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Published in: Trials 1/2017

Open Access 01-12-2017 | Study protocol

Effect of Guizhifulingwan (Keishibukuryogan) on climacteric syndrome: study protocol for a randomized controlled pilot trial

Authors: Jung-Eun Kim, Junghyo Cho, Ojin Kwon, Ae-Ran Kim, Hyo-Ju Park, So-Young Jung, Joo-Hee Kim, Mikyung Kim, Hye-Yoon Lee, Jun-Hwan Lee

Published in: Trials | Issue 1/2017

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Abstract

Background

The aim of this study is to explore the efficacy of Guizhifulingwan (GFW) in the treatment of climacteric syndrome in women.

Methods/design

This is a single-center, randomized, placebo-controlled, parallel-group design pilot trial. Fifty participants with climacteric syndrome will be randomly allocated to the GFW or placebo group in a 1:1 ratio. The participants will be administered GFW or placebo granules three times a day for 4 weeks and will be followed up for a further 4 weeks. The primary outcome is the mean change in menopause rating scale score at 5 weeks after randomization. Secondary outcomes include the World Health Organization quality of life-BREF scores, degrees of upward movement of qi and lower abdominal resistance and tenderness, blood stasis pattern questionnaire scores, and results of blood tests including assays for lipid profile, high sensitivity C-reactive protein, follicle-stimulating hormone, and estradiol. The feasibility outcomes include recruitment and completion rates and adherence to medication.

Discussion

The results of this study will provide basic data for the design of a large-scale clinical trial for evaluating the efficacy of GFW in the treatment of climacteric syndrome in women.

