DOI QR코드

DOI QR Code

The Effects of Acupuncture and Herbal Medicine for the Treatment of Whabyung: A Meta-analysis

화병치료에 대한 침과 한약의 효과에 대한 메타분석

  • Kim, Yeri (College of pharmacy, Sookmyung Women's University) ;
  • Chung, Sun-Yong (Department of Korean Neuropsychiatry, Gangdong Kyung Hee University Hospital) ;
  • Choi, Eun-Ji (Department of Korean Neuropsychiatry, Gangdong Kyung Hee University Hospital) ;
  • Cho, Eun (College of pharmacy, Sookmyung Women's University)
  • 김예리 (숙명여자대학교 약학대학) ;
  • 정선용 (강동경희대학교병원 한방신경정신과) ;
  • 최은지 (강동경희대학교병원 한방신경정신과) ;
  • 조은 (숙명여자대학교 약학대학)
  • Received : 2017.11.19
  • Accepted : 2017.12.13
  • Published : 2017.12.29

Abstract

Background and Objective: Whabyung is a Korean cultural disorder characterized by a combination of emotional stress and physical symptoms. Acupuncture, herbal medicines and other complementary medicinal treatments are used to treat the symptoms of whabyung. The purpose of this study is to investigate the effects of acupuncture treatment and herbal medicine treatments on anger, anxiety and depression of whabyung. Methods: Using PubMed, CENTRAL, AMED, MEDLINE, EMBASE, MEDLINE, CINAHL, Cnii, CNKI, J-SATGE, PsycArticles, KISS, KoreaMed, kmbase, NDSL, RISS, OASIS and Korean Traditional Knowledge Portal, articles published by March 2017 for whabyung or whabyung-related syndrome were searched. The quality of selected articles was evaluated using RoB and RoBANS. The effects of acupuncture and herbal medicines on anger, anxiety, and depression levels of whabyung patients were considered for meta-analyses. Results: Of the total 2408 articles retrieved from the database, 11 were finally selected and 4 articles were used for meta-analyses. Acupuncture reduced whabyung patients' anger and anxiety. Especially, the state anxiety was significantly reduced (effect size= -0.676, p= .026). Herbal medicine had effects on reducing anxiety and state anger while trait anger was increased without statistical significance. Conclusion: The present study showed the effectiveness of acupuncture and herbal medicines for whabyung patients in general. However, considering the limited availability of articles and the heterogeneity between them included for the meta-analysis, the results should be generalized with caution. In the future, more studies within the structure of evidence-based medicine need to be conducted to generate objective and valid evidences of korean medicine.

