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The Daily Vet by petMD

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As they pertain to human and veterinary medical care, emergencies are times of significant distress for all involved parties. Having worked for many years in practices that offer critical care, I am well versed in the situational hardships experienced both by the pet owner and their injured or ill canine or feline companion.

Many veterinary emergencies involve varying degrees of trauma, including:

  • Hit by car
  • Animal fights
  • Knife wounds, impalement, and other penetrating injuries
  • Gunshot wounds
  • Snake bites
  • Falls from heights or down stairs
  • Other (There are so many more … feel free to share your experiences in the comments.)

All of the above can cause swelling (edema), bleeding (hemorrhage), bruising (ecchymosis), and pain, and have the potential for infection.

Other illnesses or emergencies lend more to issues associated with internal or external hemorrhage due to the body’s inability to effectively clot blood, including: 

  • Rodenticide toxicity — ingestion of vitamin K antagonists, such as brodifacoum based d-COM, other
  • Immune Mediated Hemolytic Anemia (IMHA) and Thrombocytopenia (IMTP) — destruction of red blood cells (IMHA) and platelets (IMTP) Caner associated coagulopathy — exhaustion of the body’s platelet supply from bleeding or the bone marrow’s insufficient platelet production caused by cancer or chemotherapy
  • Other

When faced with bleeding, what can be done to control the flow before dangerous thresholds have been crossed? In the face of trauma, vessels providing blood to the affected site can be constricted by applying firm pressure with a sterile gauze or bandage, gel foam, cold compress, or tourniquet.

The situation is much more complicated when brodifacoum rodenticides are ingested, cancer or chemotherapy has caused bone marrow to produce insufficient red blood cells or platelets, or the immune system attacks itself. Appropriate treatment provided within a timely manner can succeed in stopping further blood loss. Oral or injectable medications, blood product replacement (packed red blood cells, whole blood, plasma, etc,), laboratory testing, and hospitalization are often necessary to ensure the patient’s safety until the blood clotting times are sufficiently within normal limits.

My holistic clinical practice integrates both western and eastern approaches, so I also consider the options for hemostasis from a non-conventional perspective. I use one of the most popular Chinese herbs used in veterinary medicine: Yunnan Biayao (YB).

YB was created in 1902 by Mr. Qu Huanzhang, a Chinese medicine practitioner. It helps to control bleeding and to "move blood to resolve stagnation and stop pain." Conditions YB is used to treat include "pulmonary tuberculosis bleeding, gastric hemorrhage, intestinal bleeding, internal cranium bleeding, gynaecological blood disease, and purpura (rash caused by bleeding from small blood vessels)."

I have used YB to reduce swelling, hemorrhage, and pain in patients having osteosarcoma (malignant cancer of bone), lacerations from dog fights, and epistaxis (bleeding from the nose) resulting from cancer’s damage of the sensitive lining of the nasal cavity. It is never the sole treatment,  so I cannot definitively say if YB caused an improved clinical response as compared to using solely western therapies.

According to the Chi Institute’s TCVMHerbal.com, YB includes "progesterone, various saponins and alkaloids, and physiologically active compounds such as calcium phosphate", along with:

YB can be taken orally or it can be topically applied to a traumatized area of skin. TCVM Herbal even indicates YB’s use in dogs, cats, and horses for twice daily dosing. The volume needed is dependent on the animal’s body weight, with dogs and cats requiring 1 capsule (250mg) for every 20-40 pounds. This recommended dosing can be quite variable, so it is important to follow the guidelines of a veterinarian who is experienced in the use of YB for the particular condition for which it is indicated.

Hopefully, your pets will be free from enduring traumatic injuries, toxic exposures, cancer, or other ailments which cause hemorrhage. Having YB on hand may be useful in the overall process for providing first aid - either out in the world or in your veterinarian’s office.

 

Dr. Patrick Mahaney

Image: horoshunova Olga / via Shutterstock

Comments  2

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  • On Hand for Emergencies
    04/10/2012 07:20am

    "This recommended dosing can be quite variable, so it is important to follow the guidelines of a veterinarian who is experienced in the use of YB for the particular condition for which it is indicated."

    It would make sense to consult a veterinarian who is experienced in the use of YB if one plans to have it on hand for emergencies - before the emergency happens. If it's one capsule for a 20 to 40 pound critter, if the critter is smaller than that, I would suggest talking to the doctor to find the appropriate dosage and having smaller dosages on hand so one doesn't have to try and figure it out when in a panic.

  • 04/11/2012 02:51pm

    Great idea to ask ahead of time so that when it comes time for treatment during an emergency, the situation will be less urgent.
    In general, I'd suggest 1 capsule for dogs/cats less than 20 lbs and 2 capsules for 20-40 lbs.
    In general, if there is a crisis as regards to bleeding, all appropriate steps must be taken to stop the flow!
    Dr PM

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