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KMID : 1189420180310040065
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Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology
2018 Volume.31 No. 4 p.65 ~ p.82
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A Review on Acne Treatment in Korean Medicine by Analyzing Case Studies with Herbal Medicine Treatment
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Cho Eun-Chai
Kim Kyu-Seok
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Abstract
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Objectives : The purpose of this study is 1) to explore the general tendency of the herbs or herbal formula for acne treatment in clinical practice 2) and to provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism by analyzing the herbs or herbal formula using for acne treatment in clinical practice.
Methods : In the domestic databases (Oriental medicine Advanced Searching Integrated System-OASIS, Korean Traditional Knowledge Portal-KTKP, National Discovery for Science Leader-NDSL, Research Information Sharing Service-RISS), we selected among the papers published using search terms related to "acne". Reports related to sasang constitutional medicine were excluded and a total of 23 papers were finally selected.
Results : 29 prescriptions were retrieved from 23 papers. Chungan-tang (ôèäÔ÷·) notified formulas ranked first by Cheongsangbangpung- tang (ôèß¾ÛÁù¦÷·), Hwangnyeonhaedok-tang (üÜÖ§ú°Ô¸÷· ), Dangguijakyaksan (Ó× Ïý íËå·ß¤) and Bipachungpe-eum (Ýí÷íôèøËëæ) . Commonly used herbs are Forsythiae Fructus (ææÎî) , Scutellariae Radix (üÜÐÙ) , Gardeniae Fructus (ö¼í) , Ligustici Rhizoma (ô¹Ïä) , and Angelicae Gigantis Radix (Ó×Ïý). In most patients with inflammatory lesions or excessive flushing, exterior-releasing medicinal (ú°øúå·) and heat-clearing medicinal (ôèæðå·) were mainly prescribed for acne treatment, while in patients with acne accompanied hyperkeratinization, Excess sebum secretion, Dysmenorrhea or indigestion, qi-tonifying medicinal (ÜÍѨå·) or blood-tonifying medicinal (ÜÍúìå·) were mainly used. KAGS (Korean Acne Grading System) was the most commonly used method for acne severity assessment.
Conclusions : These findings suggest that the herbs or herbal formula for acne treatment in Korean Medicine is prescribed differently according to the cause and symptoms of acne in a unique way for control the whole body balance. Also, our findings could provide a basis for explaining the principles of acne treatment in Korean Medicine in order to make patients understand more easily based on pharmacological mechanism in clinical practice.
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KEYWORD
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Acne, Korean Medicine, Case report, Narrative review
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