Keywords

References

  1. Min SK, Kee NK, Lee HY. An epidemiological study of hwabyung. J Korean Neuropsychiatr Assoc 1990;29(4):867-74.
  2. Amer Psychiatric. Diagnostic and statistical manual of mental disorders 4. Edition, Fourth ed: Am Psychiatric Association, 1994.
  3. Chung SY, Song SY, Kim JW. Clinical guidelines for Hwabyung II.(Research on the Status of Hwabyung in Korea). Journal of Oriental Neuropsychiatry 2013;24(spc1):15-22. https://doi.org/10.7231/jon.2013.24.Spc1.015
  4. Kim JW. Release from Wha-byung: womennews; 2007.
  5. Lee KL. Meta-Analysis of Single-Subject Design Studies in Stuttering Treatment. Communication Sciences and Disorders 2014;19(3):381-90. https://doi.org/10.12963/csd.14142
  6. Schiavetti N, Metz DE, Orlikoff R F, Evaluating research in communicative disorders, 6th ed: Upper Saddle River, NJ: Pearson. Allyn & Bacon, 2011.
  7. Shin WJ. An Introduction of the Systematic Review and Meta-Analysis. Hanyang Med Rev. 2015;35:9-17. https://doi.org/10.7599/hmr.2015.35.1.9
  8. Kim YY, Hyun HS. A Quality Assessment of Systematic Review of Oriental Medicine in South Korea. Journal of digital convergence 2015;13(10):549-59. https://doi.org/10.14400/JDC.2015.13.10.549
  9. Seung SH. A Systematic Review of Clinical Studies for Hwa-byung in Korea Journal. D.S. Thesis. Daegu Haany University. 2016.
  10. Choi EJ. A systematic review of diagonosis.assessment and treatment for Hwa-byung. M.S. Thesis. Kyung-hee University. 2017.
  11. Hong MK, Kim WJ, Lee WB, et al. Korean medicine for Hwa-byung: a systematic and meta-analysis. Orient Pharm Exp Med 2016;16(4):251-7. https://doi.org/10.1007/s13596-016-0233-y
  12. Moher D, Liberati A, Tetzlaff J, et al. PRISMA group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 2010;8(5):336-41. https://doi.org/10.1016/j.ijsu.2010.02.007
  13. Kim JW, Whang WW. A clinical study on treatments of Hwabyung with oriental medicine. The Journal of Korean Medicine 1998;19.
  14. Seo YH, Park SJ, Lee HK. The Study about Meridian Cardiac CMP Change after External Gigong Theraphy in Suchi-Chim to Hwabyung Patients. The Korean academy of medical gigong 2003;7(1):45-60.
  15. Jung IC, Lee SR, Park YC, et al. The Effect of Sa-am Acupuncture Simjeongkyeok Treatment for Major Symptom of Hwa-byung. Journal of Oriental Neuropsychiatry 2008;19(1):1-18.
  16. Jung DJ, Lee JH. The clinical trial for the significant effects of acupuncture on decreasing anxiety symptom of Hwa-Byung in a single institutesingle-arm with Hwa-Byung, open lable. J Orient Neuropsychiatry 2012;23(1):49-58. https://doi.org/10.7231/JON.2012.23.1.049
  17. Lee GE, Kim NK, Kim HY, et al. The Effects of Acupuncture Treatment on Hwa-byung patient's Insomnia: Patient-assessor blind, Randomized, Placebo-controlled Clinical trial. J Orient Neuropsychiatry 2012;23(1):31-48. https://doi.org/10.7231/JON.2012.23.1.031
  18. Bae DB, Lyu SJ, Lee GE, et al. The Effects of Acupuncture Treatment on the Autonomic Nervous Systems of Hwa-byung Patients Insomnia. J Orient Neuropsychiatry 2014;25(3):235-42. https://doi.org/10.7231/jon.2014.25.3.235
  19. Bae EJ. The Clinical Study of Effectiveness of Yuldahansotang in Hwabyung Patient. M.S. Thesis. Kyung Hee University. 2006.
  20. Kim SH, Park YC, Hong KE, et al. The effect of Bunsimgi-eum on Hwa-byung: Randomized, double blind, placebo controlled trial. J Ethnopharmacol 2012;144(2):402-7. https://doi.org/10.1016/j.jep.2012.09.029
  21. Choi WC. The Effect of Sihogayonggolmoryeo-tang on Anxiety of Patients with Hwa-byung : Randomized,Double-blinded,Placebo-control Trial. D.S. Thesis. Daejeon University. 2014.
  22. Lim JH, Kim JW. A comparative study on the changes of the clinical appearances and stress perception of Hwabyung patients, according to the oriental medical therapy. J Orient Neuropsychiatry 2000;11(1):47-57.
  23. Song YR, Park KM, Yang SJ, et al. 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
  24. Lim SM, Shin ES, Lee SH, et al. Tools for assessing quality and risk of bias by levels of evidence. J Korean Med Assoc/Taehan Uisa Hyophoe Chi 2011;54(4).
  25. Hong S, Keum K, Hwang W, et al. A study on present status of oriental medical informatics and development plan. J Korea Institute Oriental Med Inform 2004;10(2):114-88.
  26. Cho Jh, Son CG, Lee YW, et al. Current status of studies on cancerrelated quality of life instruments. J Korean Orient Intern Med 2006;27.
  27. Lee NH, Cho JH, Son CG, et al. Analysis of studies on quality of life according to cancer types and symptoms. J Korean Orient Intern Med 2006;27.
  28. Jeong TY, Cho JH, Son CG. An Overview of HRQOL (Health Related Quality of Life) Instrument and Application in Oriental Medicine. Korean Orient Med Soc 2010;31(2):64-70.