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Use Of Tan Yu Tang

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10 yo FS Cocker dx this month with metastatic mammary carcinoma; currently receiving carboplatin. Pt is a mild mannered earth dog who is really damp- greasy hyperkeratotic skin, aural exudates, malodorous coat, but not particularly hot. tongue is pink, slightly lavender centrally, a little wet at the tip, but normal fluid otherwise. Right pulse is wide, strong; left pulse is really weak and difficult to find- what do you make of these pulses? She seems like Si miao san, but with the history of cancer, is Tan Yu Tang a better choice? Never used this formula. Thanks for your input.

by naturevet

August 5, 2009

Hi VC,

Where were the mets to? The lungs? Any respiratory symptoms? Bone mets or symptoms?

Xian Fang Huo Ming Yin (Angelica and Mastic) turns out to be our knee jerk prescription for mammary adenocarcinoma, although the anti-tumor effects of Tan Yu Tang are substantial, so it's a fine place to start.

From a hemodynamic perspective, the deep pulse on one side and the lavender-centered tongue imply we need to move the circulation (Blood and Qi in TCM terms) peripherally. Tan Yu Tang has a bit of that going on as does XFHMY, so it's a good place to start. Basically, I'd look at this as Dampness accumulation causing Stasis, particularly in the peripheral channels of the body. BOth formulas treat that, so it's a fine place to start.

Good luck!

Steve

by

August 5, 2009

Steve, the mets are in the regional lymph node; the lungs are clear- the dog actually looks great otherwsie!

Thanks so much for your help

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