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『傷寒論』 甘草附子湯으로 호전된 거골 박리성 골연골염 증례 1례

A case of osteochondritis dissecans of the talus improved by Shanghanlun Gamchobuja-tang.

대한상한금궤의학회지 / The Journal of Korean Medical Association of Clinical Sanghan-Geumgwe, (P)2287-8696; (E)2288-744X
2023, v.15 no.1, pp.161-182
https://doi.org/10.22891/kmedia.2023.15.1.161
최재영 (남대문세화한의원)
이성준 (대한상한금궤의학회)
이숭인 (동신대학교 한의과대학 방제학교실)
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Abstract

Objective: This is the result of a study on patients with osteochondritis dissecans (OCD) of the talus whose pain was improved by Gamchobuja-tang (GBT). Methods: The patient took GBT for 46 days. We observed the progress of symptoms, patient compliances and side effects. Quality of life related to pain was quantified through the SF-36 and AQoL-6D questionnaires. The degree of pain in the talus and ankle areas was quantified using VAS and observed through the symptoms and frequency complained of by the patient. Results: According to the DPIDS, the patient was diagnosed with the 175 provision in Taeyangbing chestbind (大陽病 結胸). As a result, SF-36 score increased from 36 points to 74 points, and the AQoL-6D score increased from 74 points to 104 points. The visual analogue scale (VAS) of ankle pain lowered from 9 to 2. The number of days with VAS levels 1 also increased. Conclusions: Gamchobuja-tang is effective in reducing pain in the talus area caused by osteochondritis dissecans..

keywords
osteochondritis dissecans, talus, Gamchobuja-tang, SF-36, AQoL-6D

대한상한금궤의학회지