Objective : Skin scale(皮膚甲錯) refers to an excessive dryness of skin which can be found under such conditions as blood deficiency(血虛), blood heat(血熱), damp heat(濕熱), the weakness of stomach(脾胃虛) and blood stasis(瘀血). Method : A sensitive and nervous patient showed symptoms of insomnia and chest discomfort as well as skin scale. He had great anxiety over his illness. He, therefore, was diagnosed as blood stasis caused by outburst of emotions and was prescribed Hyulbuchukeotang(血府逐瘀湯) to remove blood stasis in chest. Result and Conclusion : After taking Hyulbuchukeotang, insomnia, chest discomfort and skin scale eased off. Since not only blood stasis but also other factors may cause skin scale, more research on such cases must be done to determine the efficacy of Hyulbuchukeotang for skin scale.