The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Case Report of Menopausal Vasomotor Symptoms (Heat Flashes and Sleep Disorders) in a Middle-Aged Female Patient Treated with Korean Medicine

중년 여성의 갱년기 혈관운동신경증상(안면홍조, 불면)에 대한 한방 치료 1례

  • Park, Jin-hun (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Kim, So-won (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Kim, Sang-yoon (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Wang, Yen-min (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Baek, Gil-geun (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Yun, Sang-hun (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Kang, Man-ho (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Park, Sung-hwan (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Lee, Hyung-chul (Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital) ;
  • Lim, Yong-ha (Dept. of Korean Rehabilitation Medicine, College of Korean Medicine, Dong-Shin University)
  • 박진훈 (자생한방병원 한방내과) ;
  • 김소원 (자생한방병원 한방내과) ;
  • 김상윤 (자생한방병원 한방내과) ;
  • 왕연민 (자생한방병원 한방내과) ;
  • 백길근 (자생한방병원 한방내과) ;
  • 윤상훈 (자생한방병원 한방내과) ;
  • 강만호 (자생한방병원 한방내과) ;
  • 박성환 (자생한방병원 한방내과) ;
  • 이형철 (자생한방병원 한방내과) ;
  • 임용하 (동신대학교 한의과대학 한방재활의학과교실)
  • Received : 2022.09.15
  • Accepted : 2022.10.19
  • Published : 2022.10.30
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Abstract

Objectives: The purpose of this study is to report on the efficacy of Korean medical treatment for treating menopausal vasomotor symptoms (heat flashes and sleep disorders). Methods: We treated a menopausal female patient with heat flashes and sleep disorders using Korean medical treatments (herbal medicines, acupuncture, pharmacopuncture, moxibustion, and chuna). To evaluate the results of this treatment, we used Kupperman's Index and the Numerical Rating Scale to measure heat flashes and total sleeping time, respectively. The patient's general health status was evaluated using the European Quality of Life 5 Dimensions Scale. Results: We observed improvements in Kupperman's Index, the Numerical Rating Scale, the patient's total sleeping time, and the European Quality of Life 5 Dimensions Scale following the treatments. Conclusions: This study suggests that Korean medicine may be an effective treatment for menopausal vasomotor symptoms (heat flashes and sleep disorders).

