골절에 한약을 적용한 한의학 증례보고 문헌고찰

A Literature Review of Case Reports of Korean Medicine Applying Herbal Medicine to Fracture

Objectives: The purpose of this literature review was to research fracture cases treated with herbal medicine in Korea. The analysis was focused on the fracture site, outcome measure, herbal medicine decoction and medicinal herbs. Methods: We searched case reports of fractures treated with Korean medicine, published since 2011 until 2020 November, in five Korean databases. The key words Fracture (in Korean and English) and Case (in Korean) were used to obtain the data. Studies that did not use herbal medicine and studies that did not indicate medicinal herbs were excluded. Results: Numeric rating scale or visual analog scale were used in 34 cases. Among the 35 case reports, the most used herbal medicine, Dangguisu-san was reported in 8 cases. Sipjeondaebo-tang, Bojungikgi-tang, Samul-tang were used in 3 cases. Common reasons for using the herbal medicine were pain and swelling control (20 cases), bones and muscles strengthening ( 17 cases), blood circulation (15 cases), and bone healing ( 6 cases). Conclusion: In Korean medical case reports, imaging tests and various evaluation methods are used to diagnose fractures. Appropriate treatment methods and herbal medicine prescriptions are used according to the patient s symptoms and the stage of fracture healing. Various case reports of fractures and additional experimental, clinical studies on the specific effects of herbal medicines on the bone fusion process are needed in the future.