Objective : The purpose of this study is to report the improvement of patient with Dyshidrotic Eczema treated by herbal medication based on Shanghanlun disease pattern identification diagnostic system.

Methods : According to ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions’, the patient diagnosed as ‘Jueyinbing Huoluan’ number 388 provision and took herbal medication Hoiyeok-tang for 28days. The changing symptom progress of Dyshidrotic Eczema was evaluated by DLQI(Dermatology Life Quality Index) and VAS(Visual Analogue Scale).

Results : The DLQI score changed 24 to 0 and VAS changed 8 to 0.

Conclusions : Patient who suffered from Dyshidrotic Eczema caused by concentrating on sophisticated work using her eyes and hands was treated by Hoiyeok-tang in Shanghanlun. Skin disease on hands or feet can be closely related to conception of 手足厥 in Shanghanlun. Further studies are needed to validate the conception of 手足厥 and the effects of Hoiyeok-tang.

KeyWords : Hoiyeok-tang, Dyshidrotic Eczema, Shanghanlun, Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions, Herbal medicine