Objectives : This study was carried out to investigate trends of using Shihogayonggolmoryo-tang granule on neuropsychiatry fields. And suggest that using herbal extracts change non-prescription medicine to prescription medicine. Methods : I researched 86 outpatients who treated with Shihogayonggolmoryo-tang granule at oriental medicine hospital. And I analyzed their medical records of chart review study. Results : 1. Average medication time in this research was 14.9 days and the main usage was supplementary to herbal medicine, such cases amounted to 62%. 2. There are 52 patients out of 86 who are much better, such cases amounted to 55%. 3. The improved diagnosis is Syndrome of heart-fire flaring up, Syndrome of upper energizer dryness-heat, headache, and tinnitus. The improved symptom is anxiety, headache, dizziness, tic disorders, and chest discomfort. Conclusions : I expect to using herbal extracts change non-prescription medicine to prescription medicine based on this study.