대한한방부인과학회지 (The Journal of Korean Obstetrics and Gynecology)

  • 제31권4호
  • /
  • Pages.128-146
  • /
  • 2018
  • /
  • 1229-4292(pISSN)
  • /
  • 2508-3619(eISSN)
대한한방부인과학회 (The Society of Korean Medicine Obstetrics and Gynecology)
권호 표지
DOI QR코드

DOI QR Code

산후기에 활용된 한약처방에 대한 국내 연구 분석

An Analysis of Domestic Researches on the Prescriptions of Korean Herbal Medicine Used during Postpartum Period

  • 김평화 (우석대학교 한의과대학 한방부인과학교실) ;
  • 정서윤 (우석대학교 한의과대학 한방부인과학교실) ;
  • 이은희 (우석대학교 한의과대학 한방부인과학교실)
  • Kim, Pyung-Wha (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University) ;
  • Jung, Seo-Yoon (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University) ;
  • Lee, Eun-Hee (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University)
  • 투고 : 2018.09.19
  • 심사 : 2018.11.26
  • 발행 : 2018.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study was performed to analyze the prescriptions of Korean herbal medicine which had been commonly used during postpartum period. Methods: We searched literature on postpartum cares with Korean Herbal medicine in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 48 studies. There were 40 clinical studies (25 case reports and 15 case series) and 8 animal experimental studies. 2. Of the 40 clinical studies, other treatments were used together with herbal medicine : acupuncture (28), chuna manipulation (3), and pharmacopuncture (5). 3. Of the 25 case reports, the most common symptoms were musculoskeletal symptoms (8), followed by mental disorders including postpartum depression (5). Various prescriptions of herbal medicine were used depending on the diseases or symptoms. 4. In 15 case series, 665 subjects in 11 case series had taken Saenghwa-tang-gagam within 1~2 weeks after childbirth, and the average duration of Saenghwa-tang-gagam administration were $9{\pm}4.97$ days. 498 subjects in 9 studies were breast-feeding, and there were no side effects reported. 5. All experimental studies were about the recovery, the immunity and the breast-feeding associated puerperal characteristics. Also, 3 studies used Saenghwa-tang as an intervention. Conclusions: Saenghwa-tang can be commonly used for the purpose of prevention and care of the postpartum symptoms within the first 1~2 weeks after childbirth for 10 days. Also, various prescriptions of herbal medicine may be used depending on the diseases or symptoms, and can be conducted with other treatments like acupuncture, cupping, moxibustion, pharmacopuncture and chuna manipulation.

