Objective: The purpose of this paper is to report the improvement in a patient with benign paroxysmal positional vertigo (BPPV) treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system.

Methods: According to the ‘Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions,’the patient was diagnosed with Guorem-byung number 350 provision, and took Baekho-tang herbal medication for 15 days. The result of administration was evaluated using the Dizziness Handicap Inventory (DHI) and the Visual Analog Scale (VAS).

Results: After administration of Baekho-tang for 15 days, based on the 350 provision of Baekho-tang diagnosed according to the Shanghanlun provisions, the DHI score decreased from 74 to 16 and the VAS score decreased from 10 to 1.

Conclusions: The patient recovered from symptoms of BPPV. This case report suggests that the words ‘滑,’‘厥,’‘裏’on the 350 provision of Shanghanlun mean physical and psychological causes of BPPV in this case.

Keywords: Benign paroxysmal positional vertigo, Dizziness, Dizziness Handicap Inventory (DHI), Baekho-tang(白虎湯), Shanghanlun