Traditional Chinese Medicine (TCM) is a holistic medical system that has been practiced for thousands of years. In veterinary medicine, TCM is increasingly used to support dogs with chronic illness, pain, digestive issues, allergies, anxiety, and age-related decline - often alongside conventional veterinary care.
Rather than focusing solely on symptoms or diagnoses, TCM looks at the entire dog: their physical body, emotional state, lifestyle, diet, environment, and even seasonal influences. The goal is not just to “treat disease,” but to restore balance and harmony so the body can heal itself.
A great introduction to TCM can be found in Four Paws, Five Directions: A Guide to Chinese Medicine for Cats and Dogs.
Core Principles of Traditional Chinese Medicine
Qi (Life Force Energy)
In TCM, health depends on the smooth and adequate flow of Qi (pronounced chee), the vital life energy that powers all physiological processes.
When Qi flows freely, the body functions optimally.
When Qi is deficient, stagnant, or blocked, illness can develop.
In dogs, Qi imbalances may show up as:
Chronic fatigue
Weak digestion
Pain or stiffness
Anxiety or restlessness
Poor immune resilience
TCM treatments aim to restore proper Qi movement rather than suppress symptoms.
Yin–Yang Theory
Yin and Yang represent opposing yet complementary forces that must remain balanced for health.
Yin qualities: cool, moist, restful, nourishing
Yang qualities: warm, active, dry, energizing
Dogs may show signs of imbalance such as:
Excess Yang (Heat): itching, redness, inflammation, restlessness
Excess Yin (Cold): lethargy, loose stools, cold sensitivity
TCM focuses on restoring equilibrium - not eliminating one side, but bringing both back into harmony.
Five Elements Theory
The Five Elements - Wood, Fire, Earth, Metal, and Water - connect organs, emotions, seasons, and constitutional tendencies.
Each element corresponds to:
Specific organs
Emotional patterns
Environmental influences
Physical traits
For example:
A dog with Earth element imbalance may have digestive issues and worry.
A Water element imbalance may relate to kidney weakness or fear-based behavior.
This framework allows practitioners to identify deeper patterns rather than isolated symptoms.
A notable book that breaks this down and offers a test to determine your dog’s element is Know Your Dog's True Nature: Understanding Canine Personality through the Five Elements.
The Holistic View
TCM does not diagnose disease in isolation. Instead, it identifies patterns of disharmony by evaluating:
Appetite and digestion
Energy levels
Coat quality
Emotional state
Tongue and pulse (in clinical settings)
Environment and lifestyle
Two dogs with the same Western diagnosis may receive completely different TCM treatments based on their unique constitution.
The Four Pillars of TCM Treatment
1. Acupuncture
Acupuncture uses very fine needles placed at specific points along meridians, the pathways through which Qi flows.
Benefits may include:
Pain relief
Reduced inflammation
Improved mobility
Nervous system regulation
Support for organ function
In dogs, acupuncture is commonly used for arthritis, IVDD, digestive disorders, neurological conditions, and anxiety. Most dogs tolerate it well - and many relax deeply during sessions.
2. Chinese Herbal Medicine
Chinese herbal medicine uses customized formulas, not single herbs, to address specific patterns of imbalance. These formulas may come as powders, capsules, or teas.
Why Professional Guidance Is Essential
Herbs are powerful. Choosing them without proper training can:
Worsen imbalances
Interact with medications
Stress the liver or kidneys
Mask symptoms without resolving the root issue
Dogs metabolize herbs differently than humans, and TCM formulas must be selected and dosed carefully. This is why herbal therapy should only be used under the guidance of a veterinarian trained in TCM, ideally one certified in veterinary acupuncture and herbal medicine.
Self-prescribing herbs - even “natural” ones - can lead to unintended harm.
3. Food Therapy & Food Energetics
In TCM, food is medicine.
Rather than focusing only on nutrients, TCM evaluates foods by their energetic properties, such as:
Warming
Cooling
Neutral
Moistening
Drying
Examples:
A dog with inflammation or allergies may benefit from cooling foods.
A senior dog with weakness or cold sensitivity may need warming foods.
Food therapy is personalized and adjusted based on:
Season
Age
Activity level
Health status
This approach pairs beautifully with fresh, whole-food feeding when done thoughtfully.
Books that are an excellent resource on Food Energetics are:
4. Tui-Na Massage
Tui-Na is a hands-on therapy using massage techniques to stimulate acupoints and meridians.
Benefits include:
Improved circulation
Muscle relaxation
Reduced pain and tension
Emotional calming
Enhanced Qi flow
How Pet Parents Can Use Tui-Na at Home
While advanced techniques should be taught by a professional, simple practices are safe and beneficial:
Gentle stroking along the spine
Circular motions on shoulders and hips
Light pressure along major muscle groups
Calm, rhythmic movements during rest times
Tui-Na can strengthen the bond between dog and caregiver while supporting physical and emotional health.
My favorite books on massage are:
The Goal of Traditional Chinese Medicine
The ultimate goal of TCM is to:
Restore internal harmony
Support the body’s innate healing ability
Maintain long-term wellness
TCM can be used:
Alongside conventional veterinary medicine
As supportive care for chronic conditions
As a preventative approach to aging and stress
It does not replace emergency or surgical care - but it offers a powerful framework for understanding health beyond symptoms.
How I Use Traditional Chinese Medicine
Traditional Chinese Medicine invites us to slow down and look deeper - at patterns, balance, and the subtle signals our dogs give us every day. I’m not a TCM expert, so the practices I follow are based on what I’ve learned directly from trained professionals.
I Don’t Feed Cold Food:
I pour warmed bone broth or warm water over my dogs’ meals to remove the chill. From a TCM perspective, regularly feeding cold or frozen food can weaken digestion, contribute to stagnation, and, over time, promote disease.
I Know My Dogs’ Natures:
I’ve taken constitutional assessments to better understand each of my dogs, and I’ve found them incredibly helpful. Based on observation, Zoey leans Earth/Metal, Apollo is Fire, Bella is Water, and Buffy is Wood.
I Use Food Energetics:
Instead of feeding the same way year-round, I adjust based on season and what I’m seeing in my dogs. I avoid overly warming foods in August and cooling foods in January. If a dog seems “hot” (panting, itching, allergy flares, seeking cool surfaces), I lean cooling. If energy or digestion needs support, I choose warming foods.
I Massage My Dogs:
I incorporate massage into our daily petting to support lymphatic flow, loosen tight muscles, improve flexibility, and calm the nervous system. My dogs love it so much they now demand their massages daily - no appointment required.
When practiced responsibly and guided by trained professionals, TCM can be a valuable tool in a truly holistic approach to canine health - one that honors the whole dog, not just the diagnosis.
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