Objectives: This case study described a process of the pruritus gravidarum patient diagnosed as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus. Methods: We experienced one patient who had been suffering from itching and plaque during pregnancy. We diagnosed her case as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus and treated with Jowiseuncheong-tang and Jiyang-go. Results: She was treated with herbal therapy, and her symptoms were remarkably alleviated. Also after all treatment, there were no adverse effects such as a recurrence of severe itching or fetal problems. Conclusions: This clinical case indicates that Jowiseuncheong-tang is effective in treatment of Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus type of pruritus gravidarum.