Browse > Article
http://dx.doi.org/10.15204/jkobgy.2021.34.2.016

A Study for the Establishment of the Diagnostic Definition of Sanhupung (U32.7) using the Delphi Method  

Oh, Su-Kyoung (Seoripul Donggam Korean Medical Clinic)
Noh, Eun-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.34, no.2, 2021 , pp. 16-30 More about this Journal
Abstract
Objectives: The aim of this study was to establish a clear diagnostic definition of Sanhupung using the Delphi method. Methods: This study used the Delphi technique. A panel consisting of 21 experts of Korean medicine, particularly in of gynecologic medicine, participated in the Delphi examination that included answering the 4th round survey. The Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results: Through the Delphi survey, we have reached on an agreement regarding the basic concepts, time, cause, essential symptoms, and accessory symptoms of Sanhupung. They are as follows: 1) Sanhupung is a culture bound syndrome reflecting Korea's cultural specificity. 2) Sanhupung can be diagnosed even after the miscarriage. 3) For the diagnosis of Sanhupung, the main cause of symptoms should not be classified as other disease. 4) Sanhupung can be diagnosed based on essential symptoms and accessory symptoms. 5) Essential symptoms include local symptoms such as joint pain at specific areas, partial sensory impairment and general symptoms including pain of all the joints, whole body sensory impairment, increased sweating, feeling of wind coming into the body, worsened symptoms with the cold, intolerance to cold, and pain of all the muscles. Conclusions: The basic concepts and diagnostic definition of Sanhupung were suggested based on the Delphi survey among experts in the field. Further research is necessary to improve reliability and validity of diagnostic definition of Sanhupung in clinical trials.
Keywords
Postpartum period; Korean Traditional Medicine; Diagnosis; Delphi Technique;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Cho HS, Lee IS, Lee SH. Case Report of Postpartum Disease with Postpartum Sweating. Korean J Orient Physiol & Pathol. 2011;25(3):558-62.
2 Noh EJ, Choi SJ, Kim DI. Review of Randomized Controlled Trials on Korean Traditional Medicine Treatment for Postpartum Pain. J Korean Obstet Gynecol. 2020;33(2):90-111.   DOI
3 Jeong JY, Kim KS, Yang SJ. A case report of postpartum patient with panic disorder. Korean J Orient Med Prescr. 2005;13(1):235-45.
4 Kim SH, et al. A Case Report of Postabortal Syndrome Patient. J Korean Obstet Gynecol. 2014;27(4):97-108.   DOI
5 Jang SR, Kim DC. A Case Report of Postpartum Disease with Hyperhidrosis and Finger Pain. J Korean Obstet Gynecol. 2015;28(3):128-35.   DOI
6 Sue JH. Postpartum Physical Pain Improved by Sihogeojogamoryeo-tang: a Case Report. J Korean Academy of Breastfeeding Medicine. 2019;5(1):19-25.
7 Lim SM, et al. Clinical study on a case of postpartum disease caused by artificial abortion. J Korean Obstet Gynecol. 2004;17(2):184-90.
8 Jeong YI, Yun HJ. A case report of postpartum disease treated with Gyeji-tang based on No.12 Shanghanlun provision. J of KMediACS. 2018:10(1):37-45.
9 Oh SH. A Study on Realities of the Cognition of Postpartum Care and Postpartum Disease. J Korean Obstet Gynecol. 2000;13(2):482-99.
10 Jang SR, Park YS, Kim DC. The Clinical Analysis of 104 Sanhupung Patients that visited at an Oriental Medicine Hospital. J Korean Obstet Gynecol. 2010;23(3):192-204.   DOI
11 Jin YJ, Kim DI. A Study on Recognition by Korean Medicine Practitioners of Postpartum Disease and Treatments. J Korean Orient Med. 2007;28(1):171-86.
