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폐경기 안면홍조 증상에 대한 한약처방 이선탕의 투여경과 및 이상반응 보고 : 증례보고 및 문헌고찰

Administration Progression and Adverse Event Report of Er-Xian Decoction for Menopausal Hot Flushes: Case Report and Review of Literature

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Objective: We report on the administration progression and adverse event of Er-Xian decoction for menopausal hot flushes. A hot flush is a rapid and intense heat-dissipation reaction that involves considerable sweating, enlargement of the peripheral blood vessels, and internal body heat. Er-Xian decoction is a prescription for treating menopausal hot flush symptoms in postmenopausal women. We report administration progression and adverse event of Er-Xian decoction for menopausal hot flush. Methods: We used the Menopause Rating Scale and Menopause-Specific Quality of Life questionnaire to evaluate the progression of hot flushes, and we conducted a literature review to determine the effective dosage of Er-Xian decoction. Result: In all cases, Facial hot flushes and evaluation variables were improved by the administration of EXD. However, in Case 1, a rise of liver function indexes which may be related to EXD administration was observed. Conclusion: Considering that menopausal flushing usually lasts for several years, The resluts are meaningful that the short-term administration of EXD led to improvement of symptoms. In order to further use EXD in the future, it will be necessary to conduct follow-up studies on the subject of safety verification, such as repeated dose toxicity studies.

Abstract

Objective: We report on the administration progression and adverse event of Er-Xian decoction for menopausal hot flushes. A hot flush is a rapid and intense heat-dissipation reaction that involves considerable sweating, enlargement of the peripheral blood vessels, and internal body heat. Er-Xian decoction is a prescription for treating menopausal hot flush symptoms in postmenopausal women. We report administration progression and adverse event of Er-Xian decoction for menopausal hot flush. Methods: We used the Menopause Rating Scale and Menopause-Specific Quality of Life questionnaire to evaluate the progression of hot flushes, and we conducted a literature review to determine the effective dosage of Er-Xian decoction. Result: In all cases, Facial hot flushes and evaluation variables were improved by the administration of EXD. However, in Case 1, a rise of liver function indexes which may be related to EXD administration was observed. Conclusion: Considering that menopausal flushing usually lasts for several years, The resluts are meaningful that the short-term administration of EXD led to improvement of symptoms. In order to further use EXD in the future, it will be necessary to conduct follow-up studies on the subject of safety verification, such as repeated dose toxicity studies.

참고문헌 (42)

