KMID : 0363620070280040074
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Journal of Korean Oriental Medicine 2007 Volume.28 No. 4 p.74 ~ p.85
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A Clinical Trial to Assess the Efficacy of Acupuncture on Hot Flashes in Postmenopausal Women;Focusing on the comparison of the effects of Traditional Korean medical acupuncture (TKMA) and Minimal Acupuncture (MA)
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Kim Dong-Il
Choi Sun-Mi Roh Jin-Ju Choi Min-Sun Lee Seung-Deok Roh Ju-Won Yoon Sang-Ho Ahn Hong-Yup Oh Dal-Seok
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Abstract
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Objective : In this study we wanted to confirm if proper stimulation and de-Qi of traditional Korean medical acupuncture could increase hot flash relief efficacy.
Design : A randomized controlled, single blind study. We used two modalities of acupuncture, one with optimal stimulation [Study group; Korean medical acupuncture (TKMA)] and one with minimal stimulation [Control group; Minimal acupuncture (MA)]. Same acupoints [PC6(Үμ), HT8(á´Ý¤), HT7(ãêÚ¦), LI4(ùêÍÛ), ST36(ðëß²×ì), SP6(ß²ëäÎß), Ren4(μêª)] were used in both groups. Fifty-two patients were treated twice a week for 8 weeks, and follow up was done after 4 weeks from the last treatment. Patients were checked hot flash VAS (visual analog scale), frequency and duration every time they visited.
Results : Hot flash relief efficacy by 100mm hot flash VAS was obvious in both groups. Hot flash VAS scores of study group were smaller than the scores of control group at the early stage (3rd, and visit), but there wasn¡¯t a remarkable difference between study and control group at the end of the trial. Besides, diminution of hot flash VAS was faster and more even in the study group than control group by visualization using ¡¯Box plot¡¯. We compared frequency and duration of hot flash, 100mm sweating, palpitation, sleep disturbance VAS, and Kupperman Index, MENQOL, Patient¡¯s global assessment score. Both groups showed definite decrease from the baseline, but the difference was not statistically significant. There wasn¡¯t any adverse event. Hot flash relief efficacy was kept in most patients after 4 weeks¡¯ follow-up.
Conclusion : Acupoint combination by Traditional Korean medical theory is effective on hot flashes and hot flash relief efficacy was faster and more even in optimal stimulation than minimal stimulation.
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KEYWORD
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Hot flash, postmenopausal, acupuncture, Randomized controlled trial (RCT), Complementary and alternative medicine (CAM), Hormone replacement therapy (HRT)
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