Chinese Herbal Medicine can be very effective to treat chronic diseases in companion animals. An understanding of the species and breed in question can be helpful since companion animals do not always respond to stressors the same way people do. It is important to be able to correctly identify the disease pattern to determine the best herbal formulas to use. The underlying disease is not always where the symptoms are most prominent since symptoms are the body?s way of trying to return to a state of health. Cases will be presented to illustrate a variety of presentations and conditions typical to companion animal veterinary practice.