• 동의생리병리학회지
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• 제22권2호
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• pp.464-468
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• 2008

Postpartum Disease is very imporant in health of woman with menopausal disorder. This study is aimed at curative effect of Gamihone-tangIII on Postpartum Disease. This subject in this study were seventy eight patients admitted to Dong-Gang Oriental Hospital from September to October 2006 with Postpartum. Abdominal pain, Body pain, Edema, Dizziness. Gamihone-tangIII was effective in improvement of Postpartum Disease and I think that applied medical herbs internally as quickly as possible after postpartum is good.

• 대한한방부인과학회지
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• 제34권4호
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• pp.78-96
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• 2021

Objectives: It is a statistical study to examine the data of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification), developed for diagnosis of menopause disorders and to record the status of treatment of it. Methods: From November 1, 2020 to June 19, 2021, 36 cases of data of 33 respondents of the CaPSPI were analyzed. For the use of the basic data of the clinical menopausal disorder, we investigated frequency of menopausal symptoms and the difference between them depending on the period of menopause, and the presentation of usage prescriptions. And the diagnostic results for three kinds' diagnosis [for examination (D1), for treatment (D2), by doctors (D3)] were compared. The diagnostic consistency of D1 and D3 and the statistical significance between DT and disease elements (證素) was investigated. Results: 1. Hot flush was the highest in the symptom survey of the menopause that the subjects complained of, followed by insomnia. There was no significant difference in symptom expression according to menopausal period. 2. The diagnostic consistency of D1 and D2 showed significant diagnostic consistency only in liver depression, and the diagnostic consistency of D1 and D3 showed significant consistency in liver depression and Dual Deficiency of Heart and Spleen. 3. D3' diagnosis and disease elements had statistical significance for cases of P<0.1 was found to be related to the theory of oriental medicine. Conclusions: It is needed to continue to accumulate diagnosis and treatment results through CaPSPI in the future to strengthen the basis for patten identification and treatment of menopause disorders.

• 동아시아식생활학회:학술대회논문집
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• 동아시아식생활학회 2010년도 추계학술대회
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• pp.47-47
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• 2010

Chilliness is a complaint among menopausal women in Japan, but increasing evidence indicates that young women also suffer from chilliness. However, neither diagnostic criteria nor drug therapies exist for treating chilliness. We noticed it and recently elucidated methodological issues related to identifying women with chills. Using a discriminant analysis, we demonstrated that four parameters were important determinants of chilliness. On the other hand, after repeated reports of serious adverse effects with hormone replacement therapy, much attention has been given to the development of new remedies to alleviate menopausal depressive state in women, but methods for their preclinical evaluation have not been clarified. We previously developed a procedure to predict the effect of candidate substance on the menopausal depressive-like state in female mice. Since either chilliness or mood disorder is known to disturb a quality of life in women, in this symposium, the efficacy of Korean red ginseng on chilliness in women and depressive-like state will be discussed.

• 생물정신의학
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• 제12권2호
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• pp.173-180
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• 2005

Purpose:We investigated the effect of menopausal duration on cognitive function using adjunctive hormone replacement therapy(HRT) in postmenopausal women with depression. Method:Twelve postmenopausal women with depressive disorder were enrolled. Six patients having menopausal duration of less than 3 years was assigned to the short duration group and six patients of more than 3 years to the long duration group. Each patient was treated with conjugated equine estrogen(1.25mg) plus medroxyprogesterone(5mg) for 8 weeks. Cognitive performance was measured by the Verbal Memory Test, Visual Memory Test, Trail Making Test, Digit Symbol Test, and Attention Shift Test. The Beck Depression Inventory was used for evaluation of depressed mood. The reproductive hormone levels were also measured. Results:The long duration group showed the lower performance only in Trail Making Test B compared with the short duration group at baseline. After 8 weeks, the long duration group performed significantly better in the Trail Making Test B compared with the short duration group. The differences in change of depressive mood and gonadal hormone level between two groups were not significant. Conclusion:Menopausal duration before HRT may influence the effect of estrogen on cognition in some cognitive domains. This might be related with estrogen receptor hypersensitivity which induced by the longer estrogen deficiency.

