猫后肢瘫痪中兽医诊疗病例报告

Treatment of Feline Paraplegia with Traditional Chinese Veterinary Medicine:A Case Report

猫后肢瘫痪可由多种病因所致,其治疗方式主要包括外科手术治疗、药物治疗和复健保守治疗。中兽医将猫后肢瘫痪归为“痹证”、“痿证”,多由筋骨失养、阻滞不通、感受外邪造成,常表现为本虚标实,治疗方式有针灸、推拿、中药口服、中药外敷、理疗、功能复健等。本文介绍1只9岁家养短毛猫因突发后肢瘫痪于中国农业大学教学动物医院就诊,经临床检查、神经学检查以及X线检查,初步诊断为胸腰椎椎间盘疾病导致的Ⅴ级后肢瘫痪,经过西医药物保守治疗1周后未改善,通过以针灸、激光为主的治疗方式,首次治疗后患猫即恢复运步意识,持续治疗1个月后患猫行走能力恢复正常,7个月后回访未复发。该病例可为临床猫后躯瘫痪的中兽医治疗提供参考。

Feline paraplegia has multiple causes,which are mainly treated by surgery,conservative medicine,and rehabilitation.In traditional Chinese veterinary medicine(TCVM),feline paraplegia is called Bi Syndrome or Wei Syndrome,which is typically caused by poor nourishment for tendons and bones,obstruction,and other external factors,resulting in internal deficiency with external excess.The TCVM management includes acupuncture,Tui-na,oral and topical Chinese herbals and others.This paper introduced a nine-year-old domestic shorthair with acute paraplegia admitted to the Veterinary Teaching Hospital of China Agricultural University and was diagnosed as thoracolumbar intervertebral disc herniation through clinical,neurological and radiography examination.Application of conventional medicine for a week had little effect and subsequent use of TCVM treatment led to rapid improvement and full recovery after one month.No recurrence has been seen for 7 months after the last visit.Based on this excellent outcome,integration of TCVM management into feline paraplegia treatment is highly recommended.