Poor performance due to back pain is a common problem in horses. Unfor
tunately, conventional Western medicine for this condition may sometim
es be ineffective. However, the alternative modalities of herbal medic
ine and acupuncture may be useful for this problem. In Traditional Chi
nese Veterinary Medicine, back pain is divided into two types: back sp
rain and back rheumatism. Eleven acupuncture techniques and four herba
l medicine formulas are summarized for use in equine back pain. Some a
cupuncture techniques are illustrated. A combination of herbal medicin
e and acupuncture is recommended for severe back injuries.