Objective : The purpose of this paper is to report the improvement of patient with pitting edema treated by herb medication based on Shanghanlun disease pattern identification diagnostic system.

Methods : According to ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’, the patient was diagnosed with Taeyang-byung, number 96 provision, and took Soshiho-tang herb medication 30days. The changing symptom of pitting edema is reported depended on the edema scale and the statement of patient during treatment.

Results : The pitting edema of patient disappeared by 96 provision of Soshiho-tang seclected according to Shanghanlun provisions.

Conclusions : This case report suggests that two words on the 96 provision of Shanghanlun, ‘或 心下悸, 小便不利’(palpitations below the heart, inhibited urination) indcate close relationship between palpitation and decrease of genital secretions, which affected the edema in this case.

KeyWords : Soshiho-tang, Edema, Shanghanlun, Herbal medicine