Keywords

References

  1. Alisa J, Lyne R, Gary E. Complementary and Alternative Medicine for Menopause. Journal of Evidence-Based Integrative Medicine 2019;66(2): 109-10. doi:10.1177/2515690X19829380
  2. Minkin MJ. Menopause: hormones, lifestyle, and optimizing aging. Obstetrics and Gynecology Clinics 2019;46(3):501-14. doi:10.1016/j.ogc.2019.04.008
  3. Woods NF, Mitchell ES. Symptoms during the perimenopause: prevalence, severity, trajectory, and significance in women's lives. The American journal of medicine 2005;118(12):14-24. doi:10.1016/ j.amjmed.2005.09.031
  4. Shifren JL, Margery LSG, NAMS Recommendations for Clinical Care of Midlife Women Working Group. The North American Menopause Society recommendations for clinical care of midlife women. Menopause 2014;21(10):1038-62. doi:10.1097/GME.0000000000000319
  5. Lampio L, Polo-Kantola P, Polo O, Kauko T, Aittokallio J, Saaresranta T. Sleep in midlife women: effects of menopause, vasomotor symptoms, and depressive symptoms. Menopause 2014;21(11) :1217-24. https://doi.org/10.1097/GME.0000000000000239
  6. Textbook committee of obstetrics and gynecology of Korean Medicine. obstetrics and gynecology of Korean Medicine. Seoul: Jeongdam; 2007, p. 247-50.
  7. Hong NR, Jang YS, Yang SH, Choi YY, Oh DY, Lee SJ, et al. A Review on Domestic Study Trends on Hot Flush in Menopausal Women with Traditional Korean Medicine. The Journal of Oriental Obstetrics & Gynecology 2020; 33(1):86-103.
  8. Kim DH, Kim DI. Review on the Treatment Methods of Korean Medicine for Menopausal Women's Depression in Foreign Clinical Research. The Journal of Oriental Obstetrics & Gynecology 2015;28(2):76-90. https://doi.org/10.15204/jkobgy.2015.28.2.076
  9. Yun JM, Jand SB, Kim KH. The Analysis of the Recent Research Trend of Traditional Korean Medicine Intervention with Woman Menopausal Symptoms. Journal of Society of Preventive Korean Medicine 2018;22(1):29-44. https://doi.org/10.25153/spkom.2018.22.1.003
  10. Hwang HJ, Ahn SY, Kim DC. A Review of the Domestic Study Trends on Climacteric Syndrome Treated with Pharmacopuncture. The Journal of Oriental Obstetrics & Gynecology 2021;34(3):79-95.
  11. Lee HJ, Lee SJ, Hwang DS, Lee CH, Jang JB, Lee JM, et al. Analysis of the Treatment for the 21 Cases of Menopausal Sweating Patients Hospitalized in a Korean Medicine Hospital. The Journal of Oriental Obstetrics & Gynecology 2020;33(3):136-48.
  12. Song YR, Park KM, Yang SJ, Lee EK, Kim HH, Cho SH. 5 Cases of Climacteric Syndrome Patients with Hwa-Byung. The Journal of Oriental Obstetrics & Gynecology 2016;29(4): 80-90. https://doi.org/10.15204/jkobgy.2016.29.4.080
  13. Han JY, Jang SB, Kim MJ, Kim SY, Lim YW. 50 Case Reports of Climacteric Syndrome Treated with Gamiguibi-hwan. The Journal of Oriental Obstetrics & Gynecology 2018;31(1):138-46.
  14. Jung SY, Kim YJ, Lee SG. Case Report of Facial Flush Treated by Gyejigamchoyonggolmoryeo-tang Based on Shanghanlun Provisions. Journal of Korean Medical Association of Clinical Sanghan -Geumgwe 2020;12(1):89-97.
  15. Lee YH. 5 Cases Report of Climacteric Symptoms with Shihogayonggolmoryo-tang. The Journal of Oriental Obstetrics & Gynecology 2013;26(1): 121-34. https://doi.org/10.15204/jkobgy.2013.26.1.121
  16. Yoo JS. Four Case Studies of Climacteric Disorders with Sasang Constitutional Medicine. Journal of Sasang Constitutional Medicine 2017;29(3): 271-9. https://doi.org/10.7730/JSCM.2017.29.3.271
  17. 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. The Journal of Oriental Obstetrics & Gynecology 2022;35(2): 70-86.
  18. Park YH, Lee IS. Study on the Data Analysis of CaPSPI for clinical application, a Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification. The Journal of Oriental Obstetrics & Gynecology 2021;34(4) :78-96.
  19. Davis SR. The kupperman index undressed. Maturitas 2019;126:90-1. https://doi.org/10.1016/j.maturitas.2019.04.219
  20. Bae KY, Jung SK, Kim JO, Roh JJ, Kim BH, Joh HG, et al. Comparison of the MENQOL with the Kupperman's index level of postmenopausal women who visited oriental medical center. The Journal of Oriental Obstetrics & Gynecology 2006; 19(3):215-30.
  21. Fausto S, Andrea S, Carlo AS, Alessandro C, Walter G. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. European Journal of Pain 2004;8(4):283-91. https://doi.org/10.1016/j.ejpain.2003.09.004
  22. Kim SH, Jo MW, Ahn J, Ock M, Shin S, Park JY, et al. Assessment of psychometric properties of the Korean SF-12 v2 in the general population. BMC Public Health 2014;14(1):1086. https://doi.org/10.1186/1471-2458-14-1086
  23. Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. The Journal of Clinical Endocrinology & Metabolism 2020; 106(1):1-15. doi: 10.1210/clinem/dgaa764
  24. Nananda FC, Janet RG, Mary P, Lorraine D. Duration of vasomotor symptoms in middle-aged women: a longitudinal study. Menopause 2009; 16(3):453-7. doi:10.1097/gme.0b013e31818d414e
  25. Politi MC, Schleinitz MD, Nananda FC. Revisiting the duration of vasomotor symptoms of menopause: a meta-analysis. Journal of general internal medicine 2008;23(9):1507-13. doi: 10.1007/ s11606-008-0655-4
  26. Kravitz HM, Ganz PA, Bromberger J, Powell LH, Kim ST, Peter MM. Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause 2003;10(1):19-28. doi: 10.1097/00042192-200310010-00005
  27. Polo-Kantola P, Erkkola R, Irajala K, Pullinen S, Virtanen I, Polo O. Effect of short-term transdermal estrogen replacement therapy on sleep: a randomized, double-blind crossover trial in postmenopausal women. Fertility and sterility 1999;71(5):873-80. doi: 10.1016/S0015 -0282(99)00062-X
  28. Hampton NRE, Rees MCP, Lowe DG, Rauramo I, Barlow D, Guillebaud J. Levonorgestrel intrauterine system (LNG-IUS) with conjugated oral equine estrogen: a successful regimen for HRT in perimenopausal women. Human Reproduction 2005;20(9):2653-60. doi: 10.1093/humrep/dei085
  29. Freeman EW, Guthrie KA, Caan B. Efficacy of escitalopram for hot flashes in healthy menopausal women: a randomized controlled trial. JAMA 2011;305(3):267-74. doi: 10.1016/ j.yobg.2011.06.061
  30. The Society of Korean Medicine Obstetrics and Gynecology. Clinical Practice Guideline of Korean Medicine-Climacteric syndrome and Postmenopausal syndrome. 1st edition. Paju: Koonja; 2021.
  31. Grady D. Management of menopausal symptoms. New England Journal of Medicine 2006;355(22): 2338-47. doi: 10.1056/NEJMcp054015
  32. 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 Women by DITI. Journal of Oriental Medical Thermology 2010;8(1):26-32.
  33. Jung HJ, Jeon SY, Lee DE, Lee JE, Kim MW. A Case of Report on the Patient Treated with Cheongnijagam-tang gagam for Fidget. Official Journal of The Korean Medicine Society For The Herbal Formula Study 2018;26(4):391-7.