Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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The Use of Gui-Pi-Tang in Small Animals with Immune-Mediated Blood Disorders

면역매계성 혈액장애를 가진 소동물에서 귀비탕의 사용

  • Busta, Isabelle (School of Veterinary Medicine, University of California-Davis) ;
  • Xie, Huisheng (Acupuncture Service, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida) ;
  • Kim, Min-Su (Acupuncture Service, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida)
  • ;
  • ;
  • 김민수 (플로리다 수의과 대학)
  • Published : 2009.04.30
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Abstract

Immune-mediated hemolytic anemia(IMHA) is one of the most common causes of anemia in small animals and immune-mediate thrombocytopenia(IMT) is also an immune mediated disease that affects small animals. The initial treatment for IMHA and IMT is medical suppression of the immune system with glucocorticoids and other immunosuppressive drugs. However, even with appropriate treatments, some animals are not responsive to the treatment and may need further immunosuppressive therapies or some alternative medicines. An eight-year-old spayed female Siamese cat with IMHA and an eight-year-old castrated male King Charles Spaniel dog with IMT were referred to the traditional medical service of the veterinary medical center. Both animals were unresponsive to steroids or other immunosuppressive treatments. Gui-Pi-Tang, one of the traditional herbal medicines, was administered to the animals. After 1-month of Gui-Pi-Tang administration, the packed cell volume(PCV) of the cat and platelets count of the dog had showed remarkable improvement. After four months of follow up in the cat, and 18 months of follow up in the dog, the improved PCV and platelet counts of the animals were maintained normally. Therefore, Gui-Pi-Tang might be considered as an alternative treatment in small animals with immune-mediated blood disorders.

면역 매개 용혈성 빈혈(IMHA)은 소동물의 빈혈을 일으키는 가장 흔한 원인 중의 하나이고, 면역매계 혈소판 감소증(IMT) 또한 소동물에 영향을 줄 수 있는 면역관련 질환이다. 스테이드제나 다른 면역억제제를 이용한 면역억압이 IMHA와 IMT의 일차적인 치료법이다. 그러나 적절한 약물의 적용에도 불구하고, 몇몇 동물은 치료에 반응이 없어 다른 면역억제제나 대체의학적인 치료가 필요하다. IMHA로 진단 된 8살의 중성화한 샴 고양이와 IMT로 진단된 8살의 킹챨스 스파니엘이 전통수의학진료를 위해 동물병원에 의뢰되었다. 두 동물 모두 스테로이드제나 다른 면역억제제에 반응이 없었다. 그래서 전통한약요법으로 귀비탕을 두 동물에게 적용하였다. 귀비탕 적용 한달 후 고양이의 농축적 혈구용적과 개의 혈소판 수치에 현저한 변화가 나타나기 시작하였다. 귀비탕을 먹이기 시작한 후 4개월 후에도 고양이의 농축 적혈구 용적이 정상으로 유지되었으며, 18개월 후에 측정한 개의 혈소판 수 또한 정상으로 유지되었다. 이 증례로부터 면역혈액질환이 있는 소동물에 있어 귀비탕은 대체요법으로 사용될 수 있다는 것을 알 수 있다.

Keywords

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