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JKM > Volume 41(3); 2020 > Article
Ha and Shin: A Case Report on Multiple Rib Fracture Improved with Daewhangchija-paste Adhesive treatment and Herb-medicine treatment

Abstract

Objectives

The purpose of this study is to report the improvement of multiple rib fracture after korean medical treatment; adhesive treatment and herb-medicine treatment.

Methods

A patient with multiple rib fracture was treated with Daewhangchija-paste(大黃梔子膏) adhesive and herb-medicine treatment. Verbal numeric rating scale, medical examination by interview and rib series x-ray were used to assess progress of treatment. And we took pictures of left flank after attaching Daewhangchija-paste to observe the changes of the skin colors.

Results

Rib series x-ray taken after 2 months of treatment revealed hard callus which added stability against external force on rib cage. After taking off Daewhangchija-paste, left plank skin turned into blue, green and yellow. And the pain level(VNRS) of left plank decreased from 10 to 0.5 for 4 months.

Conclusions

Pain reduction on trauma site and improvement of general health condition were observed during combination treatment of Daewhangchija-paste adhesive and herb-medicine.

Fig. 1
Chest Computed Tomography(CT). Chest CT shows broken 9th rib and hemopneumothorax in the left posterior chest wall.
jkm-41-3-151f1.gif
Fig. 2
3D Rendering of Chest Computed Tomography(CT). 3D Chest CT shows broken ribs ;anterior of 6–9th ribs and posterior of 9–11th ribs. <Fig. 3> 2019.11.24. <Fig. 4> 2020.01.09. <Fig. 5> 2020.03.12. <Fig. 6> 2020.05
jkm-41-3-151f2.gif
Fig. 3–6
Progress of Chest Radiograph showing definite fracture. Chest radiograph shows definite fracture. Over time, fracture margins are gradually connected and become more and more rounded by hard callus.
jkm-41-3-151f3.gif
Fig. 7
Timeline analysis of this case.
jkm-41-3-151f4.gif
Fig. 8
Changes in Verbal Numerical Rating Scale(VNRS).
jkm-41-3-151f5.gif
Table 1
Composition of Daewhangchija-powder
Herbal Name Scientific Name Amount(g)
大黃 Rhei Rhizoma 10
梔子 Gardeniae Fructus 10
Table 2
Composition of Herb medicine
Herbal Name Scientific Name Amount(g)
黃耆 Astragali Radix 15

白朮 Atractylodis Rhizoma alba 8
烏賊骨 Sepiella japonica Sasaki
赤芍藥 Paeonia obovata Max
香附子 Cyperi Rhizma

當歸身 Body of Angelica sinensis 6
白茯神 Poria cocos
川芎 Ligusticum wallichii Franchet
厚朴 Magnoliae Cortex
蘿葍子 Raphani Semen

藿香 Agastachis Herba 4
酸棗仁 Zizyphi Spinosi Semen
生薑 Zingiber officinale Rosc
蘇葉 Perilla frutescens Britton var. acuta Kudo
龍眼肉 Euphoria longan Lour
枳實 Poncirus trifoliata Rafin

참고문헌

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