History:
- chronic recurrent cystitis; some dT UTI (cultured). She has hematuria, dysuria. Echo and Xray negative. UA's typically showed struvite crystalluria prior to S/O diet, hematuria, bacteria if UTI. She also apparently had uroliths dissolved by diet few years ago. Chronic hair pulling, nonseasonal. Recurrent URI.
On exam, she was crabby, had a deeper pulse, no obvious intestine thickening.
So I sent her first w/ Si miao san. She developed a UTI 2 weeks into the herb- may have been completely unrelated, but as she'd been doing OK for a while, we stopped. Next was San ren tang and we started experimenting w/ hypoallergenic foods. On rotating venison, rabbit and work every 2 weeks, her vomiting was greatly improved, hair puling same. She had another bladder flareup 2 weeks into SRT, but we continued for 8 weeks total, at which time the cat was refusing herb in her food.
She seems to qualify for you "multiple areas of epithelial inflammation" (damp heat), yes? Should we try the SRT again, maybe topically, or look to another herb?
Thnx, Steve.
Cathy L