Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

A Report about the Result and Satisfaction of Korean Medicine Treatment on Dysmenorrhea Support Program of Jeollabuk-do

Article information

J Korean Med. 2019;40(1):114-123
Young Chun Bae1orcid_icon, Jong Cheon Joo1orcid_icon
1Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Wonkwang University
Correspondence to: 주종천 (Jong Cheon Joo), Wonkwang University Jeonju Korean Medlcine Hospltal, 99, Garyeonsan-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do, Korea, Tel: +82-63-270-1073, E-mail: jcjoo@wku.ac.kr
Received 2019 March 05; Revised 2019 March 24; Accepted 2019 March 25.

Abstract

Objectives

The purpose of this study was to report the result and the satisfaction of Korean medicine treatment for patients with dysmenorrhea who participated in support program of Jeollabuk-do.

Methods

The subjects of this study were 33 volunteers, suffering from primary dysmenorrhea. As the ‘Dysmenorrhea Treatment Project’, we conducted a dysmenorrhea program at 22 Korean medicine clinic and 1 Korean medicine hospital in Jeollabuk-do. From May to December 2018, we conducted the program and assessed the effect and satisfaction twice after first two menstrual cycles after Korean medicine treatment through questionnaire. They were treated by Korean medicine treatment such as herbal medicine, acupuncture, moxibustion, heat therapy, physical therapy and others in 2017. The results were measured by the visual analogue scale (VAS) and multidimensional verbal rating scale (MVRS) of overall pain. The disturbance in school activity for menstrual period and satisfaction of Korean medicine treatment were investigated by continuous rating scales.

Results

The VAS score of overall pain was decreased significantly. Also the amount of the analgesic taken for menstrual period and the degree of disturbance in school activity were decreased significantly. Besides, the satisfaction of Korean medicine treatment was increased.

Conclusions

This study might suggest that the Korean medicine treatment on dysmenorrhea is effective.

Keywords: Korean medicine; dysmenorrhea; acupuncture; moxibustion; heat therapy
Fig. 1

Change of the overall pain for menstrual period.

Fig. 2

Change of the disturbance in school activity for menstrual period.

Fig. 3

Change of amount of the analgesic taken for menstrual period.

Fig. 4

Satisfaction measurement of Korean medicine treatment on adolescent dysmenorrhea.