키워드

참고문헌

  1. The State Affairs Planning Advisory Committee. The Five-Year Plans for State Affairs of the Moon Jae-In Administration. Seoul:The State Affairs Planning Advisory Committee. 2017:20, 175, 186.
  2. Ministry of Health and Welfare. The Guide to 2018' Maternal and Child Health Services. Seoul:Ministry of Health and Welfare. 2018:3-9, 36, 187-200, 347.
  3. Bae GM, Lee IS. The Study to Investigate the Recognition on Postpartum Symptom among Korean, Korean Resident in America and American. J Korean Obestet Gynecol. 2010;23(2):131-44.
  4. Jang SW, Heo SJ, Cho HJ. An Investigation into the State of Doctors' Linkage and Oriental Medical Treatment at All Postpartum Care Center in Seoul. J Korean Obestet Gynecol. 2011;24(4):174-85.
  5. Bak JY, et al. A Study about the Satisfaction of Oriental Medical Postpartum Care. J Korean Obestet Gynecol. 2009; 22(4):174-87.
  6. Kim PW, et al. A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth. J Korean Obestet Gynecol. 2017;30(4):114-34.
  7. Ministry of Health and Welfare. The 2017' Casebook on Maternity Support Policy of Korea Local Governments. Seoul:Ministry of Health and Welfare. 2017:332, 334, 337, 344-5, 35.
  8. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology. 3rd ed. Seoul:Euiseongdang. 2016:765-7.
  9. Ahn JP, et al. A Case Study of Patient with Ischemic Cerebrovascular Accident at Puerperium. Korean J Orient Int Med. 2000;21(5):883-7.
  10. Kim IJ, et al. A Case Report of Postpartum Depression Patient(Assessment of Treatment through EPDS). J Korean Obestet Gynecol. 2001;14(2):242-8.
  11. Choi SW, Kim JY. Effect of Oriental Postpartum Management on the Hematology and Blood Chemistry in Puerperium Maternity. J Korean Oriental Med. 2001;22(4):121-30.
  12. Yang SJ, et al. The One Case of Postperal Lumbago Patient. J Korean Obestet Gynecol. 2001;14(3):191-8.
  13. Lee CH, et al. A Study on the Factors Related with the Occurrence of Postpartal Symptoms. J Korean Obestet Gynecol. 2002;15(3):90-6.
  14. Park SW, et al. A Case Treated Tubercular Peritonitis Getting after Childbirth. Korean J. Oriental Physiology & Pathology. 2002;16(6):1297-301.
  15. Moon SH, Kim JY. The Effect of the Oriental Postpartum Care in Hemoglobin Changes of Maternity. J Korean Oriental Med. 2002;23(1):112-9.
  16. Seo BI, Kim MJ. Case Reports : A Clinical Study on a Patient with Postpartum Depression and Acute Mastitis. Kor. J. Herbology. 2003;18(1):145-8.
  17. Park CG, Kim DC, Beak SH. A Case of Postpartum Yeolibhyeolsil-jeung. J Korean Obestet Gynecol. 2003;16(4):199-204.
  18. Lee BR. A Case Report Postpartum Apoplexy Affected during Postpartum Care. J Korean Obestet Gynecol. 2003;16(1):205-13.
  19. Kang BH, et al. Clinical Study for a Case of Postpartum Flank Pain That Was Diagnosed Pleural Effusion. J Korean Obestet Gynecol. 2004;17(3):217-22.
  20. Kim HJ, et al. A Case Report of One Patient with Paralytic Strabismus Resulting from Pontine Hematoma During Puerperium. Korean J. Orient. Int. Med. 2004;25(3):640-7.
  21. Song HS, et al. A Puerperal Case with Multiple Arthralgia Diagnosed as Systemic Lupus Erythmatosus(SLE). J Korean Obestet Gynecol. 2004;17(1):202-10.
  22. Cho HL. The Cases Report of Postpartum Hyperhidrosis Caused by Keeping Overwarm. J Korean Obestet Gynecol. 2005;18(4):203-10.
  23. Jeong JY, Kim KS, Yang SJ. A Case Report of Postpartum Patient with Panic Disorder. The Korean Journal of Oriental Medical Prescription. 2005; 13(1):235-45.
  24. Lee JA, Ban HR, Cho SH. A Clinical Study on the Postpartum Depression Treated by Gami-Boheo-tang. The Korean Journal of Oriental Medical Prescription. 2005;13(1):223-33.
  25. Kim DH, Lee IH, Lee JH. A Case Study on an Abdominally Obese Patient with Postpartum Disease. J Korean Med Obes Res. 2006;6(2):105-12.
  26. Park YA, Park YS, Kim DC. Clinical Study for the One Case Complaining Both Lower Extremities Weakness after Parturition. J Korean Obestet Gynecol. 2006;19(4):269-78.
  27. Kim TH, et al. A Clinical Study on the Effect of Acupuncture Treatment for the Change of Milk Production. J Korean Obestet Gynecol. 2007;20(4):74-86.
  28. Ha JI, Kim DI. The Effect of Kami -Saenghwa-tang and Kami-Boher-tang to Postpartum Weight Retention. J Korean Obestet Gynecol. 2007;20(2):164-75.
  29. Park JK, Kim TH. A Study of the Factors Influencing on Postpartum BMI Change in Some Postpartum Women. J Korean Obestet Gynecol. 2008;21(4):139-49.
  30. Lee YT, Park SH. Clinical Study of Gami-hone-tang III on Postpartum Disease. Korean J. Oriental Physiology & Pathology. 2008;22(2):464-8.
  31. Park JK, Kim DI. A Study about Change of Body Weight and Body Composition during Early Puerperium. J Korean Obestet Gynecol. 2010;23(4):95-108.
  32. Bak JY, Lee EH. De Quervain's Disease after Delivery Treated with SBV Herbal-acupuncture: Clinical Study on 3 Cases. J Korean Obestet Gynecol. 2010;23(4):196-209.
  33. Seo YM, et al. A Clinical Report of a Postpartum Depression Patient Who Treated by Giungoroen-therapy and IiGyeungByunQi-therapy. J. of Oriental Neuropsychiatry. 2010;21(3):151-61.
