Objectives : The purpose of this study is to introduce oriental medicine music therapy during the acupuncture of pathogenic fire. Methods : We investigated the acupuncture points of pathogenic fire and the methodology of oriental medicine music therapy. Results : During the acupuncture of pathogenic fire, patients listen to proper music and after withdrawing of acupuncture, patients play the musical instrument. The patients with the case of fire due to affection by exopathogen, the method of dispelling superficial fire can be used through playing percussion instruments. The case of patients with the fire of five organ, the Five Phases music can be used properly. Conclusions : This study describes oriental medicine music therapy has a good possibility as a treatment of pathogenic fire with acupuncture.