On exam she has a grade 3 systolic murmur and thickened right hock. Bilateral yellow, crusted ocular discharge that occurs in spring, summer. Pulse is thin and superficial and tongue is dark pink with some lavender. Lately she does not want to walk as long on her twice daily walks. Holds up the right rear leg intermittently.
Bloodwork is mild Alk pho (319) and normal UA. LDDS test was normal. Owner wants to address the skin growths and improve her immunity. I placed her on an antioxidant. I think I should keep her on the SMS and add in Si Wu Xiao Feng Yin for a wind heat invasion with blood deficiency (based on thin pulse and lavender tinged tongue).
Thanks-
Erica