• 혜화의학회지
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• 제18권1호
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• pp.129-138
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• 2009

purpose : The purpose of this paper is to report that the fasting treatment was quick and effective against the menopausal depression. So that the further study on the fasting treatment for the menopausal depression is expected. methods : This fasting treatment included three periods. The first was to reduce the food intake and the sodium intake as well. The second was for fasting for two weeks. During this period, the patient drank 250cc of the fermented herbal juice and 2500cc of water a day and had the lactobacillus supplement twice a day. Then, the third was for rebuilding. During the rebuilding period, the patient followed the limited sodium diet for two weeks. results : After the fasting treatment done, the symptoms that patient complained before went away. The BDI score went down from 19 to 3. And, of course, the patient lost her body weight and the fat. conclusions : The 49-year-old female patient in the menopause period was suffering from the lack of energy, depression, sleeping disorder, constipation, and weight gain. She took the fasting treatment along with the acupuncture at the holistic medical clinic, 'The Seasons' from Jan 16th 2009 to Feb 27th(the main fasting period was for 14 days). The BDI score indicated that she had the depression as her score was 19 at the first examination. After the treatment was completed, the BDI score dropped to 3. Therefore, I report the immediate effect of the fasting treatment again the depression. Women are twice as likely to get the depression as men. Especially, the women in menopause period tend to get the depression as they are facing the physical, mental, and social changes which can act as the stressors. Besides, women tend to get depressed when they gain weights. Thus, I suggest the further study on the fasting treatment should be carried on so to apply it more positively to various problems in the field of the psychiatry.

• 대한한방내과학회지
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• 제43권5호
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• pp.940-950
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• 2022

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).

• 정신신체의학
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• 제18권2호
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• pp.82-93
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• 2010

연구목적 본 연구의 목적은 정신과 중년여성 외래환자를 폐경기 상태에 따라 폐경전기, 폐경주위기, 폐경후기의 3집단으로 세분화하여 폐경기 증상을 비교하고, 폐경에 대한 태도 및 인식과 폐경기 증상 간의 연관성을 조사하며, 우울증상 및 특성불안의 심각도에 따른 폐경기 증상의 심각도를 평가하고자 하였다. 방 법 2009년 8월 17일부터 2009년 11월 28일까지 고려대학교 구로병원 신경정신과 외래를 방문하여 우울장애와 불안장애로 진단받은 40~64세의 여성 환자 152명을 대상으로 연구를 하였다. 폐경기 증상의 심각도를 평가하기 위해 폐경평가척도(Menopause Rating Scale, MRS)를 이용하였고, 폐경기에 대한 태도를 평가하기 위하여 11항목으로 구성된 자기보고식 설문지를 사용하였다. 또한 대상자의 우울, 불안증상을 평가하기 위해 Beck 우울 척도(Beck Depression Inventory, BDI), 상태특성 불안 척도(State-Trait Anxiety Inventory, STAI)가 사용되었다. 폐경기 상태에 따른 각 그룹에서의 폐경기 증상의 차이가 있는지 비교하였고, 폐경에 대한 태도 및 인식과 폐경기 증상 간의 연관성을 조사하였다. 우울증상, 특성불안의 심각도와 폐경기 증상의 관계를 살펴보았다. 결 과 폐경기 상태에 따른 폐경기 증상은 유의한 차이를 보이지 않았다. 그러나 '폐경기는 노화의 증후; 배우자들은 폐경기 여성을 매력이 없다고 느낌'의 항목에 동의할수록, '임신을 하지 않아 홀가분함'의 항목에 동의하지 않을수록 일부 폐경기 증상을 심하게 호소하여, 부정적인 폐경에 대한 태도와 폐경기 증상의 심각도 간에 유의한 연관성을 보여주었다. 그리고 우울증상과 특성불안의 수준이 높은 경우 폐경기 증상이 심한 것으로 나타났다. 결 론 본 연구에서 폐경에 대한 부정적 태도 및 우울증상, 불안은 폐경기 증상의 심각도 간에 상호연관성을 보여주었다. 따라서 임상에서 폐경기 증상에 대해 평가하고 교육을 통하여 환자들로 하여금 폐경에 관한 긍정적 태도를 갖고 폐경기 증상에 적절히 대처하도록 하는 것이 필요하다. 향후 임상에서 많은 중년여성 정신과 환자를 대상으로 하여, 정신과 치료를 지속하면서 우울증상, 불안의 호전 정도에 따라 폐경기 증상의 변화를 살펴보는 전향적인 연구가 필요할 것으로 사료된다.

