TCVMNews2013Spring

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

- by Ronald Koh DVM, MS, CVA, CVCH, CVFT. FL USA

The Stomach andSpleen occupy thecentral position in theMiddle Burner(Zhong Jiao) and areat the center of all Qipathways of other or-gans. The Stomachcontrols the ‘Rottingand Ripening’ of

food, which paves the way for the Spleento extract the Gu Qi (food Qi) and refinedessence from food. Stomach also sends thefood down to Small Intestine for furtherseparation. The Spleen is the central Organin production of Qi. Its most importantfunction is ‘Transporting and Transform-ing’ food and fluids. Food Qi and fluids arethen transported upward to the Lung in theUpper Burner (Shang Jiao) for distributionto the entire body. Therefore, in the body,Stomach Qi descends or moves downwardswhereas Spleen Qi ascends or moves up-wards.

A failure of the smooth flow of Stomach Qiresults in Stomach Qi Stagnation or Stom-ach Qi rebelling upwards. This disruptedfunction often leads to nausea and vomit-ing. The common causes of rebelliousStomach Qi can be categorized as Excessor Deficiency patterns. Excess patterns in-clude Cold or Heat invading the Stomach,Food Stagnation, or Liver Qi Stagnation.Deficiency patterns include SpleenQi/Yang Deficiency or Stomach Yin Defi-ciency. Acupuncture and herbal medicine

treatments for common vomiting patternsare shown in Table 1.

PATTERN DIFFERENTIATION ANDTREATMENT

Disruption of stomach by exogenouspathogenic factorsExogenous pathogenic Qi, especiallyWind-Cold and Summer Heat, invades thestomach from the skin, mouth, or noseleading to Stomach Qi obstruction andprevents Stomach Qi from descending,leading to vomiting. Vomiting usuallyhappens in a sudden acute fashion, espe-cially after changes in weather or season.Sudden changes of temperature, such asexposure to cold indoors after a long walkin hot weather outdoors, or vice versa,could also lead to disruption of StomachQi.

a. Heat invading the stomachThe common clinical manifestations arevomiting of food soon after eating, andaversion to heat (under the sun). If Stom-ach Heat or Fire occurs, then the patientmay become thirsty with a desire to drinkcold water, hunger easily and eat a lot,prefer lying on a cool floor, exhibit badbreath, and have dry stool.Tongue: normal to red color with dry coat-ing; red in the center with dry yellow coat-ing if Stomach Heat/Fire occurs.Pulse: superficial/floating and rapid; maybe slightly overflowing on the right middle(SP/ST) position.

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TCVM NEWSI S S U E 2 0 S P R I N G 2 0 1 3

Rear Limb Paresisand Weakness

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Back Pain...The Silver Lining

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Oral AmelanoticMelanoma

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New Chi Class in ChinaSouth China Agricultural University College ofVeterinary Medicine and Chi Institute willhave their first joint Small Animal Acupunc-ture Class in Guangzhou, China from June 3to 8, 2013. This class is equivalent to Session1 and 2 of the Certified Veterinary Acupunc-turist (CVA) program of the Chi Institute.Graduates from this class may continue theirstudy at Chi Institute USA, Australia or Eu-rope to complete the CVA requirement. Thisclass is filled to capacity this year and we willrun the class again in the summer of 2014.

The Chi Institute is ExpandingThe Chi Institute has been approved forplans to expand its campus in Reddick, FL.The expansion includes two new teachingfacilities, totaling over 14,000 ft, to be com-pleted by July 2014. The new buildings willprovide a state of art learning experience tobetter serve the students, faculty and guests.

At Chi Europe - Escorial, MadridThe Herbal Liver Class, English LanguageVeterinary Acupuncture Class and SpanishLanguage Veterinary Acupuncture Classwere all held at Chi Europe in April 2013.Veterinarians from 12 different countries(Austria, Belgium, Brazil, England, Italy, Nor-way, Portugal, Sweden, Switzerland, SouthAfrica, Spain and USA) attended classes.

New Concentrated Jing Tang Formulasavailable in capsule productsJing Tang Herbal is pleased to announce itsnew featured concentrated formulas:1. Concentrated External Wind. This for-mula clears external Wind to alleviate itching,and cools while activating Blood. It is a greatformula to give to patients with hypersensitiveskin, skin itching/scratching or restlessness.

2. Concentrated Crystal Stone. This for-mula clears Heat and Damp while resolvingurinary crystals and stopping hemorrhage. Itis a fantastic formula to give to patients whosuffer from hematuria and/or crystalluria (anytype of crystals/stones), or frequent or drib-bling urination.

Voice of Dr. Xie’s Jing Tang Herbala FDA cGMP Compliance Company

Dr. Greg Todd wins the1st Ma Shi Huang Awardthat he is recognized asthe 2012/2013's TCVMPractitioner of the Yearby the Chi Institute .See page 11 for details.

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

S m a l l A n i m a l P a t i e n t s

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

Note: prolonged Heat in the stomach may lead to StomachHeat or Fire. After a period of time, Stomach Heat or Fire mayresult in Stomach Yin Deficiency because Heat dries up thebody fluid of the stomach.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20,BL-21, ST-25, CV-12, LI-4, LI-11, GV-14, ST-44.

• PC-6 and BL-14 calm the Shen and stop vomiting.• ST-36 stimulates the descension of Stomach Qi.• BL-20 and BL-21 regulate the normal Qi flow of the Spleen

and Stomach.• ST-25 and CV-12 subdue rebellious Stomach Qi.• LI-4, LI-11, and GV-14 clear Heat.• ST-44 clears Stomach Heat.