Trial registration

Clinical Research Information Service (CRIS), Republic of Korea, KCT0002040. Registered on 5 September 2016.
Appendix
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Literature
1.
go back to reference Poomalar GK, Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7:135–9.CrossRef Poomalar GK, Arounassalame B. The quality of life during and after menopause among rural women. J Clin Diagn Res. 2013;7:135–9.CrossRef
2.
go back to reference North American Menopause Society. The 2012 hormone therapy position statement of the North American Menopause Society. Menopause. 2012;19:257–71.CrossRef North American Menopause Society. The 2012 hormone therapy position statement of the North American Menopause Society. Menopause. 2012;19:257–71.CrossRef
3.
go back to reference Boardman HM, Hartley L, Eisinga A, Main C, Roqué i Figuls M, Bonfill Cosp X, et al. Hormone therapy for preventing cardiovascular disease in post-menopausal women. Cochrane Database Syst Rev. 2015:CD002229; doi: 10.1002/14651858.CD002229.pub4. Boardman HM, Hartley L, Eisinga A, Main C, Roqué i Figuls M, Bonfill Cosp X, et al. Hormone therapy for preventing cardiovascular disease in post-menopausal women. Cochrane Database Syst Rev. 2015:CD002229; doi: 10.​1002/​14651858.​CD002229.​pub4.
4.
go back to reference Collaborative Group on Epidemiological Studies Of Ovarian Cancer, Beral V, Gaitskell K, Hermon C, Moser K, Reeves G, et al. Menopausal hormone use and ovarian cancer risk: individual participant meta-analysis of 52 epidemiological studies. Lancet. 2015;385:1835–42.CrossRefPubMedCentral Collaborative Group on Epidemiological Studies Of Ovarian Cancer, Beral V, Gaitskell K, Hermon C, Moser K, Reeves G, et al. Menopausal hormone use and ovarian cancer risk: individual participant meta-analysis of 52 epidemiological studies. Lancet. 2015;385:1835–42.CrossRefPubMedCentral
5.
go back to reference Posadzki P, Lee MS, Moon TW, Choi TY, Park TY, Ernst E. Prevalence of complementary and alternative medicine (CAM) use by menopausal women: a systematic review of surveys. Maturitas. 2013;75:34–43.CrossRefPubMed Posadzki P, Lee MS, Moon TW, Choi TY, Park TY, Ernst E. Prevalence of complementary and alternative medicine (CAM) use by menopausal women: a systematic review of surveys. Maturitas. 2013;75:34–43.CrossRefPubMed
6.
go back to reference Borrelli F, Ernst E. Alternative and complementary therapies for the menopause. Maturitas. 2010;66:333–43.CrossRefPubMed Borrelli F, Ernst E. Alternative and complementary therapies for the menopause. Maturitas. 2010;66:333–43.CrossRefPubMed
7.
go back to reference Liu WJ. What has been overlooked on study of Chinese materia medica in the West? Chin J Integr Med. 2015;21:483–92.CrossRefPubMed Liu WJ. What has been overlooked on study of Chinese materia medica in the West? Chin J Integr Med. 2015;21:483–92.CrossRefPubMed
8.
go back to reference Cho KH, Kim YS, Jung WS, Kim TH. Effect of Gui-zhi-fu-ling-wan on hot flashes in young patients: a retrospective case series. J Acupunct Meridian Stud. 2011;4:129–33.CrossRefPubMed Cho KH, Kim YS, Jung WS, Kim TH. Effect of Gui-zhi-fu-ling-wan on hot flashes in young patients: a retrospective case series. J Acupunct Meridian Stud. 2011;4:129–33.CrossRefPubMed
9.
go back to reference Park JS, Park S, Cheon CH, Jo SC, Cho HB, Lim EM, et al. Effects and safety of gyejibongnyeong-hwan on dysmenorrhea caused by blood stagnation: a randomized controlled trial. Evid Based Complement Alternat Med. 2013;2013:424730.PubMedPubMedCentral Park JS, Park S, Cheon CH, Jo SC, Cho HB, Lim EM, et al. Effects and safety of gyejibongnyeong-hwan on dysmenorrhea caused by blood stagnation: a randomized controlled trial. Evid Based Complement Alternat Med. 2013;2013:424730.PubMedPubMedCentral
10.
go back to reference Yoshino T, Katayama K, Horiba Y, Munakata K, Yamaguchi R, Imoto S, et al. The difference between the two representative Kampo formulas for treating dysmenorrhea: an observational study. Evid Based Complement Alternat Med. 2016;2016:3159617.CrossRefPubMedPubMedCentral Yoshino T, Katayama K, Horiba Y, Munakata K, Yamaguchi R, Imoto S, et al. The difference between the two representative Kampo formulas for treating dysmenorrhea: an observational study. Evid Based Complement Alternat Med. 2016;2016:3159617.CrossRefPubMedPubMedCentral
11.
