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

Article information

J Korean Med. 2020;41(3):151-161

Publication date (electronic) : 2020 September 01

doi : https://doi.org/10.13048/jkm.20031

Yu-bin Ha

, Gil-cho Shin

Dept. of Internal Korean Medicine, Dong-Guk University Bun-dang Oriental Medicine Hospital

Correspondence to：신길조, 경기도 성남시 분당구 불정로 268, 동국대한방병원 한방내과, Tel：+82-31-710-3710, Fax：+82-31-710-3780, E-mail: shingcho@naver.com

Received 2020 May 29; Revised 2020 July 29; Accepted 2020 July 31.

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: Daewhangchija-paste; Adhesive treatment; Multiple Rib Fracture; Korean medicine; 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

Table 2

Composition of Herb medicine

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Article information Continued

Fig. 1

Chest Computed Tomography(CT). Chest CT shows broken 9th rib and hemopneumothorax in the left posterior chest wall.

Fig. 2

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. 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