Clinical Study of Menstruation Pattern according to Sasang Constitutional Diseases

사상체질 병증별 월경 양상의 임상 연구

  • Lim, Sung-Rak (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Koo (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Oh, Seung-Yun (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kwon, Young-Mi (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Joo, Jong-Cheon (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University)
  • 임성락 (원광대학교 한의과대학 사상체질과) ;
  • 김구 (원광대학교 한의과대학 사상체질과) ;
  • 오승윤 (원광대학교 한의과대학 사상체질과) ;
  • 권영미 (원광대학교 한의과대학 사상체질과) ;
  • 주종천 (원광대학교 한의과대학 사상체질과)
  • Published : 2009.04.30

Abstract

1. Objective To investigate characteristics of menstrual patterns according to Sasang Constitutional disease, and to utilize for diagnosis and treatment of Sasang Constitutional disease. 2. Method The recruited subjects were 430 women who convinced their Sasang Constitution by taking herbal medicine and improving of chief complaint. The items of data contain age at menarche, age at menopause, menstrual cycle, menstrual duration, cyclic regularity of menstruation, severity of menstrual pain, the worst day of menstrual pain, type of menstrual pain, amount of menstruation. 3. Results 1) Severity of menstrual pain, the worst day of menstrual pain, menstrual pain accompanied with nausea were significant among Sasang Constitutional diseases. 2) In Bae-chu-pyo-byeong disease (背椎表病證), Wi-wan-han disease (胃院寒證), So-eum disease (少陰證) and Tae-eum disease (太陰證), menstrual pain was severer than other diseases. 3) In Hae-yeok disease and So-yang-sang-pung disease (少陽傷風證), the worst day of menstrual pain was a day before menstruation. In Hyung-gyeok-yeol disease (胸膈熱證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of a day after menstruation in the worst day of menstrual pain was higher than other diseases. In Wi-wan-han disease (胃院寒證), Mang-yang disease (亡陽證), the frequency of two day after menstruation in the worst day of menstrual pain was higher than other diseases. 4) In So-yang-sang-pung disease (少陽傷風證), Mang-eum disease (亡陰證), Eum-heo-o-yeol diasese (陰虛午熱證), Ul-gwang disease (鬱狂證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of menstrual pain accompanied with nausea were higher than other diseases. 4. Conclusion Menstrual patterns, especially menstrual pain is different among Sasang Constitutional diseases. Assessing menstrual pain can be used for diagnosing Sasang Constitutional diseases, deciding treatment course, determinating prognosis.

