1 Banfield Animal Hospital, Clarksville, TN, USA.
2 Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, The University of Georgia, Athens, GA, USA.
J Feline Med Surg. 2018 Dec;20(12):1094-1099. doi: 10.1177/1098612X17748241. Epub 2017 Dec 19.
Lower urinary tract disease (LUTD) occurs commonly in cats, and idiopathic cystitis (FIC) and urolithiasis account for >80% of cases in cats <10 years of age. Although several strategies have been recommended, a common recommendation is to induce dilute urine resulting in more frequent urination and to dilute calculogenic constituents. In addition to conventional therapy using modified diets, traditional Chinese and Western herbs have been recommended, although only one - choreito - has published data available. We evaluated three commonly used herbal treatments recommended for use in cats with LUTD: San Ren Tang, Wei Ling Tang and Alisma. We hypothesized that these three Chinese herbal preparations would induce increased urine volume, decreased urine saturation for calcium oxalate and struvite, and differences in mineral and electrolyte excretions in healthy cats.
Six healthy spayed female adult cats were evaluated in a placebo-controlled, randomized, crossover design study. Cats were randomized to one of four treatments, including placebo, San Ren Tang, Wei Ling Tang or Alisma. Treatment was for 2 weeks each with a 1 week washout period between treatments. At the end of each treatment period, a 24 h urine sample was collected using modified litter boxes.
Body weights were not different between treatments. No differences were found in 24 h urinary analyte excretions, urine volume, urine pH or urinary saturation for calcium oxalate or struvite between treatments.
The results of this study do not support the hypothesis; however, evaluation of longer-term and different dosage studies in cats with LUTD is warranted.
下尿路疾病(LUTD)在猫中很常见,特发性膀胱炎(FIC)和尿石症占<10 岁猫病例的>80%。尽管已经推荐了几种策略,但常见的建议是诱导尿液稀释,导致更频繁的排尿,并稀释结石形成成分。除了使用改良饮食的常规治疗外,还推荐了传统的中西方草药,尽管只有一种 - 蝉蜕 - 有可用的数据。我们评估了三种常用于治疗 LUTD 的猫的常用草药治疗方法:三人汤、威灵汤和泽泻。我们假设这三种中药制剂会增加尿量,降低草酸钙和鸟粪石的尿液饱和度,并在健康猫中引起矿物质和电解质排泄的差异。
在一项安慰剂对照、随机、交叉设计研究中,评估了 6 只健康去势雌性成年猫。猫随机分为四组治疗之一,包括安慰剂、三人汤、威灵汤或泽泻。每种治疗持续 2 周,每种治疗之间有 1 周的洗脱期。在每个治疗期结束时,使用改良的便盆收集 24 小时尿液样本。
治疗组之间的体重没有差异。在 24 小时尿液分析物排泄、尿量、尿液 pH 值或钙草酸和鸟粪石的尿液饱和度方面,治疗组之间没有差异。
本研究结果不支持假设;然而,需要在患有 LUTD 的猫中进行更长期和不同剂量的研究。