  1. Freedman RR, "Menopausal hot flashes:mechanisms, endocrinology, treatment", J Steroid Biochem Mol Biol, 142, pp.115~120 (2014)
  2. Freeman EW, "Risk of long-term hot flashes after natural menopause:evidence from the Penn Ovarian Aging Study cohort", Menopause, 21(9), pp.924~932 (2014)
  3. Kumari M, "The menopausal transition was associated in a prospective study with decreased health functioning in women who report menopausal symptoms", J Clin Epidemiol, 58(7), pp.719~727 (2005)
  4. Avis NE, "Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle-aged women:Study of Women's Health Across the Nation", Menopause, 16(5), pp.860~869 (2009)
  5. Marjoribanks J, "Long-term hormone therapy for perimenopausal and postmenopausal women", Cochrane Database Syst Rev, 1, pp.CD004143~ (2017)
  6. Chlebowski RT, "Estrogen plus progestin and breast cancer incidence and mortality in postmenopausal women", JAMA, 304(15), pp.1684~1692 (2010)
  7. Avis NE, "Acupuncture in Menopause (AIM) study:a pragmatic, randomized controlled trial", Menopause, 23(6), pp.626~637 (2016)
  8. Taylor-Swanson L, "Effects of traditional Chinese medicine on symptom clusters during the menopausal transition", Climacteric, 18(2), pp.142~156 (2015)
  9. Zhong LL, "A randomized, double-blind, controlled trial of a Chinese herbal formula (Er-Xian decoction) for menopausal symptoms in Hong Kong perimenopausal women", Menopause, 20(7), pp.767~776 (2013)
  10. Chen HY, "Treatment of menopausal symptoms with Er-xian decoction : a systematic review", Am J Chin Med, 36(2), pp.233~244 (2008)
  11. Heinemann K, "The Menopause Rating Scale(MRS) : a methodological review", Health Qual Life Outcomes, 2, pp.45~ (2004)
  12. Schneider HP, "The Menopause Rating Scale(MRS) : reliability of scores of menopausal complaints", Climacteric, 3(1), pp.59~64 (2000)
  13. Hilditch JR, "A Menopause-Specific Quality of Life questionnaire : development and psychometric properties", Maturitas, 24(3), pp.161~175 (1996)
  14. Nygaard B, "Levothyroxine Poisoning - Symptoms and Clinical Outcome", Basic Clin Pharmacol Toxicol, 117(4), pp.280~285 (2015)
  15. Maudar V, "Hot flashes and fatigue relieved by metformin", Endocr Pract, 15(1), pp.30~34 (2009)
  16. Nelson HD, "Menopause", Lancet, 371(9614), pp.760~770 (2008)
  17. Politi MC, "Revisiting the duration of vasomotor symptoms of menopause:a meta-analysis", J Gen Intern Med, 23(9), pp.1507~1513 (2008)
  18. Køster A, "Anticipations and experiences of menopause in a Danish female general population cohort born in 1936", Arch Womens Ment Health, 5(1), pp.9~13 (2002)
  19. Huang AJ, "Persistent hot flushes in older postmenopausal women", Arch Intern Med, 168(8), pp.840~846 (2008)
  20. van der Mooren MJ, "Postmenopausal hormone therapy : impact on menopause-related symptoms, chronic disease and quality of life", Drugs, 64(8), pp.821~836 (2004)
  21. Vickers MR, "Main morbidities recorded in the women's international study of long duration oestrogen after menopause(WISDOM) : a randomised controlled trial of hormone replacement therapy in postmenopausal women", BMJ, 335(7613), pp.239~ (2007)
  22. Martin KA, "Approach to the patient with menopausal symptoms", J Clin Endocrinol Metab, 93(12), pp.4567~ (2008)
  23. Grady D, "Discontinuation of postmenopausal hormone therapy", Am J Med, 118(Suppl 12B), pp.163~165 (2005)
  24. Ettinger B, "Effect of the Women's Health Initiative on women's decisions to discontinue postmenopausal hormone therapy", Obstet Gynecol, 102(6), pp.1225~1232 (2003)
  25. Grady D, "Discontinuing postmenopausal hormone therapy : predictors of difficulty stopping", Obstet Gynecol, 102(6), pp.1233~1239 (2003)
  26. Sze SC, "A novel mechanism : Erxian decoction, a Chinese medicine formula, for relieving menopausal syndrome", J Ethnopharmacol, 123(1), pp.27~33 (2009)
  27. Chen SH, "Treatment of 30 Cases of Menopausal Syndrome with Erxian Decoction", Chinese folk therapy, 12(2), pp.30~ (2004)
  28. Chen TL, "Erxian Decoction and Xiaochaihu Decoction for the treatment of high blood pressure in perimenopausal period", China Prac Med, 5(11), pp.164~165 (2010)
  29. Dou W, "Clinical observation of Erxian decoction in treating urinary tract infection in 40 cases", Medical Information, 22(6), pp.1017~1018 (2009)
  30. Huang SG, "Erxian Decoction in the treatment of 17 cases of male menopausal syndrome", Hebei J TCM, 25(8), pp.585~ (2003)
  31. Kang JY, "The clinical efficacy of Erxian Decoction in the treatment of patients with perimenopausal syndrome and its effect on sex hormones", Health Research, 37(3), pp.321~323 (2017)
  32. Li Y, "Treatment of menopausal syndrome by Er-xian decoction and Ganmai Dazao decoction in 118 Women", Shanghai J Tradit Chin Med, 2, pp.43~44 (2004)
  33. Liu YN, "Therapeutic effect of Modified Erxian Decoction on postmenopausal osteoporosis", Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 18(8), pp.886~899 (2012)
  34. Shi GL, "Clinical observation of Modified Erxian Decoction in treating menopausal syndrome", Journal of Sichuan of Traditional Chinese Medicine, 35(1), pp.125~126 (2017)
  35. Wang JZ, "Clinical observation of Erxian Decoction in the treatment of type of Chongrenbutiao acne after puberty", Information on Traditional Chinese Medicine, 31(1), pp.99~100 (2014)
  36. Wu N, "The efficacy of Erxian decoction on menopausal osteoporosis in 60 women", Yun-nan J Tradit Chin Med, 27(6), pp.18~ (2006)
  37. Yan MX, "Ziniqishu Erxian Decoction to improve the clinical observation and study of menstrual reduction or amenorrhea caused by thalidomide in the treatment of Behcet's disease", Chin J Mod Drug Appl, 12(23), pp.214~215 (2018)
  38. Yang J, "Modified Erxian Decoction combined with fluoxetine hydrochloride capsule in the treatment of 27 cases of menopausal depression", TCM Res, 31(1), pp.36~37 (2018)
  39. Yang M, "Evaluation of 75 cases of androgen deficiency syndrome in male patients with kidney deficiency by Erxian Decoction", Journal of new chinese medicine, 41(2), pp.53~54 (2009)
  40. Zhang MX, "Erxian Decoction in the Treatment of 92 Cases of Postmenopausal Arthritis", Modern Journal of Integrated Traditional Chinese and Western Medicine, 17(35), pp.5497~ (2008)
  41. Danan G, "RUCAM in Drug and Herb Induced Liver Injury: The Update", Int J Mol Sci, 17(1), pp.E14~ (2015)
  42. Wang Y, "Erxian decoction, a Chinese herbal formula, for menopausal syndrome : An updated systematic review", J Ethnopharmacol, 234, pp.8~20 (2019)

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