Mochi has also experienced recurrent conjunctivitis and frequent flare-ups of feline herpesvirus (FHV-1), which seem to contribute to both his eye and skin symptoms. His skin issues have included rodent ulcers (part of eosinophilic granuloma complex), which respond well to steroid treatment. However, the ulcers tend to recur quickly once steroids are tapered or discontinued, highlighting an ongoing immune imbalance. He also appears to suffer from flea allergy dermatitis (FAD), which exacerbates his skin symptoms and likely contributes to facial itching and inflammation. Despite vigilant flea control efforts—including regular use of Revolution, home treatments, and environmental cleaning—he remains highly reactive.
His treatment history includes both Western medications TCM. In Western medicine, he has been prescribed Famciclovir for herpesvirus and Atopica for inflammation and itching. He has also been given oral steroids, which significantly improved his rodent ulcers but were not a sustainable long-term solution due to side effects and recurrence. For flea control, Revolution and other preventatives have been used consistently, although even minimal flea exposure still results in flares.
From a TCM perspective, Mochi has been treated with formulas such as Huang Lian Jie Du Tang to clear fire toxins, Wind Toxin (Jing Tang) for Wind-Heat and Damp-Heat presentations, and Xiao Chai Hu Tang for Liver Qi stagnation and possible herpes virus suppression. His current presentation appears to involve a mix of Wind-Heat, Damp-Heat, and Liver Qi stagnation, but over time he has also shown signs of underlying yin and Blood deficiency—especially after prolonged use of clearing formulas. I've thought about Haliotis (Jing Tang) to help with eye ulcers and vision recovery, though these have limited yin-nourishing action and may not fully address the underlying deficiency contributing to recurrence. We have not tried Haliotis.
Despite these interventions, Mochi continues to experience flare-ups of blepharitis, skin ulcers, and corneal ulcers, particularly when his cone is removed—even briefly. His symptoms improve with steroids but return quickly, and we are concerned about long-term immune suppression and ocular damage. His case feels stuck in a cycle of partially effective interventions, without a fully resolving approach.
Given this complex and chronic picture, we are seeking guidance on how to move forward. Should we continue with primarily clearing formulas, or begin introducing more yin or Blood-nourishing herbs to support long-term healing while still controlling flare-ups? Is there a combination strategy that could better address the root and branch simultaneously—particularly one that supports the cornea, reduces immune hypersensitivity, and soothes itching without relying heavily on steroids? Any recommendations on how to break this cycle or suggestions for a more targeted formula would be greatly appreciated.
Thank you so much!