Journal of Korean Medical classics (대한한의학원전학회지)

The Society of Korean Medical Classics (대한한의학원전학회)
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A Study on the Korean Medical Treatment of Recurrent Pregnancy Loss: A Contemporary Understanding and Application of Classical Texts

습관성 유산의 한의학적 치료에 대한 연구 - 고문헌의 현대적 이해와 활용 -

  • Kim Yeon-Tae (Korean Medicine at Suwon Hana Convalescent Hospital)
  • 김연태 (수원하나요양병원)
  • Received : 2024.07.20
  • Accepted : 2024.08.17
  • Published : 2024.08.25
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Abstract

Objectives : The aim of this study is to establish foundation for applied research and clinical application of the treatment principle and imperativeness for Korean Medical treatment of recurrent pregnancy loss through the study of classical texts. Methods : The Donguibogam, Yixuerumen, Jingyuequanshu, together with gynecological texts such as the Fuqingzhunuke and the Nukejinglun were studied in terms of treatment, post-miscarriage cultivation methods and prevention for various types of pregnancy loss. Results : For cases of missed miscarriage, Foshousan is applied, while for recovery post surgery, Shenghuatang-based formulas are applied. For cases of imminent miscarriage, prescriptions should be selected based on major symptoms such as stomach pain, lower back pain and bleeding, while for cases of chemical miscarriages, treatment methods that cultivates the Liver and calms qi should be applied. After pregnancy loss, elimination of stagnant blood should be prioritized according to the principle of 'first eliminate blood, then tonify deficiency'. For prevention of pregnancy loss, Jinguidangguisan-based formulas should be applied according to medicinal administration principles of Korean Medicine. Conclusions : For an integrative treatment and prevention of recurrent pregnancy loss, Korean Medical treatment according to clinical representation is required.