Characteristics of the Patients Suffering from Dysmenorrhea

Intervention and Pattern Identification

References

1. Kim HJ. Study on an Attitude toward Menstruation, Perimenstrual Symptoms, and Coping of Nursing Students. Korean J Women Health Nurs 2005;11(4):288–295.
2. The Compilation Committee of Korean Society of Obstetrics and Gynaecology. 35th edth ed. Gynaecology Seoul: Kalbin publisher; 1997. p. 214–255. p. 264–275. p. 566–591.
3. Park YJ. The severity levels and patterns of perimenstrual symptoms among korean women in relation to their ages. Korean Journal of Woman Health Nursing 1999;5(2):145–156.
4. Woo HL, Ji HR, Park KS, Hwang DS, Lee CH, Jang JB, et al. A Survey on Korean Medicine Doctors’ Recognition and Clinical Fields of Treating Primary Dysmenorrhea for Developing Korean Medicine Clinical Practice Guideline for Dysmenorrhea. J Korean Obstet Gynecol 2017;30(2):93–106.
5. Seo HR, Li YC, Lee JE, Kim MK. Chuna Manual Therapy for Primary Dysmenorrhea: A Systemic Review. Journal of Korean Medicine Rehabilitation 2017;27(3):81–93.
6. Smith CA, Zhu X, He L, Song J. Acupuncture for primary dysmenorrhoea. Cochrane Database Syst Rev 2011;19(1):CD007854.
7. Kim DG, Yoo DY. Two Cases Report of the Primary Dysmenorrhea Treated with Gamisoyosan-gagambang. J Korean Obstet Gynecol 2011;24(2):126–33.
8. Nam EJ, Lee YK, Lee DN, Kim HJ. Clinical study on the effect of Gyebongnyeong capsule in the treatment of primary dysmenorrhea. J Korean Physiol Pathol 2006;20(5):1364–8.
9. Jeong DU, Kim MJ, Mo SH, Kim EU, Lee KS, Park SH, et al. A Study on the Management and Effect of D ysmenorrhea Care Program by Korean Traditional Medicine. J Korean Obstet Gynecol 2012;25(3):132–148.
10. Park ES. A Study for Effects of Metabolic Syndrome Care Program with Korean Medicine in Public Health Center. J Korean Med 2014;35(1):135–144.
11. Ministry of Health and Welfare. 2017 Korean medicine health promotion business case book 1st ed.th ed. Seoul: Korea Health Promotion Institute; 2017. p. 32–37.
12. Moghadam D, Khosravu A. Comparison of Verbal Multidimensional Scoring system (VMS) with Visual Analogue Score (VAS) for evaluating of Shirazi Thymus Vulgaris on menstrual pain. JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL SCIENCES 2012;23(19):1–5.
13. Jung HM, Kim YS. Factors affecting dysmenorrhea among adolescents. Korean Journal of Child Health Nursing 2004;10(2):196–204.
14. Cha NH. The effects of auricular acupressure therapy on abdominal pain and dysmenorrhea in female university students. Journal of Korean Academy of Community Health Nursing 2008;19(2):280–289.
15. Woo HL, Ji HR, Park KS, Hwang DS, Lee CH, Jang JB, et al. A Survey on Korean Medicine Doctors’ Recognition and Clinical Fields of Treating Primary Dysmenorrhea for Developing Korean Medicine Clinical Practice Guideline for Dysmenorrhea. The Journal of Oriental Obstetrics & Gynecology 2017;30(2):93–106.
16. Kim YH. Cheong-kang-eui-gam 5th ed.th ed. Seoul: Sungbo Publishing Co; 2001. p. 390–3.
17. Lim JH, Cho HJ, Lee SL, Choi EM. Clinical efficacy of Hyunburikyungtang-gagam for dysmenorrhea caused qi-stagnation and blood clots. The Journal of Oriental Obstetrics & Gynecology 2002;15(4):228–237.
18. Koo JS, Seo BL. Two Cases of secondary amenorrhoea treaded by Hyunburikyungtang gamibang. The Korea journal of herbology 2016;31(2):7–12.
19. Park JS, Moon YC, Kim YS, Lim EM. A Case Report of 1 Outpatient Complaining of Adenomyosis. The Journal of Oriental Obstetrics & Gynecology 2004;17(1):194–201.
20. Kim JA, Kim DC. In Vitro Anti-inflammatory Effects of Hyunbulikyung-tang Aqueous Extracts on LPS activated Raw 264.7 Cells, and Synergic Effects with Piroxicam. The Journal of Oriental Obstetrics & Gynecology 2015;28(1):13.
21. Hur J. Dong-eui-bo-gam 1st edth ed. Seoul: Bup-in-moon-hwa-sa; 1999. p. 1588.
22. Hwang DY. Bang-yak-hap-pyun 1st edth ed. Seoul: Nam-san-dang; 2002. p. 230.
23. Bae JK, Kim GW. Effect of Jokyungiongoktang on the Fluctuation of Gonadotropin and Sex Hormone Concentration. The Journal of Dong Guk Oriental Medicine 1992;1(1):15.
24. Koo JS, Seo BL. 4 Cases of Habitual abortion treated by Jokyungjongok-tang gamibang. The Korea journal of herbology 2018;33(4):87.
25. Kim SH, Hwang DS, Lee JM, Lee KS, Lee CH, Jang JB. A Case Report of Endometriosis Patient: Evaluated by Total Symptom Distress and Short-From Endometriosis Health Profile Questionnaire. The Journal of Oriental Obstetrics & Gynecology 2015;28(4):106–117.
26. Jang JB, Choi YH, Yoon YJ, Cho JH, Lee KS. Clinical Study on the Efficacy and Safety of Chiljehyangbuhwan in the Treatment of Dysmenorrhea. J Orient Gynecol 2005;18(1):156–68.
27. Park SM. The Use of Alternative Medicine for Dysmenorrhea[Master’s thesis] Kwangju: Graduate School of Public Health, Chosun University; 2011.
28. Zhang LW, Shang XD, Li Q. Observation on therapeutic effect of moxibustion in treating dysmenorrhea of elite table tennis players. Chinese Journal of Sports Medicine 2011;30(9):845–848.
29. Woo HL, Ji HR, Pak YK, Lee H, Heo SJ, Lee JM, et al. The efficacy and safety of acupuncture in women with primary dysmenorrhea: A systematic review and meta-analysis. Medicine (Baltimore) 2018;97(23):e11007.
30. Lee JY. A Literature Review on Syndrome Differentiation of Dysmenorrhea[Master’s thesis] Pusan: Dong-Eui University; 2018.
31. Lee IS, Sook CH, Youn HM, Jung KK, Kim KK, Park JE, et al. A Study on diagnosis of Dysmenorrhea patients by Diagnosis System of Oriental Medicine. Jouranl of Pharmacopuncture 2007;10(1):137–156.
32. Park SJ, Joo JC, Kim JH, Kim SB, Lee SD. Effect and Satisfaction Measurement of Korean Medicine Treatment on Adolescent Dysmenorrhea. J Korean Obstet Gynecol 2016;29(1):069–077.
33. Cho SH, Kim KD, Kim SR, Cho SH, Hwang YY. Adolescent menstrual disorders: Comparison Between 1988 and 1998. Obstet Gynecol Sci 1999;42(9):2043–7.
34. Kim JE. Model of the Theoretical Structure of Factors Influencing College Womens’ Attitudes Toward Menstruation. J Korean Acad Nurs 1993;23(2):224–44.
35. Wilson CA, Keye WR. A survey of adolescent dysmenorrhea and premenstrual symptom frequency. A model program for prevention, detection and treatment. J Adoles Health Care 1989;10(4):317–22.
36. Alvin PE, Litt IF. Current status of the etiology and the management of dysmenorrhea in adolescence. Pediatrics 1982;70(4):516–25.
37. Jeong IS. A Study on relation between the attitude and psychological dispositions about menstruation of high school girls[Master’s thesis] Changwon: Graduate school of education. Kyungnam University; 2006.
38. Choi GA, et al. A Psychiatric Study of Patients with Menorrhalgia by Symptom Check List-90-Revisions (SCL-90-R). J Orient Gyneco1 2003;16(2):177–86.

