Case Report

『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.

2023 Vol. 15 No. 1
최재영1, 이성준2, 이숭인3

  1. 남대문세화한의원

  2. 대한상한금궤의학회

  3. 동신대학교 한의과대학 방제학교실

Choi Jae-young1, Lee Sung-jun2 , Lee Soong-in3*

  1. Namdaemun Sehwa Korean medicine clinic 30, Namdaemoonro, Joonggu, Seoul, Korea

  2. Korean Medical Association of Clinical Sanghan-Geumgwe, 14, Sejong-daero, Jung-gu, Seoul, Republic of Korea

  3. Dept. of Herbal Formula Science, College of Korean Medicine, Dogshin University, 120-9 Dongshindae-gil, Naju, Jeonnam, South Korea.


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..

Key words : osteochondritis dissecans; talus; Gamchobuja-tang; SF-36, AQoL-6D