Rosacea is a chronic inflammatory dermatitis that affects face and nose with erythma and telangiectasis. Both Western medicine and traditional Chinese medicine (TCM) have developed comprehensive treatment strategies to solve inflammatory symptoms. However, during our practice, we found out that some patients respond well to Western medicine treatment, but other patients can only see improvements with TCM treatment. This case study is a patient with rosacea and telangiectasis for 2 years. He has been treated with Western medicine from the beginning, but symptoms persisted. After he started receiving TCM treatment after 4 months, the skin lesion was fully recovered.