Herbal Medicine: Huo Xiang Zheng Qi Wan. Add Qing WeiSan if Stomach Heat/Fire occurs.

b. Accumulation of Wind-Cold in the stomachThe common clinical manifestations are sudden vomiting ofclear water long after eating or upon exposure to cold, suddenstomach pain (palpation reveals cranial abdomen pain), andaversion to cold and wind.Tongue: normal to pale color with thick white coating.Pulse: superficial/floating, tight and slow; tight on the rightmiddle (SP/ST) position.Note: prolonged Cold in the stomach may lead to Stomach QiDeficiency because Cold injures Yang energy.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20, BL-21, ST-25, CV-12, ST-21, ST-34, GB-34, SP-4, LI-4, BL-10.

• PC-6 and BL-14 calm the Shen and stop vomiting.• ST-36 stimulates the descending of Stomach Qi.• BL-20 and BL-21 regulate the normal Qi flow of the Spleen

and Stomach.• ST-25 and CV-12 subdue rebellious Stomach Qi.• ST-21, ST-34, GB-34 and SP-4 relieve Stagnation (stomach

pain).• LI-4 and BL-10 dispel Wind-Cold.• Moxa can be used at ST-21, ST-25, CV-12, and BL-21 to

dispel Cold and warm the stomach.

Herbal Medicine: Huo Xiang Zheng Qi Wan. Add Ju Pi Sanif Stomach pain is severe.

Obstruction of stomach by food retentionOverfeeding or overeating of raw, cold, fatty, or dairy food,could lead to retention of food in the stomach and inability ofthe Stomach Qi to descend, which may go adversely upwardand induce vomiting. Chronic Spleen Qi Deficiency could alsocause food retention in the stomach due to the impairment ofthe digestive function.

The common clinical manifestations are vomiting after food

intake, vomiting of undigested food with sour or foul smell,abdominal distention with or without pain (relieved by vomit-ing), foul breath, poor appetite (improved after vomiting), andloose stool or constipation.Tongue: normal color with greasy thick white coating; tonguemay be red with yellow coating if Stomach Heat/Fire also occurs.Pulse: full and slippery; pulse is also fast if Stomach Heat/Fireoccurs.Note: prolonged food retention may generate Heat leading toStomach Heat/Fire or the formation of Dampness or Phlegm.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20. BL-21, ST-25, CV-12, ST-21, ST-34, GB-34, SP-4, ST-19, ST-37,ST-44.

• PC-6 and BL-14 calm the Shen and stop vomiting.• ST-36 stimulates the descension of Stomach Qi.• BL-20 and BL-21 regulate the normal Qi flow of the Spleen

and Stomach.• ST-25 and CV-12 subdue rebellious Stomach Qi.• ST-21, ST-34, GB-34 and SP-4 relieve Stagnation (stomach

pain).• ST-19 is specific to resolving the retention of food.• ST-37 is a lower He-sea point for loose stool or constipation.• ST-44 clears Stomach Heat and Stagnation.

Herbal Medicine: Bao He Wan. Add Four Gentlemen if thereis Spleen Qi deficiency.

Disruption of stomach by Liver Qi StagnationStress, depression, and emotional disturbances, such as anxiety,frustration and anger, can all constrain Liver Qi movement.When Liver Qi becomes stagnated, it moves abnormally andinjures the Stomach (Cheng cycle) causing Stomach Qi to failto descend normally, leading to rebellious Stomach Qi andvomiting. Alternately, severe or chronic stagnant Liver Qi mayturn into Liver Heat or Fire and force Stomach Qi to moveupwards, thus inducing vomiting.

The common clinical manifestations are vomiting a smallamount of stomach content (sour smell), yellow water or bilefluid; exhibiting a Wood personality, hyperactive behavior, orirritability; or having a flank or chest that is sensitive to palpa-tion. Eyes may be red if there is Liver Heat/Fire. Loose stool ordiarrhea occurs if stagnant Liver has also over-controlled andinjured the Spleen.Tongue: red on the sides or purple color.Pulse: wiry; wiry on both middle positions; pulse is fast if LiverHeat/Fire occurs.Note: If Liver Qi Stagnation persists for a long time, it mayweaken the stomach leading to Stomach Qi or Yin Deficiency.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20,BL-21, ST-25, CV-12, LIV-3, GB-34, GB-41, BL-18, BL-19,LIV-14, HT-7.

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

Table 1. Acupuncture and herbal selections for common Patterns of vomiting.

PatternType

Invasion of Xie Qi in stomach FoodStagnation

Liver QiStagnation

Spleen Qi/YangDeficiency

Stomach YinDeficiency

Summer Heat Wind Cold

Vomitingpatterns

Sudden onset of vomiting especially afterweather/seasonal changes or travels.Heat: vomiting of food soon after eatingCold: vomiting of clear water long aftereating or on exposure to Cold

Vomiting after eat-ing; vomiting of un-digested food withsour or foul smell

Vomiting smallamount of stomachcontent (sour smell),yellow or bile fluid

Chronic & intermit-tent vomiting, vom-itus contains clearwater or saliva

Chronic & intermit-tent vomiting withsmall amounts,vomitus often con-tains sticky foam

Clinicalsigns

Aversion to Heat;ST Heat/Fire:thirsty with a desireto drink cold water,hungry easily andeats a lot, prefer ly-ing on a cool floor,bad breath, dry stool

Aversion to cold &wind, sudden stom-ach pain

Abdominal disten-tion (relieved byvomiting), foulbreath, poorappetite (improvedafter vomiting)

Flank or chest issensitive to palpa-tion. Eye may be redif there is Liver Heator Fire

Fatigue, weaklimbs, poor appetite,abdominal discom-fort (relieved bymassage);Yang Deficiency:Cold ears, nose &extremities, edemaat ventral thoraco-abdominal area,warm-seeking

Lack of appetite orslight hunger withno desire to eat, drymouth but no thirst,pain on abdominalpalpation, five-palmHeat

DefecationNormal to dry stool Normal to loose

stoolLoose stool or con-stipation

Normal; Loose stoolor diarrhea if SP De-ficiency occurs

Loose stool withundigested grain

Dry and small feces

Pulse

Superficial/floating& rapid;Slightly strong onSP/ST position

Superficial/floating,tight & slow;Tight on SP/ST po-sition

Full & slippery;Fast if StomachHeat occurs

Wiry; Fast if LiverHeat/Fire occurs;Wiry on bothmiddle positions

Deep and weak;Weaker on rightside or SP/STposition.

