This is a clinical report of an aspect Soyangyangmyunghabbyung patient with acute pyelonephritis. One patient who had headache, fever, chilling sign, nausea and constipation was treat. The symptoms have relation to Soyangyangmyunghabbyung(少陽陽明合病) of Yugkyeung(六經) thee. On the basis of this thee, we performed the treatment on acute pyelonephritis. We treated her with Herbal medicine(Daeshihotanggami, Bojungikgitanggami) and acupuncture(Ganjeonggyeok). As the result of our treatment, we were experiencef an improved case of acute pyelonephritis patient.