• 대한한방부인과학회지
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• 제32권2호
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• pp.100-118
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• 2019

Objectives: The purpose of this study is to analyze clinical performance examination (CPX) ability using standardized patient (SP) in Korean traditional medical school. Methods: Standardized middle-aged female patients were used for clinical examination of 53 medical students, grade 6. The SP and professors assessed their communication skills and level of medical interviews. Results: 1. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at the extracurricular activities level. 2. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at number of medical service. 3. There is no statistically significant difference between SP score, communication skill score, medical skill score and inter-test score at personality type. 4. There is a statistically significant positive correlation between SP score, communication skill score and medical skill score. Conclusions: A variety of educational programs and practices should be conducted to improve the level of medical care and communication of Korean traditional medicine students.

• 정신신체의학
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• 제23권1호
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• pp.57-65
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• 2015

연구목적 급격한 호르몬 변화가 발생하는 월경과 폐경 시기에 기분증상 및 신체증상이 나타난다는 공통된 임상적 특징과 생물학적 기전의 유사성을 바탕으로 하여 월경전 증후군/월경전 불쾌장애와 폐경기 증상의 연관성이 제기되었으나 아직까지 일관된 결론이 내려지지 않고 있다. 따라서 본 연구는 폐경기 여성에서 각각의 폐경 단계에 따라 월경 전 증후군의 과거력과 대표적인 폐경기 증상 중의 하나인 혈관운동증상의 연관성에 대해 조사해보고자 하였다. 방 법 한국건강관리협회 전국 16개 지사에 건강검진을 목적으로 방문한 361명의 폐경주위기 여성과 693명의 폐경후기 여성을 대상으로 단면연구를 시행하였다. 모든 대상자는 혈관운동증상과 월경전 증후군 과거력 및 여러 요인(연령, 결혼, 수입, 교육 수준, 음주, 운동, 흡연, 폐경에 대한 태도, 우울, 스트레스)에 대한 자가보고식 설문지를 작성하였다. 결 과 전기 폐경주위기를 제외한 후기 폐경주위기, 전기 폐경후기, 후기 폐경후기에서 월경전 증후군/월경전 불쾌장애의 과거력이 있는 여성에서 중등도 이상의 혈관운동증상을 호소하는 비율이 유의하게 높았다(전기 폐경주위기, p=0.824 ; 후기 폐경주위기, p=0.001 ; 전기 폐경후기, p=0.001 ; 후기 폐경후기, p=0.01). 후기 폐경주위기와 전기 폐경후기에서 PSST score와 혈관운동증상의 심각도가 유의한 양의 상관관계가 관찰되었다(후기 폐경주위기, r=0.213, p=0.010 ; 전기 폐경후기, r=0.246, p<0.001). 우울, 폐경에 대한 태도, 스트레스, 생활습관요인 등의 관련된 요인들을 통제하였을 때, 후기 폐경주위기와 전기 폐경후기에서 월경전 증후군/월졍전 불쾌장애의 과거력이 중등도 이상의 혈관운동증상을 예측하는 유의한 인자로 나타났다(후기 폐경주위기, OR=5.197, p=0.005 ; 전기 폐경후기, OR=3.017, p=0.010). 결 론 본 연구는 폐경 단계에 따라 월경전 증후군/월경전 불쾌장애와 혈관운동증상의 연관성이 차별적으로 나타남을 시사한다. 본 연구에서 나타난 결과를 규명하기 위한 추가적인 대단위의, 전향적인 연구가 필요할 것으로 사료된다.

• 대한한방부인과학회지
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• 제36권2호
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• pp.20-35
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• 2023

Objectives: The purpose of this study is to review clinical studies and investigate the efficacy and safety of oriental medicine on memory in menopausal women. Methods: 'menopause', 'memory', 'oriental medicine' were searched on 4 online databases (Cochrane Library, Pubmed, CNKI, OASIS). Randomized controlled trials (RCTs) that evaluated menopausal memory with oriental medicine treatment were included. The methodological quality of each RCT was assessed by using Cochrane risk of bias tool. Results: 8 RCTs were selected among 1067 articles. The overall risk of bias was evaluated as uncertain. 5 studies showed that oriental medicine alone was significant effective, but 1 long-term study with the same oriental medicine did not sustain the effect, and 2 studied were not statistically significant. Conclusions: Oriental medicine can be an effective option for improving memory in menopausal women. but considering the small number and quality of studies, inconsistent and insufficient evidence, further well-designed studies are needed to confirm the efficacy and safety of this treatment.