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Usage of Korean Herbal Medicine for Climacteric Symptoms - Analysis of Korean Clinical Studies

갱년기 증상에 대한 한약 사용 - 국내 한의 임상연구 분석

  • Minjung Bae (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Jaewoon Ha (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Youngju Yun (Department of Integrative Medicine, School of Korean Medicine, Pusan National University)
  • 배민정 (부산대학교 한의학전문대학원 한의학과) ;
  • 하재운 (부산대학교 한의학전문대학원 한의학과) ;
  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학)
  • Received : 2023.08.12
  • Accepted : 2023.08.30
  • Published : 2023.08.31

Abstract

Objective : To investigate the usage of Korean herbal medicine (KHM) for climacteric symptoms, this study reviewed clinical studies conducted in Korea. Method : Literature search was performed on three Korean database; OASIS, RISS and NDSL. Studies published before July 2023 were categorized and analyzed according to the study type and herbal prescriptions. Results : Fifty-eight studies including 7 controlled trial, 27 case series and 24 single case reports were included in our review and the total number of case patients was 420. 52 prescriptions based on syndrome identifications and 11 prescriptions of Sasang constitutions were used and the most frequently used prescriptions were Soyosan(逍遙散) and Guibitang(歸脾湯). Thirty-two prescriptions were also mentioned in previous delphi research or clinical practice guideline, and the rest were not. Thirty-five studies used acupuncture combined with KHM and 10 studies used pharmacopuncture and 5 studies used herbal hipbath. Conclusion : To increase the therapeutic effect of KHM and establish KHM as an alternative to hormone treatment, various prescriptions should be used according to syndrome identifications in the clinical field. High-quality RCTs on frequently used prescriptions and the development of various type of KHM are also necessary.

