A dialysis patient may experience shoulder disorders that are not associated with a history of dialysis treatment. We reported regarding 6 dialysis patients with shoulder disorders who were successfully treated with goshakusan. The subjective symptom was cold in 3 of the 6 patients, and the objective symptom was interior cold in 3 patients. All patients had symptoms of ketsu (blood) deficiency with skin dryness and amyotrophy and of sui (body fluids) disturbance with decreased urine volume and water metabolism with renal dysfunction. Furthermore, they had symptoms of ki (Qi) deficiency with malaise and dry mouth after dialysis treatment. If these conditions continue, the dialysis patient will experience a decline in metabolism and decreases heat production, and “the cold” condition may occur. Four of the 6 patients complained of gastrointestinal dysfunction, and 1 experienced stomachache after receiving a painkiller, and they all had dietary symptoms. All symptoms improved after prescribing goshakusan. The conditions of the ki, ketsu, sui, cold, and dietary symptoms are recognized in dialysis patients, and goshakusan may be a suitable herbal medicine in cases with repeated shoulder disorders.