The chief symptoms of Sikgwol are confusion, aphasia and quadriparesis. Sikgwol is caused by overeating in instances of deficiency syndrome of the stomach. The symptoms of Sikgwol are similar to those caused by cerebral vascular injury. After medication with Gamiyukgunja-tang and acupunture therapy, the patient symptoms improved rapidly within the first week. Results support the clinical efficacy of Gamiyukgunja-tang for Sikgwol.