Keywords

Acknowledgement

본 연구는 2023년도 부산대학교병원 임상연구비 지원으로 이루어졌음

References

  1. Nelson HD. Menopause. The Lancet. 2008: 371(9614):760-770. https://doi.org/10.1016/S0140-6736(08)60346-3
  2. Kwon DH, Shin JH. Updated treatment guideline for hormone therapy in postmenopausal women. Journal of the Korean Medical Association. 2019:62(3):145-149. https://doi.org/10.5124/jkma.2019.62.3.145
  3. Dodin S, Blanchet C, Marc I, Ernst E, Wu T, Vaillancourt C, Paquette J, Maunsell E. Acupuncture for menopausal hot flushes. Cochrane Database of Systematic Reviews. 2013:7:1-48. https://doi.org/10.1002/14651858.CD007410.pub2
  4. Zhu X, Liew Y, Liu ZL. Chinese herbal medicine for menopausal symptoms. Cochrane Database of Systematic Review. 2016:3:1-78. https://doi.org/10.1002/14651858.CD009023.pub2
  5. Hong NR, Jang YS, Yang SH, Choi YY, Oh DY, Lee SJ, Namgoong J, Kim JH. A Review on Domestic Study Trends on Hot Flush in Menopausal Women with Traditional Korean Medicine. J Korean Obstet Gynecol. 2020:33(1):86-103.
  6. Kim DH, Kim DI. Review on the Treatment Methods of Korean Medicine for Menopausal Women's Depression in Foreign Clinical Research. J Korean Obstet Gynecol. 2015:28(2):76-90. https://doi.org/10.15204/jkobgy.2015.28.2.076
  7. Hwang HJ, Ahn SY, Kim DC. A Review of the Domestic Study Trends on Climacteric Syndrome Treated with Pharmacopuncture. J Korean Obstet Gynecol. 2021:34(3):79-95.
  8. Yun JM, Jang SB, Kim KH. The Analysis of the Recent Research Trend of Traditional Korean Medicine Intervention with Woman Menopausal Symptoms. J of Society of Preventive Korean Medicine. 2018:22(1):29-44. https://doi.org/10.25153/spkom.2018.22.1.003
  9. National Institue for Korean Medicine Development Clinical Practice Guideline of Korean Medicine Development Fund. Korean Medicine Clinical Practice Guideline of Climacteric and Postmenopausal Syndrome. 2021:5-6, 8-10.
  10. Lee BR, Sin YW, Kim EI, Lee JE, Yoo DY. The aggravated case of menopausal disorder due to the mental problem. J Korean Obstet Gynecol. 2004:17(4):196-207.
  11. Lee JA, Ban HR, Yang SJ, Park KM, Cho SH. Clinical study on one case of climacteric syndromes induced hysterectomy. J of Oriental Medical Prescription. 2004:12(1):263-276.
  12. Park KI, Kim JW, Park KS, Lee JM. A Case Study on Short Term Hospitalization Program of Korean Medicine Treatment for Postmenopausal Hot Flush and Sweating. J Korean Obstet Gynecol. 2013:26(3):114-124. https://doi.org/10.15204/jkobgy.2013.26.3.114
  13. Kim JA, Kim DC. 4 Cases Report of Menopause Syndrome with Ondam-tang Gagambang. J Korean Obstet Gynecol. 2014:27(1):206-216. https://doi.org/10.15204/jkobgy2014.27.1.206
  14. Cho SH. The Clinical Study of 21 Menopausal Disorder Patients Treated by Kamikubi-hwan. J Korean Obstet Gynecol. 2014:27(4):88-96. https://doi.org/10.15204/jkobgy.2014.27.4.088
  15. Han JY, Jang SB, Kim MJ, Kim SY, Lim YW. 50 Case Reports of Climacteric Syndrome Treated with Gamiguibi-hwan. J Korean Obstet Gynecol. 2018:31(1):138-146.
  16. Jeong SM, Hwang DS, Lee JM, Lee CH, Jang JB. Korean Medicine Treatment with Guibitang-gamibang for Abnormal Uterine Bleeding in Perimenopausal Women: 2 Cases Report.
  17. Gu HJ, Jo HJ, Cho SH, Park KM, Yang SJ. Two Cases Report of Climacteric Syndrome were Measured by Kupperman's Index. J Korean Obstet Gynecol. 2008:21(3):257-268. J Korean Obstet Gynecol. 2023:36(2):114-129.
  18. Park SH, Kim JH, Kim GW, Koo BS. A Case Report of Hwa-Byung with Menopausal Symptoms. J of Oriental Neuropsychiatry. 2009: 20(4):149-159.
  19. Jung MY, Sohn YJ. A Clinical study of acute climacteric symptoms measured by Kupperman's index. J Korean Obstet Gynecol. 2004:17(2):191-199.
  20. Park CS, Jung MY, Sohn YJ. A Clinical Study of Climacteric Symptoms after Hysterectomy. J Korean Obstet Gynecol. 2006:19(3):267-276.
