A 10-year-old 2.77-kg neutered male Abyssinian cat was presented for lethargy, vomiting and anorexia due to renal failure. He had been treated with intravenous fluid therapy, an anti-emetic drug and an appetite stimulant, but his clinical signs and laboratory tests did not appreciably improve. Treatment with a dry needle acupuncture technique and aqua-acupuncture using the homotoxicologic formula Berberis Homaccord and vitamin B-12 was instituted. In addition, Tui-na, Food therapy and conventional medications were also administered. In subsequent treatment sessions the Chinese herbal formulas Shen Qi Wan and Rehmannia 6 were added. With the addition of these treatments, the cat’s renal function significantly improved and his clinical signs resolved. It has been over three and one-half years since the cat’s initial presentation and he continues to have acupuncture treatments every six weeks and is doing well. This case demonstrates that acupuncture, Chinese herbal medicine and other TCVM treatments can be an important adjunct to the treatment of cats with chronic kidney disease and may significantly increase the length and quality of life for cats presented in renal failure.