Past hx:
Had kittens as young cat and desexed at caesarian surgery
Developed DM 4 yrs ago and currently managed on Glargine 5.5IU BID. Has always been on raw diet- DM seems to have been triggered by acute stress of boarding and overweight
3 months ago infected nail bed digit painful some improvement on antibiotics
2 weeks ago thoracic radiography confirmed pulmonary mass
Current Symptoms:
pyrexia
painful limb ( only one digit affected)
reduced appetite and occasional vomiting- only in last 3 weeks
I had originally considered starting her on LJZT for Spleen Qi support to help with appetite and vomiting, and Chai Hu Jia Long Gu Mu Li Tang to address the lung tumour ( more cooling than XCHT).
On reflection- I've thought she may be better with WLT to address tendency to Damp (wt gain, Vomiting, inappetence- minimal impact on insulin sensitization because I don't want to interfere with current DM control) - and the formula Erin Bannick has discussed used for "Steaming bone pain"- modified : Qing Gu San- to address her Heat ( pyrexia) and bone pain/tumour. Erin has described its use for OSC in dogs.
Unfortunately I can't see her for TCM assessment. I'm worried that the rhubarb in CHJLGMLT may lead to diarrhea with the current tendencey to Sp Qi deficiency.
I also have her on antioxidants ADE. She was been prescribed Meloxicam by her treating vet but it gives her diarrhea with blood.
Thankyou Steve in advance
Karen G