Case Report

상한금궤처방의 근골동통질환 접근법에 따른 苓桂甘棗湯 證例의 考察

A Clinical Study on Cases of Ling-Gui-Gan-Zao-Tang(苓桂甘棗湯) using Medical Approach of Sanghan-Geumgwe(傷寒金匱) in Musculoskeletal Disorders

2012 Vol. 4 No. 1
노의준# ․고영협*
할아버지한의원# , 국립나주병원*
Euy Joon Rho# ․Young Hyup Ko*
Halabergy Oriental Medical Clinic, 1422-11 Kwanyang-dong, Dongan-gu, Anyang, Kyeongki-do, Korea.#
Naju National Hospital, Sanje-ri, Sanpo-myeon, Naju-si, Jeollanam-do, Korea*


Objective : The purpose of this study is to suggest medical approach to musculoskeletal system disorders using the decoction of Sanghan-Geumgwe. We studied cases of Ling-Gui-Gan-Zao-Tang prescribed patients to evaluate the clinical efficacy in musculoskeletal system disorders

Method : We devised medical approach of Sanghan-Geumgwe(傷寒金匱) in musculoskeletal disorders as follows. First, we chose ryeon-je(攣劑 ) and soo-je(水劑) herb medicine, commonly used in musculoskeletal disorders. In the selected herb group, we designated ryeon-je(攣劑) to be first key herbs, Soo-Je(水劑) as the second key herb, and other herb groups as third key herb. In this sequential selection and exclusion process, herbs were chosen based upon yak-neung-hyo-seon(藥能效選). Combination of those selected herbs drew pre-prescription group, finally prescription were made by the prescription criteria.

Results :  Based on the medical approach of decoctions of Sanghan-Geumgwe, we chose Ling-Gui- Gan-Zao-Tang(苓桂甘棗湯) to treat many kinds of musculoskeletal system disorders. And we achieved higher results on treatment for musculoskeletal system disorders.

Conclusions : The medical approch using the decoctions of Sanghan-Geumgwe is very useful in choosing accurate prescriptions for patients with musculoskeletal system disorders in clinic.

KeyWords : Ling-Gui-Gan-Zao-Tang, Shang-han-lun, Gin-kui-yao-lue, Sanghan-Jinkui, musculoskeletal system disorders