Thready & rapid

Tongue

Normal-red with drycoating;ST Heat/Fire: red inthe center with dryyellow coating

Normal-pale withthick white coating

Normal-red withgreasy and thickcoating

Red or purple on thesides

Pale & wet withwhite & moist coat-ing

Red with little drycoating or withoutcoating

Energy level Normal Normal Normal todecreased

Hyperactive,irritable

Fatigue, weakness Normal

Common Acupoints PC-6, BL-14, ST-36, BL-20, BL-21, ST-25, CV-12

AdditionalAcupoints

LI-4, LI-11, GV-14,ST-44

ST-21, ST-34, GB-34, SP-4, LI-4, BL-10

ST-21, ST-34, GB-34, SP-4, ST-19,ST-37, ST-44

LIV-3, GB-34, GB-41, BL-18, BL-19,LIV-14, HT-7

Bai-hui, GV-3,GV-4, CV-4, CV-6,Pi-shu, Qi-hai-shu

BL-17, SP-10, KID-3, SP-6, SP-9

HerbalMedicine

Huo Xiang Zheng QiWan. Add Qing WeiSan if ST Heat/Fireoccurs.

Huo Xiang Zheng QiWan. Add Ju Pi Sanin severe stomachpain.

Bao He Wan. AddFour Gentlemen ifthere is SP Qi defi-ciency.

Liver Happy. UseXiao Yao San ifloose stool or diar-rhea occurs

Xiang Sha Liu JunZi Tang. Add ShenLing Bai Zhu ifloose stool or diar-rhea occurs

Stomach Happy.Add Four Gentle-men if there is SPQi deficiency.

General Dosage: Dogs and cats: 0.5 gram per 10 pounds body weight twice daily. Horses: 15-30 grams twice daily.Note: It is important to keep in mind that any Excess pattern can transform into Deficiency patterns if left untreated for a period of time, and thatmixed Excess-Deficiency illnesses are also common. Treat both patterns using a combination of herbal formulas or acupoints.

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

• PC-6 and BL-14 calm the Shen and stop vomiting.• ST-36 stimulates the descension of Stomach Qi.• BL-20 and BL-21 regulate the normal Qi flow of the Spleen

and Stomach.• ST-25 and CV-12 subdue rebellious Stomach Qi.• LIV-3, GB-34 and GB-41 soothe Liver Qi and resolve Liver

Qi Stagnation.• BL-18 and BL-19 regulate Liver Qi flow.• LIV-14 harmonizes Liver and Stomach.• HT-7 calms the Shen.

Herbal Medicine: Liver Happy or Chai Hu Shu Gan Tang. UseXiao Yao San if loose stool or diarrhea occurs.

Stomach Qi Deficiency due to Spleen Qi/Yang DeficiencyAny Excess patterns in the stomach may, after a period of time,weaken the Spleen leading to Spleen Deficiency. Deficiencypatterns such as Kidney or heart Deficiency may also lead todeficient Spleen if left untreated for some time. Spleen Qi orYang Deficiency frequently leads to the pattern of Stomach QiDeficiency. Deficient Stomach Qi will then fail to descend,causing vomiting.

The common clinical manifestations of Spleen Qi/Yang Defi-ciency are chronic and intermittent vomiting, vomitus contain-ing clear water or saliva, fatigue or general weakness, weaklimbs, loose stool with undigested grain, poor appetite, abdom-inal discomfort (relieved by massage). Yang Deficiency ofSpleen gives rise to interior Cold; hence there is also coldnessat ears, nose and extremities, edema at ventral thoraco-abdomi-nal area, and warm-seeking.

Tongue: pale and wet with white and moist coating; may seeswollen edges +/- tooth-marked, and/or quivering tongue.

Pulse: deep and weak, especially on the right side or the rightmiddle (SP/ST) position.

Note: prolonged Stomach Qi Deficiency will lead to StomachYin Deficiency. Both Stomach and Spleen Deficiencies mayalso lead to Dampness or Phlegm after a period of time.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20,BL-21, ST-25, CV-12, Bai-hui, GV-3, GV-4, Pi-shu,Qi-hai-shu, CV-4, CV-6.

PC-6 and BL-14 calm the Shen and stop vomiting.ST-36 stimulates the descending of Stomach Qi.BL-20 and BL-21 regulate the normal Qi flow of the Spleenand Stomach.ST-25 and CV-12 subdue rebellious Stomach QiBai-hui, GV-3, and GV-4 warm Yang.Pi-shu and Qi-hai-shu are the classical points to strengthenthe Spleen in horses.CV-4 and CV-6 are general Qi tonic points for cats and dogs.Moxa can be given at Bai-hui, GV-3, GV-4, CV-4, CV-6,Pi-shu, or Qi-hai-shu to warm Yang, and ST-25, CV-12, or

BL-21 to stop vomiting.

Herbal Medicine: Xiang Sha Liu Jun Zi Tang (Eight Gentle-men). Add Shen Ling Bai Zhu if loose stool or diarrhea occurs.

Deficiency of Stomach YinAs mentioned above, Stomach Heat or Liver Qi Stagnation canlead to Stomach Yin Deficiency if it persists over a period oftime. Stomach Qi Deficiency from deficient Spleen may alsolead to Stomach Yin Deficiency if left untreated. Irregulareating habits such as eating too fast, excessive vomiting, orchronic vomiting can damage Stomach Qi and further lead toStomach Yin Deficiency. Hence, deficient Stomach fails todescend Qi, causing vomiting.

