Objective : The purpose of the study was to evaluate if the oriental medicine treatment with hot acupuncture are more effective and safer in the carpal tunnel syndrome. Methods : We treated total 5 patients with hot acupuncture high-frequency radio waves. We evaluated VAS(visual analog scale) and subjective symptoms of patients after executing. Results : The following results were obtained ; 1. It was evaluated that the oriental medicine treatment with hot acupuncture was significant in improvement of symptoms in each treatment. 2. In VAS score, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. 3. In subjective symptoms, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. Conclusion : The results suggest that hot acupuncture is the effective on the treatment of carpal tunnel syndrome.