Rosacea begins with recurrent episodes of blushing that eventually become persistent dark facial erythema. Its etiology is still unknown, and no curative therapy has been established. We successfully treated 10 middle-aged female patients with several Kampo formulas. Ages of the patients ranged from 46 to 81 years old (average 60.6 years old). Periods from disease onset to the beginning of therapy were1month to 6 years (average 2.2 years). The Kampo formulas used were daisaikoto with orengedokuto in 7 cases, and kakkonkokato in 3 cases. All patients healed within 14 months. We thus recommended daisaikoto with orengedokuto, or kakkonkokato as a first choice for the treatment of rosacea.