The common clinical manifestations are chronic and intermit-tent vomiting in small amounts, vomitus containing stickyfoam, lack of appetite or slight hunger with no desire toeat, dry mouth but no thirst, dry and small feces, pain uponabdominal palpation, and five-palm Heat (warm to the touchon chest area and four paws).Tongue: red with a little dry coating or without coating,especially on the center.Pulse: thready and rapid.Note: Stomach Yin Deficiency often leads to Kidney YinDeficiency if present for some months or years.

Acupuncture Treatment: PC-6, BL-14, ST-36, BL-20,BL-21, ST-25, CV-12, BL-17, SP-10, KID-3, SP-6, SP-9.

PC-6 and BL-14 calm the Shen and stop vomiting.ST-36 stimulates the descension of Stomach Qi.BL-20 and BL-21 regulate the normal Qi flow of the Spleenand Stomach.ST-25 and CV-12 subdue rebellious Stomach QiBL-17 and SP-10 are common points to nourish Blood and

Yin.KID-3, SP-6, and SP-9 nourish Yin.

Herbal Medicine. Stomach Happy. Add Four Gentlemen ifthere is Spleen Qi deficiency.

References:1. Xie H, Priest V. Xie’s Veterinary Acupuncture. Ames,

Iowa: Blackwell Publishing 2007:276-278.2. Hu Jinsheng. Acupuncture Treatment of Vomiting. Journal

of Traditional Chinese Medicine 2008; 28(1): 75-78.3. Schoen AM. Veterinary Acupuncture : ancient art to

modern medicine. St. Louis, Mo.: Mosby, 2001: 250-252.4. Maciocia G. The foundations of Chinese medicine : a

comprehensive text for acupuncturists and herbalists 2nd Ed.Edinburgh; New York: Churchill Livingstone, 2005: 325-327.

5. Liu Z. Essentials of Chinese medicine. New York; London:Springer, 2009: 95-102.

6. Xie H, Preast V. Xie’s Chinese Veterinary Herbology.Ames. IA: Wiley-Blackwell, 2010: 565-567.

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

Herbs to Warm the Interior Herbs to Dispel Damp Herbs to Regulate Qi Herbs to Resolve FoodStagnation and PromoteAppetiteSpleen Pathology and SpleenPhysiology

Herbal Medicine for IBD andDiarrhea

Herbal Medicine for AnorexiaSyndrome and Vomiting

Herbal Medicine for AbdominalPain and Colic

Herbal Medicine forMegaesophagus andConstipationHerbal Medicine for Equine GIDisorders

- 16 lectures by Dr. Huisheng Xie

How to Treat Small Animal GIDisorders- 4 lectures by Dr. Michael

Bartholomew Herbal Medicine for Stomatitisand Gingivitis

Herbal Medicine for GIUlceration and Pancreatitis

Herbal Medicine for ChronicHemorrhage

Herbal Medicine for MuscleAtrophy and Obesity

Food Therapy for GI Disorders- by Dr. Roger Clemmons

5-hrs Wet-lab Real Case Demos- By Dr. Bartholomew (Canine)- By Dr. Xie (Equine)$900 GIFT by registering for this class:complimentary registration for the Evi-dence Based Veterinary Acupuncture on-line course, approved for 27 CE hrs by

For questions or details, please call the Chi Institute at 800-891-1986 or visit www.tcvm.com

( - 1608 AD)Yuan Heng’s Classical Collection on the Treatment of Equine Diseases (Yuan HengLiao Ma Ji – 1608AD) is one of the most significant ancient veterinary textbooks.This annotated edition marks the first time that the entire text has been translatedinto English, and therefore made accessible to Western practitioners. The Englishtext is accompanied by the original Chinese to aid in reference. Originally written bythe Yu brothers in 1608, this book is invaluable because it provides a detailedsummary of Chinese veterinary medical knowledge from antiquity through the 17th

century.

Using eloquent language, the text describes everything from equine husbandry tothe detailed treatment of hundreds of diseases. It includes basic TCVM theories anddetailed descriptions of herbal formulas that had never previously been described.

Many of the diseases this text describes are recognizable to modern practitioners,and many of the herbal formulas included are still used today; thus, this book is

interesting and relevant to modern practitioners from both a historical and aclinical perspective.

It has taken over twenty years for a group of over fifty TCVM and Englishscholars led by Drs. Dalu Song, Huisheng Xie and Lindsey Wedemeyerto translate and edit this book. To order this book, please call 800-891-

1986 or visit www.tcvmherbal.com.

Long Awaited Classical TCVM “Bible” Published

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Eligible for the diplomaof Certified Veterinary ChineseHerbalist (CVCH).

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

Mayday, a 12 year old, neutered femaleCocker Spaniel was presented with atumor mass (1.5cm) at the right maxillanear the last molar. The surgically re-moved neoplasm was histologically di-agnosed as an amelanotic Melanoma.Because of the poor prognosis of oralmelanoma and the dog’s old age, addi-tional treatment options, which includedradiation, chemotherapy, and cancervaccine, were refused by the owner.

A physical examination in December 2011 indicated that thecomplete blood cell count and biochemical profile and urinewere unremarkable. Chest X-ray showed no lung metastasis, butabdominal ultrasound revealed multiple small neoplasms in theliver. No biopsy was performed.

A TCVM examination showed a friendly, outgoing dog with aFire constitution and a good Shen with normal body weight. Shehad a one-year history of very chronic sneeze attacks with nasaldischarge and tended to have chronic recurrent otitis. The ownerreported intermittent and slight tremoring at the fore- andhindlimbs, but no muscle weakness. Ears and nose were warmand the coat was dull but had very little dandruff. Water intakewas normal. Food intake was restricted by the owner. Tonguewas pale and purple with a very thin white coating, a little stickysaliva and many cracks. The tip of the tongue and the sides weremore red than purple. Pulses were deep, fast and floating withthe right pulse weaker than the left, especially at the Lung andSpleen position. The patient was very sensitive upon palpationof Bl-16 and BL-18 (the dog tried to escape palpation in general,so that the Back Shu and Front Mu points did not help with thediagnostic outcome in this case).

