Horses Referred to a Teaching Hospital Exclusively for Acupuncture and Herbs: A Three-Year Retrospective Analysis

Shmalberg, Justin; Xie, Huisheng; Memon, Mushtaq A.

doi:10.1016/j.jams.2018.09.001

Cited by 11 publications

(6 citation statements)

References 23 publications

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“…The proprietary veterinary formulation WLS contains herbs claimed to “rebalance the liver and stomach, nourish Yin, and move Qi to resolve stagnation and relieve pain.” It is intended for administration to horses with mild to moderate gastric ulceration . The formula contains the following herbs: Paeonia lactiflora (Bai Shao Yao) root with the bark removed, Atractylodes lancea (Cang Zhu) rhizome, dried rind of the mature Citrus reticulata (Chen Pi) fruit, Angelica sinensis (Dang Gui) root, Trichosanthes (Gua Lou) fruit, Glycyrrhiza uralensis (Gan Cao) root and rhizome, Taraxacum mongolicum (Pu Gong Ying) in its entirety, the immature fruit of the Poncirus trifoliata (Zhi Shi), and Bupleurum chinense (Chai Hu) root.…”

Section: Discussionmentioning

confidence: 99%

“…It contains 9 herbs selected for their putative individual abilities, in addition to their proposed synergistic effects on the gastrointestinal tract. A commercially manufactured preparation is available but has limited clinical evidence to support its use as a supplement in horses with gastric ulceration …”

Section: Introductionmentioning

confidence: 99%

“…14,15 Recently, a Chinese herbal formulation, Wei Le San (WLS), has been recommended for the treatment of mild to moderate gastric ulceration in horses. [16][17][18] This proprietary herbal formula is derived from a combination of 2 traditional herbal formulas: Xiao Yao San and Er Chen Tang.…”

mentioning

confidence: 99%

“…A commercially manufactured preparation is available but has limited clinical evidence to support its use as a supplement in horses with gastric ulceration. 16 The purpose of this study was to determine the efficacy of WLS for equine nonglandular gastric ulcers induced by an intermittent feeding regime. We hypothesized that the administration of WLS would significantly decrease the nonglandular gastric ulceration scores compared to the control treatment, without an alteration in the gastric fluid pH.…”

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confidence: 99%

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Evaluation of a Chinese herbal supplement on equine squamous gastric disease and gastric fluid pH in mares

Munsterman

Moreira

Marqués

2019

Veterinary Internal Medicne

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Background Wei Le San (WLS) is a Chinese herbal formula comprised of 9 herbs selected for their putative anti‐inflammatory effects. Objectives To evaluate the effects of WLS administration in horses with nonglandular gastric ulcers. Animals Ten mixed breed mares (aged 7‐21 years, 401‐567 kg body weight). Methods Experimental design was a blinded, prospective, 2‐period crossover study. All horses received a placebo (25 mL dextrose‐based syrup; n = 10) and the treatment (WLS, 5 g in 25 mL dextrose‐based syrup; n = 10), administered twice daily. Horses underwent a 1‐week, alternating feed‐deprivation period to induce or worsen existing ulcers; treatment began on day 7. Gastroscopic examination was performed on d0, d6, and d35, with gastric fluid pH obtained on d6 and d35. Gastric ulcer scores assigned by 3 masked observers were averaged for each examination. Results Ulcer number scores for horses treated with WLS (median = 0; range, 0‐4) was not different from the untreated controls (median = 0.5; range, 0‐4; P = .81) by the end of the treatment period. Ulcer severity score for treated horses (median = 0; range, 0‐1) was also unchanged compared to the control group (median = 0.5; range, 0‐1; P = .85). Gastric pH was not altered by either treatment, with a median of 2.1 (range, 1.9‐4.1) for the horses treated with WLS and 2.8 (range, 1.6‐7.2) in the untreated controls (P = .46). Conclusions and Clinical Importance The experimental model used to induce gastric ulceration was unable to discern a difference between the herbal supplement and the placebo in normal horses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Evaluation of a Chinese herbal supplement on equine squamous gastric disease and gastric fluid pH in mares

Munsterman

Moreira

Marqués

2019

Veterinary Internal Medicne

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“…5 In horses, selection of locoregional acupuncture points is further aided by palpation of sentinel points which alerts the practitioner to areas of interest and augments treatment strategies based on remote targeting. 6 7 8 The body of evidence proposing the utility of veterinary acupuncture in musculoskeletal pain control, including the effect on equine lameness is growing; however, robust scientific evidence for its efficacy is limited. 9 10 11 12 13 Acupuncture-induced analgesia is largely attributed to group A nerve fibre excitation and spinal microglial neuromodulation.…”

Section: Introductionmentioning

confidence: 99%

Effect of Needle and Extracorporeal Shockwave Stimulation of Acupuncture Points on Equine Chronic Multilimb Lameness Using a Single-Formula Approach

et al. 2022

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Objective The aim of this study was to compare effects with conventional (needle and electroacupuncture, NAP) and shockwave stimulation of acupuncture points (SAP) on chronic multilimb lameness in horses. Study Design Randomized crossover block design; ten mature Standardbred mares with multilimb lameness (< 4/10) underwent 3-weekly point stimulations (NAP/SAP) selected on the basis of their uniform applicability. Groups were reversed following a washout period (9 weeks). Lameness at the trot was video recorded and quantified objectively using an inertial sensor-based system during a 4-week pre- and post-treatment period. Blinded expert review of recordings resulted in subjective qualitative (better, same, or worse) and quantitative outcome measures (0–10 lameness grade). Mixed effect repeated measures analyses were performed on objective quantitative gait parameters specific to fore (Vector sum [VSHead]) and hindlimb lameness (average differences in minimum [DIFFMINPelvis] and maximum pelvic height [DIFFMAXPelvis]) Qualitative data were assessed in non-parametric tests. Results SAP had no effect on forelimb but improved hindlimb lameness (DIFFMINPelvis; p < 0.001). NAP was associated with deterioration of forelimb lameness (VSHead, p < 0.001) and had no effect on hindlimb lameness. VSHead data differed between modalities when accounting for the time of observation (interaction effect; p = 0.002). For other quantitative gait parameters, a difference between modalities was not observed. SAP was associated with greater animal comfort post-treatment compared with pre-treatment assessments (p = 0.036). Typically, improvement occurred by one and deterioration by two lameness grades. Conclusion SAP and NAP were not associated with the same treatment outcome. SAP slightly improved but did not alleviate all lameness. Given the non-invasive nature of SAP, this method may have potential in the management of chronic multilimb lameness.

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Principles of Therapy for Lameness

Koch¹,

Goodrich²,

Smanik³

et al. 2020

Adams and Stashak's Lameness in Horses

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Horses Referred to a Teaching Hospital Exclusively for Acupuncture and Herbs: A Three-Year Retrospective Analysis

Cited by 11 publications

References 23 publications

Evaluation of a Chinese herbal supplement on equine squamous gastric disease and gastric fluid pH in mares

Evaluation of a Chinese herbal supplement on equine squamous gastric disease and gastric fluid pH in mares

Effect of Needle and Extracorporeal Shockwave Stimulation of Acupuncture Points on Equine Chronic Multilimb Lameness Using a Single-Formula Approach

Principles of Therapy for Lameness

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