Objective ：The purpose of this study was to report the improvement of a patient with tinnitus treated by herb-formulae medication based on Shanghanlun provisions.
Methods：According to a disease pattern identification diagnostic system based on Shanghanlun provisions, a patient was diagnosed with Taeyang-byung, 40th provision and was administered Socheongryong-tang herbal medication for 45 days. The numeric rating scale (NRS) was used to estimate the response.
Results：The NRS score changed from 10 to 0 and the tinnitus disappeared by 40th provision of Socheongryong-tang selected according to Shanghanlun provisions.
Conclusions：This case report suggests that the two words in the 40th provision of Shanghanlun, ‘表不解, 水氣’(exterior do not release, water qi) indicate a close relationship between economic difficulty and stuffiness of being in water , which affect tinnitus in this case.
Key words：Socheongryong-tang, tinnitus, Shanghanlun, disease pattern identification diagnostic system based on Shanghanlun provisions (DPIDS), herbal-formulae medicine.