폐경기 여성의 혈관운동성 증상과 체열분포, 신허증 변증유형의 상관성 연구

Abstract

Objectives: The purpose of this study is to investigate the relationship betweenvasomotor symptoms with upper-lower body temperature differences, and to identifyKidney Deficiency pattern (腎虛證) in menopausal women. Methods: 51 women who visited Kangnam Kyung-Hee Oriental Hospital fromJuly to December, 2013 were analyzed. The experimental group consisted of 30 patientsreported with vasomotor symptoms (Vasomotor symptom group, VG), while the controlgroup consisted of 21 patients without vasomotor symptoms (Control group, CG). According to their chief complaints, VG was further divided into VHG (vasomotorhotflash group) and VCG (vasomotor-cold hypersensitivity group). The temperature differences between upper and lower body part (CV17-CV4),proximal and distal extremity part (LU4-HT8, ST32-LR3) were checked. All patientsreported other complaints such as headache, sweating, anxiety, dyspepsia, leukorrhea,which belong to Kidney Yang Deficiency pattern (腎陽虛證) or Kidney Yin Deficiencypattern (腎陰虛證). The relationship between vasomotor symptom and repetitionrate of additional complaints were analyzed. Results: Statistical analysis showed that lower abdomen temperature of experimentalgroup was lower than the control group. Temperature differences of upper and lowerbody (CV17-CV4) was significantly larger in vasomotor symptom group. VHG hadmore symptoms of sweating, chest discomfort, constipation, which belong to KidneyYang Deficiency pattern group. VCG had more symptoms of leukorrhea, diarrhea,and dyspepsia, which belong to Kidney Yin Deficiency pattern group. Conclusions: Climacteric women who suffered from vasomotor symptoms showedlower temperature tendency in [CV4], larger temperature differences in [CV17-CV4]compared to the control group. Among them, VHG showed more symptoms of KidneyYin Deficiency pattern, whereas VCG showed more symptoms of Kidney YangDeficiency pattern.