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대퇴골두 골 괴사증 환자에 대한 화어전을 포함한 한의학적 치료에 대한 증례보고

A Case Report on a Patient with Osteonecrosis of the Femoral Head Treated with Korean Medicine Treatment Including Hwaeo-jeon

대한한방내과학회지 2020년 41권 1호 p.88 ~ 96
봉성민, 장우석, 겸경호,
소속 상세정보
봉성민 ( Bong Sung-Min ) - Dongguk University Ilsan Oriental Hospital Department of Acupuncture & Moxibustion
장우석 ( Jang Woo-Seok ) - Dongguk University Ilsan Oriental Hospital Department of Acupuncture & Moxibustion
겸경호 ( Kim Kyung-Ho ) - Dongguk University Ilsan Oriental Hospital Department of Acupuncture & Moxibustion

Abstract


Objectives: Osteonecrosis of the femoral head (ONFH) is caused by a circulatory disorder. If symptoms are not present, the patient’s progress is observed, but if symptoms are present, non-surgical methods or total hip replacement are performed. Several case reports have described the effects of Korean Medicine treatment on ONFH, but the number of cases is still small, and few studies have used blood stasis-based herbal medicines like Hwaeo-jeon (HEJ). This study reports the effectiveness of Korean Medicine treatments, including HEJ, on a case of ONFH.

Methods: A patient diagnosed with ONFH by CT and MRI was treated with Korean Medicine treatments consisting of herbal medicine including HEJ, bee venom pharmacopuncture, acupuncture, cupping, and physical therapy. The improvement of pain was assessed using a numerical rating scale. Inflammation levels were determined by blood tests conducted during hospitalization.

Results: Korean Medicine treatment, including herbal medicine, resulted in good clinical improvement responses, including reduced pain, improved mobility, and reduced inflammatory levels in the blood tests.

Conclusions: Korean Medicine treatments, including HEJ, may be effective for ONFH patients. Further studies are needed to determine the recovery of osteonecrosis and the improvement of post-operative aftereffects using Korean Medicine treatments, as well as the reduction of pre-operative pain.

키워드

avascular necrosis; osteonecrosis; ONFH; herbal medicine; Hwaeo-jeon

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