Treatment of Refractory Vomiting With Traditional Chinese Veterinary Medicine in Two Dogs and a Cat: A Cases Series

Refractory vomiting in dogs and cats is a common clinical condition in small animal practice, typically characterized by recurrent vomiting, belching and related symptoms, which is a great challenge to veterinarians. According to Traditional Chinese Veterinary Medicine (TCVM), this condition is primarily attributed to dysfunction of the spleen and stomach in transformation and transportation, leading to the upward rebellion of stomach Qi. Derived from the Shang Han Lun (Treatise on Cold Damage), Xuanfu Daizhe Decoction functions to direct rebellious Qi downward, resolve phlegm, tonify Qi and harmonize the stomach. It is mainly indicated for conditions resulting from stomach Qi counter flow. In this report, three cases of refractory vomiting in two dogs and a cat diagnosed as stomach Qi rebellion according to TCVM were treated with modified Xuanfu Daizhe Decoction based on syndrome differentiation. The results showed that all three cases achieved favourable therapeutic outcomes. These findings suggest that, for refractory vomiting caused by stomach Qi rebellion in dogs and cats, individualized treatment with modified Xuanfu Daizhe Decoction based on specific clinical presentations can achieve stable and reliable efficacy.