The purpose of this study was to make an extensive analysis of middle-aged women's awareness of Hwa-byung in an effort to shed light on their understanding of it. Method: A descriptive study was performed to make content analysis of middle-aged women's awareness of Hwa-byung. Results: The interview data with the selected middle-aged women who were in their 40s and 50s were classified to determine their knowledge on the concept, cause and symptoms of Hwa-byung and their coping methods. As a result, there were 261 significant statements and 33 categories. Conclusion: This study is expected to provide useful information on middle-aged women's awareness of Hwa-byung, on the development of easily accessible educational programs geared toward helping them to overcome it, and on how to prevent it and offer effective intervention.