A TCVM diagnosis of Phlegm Stagnation in the Lung, Qi/BloodStagnation at the Stomach meridian, Spleen Qi and Lung Qi/YinDeficiency was made based on the patient’s history and findingsfrom the tongue, pulse and physical examination.

Dry needle acupuncture was performed at LIV-3 (resolve BloodStagnation, very good point for cancer) BL-20 (Back Shu asso-ciation point for Spleen; Damp), GV-14 (strengthen immunity,clears Heat, Yin Deficiency), LI-4 (master point for face andmouth, Yuan source point for the Stomach channel and also fornasal discharge), LI-20 (local point for nasal discharge), ST-36(for Qi Deficiency), BL-17 (influential point for Blood), SP-10(Sea of Blood), and ST-40 (to resolve Phlegm).

Herbal formulas administered were Stasis Breaker (breaksdown Blood Stasis) and Wei Qi Booster (tonifies Qi and Blood,and boosts Wei Qi, and inhibits mutations). Both formulas weredosed at 1.3 grams orally twice daily. Stasis Breaker was used

to resolve post operative Blood Stagnation while Wei QiBooster should enhance the immune functions, and inhibitfurther mutations. Diet was duck (Yin tonic, Cold food) withpotatoes.

On reexamination three weeks later, in January 2012, Maydaywas doing fine, there was no tumor regrowing, but nasalcongestion started getting worse again. Tongue was pale withlittle white coating. Pulses were forceful, fast and wiry. Dryneedle acupuncture was performed at LIV-3, BL-20 (bilateral),GV-14, LI-4 (bilateral), ST-36, ST-40, LI-20, Bi-tong (nasalcongestion), and Long-hui (nasal congestion). Herbal formulascontinued in same dosage.

Four weeks later, the dogshowed up with gastro-intestinalupset. Tongue was pale-red butnot purple anymore. Pulse wasfast, deep and weak. Maydayshowed no recurrent melanomaand also the chronic nasal dis-charge improved a little again.Dry needle acupoints were thesame as the examination before,but Stasis Breaker was discon-tinued while Wei Qi Booster was continued at the same dosage.

Another four weeks later, the owner complained that the gas-trointestinal problems did not resolve completely, even thoughshe tried to change the amount of herbs by herself. In addition,the dog’s acceptance of the herbs decreased with time and shestarted to look for cooler places. Because of the overall healthycondition of the dog, we decided to wean her off the Wei QiBooster. Dry needle acupuncture was performed at LIV-3(bilateral), GV-14, ST-36, BL-20 (bilateral), BL-13 (back ShuPoint for the Lung), LU-9 (Yuan source point for the Lung),SP-3 (Yuan source point for the Spleen), and SP-6 (three Yincrossing). Wei Qi Booster, was replaced with Ling Zhi(Ganoderma lucidum) with a dose of 1g given once daily.

At the next examination, 4 weeks later in April 2012, the nasalcongestion declined again and light coughing was present.Chest x-rays showed no metastatic problem. At this time dryneedle acupuncture was performed at LIV-3, LI-4, LU-9,Ding-Chuan (stops cough) bilateral, Fei-men and Fei-pan(pulmonary disorders, nasal congestion), LU-5 (acute cough),BL-13 (bilateral), and ST-36.

Four weeks later, Mayday was doing very well. The ownerreported that the nasal congestion improved tremendouslyafter the last acupuncture and that her sneezing attacks withnasal discharge are very seldom. In February 2013, the nasaldischarge and the sneezing have further improved and is nolonger a big issue for the owner. Ling Zhi will be continued toimprove the patient’s general condition and inhibit new tumorgrowing. 13 months after the initial diagnosis, the dog behaveslike a young pup, plays a lot and shows no signs of tumorrecurrence.

-by Daniela Capellari DMV. Austria

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

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TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

History:

In October of 2011, R., a 12 year oldmale castrated mixed breed dog waspresented with rear limb paresis andweakness which had progressed overseveral weeks. R. had been diagnosedwith multiple thoracolumbar disc dis-ease and had undergone hemilaminec-tomy at T13-L13 years before. He was

under no medication.

Integrative P.E and Diagnosis:

This Earth dog showed bilateral ambulatory posterior paresiaand weakness, with moderate muscle atrophy and local discom-fort at the thoracolumbar area. The first day the tongue was red,with a purplish center and a paler back, slightly swollen and dry.The patient kept panting and the ear tips were warm. The pulsewas thready and slightly wiry. A neurological examination,complete blood count and chemistrywere performed. The owner did notwant to pursue any further western di-agnostic tests and wanted to try TCVM.A presumptive diagnosis of chronicIVDD was made. TCVM diagnosis wasKidney Qi and Yin Deficiency, SpleenQi Deficiency and local Qi/Blood Stag-nation at the spine. Heat signs (red drytongue, panting, warm ears) could bedue to a combination of Stagnation and false Heat from YinDeficiency.

TCVM Treatment and Follow-Up:Treatment principles were tonification of Kidney Qi and Yin,tonification of Speen Qi, and dispersing local Stagnation. Acu-puncture was performed using dry needle, aqua-acupunture andelectroacupuncture. Sessions were first spaced 7-10 days, then15 days, then 3-4 weeks.

The Tui-na techniques described below were progressivelydemonstrated during the sessions to the owner, who was in-structed to perform them at home for 20-30 minutes at least 4days a week:

Mo-fa (touching skin and muscle): often used as an introduc-tion to the other techniques, it regulates Qi and the MiddleBurner and drains Stagnation.