go back to reference Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of three Kampo formulae: Tokishakuyakusan (TJ-23), Kamishoyosan (TJ-24), and Keishibukuryogan (TJ-25) on Japanese peri- and postmenopausal women with sleep disturbances. Arch Gynecol Obstet. 2011;284:913–21.CrossRefPubMed Terauchi M, Hiramitsu S, Akiyoshi M, Owa Y, Kato K, Obayashi S, et al. Effects of three Kampo formulae: Tokishakuyakusan (TJ-23), Kamishoyosan (TJ-24), and Keishibukuryogan (TJ-25) on Japanese peri- and postmenopausal women with sleep disturbances. Arch Gynecol Obstet. 2011;284:913–21.CrossRefPubMed
12.
go back to reference Terauchi M, Akiyoshi M, Owa Y, Kato K, Obayashi S, Kubota T. Effects of the Kampo medication keishibukuryogan on blood pressure in perimenopausal and postmenopausal women. Int J Gynaecol Obstet. 2011;114:149–52.CrossRefPubMed Terauchi M, Akiyoshi M, Owa Y, Kato K, Obayashi S, Kubota T. Effects of the Kampo medication keishibukuryogan on blood pressure in perimenopausal and postmenopausal women. Int J Gynaecol Obstet. 2011;114:149–52.CrossRefPubMed
13.
go back to reference Park JM, Yang JM, Kim DI. A clinical trial to verify the quality of life improvement efficacy of Dangguijakyak-san and Gyejibongnyeong-hwan granulation in postmenopausal women. J Orient Obstet Gynecol. 2007;20:213–28 [Article in Korean]. Park JM, Yang JM, Kim DI. A clinical trial to verify the quality of life improvement efficacy of Dangguijakyak-san and Gyejibongnyeong-hwan granulation in postmenopausal women. J Orient Obstet Gynecol. 2007;20:213–28 [Article in Korean].
14.
go back to reference Ushiroyama T, Ikeda A, Sakuma K, Ueki M. Comparing the effects of estrogen and an herbal medicine on peripheral blood flow in post-menopausal women with hot flashes: hormone replacement therapy and gui-zhi-fu-ling-wan, a Kampo medicine. Am J Chin Med. 2005;33:259–67.CrossRefPubMed Ushiroyama T, Ikeda A, Sakuma K, Ueki M. Comparing the effects of estrogen and an herbal medicine on peripheral blood flow in post-menopausal women with hot flashes: hormone replacement therapy and gui-zhi-fu-ling-wan, a Kampo medicine. Am J Chin Med. 2005;33:259–67.CrossRefPubMed
15.
go back to reference Namiki T, Sato H, Matsumoto Y, Kakikura H, Ueno K, Chino A, et al. Identification of a predictive biomarker for the beneficial effect of keishibukuryogan, a Kampo (Japanese traditional) medicine, on patients with climacteric syndrome. Evid Based Complement Alternat Med. 2014;2014:962109.CrossRefPubMedPubMedCentral Namiki T, Sato H, Matsumoto Y, Kakikura H, Ueno K, Chino A, et al. Identification of a predictive biomarker for the beneficial effect of keishibukuryogan, a Kampo (Japanese traditional) medicine, on patients with climacteric syndrome. Evid Based Complement Alternat Med. 2014;2014:962109.CrossRefPubMedPubMedCentral
16.
go back to reference Plotnikoff GA, Watanabe K, Torkelson C, La Valleur J, Radosevich DM. The TU-025 keishibukuryogan clinical trial for hot flash management in postmenopausal women: results and lessons for future research. Menopause. 2011;18:886–92.CrossRefPubMedPubMedCentral Plotnikoff GA, Watanabe K, Torkelson C, La Valleur J, Radosevich DM. The TU-025 keishibukuryogan clinical trial for hot flash management in postmenopausal women: results and lessons for future research. Menopause. 2011;18:886–92.CrossRefPubMedPubMedCentral
17.
go back to reference Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG. Evaluation der klinischen Beschwerden (Menopause Rating Scale). Zentralbl Gynakol. 1994;116:16–23 [Article in German].PubMed Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG. Evaluation der klinischen Beschwerden (Menopause Rating Scale). Zentralbl Gynakol. 1994;116:16–23 [Article in German].PubMed
18.
go back to reference Potthoff P, Heinemann LAJ, Schneider HPG, Rosemeier HP, Hauser GA. Menopause-Rating Skala (MRS): Methodische Standardisierung in der deutschen Bevölkerung. Zentralbl Gynakol. 2000;122:280–6.PubMed Potthoff P, Heinemann LAJ, Schneider HPG, Rosemeier HP, Hauser GA. Menopause-Rating Skala (MRS): Methodische Standardisierung in der deutschen Bevölkerung. Zentralbl Gynakol. 2000;122:280–6.PubMed
20.
go back to reference Witt CM, Linde K. Clinical research in complementary and integrative medicine: a practical training book. 1st ed. Seoul: Elsevier Korea; 2013 [Book in Korean]. Witt CM, Linde K. Clinical research in complementary and integrative medicine: a practical training book. 1st ed. Seoul: Elsevier Korea; 2013 [Book in Korean].
21.
go back to reference Bang HJ, Ni LY, Davis CE. Assessment of blinding in clinical trials. Control Clin Trials. 2004;25:143–56.CrossRefPubMed Bang HJ, Ni LY, Davis CE. Assessment of blinding in clinical trials. Control Clin Trials. 2004;25:143–56.CrossRefPubMed
22.
go back to reference The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28:551–8.CrossRef
