Case Report

『傷寒論』에 근거하여 小柴胡湯加減方과 小柴胡湯을 처방하여 호전된 만성 바르톨린샘 낭종 증례 1례 보고

A case report of chronic Bartholin's cyst that improved with modified Sosiho-tang based on Shanghanlun

2023 Vol. 15 No. 1
정재원1, 이숭인2*

  1. 전라북도 전주시 덕진구 사근1길 10 2층 해빛한방병원 원장

  2. 전라남도 나주시 동신대길 120-9 동신대학교 한의과대학 방제학교실 부교수

Jae-won Jeong1 · Lee Soong-in2*

  1. Director. Habit Korean Medical Hospital, 2F, 10, Sageun 1-gil, Deokjin-gu, Jeonju-si, Jeonlabuk-do, Republic of Korea*

  1. Associate Professor, Department of Herbal Formula Science, College of Korean Medicine, Dong-Shin University, 120-9 Dongshindae-gil, Naju, Jeonnam, South Korea


Objective : This study reports a case of chronic Bartholin's cyst treated with Sosiho-tang and suggests a modifying method.

Methods : We reviewed a 41-year-old female patient with fatigue accompanied by chronic Bartholin's cyst. Symptomatic changes were checked on every visit using SF-12 (Short-form-12 health survey) and VAS (Visual analogue scale). The 104th provision in Shanghanlun was compared with diagnosis and process analysis.

Results : The modified Sosiho-tang removed Scutellariae Radix and used Phlomidis Radix of the same weight. The exacerbation factors were characterized with excessive activity (大), Edema and swelling of the foot (滿), Feeling tired in morning (朝) in 104th provision. After 45 days modified Sosiho-tang and 15 days Sosiho-tang, SF-12 and VAS ameliorated. No adverse effects was observed to the last follow-up visit.

Conclusions : Modified sisiho-tang and Sosiho-tang were effective to the patient. Clinical application of 104th provision of Shanghanlun can consider excessive activity, edema, and morning fatigue.

Key words : Sosiho-tang, Scutellariae Radix, Phlomidis Radix, Shanghanlun, Bartholin's cyst



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