The topic of this study is the translation of [Byun Jeung Rok vol.V(辨證錄四卷)]. Byun Jeung Rok is a complete book of medicine which was written by Jin Sa tak(陳士鐸) in the early years of the Ching dynasty. Of this, the fourth volume is composed of 12 disease-patterns(病症) and 54 subtopics. Byun Jeung Rok(辨證錄), as a book that completely organized the medical knowhow of the Ming Dynasty, explains disease-patterns(病症) through the unique and outstanding perspective of the individual author. This topic was studied in hopes of helping later students by showing to the world, through its translation, the author's understanding of disease pattern. The organized characteristics of [Byun Jeung Rok vol.V(辨證錄四卷)] is as follows. 1. For each symptom, the state, cause and prescription for the disease was explained in detail. It was written primarily based on experience. Because the explanations are clear, it is easy to understand. 2. The theory and actual application of Yin yang and five phases is amazing. The actual cause and actual treatment was indicated clearly. 3. In relation to physiology and pathology, the relation between the liver and gall bladder in the middle(between the heart and kidney). In relation to treatment, the tonifying method was never excluded.