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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

Analysis of Pathogenic Factors in the Menopausal Symptoms of Middle-aged Women in Relation to Sasang Constitutional Type

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2014, v.35 no.2, pp.60-68





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Abstract

Background: Pattern identification is a unique diagnostic method of traditional Oriental medicine that has recently been the target of questionnaire-based research. Sasang (four-types) constitutional medicine (SCM) is a practice in traditional Korean medicine that seeks to promote objectivity in diagnostics. This paper attempts to illuminate the relationship between constitutions and the pathogenic factors of pattern identification through questionnaires completed by menopausal women about their symptoms. Methods: From March to October 2012, we examined 291 women from the general population, with ages ranging from 40 to 60 years, applying the Kupperman index, the Menopause-Specific Quality of Life Questionnaire (MENQOL), pattern identification based on the Diagnosis System of Oriental Medicine (DSOM), and SCM. We then analyzed the relationship between constitutional type and pathogenic factors. Results: No significant differences were found in the scores of either the Kupperman index or MENQOL questionnaire in relation to constitutional type. However, in a statistical analysis correlating the DSOM pathogenic factor scores (PFS) with the scores of the Kupperman index and MENQOL vasomotor subscale, heat showed a significant positive correlation with SoYang type (SY) and TaeEum type (TE), but not SoEum type (SE), while insufficiency of yin and insufficiency of yang, as well as blood deficiency, showed a significant positive correlation with the TE and SE types. Conclusion: The pathogenic factors in the menopausal symptoms of middle-aged women, specifically the prominent menopausal symptom of facial flushing, differed significantly according to constitutional type.

keywords
pattern identification, menopausal symptoms, facial flushing, Sasang constitutional medicine, DSOM (Diagnosis System of Oriental Medicine)


Reference

1

1. Korean Society of Obstetrics and Gynecology. Oriental Obstetrics & Gynecology (下). Seoul:Uiseongdang. 2012:265, 276-280.

2

2. Koean Acupuncture & Moxibustion Medicine Society. Acupuncture & Moxibustion Medicine(上). Seoul:Jipmundang. 2001:113-114.

3

3. Song BG, Oriental Obstetrics & Gynecology. Seoul:Hanglim. 1998:193-196.

4

4. Go GR, Q&A of Chinese Medicine (OB&GY). Joonguigojeok Publishing Company(中醫古籍出版社). 1988:3.

5

5. Korean Society of Sasang Constitution Medicine. Sasang Constitution Medicine. Seoul:Jipmundang. 2005:33-58, 162-164, 196-204, 730-731.

6

6. Park SY, Rheu KS. Study on clinical characteristics of climacteric syndrome by Sasang constitution. Journal of Oriental Obstetrics & Gynecology. 2002;15(1): 139-147.

7

7. Jang ES, Kim JY, Lee HJ, Kim HG, Baek YH, Lee SW. A study on the reliability of Sasang constitutional body trunk measurement, Evidencebased Complementary and Alternative Medicine. 2012;604842:1-8.

8

8. Jang ES, Baek YH, Park KH, Lee SW. Could the Sasang constitution itself be a risk factor of abdominal obesity? BMC Complementary and Alternative Medicine. 2013;13:72.

9

9. Ryu HH, Lee HJ, Kim HG, Kim JY. Reliability and validity of a cold-heat pattern questionnaire for traditional Chinese medicine. Journal of Alternative and Complementary Medicine. 2010;16(6): 663-667.

10

10. Jang JS, Do JH, Jin HJ, Park KH, Ku BC, Lee SW, et al. Predicting Sasang constitution using body-shape information. Evidence-based Complementary and Alternative Medicine. 2012;398759;11-17.

11

11. Koo IH, Kim JY, Kim MG, Kim KH. Feature selection from a facial image for distinction of Sasang constitution. Evidence-based Complementary and Alternative Medicine. 2012;6(1):1-24.

12

12. Do JH, Ku BC, Lee HJ, Kim HG, Kim JY. Body mass index and facial cues in Sasang typology for young and elderly persons. Evidence-based Complementary and Alternative Medicine. 2011;749209:01.

13

13. Kim KH, Ku BC, Kang NS, Kim YS, Jang JS, Kim JY. Study of a vocal feature selection method and vocal properties for discriminating Sasang constitution types. Evidence-based Complementary and Alternative Medicine. 2012;831543:11-14.

14

14. Do JH, Jang ES, Ku BC, Jang JS, Kim HG, Kim JY. Development of an integrated Sasang constitution diagnosis method using face, body shape, voice, and questionnaire information. BMC Complementary and Alternative Medicine. 2012;85:11-18.

15

15. Lee BJ, Ku BC, Park KH, Kim KH, Kim JY. A new method of diagnosing constitutional types based on vocal and facial features for personalized medicine. Journal of Biomedicine and Biotechnology. 2012;818607:11-16

16

16. Kim JW, Ryu DH, Jung JH, Bae UY, Kim KK, Jeon SH. Analysis of importance for doctors, patient questionnaires. Journal of Sasang Constitutional Medicine. 2006;18( 3):94-123.

17

17. Lee IS, Kim GG. DSOM. 2005;[1screens]. Available at:URL:http://www.dsom.or.kr. Accessed July 30, 2014

18

18. Lee IS, Cho HS, Um YK, Hee YJ, Kang JG, Kong BC, et al. A study on association of DSOM symptom scores for uterus myoma in Oriental medicine (Ⅱ). Journal of Oriental Obstetrics & Gynecology. 2006;19(4):159-173.

19

19. Alder E. The Blatt-Kupperman menopausal index. a critique. Maturita., 1998;29(1):19-24.

20

20. Grenne JG. Constructing a standard climacteric scale. Maturitas. 1998;29:25-31.

21

21. Lee IS, Kim JW, Ji GY, Lee YT, Kim GG. Reliability study for upgrade of diagnosis system of Oriental medicine DSOM(r) S.1.1. Korean Journal of Oriental Physiology & Patholog. 2012;26(1):88-97 .

22

22. World Health Organization (COR). WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region. USA:Renouf Pub. 2007:105, 201, 210.

23

23. Lee DW, Kim BK. Study on the association of DSOM pathogenic factor (病機) in insomnia patients. Journal of Oriental Neuropsychiatry. 2010;21(1):89-108.

24

24. Lee IS, Cho HS, Kim GG. A study on weighting pathogenic factor (病機) for Oriental OB & GY Questionnaire. Journal of Oriental Obstetrics &Gynecolog. 2005;18(4):119-135.

25

25. Heo MH, Seo HS. SAS Regression Analysi. Liberty Academy. 2001:109.

26

26. National Department of Pathology. College of Oriental Medicine. Oriental Pathology. IlJoongsa. 2002:71, 205.

27

27. Song IB. Sasang Constitutional Medicine:Seoul:Jipmundang. 2005:33-58, 162-4, 196-204, 730-731.

28

28. Lee JM. Dongeuisusebowon. Seoul:Changhea. 2008:56-83.

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