(no presence of pulmonary metastasis thankfully)
History - I started seeing him back in Jan 2019 for dermatitis and otitis. I started him on Chu Shi Wei Lin Tang for seasonal allergic dermatitis (and then started having anal gland issues in Oct 2019). It did not seem to work enough so switched him to Si Miao San + Dang Gui (15g) - he has been on this combination from Nov2019 --> May 2021 (I have been on maternity leave this whole time and it was not changed). He had maintenance acupuncture for allergies which owner reports helps a lot; the main points used were: GV -14, 20, ST-36, ST-40 and ashi points mainly on lumbar epaxial muscles; tongue is typically pink--> pale lavender and pulse is typically strong and steady.
Notes from owner:
diet: Big Country raw
He has been about the same energy level wise, though with the heat he is normally a bit more lazy and he does drink more water. I have also noticed for about 2 days after his radiation he does drink more water. No skin flare ups as of yet and no gastrointestinal flare ups, after a radiation treatment it was a bit more soft but that normally went away in about a day or two.
anal gland adenocarcinoma - blood stasis
otitis - damp heat
shoulder cyst - blood stagnation (surgically excised in 2020)
benign hypoechoic splenic nodules (dx on aspirate) - dampness in upper jiao
dermatitis - damp heat
otitis - damp heat
He started Oncosupport (Rx Vitamins) and homeopathic (Silicea) April 4, 2021
I am consulting on this case as the other vet is out of country (and I am only working remotely right now). I would like to switch him to
Xiao Chai Hu Tang + Curcuma
Xiao Chai Hu Tang is desired for antineoplastic effects but being a Shepherd who has very reactive lumbar acupoints and likely underlying hip dysplasia as well. XCHT will also help Qi flow between upper and lower burner.
1. Would you agree starting XCHT + curcuma?
2. What dose of curcuma do you recommend (and what source) - 100mg TID of plain curcumin/tumeric powder?
3. Would you continue SMS too in this case?
4. Would you agree to continue Oncosupport and Silicea?
Thank you so much in advance!