A 4-year-old intact male Golden Retriever with high fever (41°C/ 105.8°F), leukocytosis, and vomiting for 1 week, was presented for TCVM evaluation due to poor response to conventional therapy for pancreatitis. A TCVM pattern of Stomach Heat was diagnosed and daily acupuncture and oral Chinese herbal medicine was added to conventional therapy. Although anorexia remained, by the 3rd day of integrative treatment, the dog’s body temperature had returned to normal and the vomiting had ceased. At the 4th daily acupuncture session, the dog developed an acute ocular disorder within 10 minutes of needle placement. This case challenges a reader’s diagnostic and treatment skills to address the unusual clinical signs and design a TCVM treatment strategy.