Purpose : This study was performed to evaluate the efficacy of herb medicine on climacteric woman with numbness of lower limbs by using Digital Infrared Thermographic Imaging(DITI). Methods : The patient was 56-year-old female who was suffering from numbness, cold hypersensitivity of lower limbs and hot flush. We treated her using herb medicine, acupuncture and moxibustion. The progress of symptoms were evaluated by DITI, and then we compared DITI before treatment and after treatment. Results : After treatment, visual analog scale of numbness and cold hypersensitivity of lower limbs were decreased and frequency of hot flush was also decreased. The temperature of forehead got lower than that before treatment and the temperature of LR3 and ST32 got higher than those before treatment on DITI. Conclusion : This result suggest that DITI can be used for assessment after treatment on climacteric symptoms with numbness of lower limbs.