  21. Lee GH, Yoo DY. A Case report of menopausal disorder treated with Danchisoyosan-gamibang. Research Institute of Korean Medicine Taejon University. 2008:17(2):160-165.
  22. Jung SH, Lee JM, Lee CH, Cho JH, Jang JB, Lee KS. A Therapeutic Case Report of Serious Musculoskeletal Systemic Pains of the Menopausal Disorder Studied in Connection with the Life Event Stress. J Korean Obstet Gynecol. 2008:21(2):252-262.
  23. Lee GH, Yoo DY. A Case report of menopausal disorder patient who had back pain treated with Kamisoyosan-gamibang. Research Institute of Korean Medicine Taejon University. 2011:19(2):195-199.
  24. Kim JE, Yang SJ, Cho SH, Yeo EJ, Park KM, Kim KO. A Case Report of Conversion Disorder with Climacteric Symptoms. J Korean Obstet Gynecol. 2012:25(4):144-153.
  25. Kang NH, Kim JH, Park NC, Yoo ES, Lee JM, Lee CH, Jang JB, Hwang DS. The Clinical Study on 2 Cases of Atrophic Vaginitis in Menopausal Women. J Korean Obstet Gynecol. 2016:29(4):34-45. https://doi.org/10.15204/jkobgy.2016.29.4.034
  26. Shin KS, Shin YW, Jung JH, Yoo DY. Clinical case study on the effect of Danchisoyosan utilizing for menopause. J Korean Obstet Gynecol. 2003:16(4):77-82.
  27. Yun MH, Yu SJ, Kim HJ. A Study on Relations between Hot flush and the Kupperman's Index, MENQOL, MRS during Treatment for Hot Flush in Menopausal Women. J Korean Obstet Gynecol. 2011:24(1):87-98.
  28. Baek DG. The Clinical Study of Two Severe Menopausal Disorder Patients Treated by Gamisoyo-san. J of Herbal Formula Science. 2012:20(2):199-211. https://doi.org/10.14374/HFS.2012.20.2.199
  29. Park BC, Park JW. A Report on the Results of Korean Medicine Health Promotion Project 'Vitality UP Health UP Class for Climacteric Women' in Boeun-gun in 2022. J Korean Obstet Gynecol. 2023:36(2):1-19. https://doi.org/10.15204/JKOBGY.2023.36.2.001
  30. Lee YK, Yoo YK, Lee DN, Kim HJ. A Case Report of Climacteric Symptoms in Premature Ovarian Failure Patient Who Has One Side Ovariectomy and Pelvic Tuberculosis. J Korean Obstet Gynecol. 2008:21(3):269-278.
  31. Kim JW, Park KI, Park KS, Lee JM. A Case Study with Gyejigabuja-tang on the Menopausal Female Patient who Complained of Excessive Sweating After Bilateral Salpingo-oophorectomy. J Korean Obstet Gynecol. 2013:26(4):213-222. https://doi.org/10.15204/jkobgy.2013.26.4.213
  32. Park JK. A Case Report of Menopausal Syndrome treated by Herbal medicine based on Shanghanlun provisions. J Korean Medical Association of Clinical Sanghan-Geumgwe. 2016:8(1):87-97.
  33. Lee HY, Yoon YJ, Park JK. A Improved Case Report of Postmenopausal Syndrome with Palpitation Treated by Korean Medicine Treatment including Jagamcho-tang-gami. J Korean Obstet Gynecol. 2023:36(1):90-102.
  34. Park JH, Lee GE, Lyu YS, Bae DB, Baek DG, Shin YJ, Kang HW, Lyu YS. The Clinical Study of 3 menopausal disorder patients with Palpitation and Depression Treated by Yeongkyekamjo-tang. J of Oriental Neuropsychiatry. 2012:23(2):67-84. https://doi.org/10.7231/JON.2012.23.2.067
  35. Lee YH. 5 Cases Report of Climacteric Symptoms with Shihogayonggolmoryo-tang. J Korean Obstet Gynecol. 2013:26(1):121-134. https://doi.org/10.15204/jkobgy.2013.26.1.121
  36. Kim KS, Lee SY, Cha JD, Kim EY, Kim KS, Kwak CK, Kim HS. A case report of climacteric woman improved with Soyangin Hyeongbangsabaeksan. J Sasang Constitut Med. 2003:15(2):118-123.
  37. Kim CS, Song HL, Lee YH, Kim HJ, Hwang JS, Lim SY, Yoo SM, Cho YC. A Case report of panic disorder patient with climacteric symptoms. J Korean Obstet Gynecol. 2004:17(3):190-198.
  38. Choi YJ, Kim DC. A Case Report of Chronic Cystitis in Menopausal Woman Improved by Combined Treatment of Korean Medicine with Hyeongbangsabaeksan. J of East-West Medicine. 2022:47(1):15-21.
