犬心肺病是中老年犬的重要疾病之一，临床症状以昼夜咳喘反复发作为主。犬心肺病的病理基础为肺动脉高压，部分病例采用西兽药治疗效果不佳。从中兽医角度看，犬心肺病属胸痹、喘证等范畴，笔者经多年临床经验总结发现，采用中兽药治疗该病效果明显。2025年4月对一犬心肺病例进行了互联网远程诊治，经线上视频问诊、望诊及线下动物医院检查结果分析，确诊该犬患咳喘病，中兽医辨证该病为心肺气虚、气滞血瘀、痰湿内阻证。治法选择止咳平喘、养心益气、活血化瘀、利水消肿、健脾益胃等，药用中兽药颗粒剂灌服。经过3个疗程42 d的治疗，患犬咳喘症状消失，食欲及精神状态恢复良好，治疗效果显著。该病例的成功诊疗表明互联网远程视频中兽医诊疗在犬慢性病治疗中具有较大优势，同时为解决宠物看病难、看病贵等问题提供了新思路，拓宽了犬慢性病的兽医临床诊疗模式。

Canine cardiopulmonary disease is one of the significant diseases in middle-aged and elderly dogs, with clinical symptoms mainly characterized by nocturnal coughing, wheezing and recurrent attacks. The pathological basis of canine cardiopulmonary disease is pulmonary hypertension, and some cases show poor response to western veterinary drugs. From the perspective of traditional Chinese veterinary medicine, canine cardiopulmonary disease falls under the categories of chest obstruction and wheezing. Based on years of clinical experience, the author had found that the treatment with traditional Chinese veterinary medicine could yield remarkable results. In April 2025, a case of canine cardiopulmonary disease was diagnosed and treated remotely via the Internet. Through remote online video consultation and physical examination, and analysis of the offline hospital examination results, the disease was diagnosed as cough and wheezing. The syndrome differentiation in traditional Chinese veterinary medicine identified the condition as deficiency of heart and lung Qi, Qi stagnation and blood stasis, and internal obstruction by phlegm and dampness. The treatment approach included methods such as relieving cough and wheezing, nourishing the heart and benefiting Qi,promoting blood circulation and removing blood stasis, diuresis and reducing edema, and strengthening the spleen and stomach. According to the syndrome differentiation and treatment principles of traditional Chinese veterinary medicine,an oral granule prescription was prescribed. After three courses of treatment lasting 42 days, the dog's cough and wheezing symptoms disappeared, and its appetite and mental state recovered well. The pet owner was very satisfied with the treatment outcome. The successful diagnosis and treatment of this case demonstrated that remote video consultation and diagnosis in traditional Chinese veterinary medicine had significant advantages in the management of chronic diseases in dogs. It can also provide new ideas for solving problems such as difficulty and high cost in pet medical care,and broaden the clinical treatment model for chronic diseases in dogs.