Objective：Burning Mouth Syndrome (BMS) is caused by a variety of causes. We present the case of a 64-year-old womon with BMS managed using the herbal medicine Oryeong-san. Methods：A 64-year-old woman had BMS after chemotherapy for breast cancer 8 years ago. Oryeong-san was administered to this patient based on disease pattern identification diagnostic system by Shanghanlun provisions (DPIDS). We used Numeric Rating Scale (NRS) to evaluate the effectiveness of the Oryeong-san for BMS. Results：According to DPIDS, the patient was diagnosed with provision 74. After administration of Oryeong-san for 30days, the BMS and Numbness based on NRS were improved. Conclusions：Oryeong-san were effective to the patient BMS diagnosed according to Shanghanlun provision 74.