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A Case Report on Multiple Rib Fracture Improved with Daewhangchija-paste Adhesive treatment and Herb-medicine treatment.

대황치자고 첩부법과 한약 치료를 병용한 다발성 늑골 골절 환자 증례보고 1례

  • Ha, Yu-bin (Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital) ;
  • Shin, Gil-cho (Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital)
  • 하유빈 (동국대학교 분당한방병원 한방내과) ;
  • 신길조 (동국대학교 분당한방병원 한방내과)
  • Received : 2020.05.29
  • Accepted : 2020.07.31
  • Published : 2020.09.01

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.

Keywords

References

  1. Ha HJ, Gu JH, Choi BS, Oh TY, Oh EM, Oh MS, et al. A Case Report of Korean Rehabilitation Treatment and Analysis of Conservative Treatment of Pelvic Fracture in Korea. Journal of Korean Medicine Rehabilitation. 2018;28(2):135-148. https://doi.org/10.18325/jkmr.2018.28.2.135
  2. Tarng YW, Liu YY, Huang FD, Lin HL, Wu TC, Chou YP. The surgical stabilization of multiple rib fractures using titanium elastic nail in blunt chest trauma with acute respiratory failure. Surg Endosc. 2016;30(1):388-395. https://doi.org/10.1007/s00464-015-4207-9
  3. Kim HY, Kim MY. Management of Patients with Rib Fractures: Analysis of the Risk Factors Affecting the Outcome. Korean Journal of Thoracic Cardiovasc Surg. 2010;43(3):285-291. https://doi.org/10.5090/kjtcs.2010.43.3.285
  4. Lee JW, Roh JA, Choi GC, Kim DJ, Hong JS, Kim GB, et al. 5 Cases of Patients with Multiple Fractures of Ribs after a Traffic Accident who Improved with the Combination of Korean Medical Admission Treatment. Journal of internal Korean medicine. 2019;40(3):506-516. https://doi.org/10.22246/jikm.2019.40.3.506
  5. Bae HS, Han KS, Park EK, Park SS. A Case study of Rib fractures associated with severe coughing. Journal of Sasang Constitutional Medicine. 2001;13(3):140-144.
  6. Kim MK, Hwang JP, Kim HS, Hong SY, Heo DS, Yoon IJ, et al. Cases Reports of Fractures in Two Patients Undergoing Osteoporosis. Journal of Oriental Rehab Medicine. 2007;17(4):255-267.
  7. Lee JS, Kim JN, Hong JS, Ryu CG, Jeong SS, Moon SI. One Case Report of Electroacupuncture Treatment at Hua-Tuo-Jia-Ji-Xue on Rib Fracture and Thoracic Compression Fracture. Journal of Korean Spine & Joint Society. 2012;9(1):33-39.
  8. Hond JE, Choi HG, Go HI, Park MC, Jo EH. The Retrospective Review of 105 Inpatients with Rib Fracture in Korean Medicine Hospital. Journal of the Spine&joint Korean Medicine. 2018;15(1):25-38.
  9. Bae KJ, Jeong JW, Jung MY, Kim SJ. Reviewing Research on the Treatment and Study of Fracture in Korean Journals Objective - Focus on Domestic Thesis. Journal of Korean Medicine Rehabilitation. 2015;25(3):27-36. https://doi.org/10.18325/jkmr.2015.25.3.27
  10. Yang GY, Lee EK, Choi EH, Hyun JJ, Lee BR, Kim YI. A Literature Review on the Adhesive Herbal Treatment on Sprain. Journal of Korean Acupuncture & Moxibustion Society. 2009;26(1):23-28.
  11. Kim DE, Kim JH, Joung JS, Yu SA, Cho SW. A Review of Recent Studies for Treatment of Compression Fracture Using CNKI Database. Journal of Korean Medicine Rehabilitation. 2017;27(3):1-12. https://doi.org/10.18325/jkmr.2017.27.3.1
  12. Hwang JJ, Kim YJ, Ryu HW, Cho HM. Early Surgical Stabilization of Ribs for Severe Multiple Rib Fractures. Journal of the Korean Society Traumatology. 2011;24(1):12-17.
  13. He Z, Zhang D, Xiao H, Zhu Q, Xuan Y, Su K, et al. The ideal methods for the management of rib fractures. Journal of Thoracic Disease. 2019;11(8):1078-1089.
  14. Cho YS, Back CH, Lee KR, Shin YH, Whang YS, Jeong KY, et al. Detection of Rib Fractures in Minor Chest Injuries: a Comparison between Ultrasonography and Radiography Performed on the Same Day. Journal of the Korean Society of Radiology. 2007;56(4):349-354. https://doi.org/10.3348/jkrs.2007.56.4.349
  15. Peek J, Beks RB, Hietbrink F, Heng M, De Jong MB, Beeres FJP, Leenen LPH, Groenwold RHH, Houwert MR. Complications and Outcome after Rib Fracture Fixation. Journal Trauma Acute Care Surg. 2020 Apr 8.
  16. Khandelwal G, Mathur RK, Shukla S, Maheshwari A. A prospective single center study to assess the impact of surgical stabilization in patients with rib fracture. International Journal of Surg. 2011;9(6):478-481. https://doi.org/10.1016/j.ijsu.2011.06.003
  17. Tulay CM, Yaldiz S, Bilge A. Do we really know the duration of pain after rib fracture?. Kardiochir Torakochirurgia Pol. 2018;15(3):147-150.
  18. Heo J. New Translation of Donguibogam. Seoul: Namsandang. 1992:757.