Home | Register | Login | Inquiries | Alerts | Sitemap |  

Advanced Search
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



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


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.


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.


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.
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
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.
Fig. 7
Timeline analysis of this case.
Fig. 8
Changes in Verbal Numerical Rating Scale(VNRS).
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


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.

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.
crossref pmid

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.

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.

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.

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.

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.

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.

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.
crossref pmid pmc

18. Heo J. New Translation of Donguibogam. Seoul: Namsandang;1992. p. 757

PDF Links  PDF Links
Full text via DOI  Full text via DOI
PubReader  PubReader
Download Citation  Download Citation
Editorial office contact information
3F, #26-27 Gayang-dong, Gangseo-gu Seoul, 157-200 Seoul, Korea
The Society of Korean Medicine
Tel : +82-2-2658-3627   Fax : +82-2-2658-3631   E-mail : skom1953.journal@gmail.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Developed in M2PI