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References

  1. 李梴. 原本 編註醫學入門. 서울. 남산당. 2007.
  2. 許浚. 原本 東醫寶鑑. 서울. 남산당. 2017.
  3. 程國彭. 醫學心悟. 서울. 정담. 2002.
  4. 蕭塤 著. 김동일, 김민성 共譯. 女科經綸新解. 경기도. 보명 BOOKS. 2006.
  5. 傅靑主. 國譯 傅靑主男女科 葉天士女科. 서울. 대성문화사. 1995.
  6. 唐容川. 唐容川医学全书. 山西科学技术出版社. 2016.
  7. 唐宗海. 血證論. 上海. 上海人民出版社. 1977.
  8. 張介賓. 校勘 景岳全書. 서울. 정담. 1999.
  9. 龔廷賢. 增補 萬病回春. 서울. 일중사. 1994.
  10. Hady El Hachem 外 5人. Recurrent pregnancy loss: current perspectives. International Journal of Women's Health. 2017. 9. pp.331-345. https://doi.org/10.2147/IJWH.S100817
  11. Holly B Ford, Danny J Schust. Recurrent Pregnancy Loss: Etiology, Diagnosis, and Therapy. Rev Obstet Gynecol. 2009. 2(2). pp.76-83.
  12. Julia Tomkiewicz, Dorota Darmochwal-Kolarz. The Diagnostics and Treatment of Recurrent Pregnancy Loss. Journal of Clinical Medicine. 2023. 12(14). https://doi.org/10.3390/jcm12144768
  13. 권한슬, 김형준, 강소현. 습관성 유산의 한의학적 치료에 대한 국내 임상 연구 고찰. 대한한방부인과학회지. 2023. 36(3). pp.62-77.
  14. 김은섭, 장은하, 최호수. 계류 유산 환자의 자연배출을 돕는 芎歸湯加減 치험 1례. 대한한방부인과학회지. 2017. 30(3). pp.136.-145. http://dx.doi.org/10.15204/jkobgy.2017.30.3.136
  15. 王芳芳, 刘德佩. 中西医结合预防稽留流产清宫术后宫腔粘连60例临床研究. Jiangsu Journal of Traditional Chinese Medicine. 2015. 10.
  16. Xiaobin Wang 外 5人. Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study. Fertility and Sterility. 2003. 79(3). pp.577-584. https://doi.org/10.1016/S0015-0282(02)04694-0
  17. Siobhan Quenby 外 24人. Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss. The Lancet Journal. 2021. 392(10285). pp.1658-1667. https://doi.org/10.1016/S0140-6736(21)00682-6
  18. Carmen Garrido-Gimenez, Jaume Alijotas-Reig. Recurrent miscarriage: causes, evaluation and management. Postgraduate Medical Journal. 2015. 91(1073). pp.151-162. https://doi.org/10.1136/postgradmedj-2014-132672
  19. Katherine J. Gold 外 3人. What causes pregnancy loss? Preexisting mental illness as an independent risk factor. General Hospital Psychiatry. 2007. 29(3). pp.207-213. https://doi.org/10.1016/j.genhosppsych.2007.02.002
  20. Yost, Nicole P. 外 8人. Effect of Coitus on Recurrent Preterm Birth. Obstetrics & Gynecology. 2006. 107(4). pp. 793-797. https://doi.org/10.1097/01.AOG.0000206757.92602.b5
  21. Claire Jones, Crystal Chan, Dan Farine. Sex in pregnancy. CMAJ. 2011. 83(7). pp. 815-818. https://doi.org/10.1503/cmaj.091580
  22. W. Li 外 4人. Relationship between psychological stress and recurrent miscarriage. Reproductive BioMedicine Online. 2012. 25(2). pp.180-189. https://doi.org/10.1016/j.rbmo.2012.03.012
  23. Susmita Das 外 5人. The risk of miscarriage is associated with ambient temperature: evidence from coastal Bangladesh. Frontiers in Public Health. 2023. 11. https://doi.org/10.3389/fpubh.2023.1238275
  24. Alessandro Di Nallo, Selin Koksal. Job loss during pregnancy and the risk of miscarriage and stillbirth. Human Reproduction. 2023. 38(11). pp.2259-2266. https://doi.org/10.1093/humrep/dead183
  25. N.T.N. Ngoc 外 4人. Medical treatment of missed abortion using misoprostol. International Journal of Gynecology & Obstetrics. 2004. 87(2). pp.138-142. https://doi.org/10.1016/j.ijgo.2004.07.015
  26. Elizabeth G. Raymond, Mark A. Weaver, Tara Shochet. Effectiveness and safety of misoprostol-only for first-trimester medication abortion: An updated systematic review and meta-analysis. Contraception. 2023. 127. https://doi.org/10.1016/j.contraception.2023.110132
  27. Ravichandran Nadarajah 外 4人. A randomised controlled trial of expectant management versus surgical evacuation of early pregnancy loss. Obstet Gynecol Reprod Biol. 2014. 178. pp.35-41. https://doi.org/10.1016/j.ejogrb.2014.02.021
  28. Nalini Mahajan, S. Sharma. The endometrium in assisted reproductive technology: How thin is thin?. Journal of Human Reproductive Sciences. 2016. 9(1). pp.3-8. https://doi.org/10.4103/0974-1208.178632
  29. Angelo B. Hooker M.D 外 3人. Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review. Fertility and Sterility. 2015. 105(1). pp.156-164. https://doi.org/10.1016/j.fertnstert.2015.09.021
  30. Ido Ben-Ami 外 6人. Infertility following retained products of conception: is it the surgical procedure or the presence of trophoblastic tissue?. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2014. 182. pp.132-135. https://doi.org/10.1016/j.ejogrb.2014.09.021
  31. Shohreh Alimohamadi 外 7人. Progesterone and threatened abortion: a randomized clinical trial on endocervical cytokine concentrations. Journal of Reproductive Immunology. 2013. 92(1). pp.52-60. https://doi.org/10.1016/j.jri.2013.01.004
  32. Lucas A McLindon 外 11人. Progesterone for women with threatened miscarriage (STOP trial): a placebo-controlled randomized clinical trial. 2023. 38(4). pp.560-568. https://doi.org/10.1093/humrep/dead029
  33. 노언지, 김동철. 절박 유산의 한약 치료 효과에 대한 무작위 대조 임상시험 연구 고찰. 대한한방부인과학회지. 2022. 35(4). pp.57-75. http://dx.doi.org/10.15204/jkobgy.2022.35.4.057
  34. Marise M Wagner 外 5人. Association between miscarriage and cardiovascular disease in a Scottish cohort. Heart. 2015. 101. pp.1954-1960.
  35. ELHAM KHARAZMI, MAHDI FALLAH, RIITTA LUOTO. Miscarriage and risk of cardiovascular disease. AOGS. 2010. 89(2). pp.284-288. https://doi.org/10.3109/00016340903380758
  36. S. Quenby 外 4人. Recurrent miscarriage and long-term thrombosis risk: a case- control study. Human Reproduction. 2005. 20(6). pp.1729-1732. https://doi.org/10.1093/humrep/deh844
  37. Harry Kyriacou 外 7人. The risk of cardiovascular diseases after miscarriage, stillbirth, and induced abortion: a systematic review and meta-analysis. European Heart Journal Open. 2022. 2(5). https://doi.org/10.1093/ehjopen/oeac065
  38. Sudeshna Mukherjee 外 4人. Risk of Miscarriage Among Black Women and White Women in a US Prospective Cohort Study. American Journal of Epidemiology. 2013. 177(111). pp.1271-1278. https://doi.org/10.1093/aje/kws393