23.
go back to reference Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000;39:571–9 [Article in Korean]. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000;39:571–9 [Article in Korean].
24.
go back to reference Min SK, Kim KI, Park IH. Korean version of WHOQOL. 1st ed. Seoul: Hana Medical Press; 2002 [Book in Korean]. Min SK, Kim KI, Park IH. Korean version of WHOQOL. 1st ed. Seoul: Hana Medical Press; 2002 [Book in Korean].
25.
go back to reference Shigetaro K. Abdominal examination and prescription. 2nd ed. Wonju: Uibang Press; 2014 [Book in Korean]. Shigetaro K. Abdominal examination and prescription. 2nd ed. Wonju: Uibang Press; 2014 [Book in Korean].
26.
go back to reference Roh YB. Abdominal examination and authentic prescription. 1st ed. Goyang: Daesung Medical Press; 2006 [Book in Korean]. Roh YB. Abdominal examination and authentic prescription. 1st ed. Goyang: Daesung Medical Press; 2006 [Book in Korean].
27.
go back to reference Shibata Y, Wu J. Kampo treatment for climacteric disorders. 1st ed. Brookline: Paradigm Publications; 1997. Shibata Y, Wu J. Kampo treatment for climacteric disorders. 1st ed. Brookline: Paradigm Publications; 1997.
28.
go back to reference Ahn JH, Lee SH, Park YJ, Park YB. Developing questionnaire of BiJeung (痺證) which is similar to arthralgia and paresthesia syndrome. J Korean Med. 2013;34:96–105 [Article in Korean].CrossRef Ahn JH, Lee SH, Park YJ, Park YB. Developing questionnaire of BiJeung (痺證) which is similar to arthralgia and paresthesia syndrome. J Korean Med. 2013;34:96–105 [Article in Korean].CrossRef
29.
go back to reference Yang DH, Park YJ, Park YB, Lee SC. Development of questionnaires for blood stasis pattern. J Korean Orient Med Diagn. 2006;10:141–52 [Article in Korean]. Yang DH, Park YJ, Park YB, Lee SC. Development of questionnaires for blood stasis pattern. J Korean Orient Med Diagn. 2006;10:141–52 [Article in Korean].
30.
go back to reference Seo SM, Baek SH, Jeon HK, Kang SM, Kim DS, Kim WS, et al. Correlations between the level of high-sensitivity C-reactive protein and cardiovascular risk factors in Korean adults with cardiovascular disease or diabetes mellitus: the CALLISTO study. J Atheroscler Thromb. 2013;20:616–22.CrossRefPubMed Seo SM, Baek SH, Jeon HK, Kang SM, Kim DS, Kim WS, et al. Correlations between the level of high-sensitivity C-reactive protein and cardiovascular risk factors in Korean adults with cardiovascular disease or diabetes mellitus: the CALLISTO study. J Atheroscler Thromb. 2013;20:616–22.CrossRefPubMed
31.
go back to reference Lewis JA. Statistical principles for clinical trials (ICH E9): an introductory note on an international guideline. Stat Med. 1999;18:1903–42.CrossRefPubMed Lewis JA. Statistical principles for clinical trials (ICH E9): an introductory note on an international guideline. Stat Med. 1999;18:1903–42.CrossRefPubMed
32.
go back to reference Yu F, Takahashi T, Moriya J, Kawaura K, Yamakawa J, Kusaka K, et al. Traditional Chinese medicine and Kampo: a review from the distant past for the future. J Int Med Res. 2006;34:231–9.CrossRefPubMed Yu F, Takahashi T, Moriya J, Kawaura K, Yamakawa J, Kusaka K, et al. Traditional Chinese medicine and Kampo: a review from the distant past for the future. J Int Med Res. 2006;34:231–9.CrossRefPubMed
33.
go back to reference Park J, Park HJ, Lee HJ, Ernst E. What’s in a name? A systematic review of the nomenclature of Chinese medical formulae. Am J Chin Med. 2002;30:419–27.CrossRefPubMed Park J, Park HJ, Lee HJ, Ernst E. What’s in a name? A systematic review of the nomenclature of Chinese medical formulae. Am J Chin Med. 2002;30:419–27.CrossRefPubMed
34.
go back to reference WHO Regional Office for the Western Pacific. WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region. Geneva: World Health Organization; 2007. WHO Regional Office for the Western Pacific. WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region. Geneva: World Health Organization; 2007.
35.
go back to reference Scheid V, Ward T, Cha WS, Watanabe K, Liao X. The treatment of menopausal symptoms by traditional East Asian medicines: review and perspectives. Maturitas. 2010;66:111–30.CrossRefPubMed Scheid V, Ward T, Cha WS, Watanabe K, Liao X. The treatment of menopausal symptoms by traditional East Asian medicines: review and perspectives. Maturitas. 2010;66:111–30.CrossRefPubMed
37.
go back to reference Heo J. Translated Dongui Bogam. 1st ed. Seoul: Bubin Publishers Co.; 1999 [Book in Korean]. Heo J. Translated Dongui Bogam. 1st ed. Seoul: Bubin Publishers Co.; 1999 [Book in Korean].
38.