Nie-fa (pinching) from the lumbosacral area up to the cervicalspine. This gentle technique regulates the Earth element andinvigorates Qi/Bood circulation. It helps release postoperative

adherences, which are often found at sites of previous surgicaldecompression, as was in this case.

Rou-fa (rotary kneading) was applied with the heel of the handat both sides of the spine to reduce Stagnation.

Tui-fa (pressing) was applied over the inner and outer Bladdermeridian, following the fibers of the epaxial myofascial groupsto soften the connective tissues, relax tendons and invigoratecirculation.

Dou-fa (shaking) on all four extremities, with a high fre-quency short range of vibration and supporting the limb underthe elbow/stifle to minimize tissue stress. This technique helpsregulate Qi and Blood and smoothens the joints

Ba-shen-fa (traction or stretching): ap-plied to limbs, neck, thoracolumbarspine and full spine. It stretches thetendons, regulates the channels and cor-rects malpositions.

Initial Herbal medicine consisted ofDouble P II (Da Huo Luo Dan modifi-cation) at 0.5g/KG BID, with the aim of moving the Qi/BloodStagnation at the spine. This would help with both the paresisand the discomfort.

After the third session there was a 95% improvement in hind-quarter weakness and paresia, although there was still somethoracolumbar discomfort. By this time, the dog was able totolerate up to 15 minutes of walking. The tongue became palerand more swollen, and the right pulse weaker, which indicatedmore Qi Deficiency, and Bu Yang Huan Wu was selected at adose of 1 g/10 Kg BID.

After the fifth session (6 weeks after beginning of treatment),the dog was able to take 30-minutewalks, and the tongue became red, dry,with no purple left, and the pulse be-came thinner and less tense, weaker onthe left side, showing overall an in-creasing component of Yin Deficiencyin the Wei syndrome. Herbal medicinewas switched to Hindquarter WeaknessFormula 1 g/10 Kg BID. Five monthsafter the beginning of treatment, the pattern changed to a BonyBi Syndrome with Kidney Qi and Yin deficiency, and theherbal treatment was changed to Di Gu Pi San 1gr/10Kg BID.

By the time of this report, in February 2013, R. is turning 14.He gets monthly acupuncture, Di Gu Pi San at 0.5gr/10 KgBID, and no Western medication. His progress has been excel-lent and he has a high quality of life.

IVDD often presents initially as a Bi syndrome with Qi/BloodStagnation, but in chronic cases it generally progresses into aDeficient Wei syndrome, with both types of pattern sometimescombining in clinical relapses.

- by Maria Suárez Redondo, DVM, PhD, CVA,CVFT, CVTP. Spain

1st visit

3rd visit

5th visit

10

TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

-by Gregory Todd DVM, CVA, FL USA

I was introduced to acupuncture in late1992, when, as a patient I found myselftraversing the stairs of an old office build-ing in Tarpon Springs, FL to the office ofDr. Patrick Sullivan. Dr. Sullivan is anacupuncturist near my home. He had awonderful reputation and I had been re-ferred to him by a number of people. I hadbeen suffering with a chronic injury andthe next step was surgery. While surgeryis a wonderful and useful tool, it was

preferential to avoid the “knife” if possible. With the arroganceof a young, presumably well-educated practitioner, I found itdifficult to believe that I was going to an acupuncturist. I hadlittle doubt that the effort was frivolous. As I came down thestairs after the appointment, my attitude about the effort and themedicine was decidedly different.As I entered his office I found myself in a room with numerousraw herbs in bottles and dozens of herbal formulas. The aromaof moxa mixed with the smell of the aromatic raw herbs createda calming feeling. Behind a small desk, Kathleen, Dr. Sullivan’swife, smiled and welcomed me. I completed the paperwork andsat down for my free consultation. Dr. Sullivan appeared andintroduced himself. We discussed my condition and my lifestyle. Prior to the injury I was heavily into running and hadpretty much decided that I would be happy if I could simply walkaround the block without blinding pain. Dr. Sullivan indicatedthat much more might be possible. He then proceeded to ask meseveral questions, which seemed irrelevant to the problem athand. Questions such as how I perceived work, other complaintsfrom which I might suffer, and whether I was happy were just afew.Next, Dr. Sullivan asked if he might take my pulse. I acquiescedand he thoughtfully palpated first one wrist and then the other.He examined my tongue. When he completed this process he satacross from me at his desk. He smiled. Then, over the next fewminutes he proceeded to tell me more about myself than anyonejust meeting me should know. Things including my eatinghabits, sleeping habits, when I would wake up, why I wouldwake up and quite frankly how certain situations in life would beperceived by me. I was flabbergasted that anyone could know somuch from taking a pulse. I was hooked. He explained what hethought he could do for me and asked if I was interested in beingtreated. I most certainly was!! I was taken to a treatment roomand asked to remove my jewelry and shoes and lie on theexamination table. As Dr. Sullivan was preparing to treat me, hesaid something, which would become a staple for me as a practi-tioner for the rest of my life.He said that every therapy should have some expectation ofresults. If we failed to achieve perceptible results within 30 daysthen acupuncture was not the right tool or he was not the personto perform it. This man so believed in his medicine that he waswilling to give it an ultimatum. 30 days or else. Remarkable.Over the next few weeks, Dr. Sullivan and I became fast friends.One day I was presented with a cat suffering from hind limbparesis, but the pet still had deep pain. We tried conventional

