JJ (Female, 76 yo, 5/21/10 Los Altos #14 as new Pt) CC: abdominal pain & bloating better with burping, tumor on upper back btw spine and Lu, abcominal hernia.  She has been on GuiZhiJiaFuZiT + SiNiT + ZSXBGZT granule for 2 weeks.  Arnaud's pulse reading is: L: 1 slippery/rolling/wiry/rolling upward, R: 1 wiry/tight.  She feels much better overall.  Less gas, less abdominal pain. 

She now would like additional treatment for her arthritis pain on lower back (for several months, getting worse everyday, better with warmth), medial knee(R) pain where she feels something is moving in her knee upon movement, hand(L) pain with puffiness.  She is on constipation side with the herbal prescription but managing with fruit intake. 

Do you suggest modifying the current formula or staying the current one for a while?  Her current formula is GuiZhi 9, BaiShao 9, FuZi 30, GanJiang 3, DaZao 6, ZGC 6, ZhiShi 3, HouPo 12, XieBai 24, GuaLou 15.

Thank you.

Hiromi