Keywords

References

  1. 전국 한의과대학 사상의학교실. 개정증보 사상의학. 집문당, 서울 2006: 196-204
  2. 오승희, 최기순, 조석기, 정은아, 배일영. 20-30 대 여성 461례의 월경에 관한 실태분석. 대한한방부인과학회지. 2002;15(1):163-174.
  3. Flug D, Largo RH, Prader A. Menstrual patterns in adolescent Swiss girls: a longitudinal study. Ann Hum BioI. 1984;11(6):495-508. https://doi.org/10.1080/03014468400007411
  4. Widholm O, Kantero RL. A Statistical analysis of the menstrual patterns of 8,000 Finnish girls and their mothers. Acta Obstet Gynecol Scand Suppl. 1971;14:Suppl 14:1-36.
  5. Barsom SH, Dillaway HE, Koch PB, Ostrowski ML, Mansfield PK. The menstrual cycle and adolescent health. Ann N Y Acad Sci. 2008;1135: 52-57. https://doi.org/10.1196/annals.1429.001
  6. Anderson SE, Must A. Interpreting the continued decline in the average age at menarche: results from two nationally representative surveys of U.S. girls studied 10 years apart. J Pediatr. 2005; 147(6): 725-726. https://doi.org/10.1016/j.jpeds.2005.08.065
  7. Chumlea WC, Schubert CM, Roche AF, Kulin HE, Lee PA, Himes JH, Sun SS. Age at menarche and racial comparisons in US girls. Pediatrics. 2003; 111(1): 110-113. https://doi.org/10.1542/peds.111.1.110
  8. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. Relation of age at menarche to race, time period, and anthropometric dimensions: the Bogalusa Heart Study. Pediatrics. 2002;110(4):e43. https://doi.org/10.1542/peds.110.4.e43
  9. Anderson SE, Dallal GE, Must A. Relative weight and race influence average age at menarche: results from two nationally representative surveys of US girls studied 25 years apart. Pediatrics. 2003;111(4 Pt 1):844-850. https://doi.org/10.1542/peds.111.4.844
  10. Biro PM, McMahon RP, Striegel-Moore R, Crawford PB, Obarzanek E, Morrison JA, Barton BA, Falkner F. Impact of timing of pubertal maturation on growth in black and white female adolescents: The National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr. 2001;138(5):636-643. https://doi.org/10.1067/mpd.2001.114476
  11. de Ridder CM, Thijssen JH, Bruning PF, Van den Brande JL, Zonderland ML, Erich WB. Body fat mass, body fat distribution, and pubertal development: a longitudinal study of physical and hormonal sexual maturation of girls. J Clin Endocrinol Metab. 1992;75(2): 442-446. https://doi.org/10.1210/jc.75.2.442
  12. 백승희, 강효신. 월경의 이해를 통한 한방부인과적 특성의 재인식. 한방부인과학회지. 1998;11(1):49-59.
  13. 정병천, 김동철, 백승희. 고3 수험생의 윌경 실태 분석을 통한 stress와 월경의 상관 관계 조사. 대한한의학회지 2000;21(4):93-103
  14. 송일병. 사상인 체질증과 체질병증의 성립과정 에 대한 연구. 사상체질의학회지. 1994;6 (1):71-79
  15. 김원일, 양윤정, 유준상. 사상체질별 윌경양상에 관한 연구. 대한한방부인과학회지. 2003;15(4):96-111.
  16. 임미영. 여대생의 사상체질별 월경 증상 및 대처 방법. 원광대학교 보건학석사 학위논문. 2003.
  17. 이순이, 조한백, 김송백, 최창민, 박경환, 최철원. 월경통 환자의 MMPI 특성과 사상체질 특성에 관한 연구. 대한한방부인과학회지. 2007;20(3):137-154.
  18. Wong SK. Acculturation, peer relations, and delinquent behavior of Chinese-Canadian youth. Adolescence. 1999;34(133):107-119.
  19. 조혜숙, 이인선. 월경통에 관한 임상적 조사 연구. 동의한의연구. 2000;4:161-171.
  20. Bajaj P, Bajaj P, Madsen H, Arendt-Nielsen L. Endometriosis is associated with central sensitization: a psychophysical controlled study. J Pain. 2003;4(7):372-380. https://doi.org/10.1016/S1526-5900(03)00720-X
  21. Drosdzol A, Skrzypulec V. Dysmenorrhea in pediatric and adolescent gynaecology. Gine kol Pol. 2008;79(7):499-503.
  22. Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982;144(6):655-660. https://doi.org/10.1016/0002-9378(82)90433-1
  23. Greydanus DE, McAnarney ER. Men struation and its disorders in adole scence. Curr Probl Pediatr. 1982;12(10):11-61.
  24. Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol. 1990;97(7):588-594. https://doi.org/10.1111/j.1471-0528.1990.tb02545.x
  25. Hirata M, Kumabe K, Inoue Y. Relationship between the frequency of menstrual pain and bodyweight in female adolescents. Nippon Koshu Eisei Zasshi. 2002;49(6):516-524.
  26. Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol. 1996;103(11) :1134-1142. https://doi.org/10.1111/j.1471-0528.1996.tb09597.x
  27. 홍명주, 조혜숙, 이인선, 김규곤, 김종원. 사상체질과 부인과 설문지를 통한 변증과의 관계에 관한 조사 연구. 대한한방부인과학회지. 2002; 15 (1):210-230.
  28. 김은기, 양수열, 이경섭, 송병기. 월경통의 임상적 연구. 대한한의학회지. 1992;13(1):47-56.
  29. 이인선, 배경미, 김미진, 조혜숙, 김종원. 소음인 곽향정기산가미방을 투여한 월경통 환자 20예에 대한 임상보고. 대한한방부인과학회지. 2004; 17 (2): 168-183.
  30. 임진희, 이임순, 고병희, 송일병, 이수경. 중년 비만 여성의 사상체질별 특성에 관한 연구. 사상체질의학회지. 2004;16(3):59-69.
  31. Cooper R, Blell M, Hardy R, Black S, Pollard TM, Wadsworth ME, Pearce MS, Kuh D. Validity of age at menarche self-reported in adulthood. J Epidemiol Community Health. 2006;60(11):993-997. https://doi.org/10.1136/jech.2005.043182