  39. Jeong HY, Lee SJ, Cho HW, Lim EC. 2 Case Study Reportings on Efficiency using Hyeongbangdojeok-san of a Soyangin Patient diagnosed with Climacteric Syndrome. J Sasang Constitut Med. 2014:26(3):318-327. https://doi.org/10.7730/JSCM.2014.26.3.318
  40. Yu JS. Four Case Studies of Climacteric Disorders with Sasang Constitutional Medicine. J Sasang Constitut Med. 2017:29(3):271-279.
  41. Lee MJ, Kim EG, Hwang DS, Lee CH, Lee KS. A Clinical Case Study to Evaluate the Hot flush and Abdominal Cold Hypersensitivity Relief Efficacy of Cheonglijagamtang in Climacteric Woman by DITI. J of Oriental Medical Thermology. 2010:8(1):26-32.
  42. Park JH, Kim SW, Kim SY, Wang YM, Baek GG, Yun SH, Kang MH, Park SH, Lee HC, Lim YH. Case Report of Menopausal Vasomotor Symptoms (Heat Flashes and Sleep Disorders) in a Middle-Aged Female Patient Treated with Korean Medicine. J Int Korean Med. 2022:43(5):940-950. https://doi.org/10.22246/jikm.2022.43.5.940
  43. Song YR, Park KM, Yang SJ, Lee EK, Kim HH, Cho SH. 5 Cases of Climacteric Syndrome Patients with Hwa-Byung. J Korean Obstet Gynecol. 2016:29(4):80-90. https://doi.org/10.15204/jkobgy.2016.29.4.080
  44. Lee JE, Kim EI, Sin YW, Yoo DY. A report on the clinical efficacy of Daejohwan about the dryness of vagina and sexual satisfaction in climacteric women. J Korean Obstet Gynecol. 2005:18(3):203-214.
  45. Kim EI, Kim SM, Lee JE, Yoo DY. A Survey on Clinical Outcomes in Climacteric womens had improved by Received only Daejohwan at 3 months after the End of Treatment. J Korean Obstet Gynecol. 2006:19(1):251-260.
  46. Kim SH, Kim SH, Kim YJ, Kim JO, Park MS, An HY, Jo DH, Kang IS, Shin KI, Lee SI, Kim HJ. Analysis of the Treatment Results of Menopausal Women Participating in a Program to Overcome Menopause of Imsil-Gun Bogun Hospital. J Korean Obstet Gynecol. 2017:30(3):117-127.
  47. Namgoong J, Hwang BK, Hong NR, Oh DY, Jung JJ. A Case Report of Three Patients with Menopausal Disorder Managed with Jaeumganghwa-tang (Herbal Extract in National Health Insurance): Focusing on Kupperman's Index, Menopause Rating Scale. J Korean Obstet Gynecol. 2020:33(1):150-159.
  48. Kim RS, Kim SE, Ko CN, Lee KS. The one case of climacteric "Hwabyung" patient showed similar symptoms of Stroke. J Korean Obstet Gynecol. 2001:14(1):443-452.
  49. Kim SH, Cho JH, Jang JB, Lee KS. A case report of managing the premature ovarian failure patient. J Korean Obstet Gynecol. 2003:16(3):194-199.
  50. Park KS, Lee KS, Lee JM. A Clinical Case Study on Climacteric Woman with Numbness of Lower Limbs. J of Oriental Medical Thermology. 2011:9(1):1-7.
  51. Jung SK, Kim DI. Clinical Trial to Evaluate the Hot Flush Relief Efficacy and Safety of Yiseontang-gami in Climacteric Women with Hot Flushes. J Korean Obstet Gynecol. 2008:21(3):75-89.
  52. Kim BM, Jo HG. Administration Progression and Adverse Event Report of Er-Xian Decoction for Menopausal Hot Flushes: Case Report and Review of Literature. J Int Korean Med. 2019:40(1):154-163. https://doi.org/10.22246/jikm.2019.40.1.154
  53. Baek DG. The Clinical Study of 3 Menopausal Disorder Patients with Hot Flush and Depression Treated by Daeyeongjeongamibang. J of Oriental Neuropsychiatry. 2012:23(4):199-214. https://doi.org/10.7231/jon.2012.23.4.199
  54. Ban HR, Jo SH, Bak GM, Yang SJ, Jo HJ, Jeong JY. The Clinical Study of 15 menopausal disorder patients used Insamyangyeongtang. J Korean Obstet Gynecol. 2006:19(3):257-266.
  55. Kang JA, Kim HJ, Ryu IH, Kim SB, Choe CM, Cho HB. A Case Report of a Woman in Menopausal Transition by Using Hormone Assay. J Korean Obstet Gynecol. 2010:23(2):154-160.
