구강 점액류의 한약 치험 3례

This is the first case report about oral mucoceles treated with traditional Korean medication in Korea. One case of Blandin-Nuhn mucocele and two cases of ranula were treated with Ondam-tang and Dohongsamul-tang respectively. No recurrence of ranula was found for 30 months in one case and 3 months in other recent case. According to this result, we suppose that consideration of "Blood stasis and heat" might be helpful to treat progressed or large mucoceles while common mucoceles are generally regarded as results of "Phlegm heat". We suggest that traditional Korean medication can be an alternative to preserve salivary glands and to minimize complications of surgery. Further studies with more cases and longer observation period should be performed to establish proper prescriptions for oral mucocele and the evidence of treatment rate and recurrence rate. 설하 점액류 1례와 하마종 2례를 각각 담열(痰熱)과 어열(瘀熱)로 변증하여 온담탕과 도홍사물탕을 처방해 호전을 보였으며, 장기 관찰에서 재발하지 않아 한약 치료가 구강 점액류 치료의 대안이 될 수 있으리라 판단된다.