Article information Continued

Copyright © 2019 The Society of Korean Medicine all rights reserved

Fig. 1

Fig. 1

Change of the overall pain for menstrual period.

Fig. 2

Fig. 2

Change of the disturbance in school activity for menstrual period.

Fig. 3

Fig. 3

Change of amount of the analgesic taken for menstrual period.

Fig. 4

Fig. 4

Satisfaction measurement of Korean medicine treatment on adolescent dysmenorrhea.

Table 1

Characteristics of the Patients Suffering from Dysmenorrhea

Variable Value*
Age (year) 15.85±1.89
Height (cm) 159.47±5.84
Weight (kg) 57.34±9.51
BMI (weight/height2) 22.51±3.21
Menarcheal age (year) 12.24±1.09
Menstrual cycle (days) 31.18±12.37
≤22 or ≥35 1 (3.0%)
23–34 24 (72.7%)
irregular 5 (15.2%)
Not reported 3 (9.1%)
Menstrual period (days) 6.56±1.81
≤2 or ≥8 4 (12.1%)
3–7 29 (87.9%)
irregular 0 (0.0%)
Begining of menstrual pain Within two years of menarche 23 (69.7%)
After two years of menarche
10 (30.3%)
Chief symptom of menstrual pain† Abdominal pain 32 (32.7%)
Back pain 13 (13.3%)
Headache 13 (13.3%)
Nausea 11 (11.2%)
Nervousness 9 (9.2%)
Dizziness 7 (7.1%)
Others 13 (13.3%)
How to control menstrual pain† Analgestic taken 29 (52.7%)
Hot pack in the abdomen 11 (20.0%)
Relax 7 (12.7%)
Sleep 5 (9.1%)
No treatment 1 (1.8%)
Others 2 (3.6%)

BMI ; Body mass index

*

The values were expressed by number or mean± standard deviation

†

Multiple response

Table 2

Intervention and Pattern Identification

Variable Value*
Herbal extract† Hyeonbuikyeng-tang 7 (21.2%)
Jogyeongjongok-tang 3 (9.1%)
Kami Samool-tang 2 (6.1%)
Jokyung-san 2 (6.1%)
Ojeok-san 2 (6.1%)
Others 12 (36.4%)
Not reported 5 (15.2%)
Another treatments with herbal extract† Moxibustion 13 (37.1%)
Acupuncture 11 (31.4%)
Heat therapy 7 (20.0%)
Physical therapy 2 (5.7%)
Exercise 1 (2.9%)
Others 1 (2.9%)
Pattern Identification of menstrual pain† Cold syndrome 12 (31.6%)
Heat syndrome 5 (13.2%)
Deficiency syndrome 12 (31.6%)
Excess syndrome 9 (23.7%)
*

The values were expressed by number (%)

†

Multiple response