Here is a little background on my patient (sorry if its a bit lengthy)..
Jackson is an 11 year old, Male, neutered, English Staffy. I am seeing him for supportive care for Cutaneous Eiptheliotrophic Lymphomasarcoma, recently diagnosed by the primary Vet via histopathology. He is currently on 40mg prednisolone sid and 40ml safflower oil, twice a week , as prescribed by the primary Vet. The owner says the prednisolone has helped a lot already. The owner has begun feeding home prepared meals and will start vitamin A supplementation soon. Jackson has been well in himself, eating/drinking, urinating/defaecating normally. He has a history of two previous surgeries, both to remove cutaneous mast cell tumors.
On presentation Jackson had sparse, patchy alopecia over his dorsum and flanks. His skin also felt like there were multiple, small, subcutaneous lumps predominantly over his dorsum. There was erythema extending from his medial thighs, ventral abdomen and thorax to his axillae. There were also occasional small (1cm), dark pink, alopecic plaque-like lesions through his coat. He was hot to touch, all over.
The tongue was pink/purple with a small amount of tacky saliva, but the mouth was not moist. There was a small peeled area close to the central tongue. The pulse was deep, slow, and not toned, though with reasonable amplitude. Back shu points that he responded to were BL16, BL17, BL19, BL26, BL27, and also GB30. (Acupuncture was not performed, due to all the little lumps under his skin).
This is the first cancer patient I am treating. I was planning to give Chai Hu Jia Long Gu Mu Li Tang, or is there a better choice for this patient? I am very grateful for your guidance with this case.
Many thanks, in advance,
Sara