A 60 years old lady had hands were dry, itchy, peeling and cracking. Palm skin become thicker and drier. It were getting worst when touching water. Before She used many medicines, creams and moisturizer. She also tried to avoid substance may induce the problem. On Nov 16, 2014, she started the treatment and applied heat bag on hands. After 3 hours of heat therapy, the cracking skin almost healed. Hard skin become softIt shown positive result after 1 day only. Nov 16, 2014, the 2nd day kept heat therapy, symptoms almost recovered. Nov 18, 2014, the 3rd day, significantly improved