  34. Park SM, Yoo DY. A Clinical Study on Three Cases of Anemia in Postpartum Women Treated by Gami-saengwha-tang with Deer Antler. J Korean Obestet Gynecol. 2011;24(3):212-21.
  35. Bak JY, et al. The Characteristics of 7-zone-diagnosis on Postpartum Depression. J Korean Obestet Gynecol. 2011;24(3): 146-55.
  36. Lee SC, et al. Clinical Study on the Effect of Chuna Manupulation in Treating Postpartum Patients with Low Back Pain and Pelvic Girdle Pain. J Korean Obestet Gynecol. 2012;25(3):117-31.
  37. Lee EH. Short-term Clinical Observation of the Early Postpartum Low Back Pain in the Korean Medical Hospital. J Korean Obestet Gynecol. 2012;25(2):174-84.
  38. Lim GM, et al. Three Cases of Postpartum Low Back Pain Patients Treated by Heating-conduction Acupuncture Therapy. Journal of Korea Chuna Manual Medicine. 2012;7(1):49-57.
  39. Choi KH, et al. A Clinical Study on 1 Case of Postpartum Patient with Pelvic Girdle Pain. J Korean Obestet Gynecol. 2013;26(4):204-12. https://doi.org/10.15204/jkobgy.2013.26.4.204
  40. Park KY, et al. Effects of Herbal Medicine on Breastfeeding - Analysis of Marker Substances in Saenghwa-tang by HPLC and LC/MS/MS -. J Korean Obestet Gynecol. 2013;26(4):48-65. https://doi.org/10.15204/jkobgy.2013.26.4.048
  41. Lee AY, Park GY, Lee EH. Changes of Depression and Fatigue Level According to Sasang Constitution in Early Postpartum Women. J Korean Obestet Gynecol. 2013;26(2):33-45.
  42. Kim GH, et al. A Study on the Effect of Omibaekchul-san on Postpartum Edema : Comparison with Saenghwa-tang. J Korean Obestet Gynecol. 2015;28(2):91-108. https://doi.org/10.15204/jkobgy.2015.28.2.091
  43. Yoon SH, et al. A Case Report of Bell's Palsy during Early Puerperium. J Korean Obestet Gynecol. 2015;28(4):77-87. https://doi.org/10.15204/jkobgy.2015.28.4.077
  44. Im JY, et al. A Case Report on Pregnancy-Related Carpal Tunnel Syndrome Worsened after Birth by Korean Medicine. J Korean Obestet Gynecol. 2015;28(4):65-76. https://doi.org/10.15204/jkobgy.2015.28.4.065
  45. Jang SR, Kim DC. A Case Report of Postpartum Disease with Hyperhidrosis and Finger Pain. J Korean Obestet Gynecol. 2015;28(3):128-35.
  46. Choi SY, et al. A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang. J Korean Obestet Gynecol. 2018;31(1):1-19.
  47. Kang GH, et al. Effects of Ophicephalus Argus, Crubita Moschate and Saenghwa -tang on Postpartum Care. JPPKM. 2001;15(3):449-54.
  48. Kim DH, et al. Effects of Mokhyangsaenghwa -tang and Mokhyangsaenghwa-tang plus Cervi Pantotrichum Cornu on Postpartum Recovery and Lactation. J Korean Obestet Gynecol. 2005;18(1):111-27.
  49. Park SH. Effects of Traditional Recipes and Saenghwa-tang on Postpartume Care. JKSFSN. 2005;34(5):652-8.
  50. Lee EH, Kim TH. Effects of Boheo-tang and Boheo-tang plus Cervi Pantotrichum Cornu : on Lactation in Postpartum mice. J Korean Obestet Gynecol. 2008;21(4):1-16.
  51. Lee EH, Kim TH. Effects of Boheo-tang and Boheo-tang plus Cervi Pantotrichum Cornu : on Immune Response in Postpartum mice. J Korean Obestet Gynecol. 2009;22(3):25-35.
  52. Song YH, Kim TH. Effect on Factors Related Lactation after Administration of Palmul-tang. J Korean Obestet Gynecol. 2010;23(1):12-29.
  53. Lee AY, et al. Effects of Boheo-tang -gagam on Milk Production and Factors Related Lactation in Postpartum Mice. J Korean Obestet Gynecol. 2016;29(1):35-52.
  54. Lee CW, et al. Effect of Melandrii Herba, Akebia Quinata Decaisne, and Tetrapanax Papyriferus on Milk Secretion and Lactation Related Factors in Postpartum Mice. J Korean Obestet Gynecol. 2018;31(2):1-17.
  55. Haran C, et al. Clinical Guidelines for Postpartum Women and Infants in Primary Care - A Systematic Review. BMC Pregnancy Childbirth. 2014;14:51-9. https://doi.org/10.1186/1471-2393-14-51
  56. Park HJ, et al. Pregnancy Outcomes in Women Aged 35 and Older. Obstetrics & Gynecology Science. 2006;49(10):2066-74.
  57. Kim SY, Jo HW, Son HC. A Study on Postpartum Care with Korean Traditional Medicine Comparing with Traditional Ways and Western Medical Treatments and Application of TKM into Postpartum Care Center. J of Korean Medical Gi-gong Academy. 2001;5(1):199-230.
  58. Yoo EK. Development of WISE HHSanhujori Guideline. Seoul:Korea Health Promotion Institute. 2013:1-99.
  59. Park JK. Study on the Various Symptoms of Women in Early Postpartum Period - For Postpartum Women Who Admitted in to Gynecology Ward of Oriental Medicine Hospital. Department of Korean Medicine, Graduate School, Woosuk University. 2010:60.
  60. Uom ES, Lee DN, Lim EM. Clinical Investigation for Various Postpartum Symptoms. J Korean Obestet Gynecol. 2001;14(1):365-79.
  61. Choi EM, et al. Examination of Postpartum Symptoms Change on Postpartum Admission Room. J Korean Obestet Gynecol. 2002;15(3):139-50
  62. Lee TK, Oh SS, Kim DI. A Study of Sainghwa-tang in Bucheungjueukwa. J Korean Obestet Gynecol. 1999;12(2):327-48.
  63. Hill PL, et al. Maternal Postpartum Quality of Life Questionnaire. Journal of Nursing Measurement. 2006;14(3):205-20. https://doi.org/10.1891/jnm-v14i3a005