • Wiry
spleen qi deficiency
Spleen Qi Deficiency
  • Signs
    • Chronic diarrhea with undigested material
    • Anorexia
    • Loss of body weight (muscle mass)
    • Exercise intolerance
  • Tongue
    • Pale
  • Pulse
    • Deep & weak
parvovirus
Parvovirus
  • Signs
    • Bloody diarrhea with mucous and/or foul odor
    • Anorexia
    • Vomiting
  • Tongue
    • Red & dry
  • Pulse
    • Fast (superficial or deep)
tcm treatment of ibd
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
great saussurea coptis
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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