therapy for several days with no improvement. I recommendedreferral, but this was not an option for the owners. Feeling thatthere must be something we can do, I called Patrick in despera-tion and said, “I have this funny proposition for you. Wouldn’tyou like to treat this mean cat at night, after your long workday,at my office for free? I’ll anesthetize the cat because I’m sureno one can put needles into an awake cat, and more good news;it has to be for free because I don’t want you to be in troublewith the board of Veterinary Medicine and I’m not sure it’slegal.” To my surprise and relief, he said sure. He treated thepatient four times. After the second treatment the cat wasrunning around the cage with no deficits. I was in awe. I losttrack of the patient after three years. She was an outdoor catand she returned to that life, running, hunting and jumping overfences. When I saw Flannel walk again, I knew I needed tolearn this amazing medicine. But how? I didn’t know anyveterinarian who practiced acupuncture and I was not aware ofany organization that taught acupuncture. It was before theInternet, so where do I start?I went to Dr. Sullivan and asked to speak to him. We sat in hisoffice, and I said with profound respect, that I needed to requestsomething of him. I said that I had no right to ask, but I neededhim to teach me Chinese Medicine. I offered to pay him toteach me. He smiled. He reached onto a shelf behind his deskand handed me a book. He said, “OK, read this book and comeback tomorrow.” When I returned he had a written test for meto take and another book to read. My journey had begun.I continued to study with Dr. Sullivan. I would read books anddiscuss them with him. I would shadow him while he treatedpatients. Typically I would pulse one wrist and he the other andthen we would switch. Then I would be interrogated about thepatient’s condition, etiology, and treatment.My TCVM practice began late in 1993 when I discovered thatI could accurately prescribe three herbal formulas. When Iencountered a patient whom I felt I could help, I would offer anherbal. At the time, I had not yet learned acupuncture so herbswere my only tools. In 1994, Dr. Sullivan bought me a gift. Itwas Allen Schoen’s first book, Veterinary Acupuncture: An-cient Art to Modern Medicine. In the back was an address forIVAS, the International Veterinary Acupuncture Society. In1996 I completed the IVAS course and became certified as aVeterinary Acupuncturist.TCVM quickly became a major part of my practice. I happilyintegrated conventional and Traditional Chinese VeterinaryMedicine together. I found, as Dr. Xie has pointed out repeat-edly, that conventional medicine is great at pointing out wherethe problem lies and TCVM is great at repairing the problemand restoring balance and health. Over the next several years, Icontinued to study and practice. I was a Teaching Assistant forIVAS and struggled to learn something new everyday. It was asa TA for IVAS that I first heard of Dr. Xie. He had just arrivedin the US and a friend, Dr. Richard Funk, had a copy of his firstbook. I was fascinated. How could someone know so muchabout medicine?In 2000, while attending the FVMA conference, I was affordedthe opportunity to hear Dr. Xie lecture at length on TCVM. As

Chi FacultySpotlight

11

TCVM Newsletter: Voice of Dr. Xie’s Jing Tang Herbal, Issue 20, Spring 2013

I sat and listened, I realized that here was a teacher for whom Ihad been searching for many years. He understood TCVM andveterinary medicine. I was entranced. I must have asked amillion questions. All of these questions Dr. Xie readily an-swered, only to spark more questions for me. Later that year Ibegan herbal courses at the Chi Institute. Ironically, I was alsoasked to lecture for IVAS that year. Dr. Jack Musgrave ap-proached me and encouraged me to lecture. I thought why nottry it? I figured it would be an hour or maybe two just to see whatit was like. When IVAS suggested that I lecture for 10 hours Iwas floored. It was a remarkable learning opportunity. I learnedand relearned so much in the preparation of those lectures. I trulybelieve I invested over 50 hours of preparation for every hour oflecture.The time arrived for me to deliver and so I went to Houston,Texas. Terrified, I walked into the conference room, toting mybooks, wearing my brand new suit, and CARRYING PRIZES. Ilooked up and could not believe my eyes. Dr. Xie was lecturingimmediately before me. I thought, “Great! How will I everfollow Dr. Xie! My first time and I have to follow the Master!”I set about getting ready as I watched Dr. Xie thronged bystudents with dozens of questions. And then, Dr. Xie did some-thing that increased my credibility immeasurably with the audi-ence. It was the gift of Face. He interrupted the questions to turnto me and said simply, “Greg, I’ll see you back in Gainesville.”As he walked past my well worn and thumbed copy ofMaciocia’s The Foundations of Traditional Chinese Medicine,he picked it up, smiled and said “Well used.” I was extremelygrateful for his gift.The lectures went well and I found I really enjoyed sharing whatI knew and my personal TCVM experiences with practitionersand students. I also found that I learned more from the studentsthan they learned from me; another debt of gratitude. Shortlyafter that time, Dr. Xie invited me to become a TA and lecturefor the Chi Institute. I jumped at the chance. I found that beinginvolved with the Chi Institute was sharpening my saw. It hadan amazing renewing effect. Each time I finished preparing for alecture I found myself reinvigorated about practice and TCVM.Each time I was with students, TA’s or Dr. Xie, I was re-inocu-lated with a thirst for learning and the knowledge that here is atool that had limitless boundaries to apply to the aid of mypatients.If someone were to ask about the strengths of TCVM, I wouldhave to say that it is the fact that TCVM removes fixed ideas

from the treatment of our patients. If the practitioner canidentify the pattern, and treat that, the most complicated casescan and do respond. When practicing , I have found it neces-sary to remind myself not to go into agreement about what canand can not be fixed. Cases that have not been fixed withconventional treatment can respond dramatically to TCVMtherapy. The greatest reward for me as a practitioner has beento sit in a room with owners who share, with tears in their eyes,the joy of seeing an old dog pick up a toy and play after yearsof not playing, or the dog with a brain tumor that is still happyand asymptomatic after more than a year. These stories are notlimited to my experience. Every TCVM practitioner I have methas his or her own victories. The fact the EVERY TCVMpractitioner has their own stories is the point. Trusting in themedicine and applying it with a logical process and persever-ance yields these extraordinary results.Productive is defined by dictionary.com as:"having the power of producing; generative; creative: a produc-tive effort." It is logical then to say if you are a teacher, and youproduce students who are able and efficient in the art or scienceyou are teaching, then you are productive. By this definition,Dr. Xie is truly a productive man. His gift of making thismedicine didactic and repetitive to the Western mind has en-abled so many of my colleagues and myself to have successstories. Since starting my journey in TCVM, I have had theopportunity to continuously learn from intelligent, compassion-ate, and dedicated people. I have been afforded the opportunityto lecture nationally and internationally. I have had the oppor-tunity to write articles and a textbook chapter on TCVM. Also,I have had the honor of being an associate editor for theAJTCVM, the American Journal of Traditional Chinese Veter-inary Medicine. I have loved every moment of it.My day to day life is focused on operating a six doctor, integra-tive small animal practice in Dunedin, FL. Our mission is tooffer the highest quality veterinary care to pets and people inour community. We have two acupuncture practitioners andfour conventional practitioners with a dedicated and compas-sionate staff. Several of the specialists in our area, includingthe internist who consults weekly in our practice, have com-pleted training at the Chi Institute. It is a fulfilling and funplace to continue learning and practicing. If I could offer simpleadvice for others just beginning this journey it would be this:trust in what you know. Strive to know more and always keeplearning. Da Vinci said, "A good person seeks knowledge".

