I am having a very similar issue with my Chi.  I have tried  changing the 
food, using a medicated shampoo, over the counter  creams...cortisone 1%. 
They worked for a few hours.   But  nothing has really stopped it, except when 
the Vet gave her steroid pills,  and you can't keep them on those pills for 
too long, so we are back to  scratching and biting.  I don't know what else 
to do.  Can you  tell me the name of the cream that your sister uses?  Thank 
 you.

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