Objectives : The aim of this experiment is to know the effect of mountain cultivated ginseng pharmacopuncture on heart rate variability(HRV), pulse wave velocity(PWV) in middle aged women. Methods : We investigated on 20 healthy Middle Aged women volunteers. First, we measured their heart rate variability(HRV), pulse wave velocity(PWV) and then mountain cultivated ginseng pharmacopuncture 20cc were injected on them. After 30 minutes, we measured heart rate variability(HRV), pulse wave velocity(PWV) again. As a result, method of one-group pretest-posttes design were used for evaluation. Results : 1. In HRV, MeanHRV is significantly decreased from 69.15 to 63.34 after injection. 2. MeanRR is significantly increased from 877.20 to 962.10 after injection. SDNN is significantly increased from 32.56 to 41.34 after injection. 3. PNN50 is significantly decreased after injection. RNSSD, SDSD, TP, VLF is significantly increased after injection. 4. Stress resistance ability is significantly increased from 37.55 to 44.60 after injection. 5. In PWV, E-R, E-L, H-R, H-L is significantly decreased after injection. Conclusions : Effect of mountain cultivated ginseng pharmacopuncture on heart rate variability(HRV) increased adaptability of autonomic nervous system and on pulse wave velocity(PWV) decreased arterial stiffness.