An 11-year-old female West Highland white terrier presented with Liver Qi Stagnation, Wind-Heat and Damp-Heat manifesting as pruritis, erythema, heat, moist, exudative, odorous skin lesions, frequent urinary tract infections, hematuria and diarrhea. The dog likely had a combination of food sensitivity, atopy, and drug toxicity exacerbating her symptoms. She was treated initially with the Chinese herbal formulas Xiao Feng San and Liu Wei Di Huang, as well as a diet change to turkey and brown rice and supplementation with fish oil and flax seed oil. Acupuncture was not tolerated by the dog and was discontinued after four attempts. After two months of treatment with the herbal formulas and dietary changes, there was significant improvement in her skin. Xiao Feng San was discontinued at this time, and the dog was continued on Liu
Wei Di Huang with the addition of Long Dan Xie Gan, and the diet of turkey and brown rice with fish oil and flax oil supplements was continued. At the six-month follow-up, the dog had considerable improvement in her skin lesions, diarrhea, hematuria and urinary tract infections. Her improved symptoms allowed a reduction or elimination of a number of the conventional medications, including piroxicam, diphenhydramine, and misoprostyl.