  56. Cho HS, Kim HG, Ahn S, Yoo GN. A Case Report of the Effects of Jia Wei Si Wu Tang (Augmented Four-Substance Decoction) On A Menopausal Disorder Patient. J of Korea Institute of Oreintal Medical Diagnostics. 2011:15(2):215-222.
  57. Jo NY, Roh JD. Three Cases of Menopausal Hot Flush and Sweating Treated by Ascending Kidney Water and Descending Heart Fire (AKDH) Pharmacopuncture Treatment. J Korean Obstet Gynecol. 2015:28(2):193-203. https://doi.org/10.15204/jkobgy.2015.28.2.193
  58. Lee AR, Son SH, Park SJ. 3 Cases of Postmenopausal Hot Flush Treated with Hwangryunhaedoktang-Gamibang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017:30(4):176-183.
  59. Kim SI, Lee SH. Two Case Reports of the Menopausal Disorder with Hot Flashes Treated with Hoechunboeum-tang. J Int Korean Med. 2017:38(5):576-582. https://doi.org/10.22246/jikm.2017.38.5.576
  60. Lee HJ, Lee SJ, Hwang DS, Lee CH, Jang JB, Lee JM. Analysis of the Treatment for the 21 Cases of Menopausal Sweating Patients Hospitalized in a Korean Medicine Hospital. J Korean Obstet Gynecol. 2020:33(3):136-148. https://doi.org/10.15204/JKOBGY.2020.33.3.136
  61. Kim SM, Shin SM, Kim EI, Lee JE, Yoo DY. A Clinical Study on the Effect of Daejo-hwan (DJH) on Climacteric Syndrome. J Korean Obstet Gynecol. 2006:19(4):225-244.
  62. Park JM, Yang JM, Kim DI. A Clinical Trial to Verity the Quality of Life Improvement Efficacy of Dangguijakyak-san and Gyejibongnyeong-hwan Granulation in Postmenopausal Women. J Korean Obstet Gynecol. 2007:20(3):213-228.
  63. Kim HS, Yoon YJ, Lee JM, Lee CH, Jang JB, Lee KS, Cho JH. A Clinical Study on the Effect of Red Ginseng for Postmenopausal Hot Flushes. J of Oriental Medical Thermology. 2009:7(1):37-43.
  64. Park HM, Kang BM, Kim JG, Yoon BK, Lee BI, Cho SH, Choi H, Yu BH. The Effect of black cohosh with St. John's wort (FeraminQ) on climacteric symptoms: multicenter randomized double-blind placebo-controlled trial. Korean J of Obstetrics and Gynecology. 2005:48(10):2403-2414.
  65. Chung DJ, Park KH, Jeong KA, Lee SK, Lee YI, Hur SE, Cho MS. Black Cohosh and St. John's Wort (GYNO-Plus) for Climacteric Symptoms: a Double-blind, Randomized, Placebo-Controlled, Multicenter Trial. J of Menopausal Medicine. 2006:12(1):56-64.
  66. Ahn KH, Kim SM, Yi KW, Park HT, Shin JH, Kim YT, Hur JY, Kim SH, Lee KW, Kim T. The Effect of Pomegranate on Postmenopausal Syndrome: A Randomized, Double-blind, Placebo-controlled Trial. J of Menopausal Medicine. 2010:16(2):99-106.
  67. Ahn HY, Hur DH, Kim YJ, Cha MS, Lee DN, Kim HJ. Efficacy and Safety of Extract Obtained from Pueraria thunbergiana Bentham and Curcuma longa L. on the Improvement of the Menopausal Symptoms. J Korean Obstet Gynecol. 2020:33(4):75-92.
  68. Park SB. Diagnosis and Treatment of female menopause. Korean Society for Health Promotion and Disease Prevention 2018 Autumn conference Training lecture publication. 2018:67-71.
  69. Society of Korean Medicine Obstetrics and Gynecology. Korean Medicine Obstetrics & Gynecology Volume 2. 4th ed. Seoul: Eui-SeongDang Publishing Company. 2021:258, 264.
  70. Kim SK. Outcomes Study of Menopausal Hormone Therapy. National Evidence Based Collaborating Agency. 2021:3, 48, 55, 134-137, 145-149.
  71. Jeon SH, Park YH, Kim JW, Chi GY, Lee JY, Lee IS. A Study on the Experts' Agreement on the Patterns Classification of the Prescription for the Use of Menopausal Disorder. J Korean Obstet Gynecol. 2022:35(2):70-86.
  72. Lee SH, Jung HT, Kim SB. Intravaginal Administration of Oriental Medicine on Vaginal Atrophy in Menopause: A Systemic Review. J Korean Obstet Gynecol. 2021:34(2):62-81. https://doi.org/10.15204/JKOBGY.2021.34.2.062
  73. Lee SH, Kwon HR, Jo IJ, Chun SE, Kim SB. The Efficacy of Oriental Medicine on Memory in Menopause: A Systemic Review. J Korean Obstet Gynecol. 2023:36(2):20-35.