Chronic Eczema is often a long-term problem. The patient described in this study was refractory to topical steroids and Xiao Feng San. She was diagnosed with“dual vacuity of qi and blood” and “spleen-kidney yang vacuity” according to the TCM (traditional Chinese Medicine) theory of syndrome differentiation. Ginseng Construction-Nourishing Decoction plus herbs for warming and supplementing the kidney yang led to better results.