I didn't realise how anemic dogs with gonorrheal or sycotic miasm get until I went to the shelter and Dr. Akshay pointed out a bunch of dogs with tumors that were also anemic. But now it makes sense. The tumor indicates that the life-giving energy is perverted. The tumor can't grow if the body is oxygenated - this can only be if the major oxygen carrier, blood, is starved out. Therefore tumors can only grow in an environment of oxygen-depravation. This is where Secale makes a big difference, I think.
Even tubercular dogs must be so anemic - if the bones are affected, so will it's marrow's blood-making ability. Don't know yet what can improve marrow quality.