12 Kang JG, Lee IS, Cho HS. A Study on Awareness of Postnatal Care and San Huo Pung. J Korean Obstet Gynecol. 2008;21(3):143-66.
13 Byun SH, et al. A Study on the Difference of Inspection on Sanhupung (産後風). J Korean Obstet Gynecol. 2006;19(4):148-58.
14 Bae GM, Lee IS. The Study to Investigate the Recognition on Postpartum Symptom among Korean, Korean resident in America and American. J Korean Obstet Gynecol. 2010;23(2):131-44   DOI
15 Lee YJ, et al. A Study on Characters of Heart Rate Variability in Postpartum Disease Patients. J Korean Obstet Gynecol. 2007;20(3):178-84.
16 Kim DI. A study on the development of Korean medicine Goun-Mom card clinical manual and educational data. Seoul:The Association of Korean Medicine. 2015. 84-95. Contract No.:K-2014-F0117-00003.
17 Kim SY, Lee IS. Literature Study on the cause of Postpartum Wind-Stroke. J Korean Obstet Gynecol. 1993;6(1):117-24.
18 Park SW, et al. A Survey on Postpartum Care and Perception of Postpartum Diseases in Women After Giving Birth. J East-West Med. 2000;82(3):22-46.
19 Korean Medicine Obstetrics & Gynecology compilation committee. Korean Medicine Obstetrics & Gynecology(下). 1st. ed. Seoul:Jeongdam Publisher. 2001:336, 411-6.
20 Song BK. Korean Medicine Gynecology. 3rd. ed. Seoul:Haenglim Publisher. 1992:98-108, 473-4.
21 Luo YK. Gynecology of Traditional Chinese Medicine. 1st. ed. Seoul: Euiseongdang. 1988:308-12.
22 Khil HS, Kim SK. A Literary Study on the Causes and Treatment of Sanhupung (産後風). J. of Korean Medical Gi-gong Academy. 2000;4(2):277-97.
23 Song YH, Yoo DY. A Case report of the General Pain after Childbirth with Oriental medicine. J Haehwa Med. 2011;20(1):111-7.
24 The Association of Chungcheongnam-do Korean Medicine. Revision of the KCD Guidelines for Korean Medicine. 1st rev. ed. Seoul:Chorakdang. 2015:32.
25 Park BG. 漢方臨床40年. 2nd rev. ed. Seoul:Uibang Publisher. 2012:805.
26 Lee TK. A literary study of the postpartum care. J Korean Obstet Gynecol. 2000;14(1):209-28.
27 Bae GM, Cho HS, Lee IS. The Review of Postpartum Care Beliefs and Practices According to the Cultures. J Korean Obstet Gynecol. 2009;22(1):231-42.
28 Chang MH, Yoo EK. A Study on the Health Professional's Perception of Postpartal Care. Korean J of Women Health Nursing. 1999;5(3):313-26.
29 Thangaratinam S, Redman CW. The delphi technique. Obstet Gynaecol. 2005;7(2):120-5.   DOI
30 Bae WS. 最新漢方臨床學. 2nd rev. ed. Seoul:Namsandang. 1991:753-63.
31 Ko IM, Yoo DY. Literature survey on postpartum general ache. J Haehwa Med. 1994;4(2):247-61.
32 Min BH, Yoo DY. Study of the oriental medical literature for 産後風(chan hou feng). J Haehwa Med. 2004;13(1):159-68.
33 Bae GM, et al. Literature analysis with the recent trend of researches concerning the postpartum depression and Sanhupung (産後風). J Korean Obstet Gynecol. 2009;22(2):172-88.
34 Choi ES, Lee IS. A Literary Study on the Causes and Treatment of Sanhupung (産後風). J Korean Obstet Gynecol. 1999;12(1):253-78.
35 Son YH, Lee IS. A study on relationship between '七情(kiking)' and '産後風(chan hou feng)'. J Korean Obstet Gynecol. 2001;14(1):279-93.