This article deals with treatment of the chronically foundered horse. The f
irst section of this article is focused on aspects of the traditional pharm
acologic approaches to management of digital pain and sepsis, dietary manag
ement, and thyroid supplementasecond section introduces the concepts, princ
iples, and agents that are used in homeopathic treatments for laminitis. La
stly, a third section of this article reviews the use of acupuncture and tr
aditional Chinese medicine approaches to treatment of chronic laminitis.