This study report the good reslut for chronic Idiopathic thrombocytopenic purpura(ITP) patient with Herbal medication treatment and Counseling therapy.The case was a 56 years old female who worried about small matters too much. This patient treated in western medicine, However, didn`t see any improvement. So, the patient admitted in our hospital. We diagnosied this patient as "The Defiency of the Spleen energy", caused by too much thinking and concern. Herbal medication(Nokyonggunbitang)and psychotherapy applied to this patient for hospitalized 22 days.The result showed that blood platelet increased at discharged moment(37,000 /㎕) compared with the admission time(19,000 /㎕).The present result indicated that Herbal medication treatment and psychotherapy may play a role to elevate and maintain the number of blood platelet.