Congratulations to Dr. Greg Todd, recipient of the2012/2013 MA SHI HUANG Award!

MA SHI HUANG is a legendary veterinarian from theHuang-di (Yellow Emperor) Period, which spanned from2,698 to 2,598 B.C. According to Chinese legend, he isthe first to treat animal diseases with acupuncture andherbal medicine and is thus commonly regarded as thefather of Traditional Chinese Veterinary Medicine. TheMA SHI HUANG - TCVM practitioner of the Year Awardis an honor issued each year by the Chi Institute ofChinese Medicine to one distinguished veterinarian inrecognition of his or her excellence in TCVM practice.The 2012/2013 Ma Shi Huang is awarded to Dr. Todd,for his exceptional work both as a TCVM clinician andinstructor.

Dr. Todd treats a dog with dryneedles acupuncture.

Up to 14 CE hrs approved by NY, CT, DC, MA, MD, NC, PA, VT and most other states.

R e f r e s h a n d L e a r n T C V M f r o m t h e R e n o w n e d T C V M e x p e r t , D r. Wa l l i s

Chinese Herb: Shu Di Huang - Rehmannia

Equine Acupuncture

CanineElectro- acupuncture

Dr. Wallis is a 1988 graduate of Tufts University School of Veterinary Medicine. After graduation, she worked at the Brookfield Zoo and the Cincinnati Zoo before entering private practice. She took the CSU Acupuncture Course in 1997/98 and TA’d the course for

3 years after that. She is IVAS certified and has been an examiner for the IVAS certification exam. She is certified in Veterinary Spinal Manipulative Therapy through the Healing Oasis. She has been studying acupuncture, Chinese herbal medicine and food therapy at the Chi Institute since 2002. She currently has a mixed animal practice in Colorado where her practice is exclusively acupuncture, chiropractic and Chinese herbal medicine.

• 9:00 - 9:50: How to Understand TCM and Five Elements • 10:00 -11:00: Indications and contraindications of Veterinary

Acupuncture • 11:00 -11:30: Coffee/Tea Break • 11:30 -12:30: How to Use Acupuncture for Treatment of

Arthritis in Dogs • 12:30 -13:30: Lunch Break • 13:30 -14:20: How to Understand Chinese Herbal Medicine • 14:30 -15:30: How to Use Herbal Medicine to Treat IBD • 15:30 -16:00: Coffee/Tea Break • 16:00 -17:30: How to Use Chinese Herbal Medicine to Treat

Cancer in Dogs • 17:40 -18:00: Introduction to Chi Institute Programs

(7 CE Hrs on Saturday, Aug 24, 2013)S m a l l a n i m a l S e S S i o n

C o u r S e i n S t r u C t o r

C i n d y Wa l l i S , d V m , C Va

e q u i n e S e S S i o n(7 CE Hrs on Sunday, Aug 25, 2013)

• 8:00 -8:50: An Introduction to Equine Acupuncture • 9:00 -10:00: Acupuncture for Diagnosis and Treatment of

Equine Lameness I• 10:00-10:30: Coffee/Tea Break • 10:30-12:00: Acupuncture for Diagnosis and Treatment of

Equine Lameness II• 12:00-13:00: Lunch Break • 13:00-13:50: An Introduction to Herbal Medicine in Horses • 14:00-14:50: How to Use Chinese Herbal Medicine to Treat

Cushing’s Disease, Dermatitis and Uveitis • 15:00-16:00: How to Use Herbal Medicine to Treat COPD,

Heaves and Behavior Issues in Horses

Clinical Application of Veterinary Acupuncture and Herbal Medicine Course

Aug 24-25, 2013 (Sat-Sun)at Renaissance Newark Airport Hotel

New York City

ClASS loCAtioNRenaissance Newark Airport Hotel1000 Spring Street, Elizabeth, New Jersey 07201 USA Phone: 1-866-234-7535 Fax: 1-908-436-4610Chi Student Room Rate: $109/night (by 8/10/2013) Free shuttle service to and from the Newark Airport

tuitioN: - Small Animal Session: $100 (early registration rate by 7/26/2013)- Equine Session: $100 (early registration rate by 7/26/2013)- Both Sessions: $175 (early registration rate by 7/26/2013)

Tuition is due 30 days before the class. Tuition goes up $50 for registra-tion or payments after July 26th, 2013.

REGiStRAtioN: For details, registration and questions, visit www.tcvm.com, call 800-891-1986 or email [email protected].

Chi institute of Chinese Medicine was founded in Reddick, Florida in 1998. It is the leading veterinary continuing education (C.E.) provider of Traditional Chinese Veterinary Medicine (TCVM). Its mission is to train licensed veterinarians to become cutting edge animal health care providers, capable of practicing veterinary acupuncture, Chinese herbal medicine and other TCVM skills. Over 3500 licensed veterinarians have graduated from the Chi Institute.