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http://dx.doi.org/10.15204/jkobgy.2022.35.2.070

A Study on the Experts' Agreement on the Patterns Classification of the Prescription for the Use of Menopausal Disorder  

Jeon, Soo-Hyung (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong-Eui University)
Park, Young-Hee (Dept. of OB & GY, College of Korean Medicine, Dong-Eui University)
Kim, Jong-Won (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong-Eui University)
Chi, Gyoo-Yong (Dept. of Pathology, College of Korean Medicine, Dong-Eui University)
Lee, Ji-Yeon (Dept. of OB & GY, Daejeon Korean Medicine Hospital of Daejeon University)
Lee, In-Seon (Dept. of OB & GY, College of Korean Medicine, Dong-Eui University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.35, no.2, 2022 , pp. 70-86 More about this Journal
Abstract
Objectives: This study attempted to provide prescriptions that can be used according to the classification of menopausal disorders in order to increase the clinical utilization of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification). Methods: Delphi method survey was conducted for expert consensus on the Pattern Identification that could be used for each prescription by selecting frequent prescriptions based on the literature researched on the prescription of Korean medicine used for women with menopausal disorders. 11 experts participated in the questionnaire for posterity and 7 experts for sasang constitution. The survey was divided into the main prescription that can be mainly used for the patterns and the minor prescription that can be used although the suitability is somewhat low. Expert consensus was obtained through the second survey, and the pattern classification of prescriptions that were not confirmed here was confirmed through a face-to-face meeting. Results: There were 56 prescriptions mainly used for treatment for menopause, 45 for posterity and 11 for Sasang constitution. There were 69 identifications of 45 posterity prescriptions and 17 classifications of 11 Sasang constitutional prescriptions including major and minor patterns. By pattern identifications, the number of major/minor prescriptions was as follows. 肝鬱 14/5, 腎陰虛 8/2, 腎陽虛 4/1, 肝腎陰虛 2/7, 腎陰陽兩虛 3/1, 心腎不交 6/3, 心脾兩虛 15/2, 心火 7/6. Conclusions: In the future, by accumulating and analyzing the data on the diagnosis and treatment using CaPSPI, the clinical status of Korean medicine for menopausal disorders can be reviewed, and it can be used as the basis for the clinical practice guidelines for menopausal disorders. In addition, it is thought that analyzing the results of the diagnosis of pattern identifications and the prescription of Sasang constitution can be helpful in research on the posterity and Sasang constitution.
Keywords
Climacteric Syndrome; Pattern Identification; Sasang Constitution; Delphi Survey; Questionnaire Diagnosis; CaPSPI;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Yang KS, et al. Standardization and unification of the terms and conditions used for diagnosis in oriental medicine. II. Korean Journal of Oriental Medicine. 1996;2(1):381-401.
2 Kim SH, Koh BH, Song IB. A Study on the Standardization of QSCCII. J Sasang Constitut Med. 2003;8(1):187-246.
3 Seol SH, et al. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Jing Ji and Zheng Chong. J of Oriental Neuropsychiatry. 2010;21(3):1-18.
4 Jeong JH, et el. A Pilot Study of Evaluating the Reliability and Validity of Pattern Identification Tool for Insomnia and Analyzing Correlation with Psychological Tests. J of Oriental Neuropsychiatry. 2020;31(1):1-12.
5 Yim HJ, et el. Study to Develop the Instrument of Pattern Identification for Hwa-byung. Korean J. Oriental Physiology & Pathology. 2008;22(5):1071-7.
6 Park EJ, et el. Preliminary Study on Development of Pattern Identification Instrument for Polycystic Ovarian Syndrome. J Korean Obstet Gynecol. 2017;30(1):68-84.   DOI
7 Lee IS, et el. Reliability and Validity of a Pattern Identification Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification: A Clinical Study of a Newly Developed Questionnaire. European J of Integrative Medicine. 2019;32:100986.   DOI
8 The Society of Korean Medicine Obstetrics and Gynecology. Korean Obstetrics & Gynecology(volume two). Seoul:Euiseongdang. 2016:277-9.
9 Park EJ, et el. Correlation Study of Pattern Identification Instrument and Biomarkers for Polycystic Ovary Syndrome. J Korean Obstet Gynecol. 2018;31(3):33-49.   DOI
10 Lee EH, Choi WC, Jung IC. Preliminary Study to Develop the Instrument on Pattern Identifications for Depression. J of Oriental Neuropsychiatry. 2013;24(4):435-50.   DOI
11 Lee IS, et el. A Study on Aadjustment of the Patterns, and the Correlation between the Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (CaPSPI) and Korean Medicine Doctors' Diagnosis. J Korean Obstet Gynecol. 2021;34(1):12-5. URL from: http://climacterium.medicalstudy.or.kr/user/login.php
12 Lee IS, et el. A Clinical Study on the Pattern-Specific Cut-Point for the Pattern Identification Diagnostic Tool for Climacteric and Postmenopausal Syndrome. J Korean Obstet Gynecol. 2021;32(2):29-49.   DOI
13 Lee MS, et al. Prescription patterns of herbal medicine for menopausal disorders in Major Korean medicine hospitals: a multicenter retrospective study. Integrative Medicine Research. 2020;10(3):1-5.
14 Kim KK, et el. Guidelines for the Reliability and Validity of the Instrument on Pattern Identifications for Hwa-byung. J of Oriental Neuropsychiatry. 2013;24(4):331-42.   DOI
15 Jeon SH, et al. A Study on the Diagnostic Accuracy Rate of the Sasang Constitution Questionnaire for Doctors Used in the On-line System. J Sasang Constitut Med. 2008;20(3):82-93.
16 The Society of Korean Medicine Obstetrics and Gynecology. Korean Obstetrics & Gynecology (volume one). 1st rev. ed. Seoul:Euiseongdang. 2012:211.
17 Lee IS, et al. Development of a Guideline for the Application of a Diagnostic Tool for Menopausal Syndromes Based on the Use of Systemic Review and Delphi Method. J Korean Obstet Gynecol. 2017;30(4):175-202.   DOI
18 Kim SH, Koh BH, Song IB. A Validation Study of the Questionnaire of Sasang Constitution Classification(QSCC). J Sasang Constitut Med. 1993;5(1):67-85.
19 Lee IS, et al. Reliability Study for Upgrade of Diagnosis System of Oriental Medicine DSOM(r) S.1.1. J Korean Obstet Gynecol. 2012;26(1):88-97.
20 Choi WC, et al. A Study to Assess the Reliability and Improvement of the Instrument of Pattern Identification for Jing Ji and Zheng Chong. J of Oriental Neuropsychiatry. 2014;25(4):371-82.   DOI
21 Lee HS, et al. Preliminary Study to Develop the Instrument on Pattern Identifications for Insomnia. J of Oriental Neuropsychiatry. 2016;27(4):223-34.   DOI
22 Lee HS, Kang WC, Jung IC. Reliability and Validity Analysis of the Instrument on Pattern Identifications for Depression. J of Oriental Neuropsychiatry. 2015;26(4):407-16.   DOI
23 Jeon DH, et el. Preliminary Study to Develop the Instrument on Pattern Identifications Knee Osteoarthritis. J of Korean Medicine Rehabilitation. 2017;27(2):77-91.   DOI