go back to reference Chi GY. A research on it’s teaching way for efficient lecture about differential diagnostic theory and method. Korean J Orient Physiol Pathol. 1998;12:8–13 [Article in Korean]. Chi GY. A research on it’s teaching way for efficient lecture about differential diagnostic theory and method. Korean J Orient Physiol Pathol. 1998;12:8–13 [Article in Korean].
39.
go back to reference Jung KY, Lee MH, Choi YK, Lee CY, Park JH, Jeon CY. Study on the proposals for clinical research in Korean medicine worldwide — future clinical research strategy II. J Physiol Pathol Korean Med. 2015;29:115–26 [Article in Korean].CrossRef Jung KY, Lee MH, Choi YK, Lee CY, Park JH, Jeon CY. Study on the proposals for clinical research in Korean medicine worldwide — future clinical research strategy II. J Physiol Pathol Korean Med. 2015;29:115–26 [Article in Korean].CrossRef
40.
go back to reference Lee SD, Kim EJ, Jung CY, Shin KM, Jang MK, Yoon EH, et al. Selection of adequate indicators for the development of a questionnaire to evaluate the effects of Ojeock-san. J Korean Orient Med. 2010;31:101–14 [Article in Korean]. Lee SD, Kim EJ, Jung CY, Shin KM, Jang MK, Yoon EH, et al. Selection of adequate indicators for the development of a questionnaire to evaluate the effects of Ojeock-san. J Korean Orient Med. 2010;31:101–14 [Article in Korean].
41.
go back to reference Koo BS, Lee SJ, Han CH, Kim HJ, Park SH. The basic study for building the depression prescription guideline of Gamiguibi-Tang — the evaluation of reliability and validity of the depression pattern-identification questionnaire. J Orient Neuropsychiatry. 2009;20:1–13 [Article in Korean]. Koo BS, Lee SJ, Han CH, Kim HJ, Park SH. The basic study for building the depression prescription guideline of Gamiguibi-Tang — the evaluation of reliability and validity of the depression pattern-identification questionnaire. J Orient Neuropsychiatry. 2009;20:1–13 [Article in Korean].
42.
go back to reference Lim JS, Oh HS, Lee SC, Park YB. Developing questionnaire for pathogenesis analysis of Pyungweesan symptom. J Korean Orient Med Diagn. 2007;11:72–81 [Article in Korean]. Lim JS, Oh HS, Lee SC, Park YB. Developing questionnaire for pathogenesis analysis of Pyungweesan symptom. J Korean Orient Med Diagn. 2007;11:72–81 [Article in Korean].
43.
go back to reference Jang ES, Kim YY, Lee EJ, Yoo HR, Jung IC. Review on the development state and utilization of pattern identification questionnaire in Korean medicine by U code of Korean Classification of Disease. J Physiol Pathol Korean Med. 2016;30:124–30 [Article in Korean].CrossRef Jang ES, Kim YY, Lee EJ, Yoo HR, Jung IC. Review on the development state and utilization of pattern identification questionnaire in Korean medicine by U code of Korean Classification of Disease. J Physiol Pathol Korean Med. 2016;30:124–30 [Article in Korean].CrossRef
44.
go back to reference Jung KY, Go HY, Sun SH, Jeong JJ, Park JS, Song YK, et al. Study on the current situation and issues for clinical research in Korean medicine worldwide — future clinical research strategy I. Korean. J Orient Physiol Pathol. 2014;28:137–45 [Article in Korean]. Jung KY, Go HY, Sun SH, Jeong JJ, Park JS, Song YK, et al. Study on the current situation and issues for clinical research in Korean medicine worldwide — future clinical research strategy I. Korean. J Orient Physiol Pathol. 2014;28:137–45 [Article in Korean].
45.
go back to reference Watanabe K, Matsuura K, Gao P, Hottenbacher L, Tokunaga H, Nishimura K, et al. Traditional Japanese Kampo medicine: clinical research between modernity and traditional medicine—the state of research and methodological suggestions for the future. Evid Based Complement Alternat Med. 2011;2011:513842.CrossRefPubMedPubMedCentral Watanabe K, Matsuura K, Gao P, Hottenbacher L, Tokunaga H, Nishimura K, et al. Traditional Japanese Kampo medicine: clinical research between modernity and traditional medicine—the state of research and methodological suggestions for the future. Evid Based Complement Alternat Med. 2011;2011:513842.CrossRefPubMedPubMedCentral
46.
go back to reference Shea JL. Applying evidence-based medicine to traditional Chinese medicine: debate and strategy. J Altern Complement Med. 2006;12:255–63.CrossRefPubMed Shea JL. Applying evidence-based medicine to traditional Chinese medicine: debate and strategy. J Altern Complement Med. 2006;12:255–63.CrossRefPubMed
Metadata
Title
Effect of Guizhifulingwan (Keishibukuryogan) on climacteric syndrome: study protocol for a randomized controlled pilot trial
Authors
Jung-Eun Kim
Junghyo Cho
Ojin Kwon
Ae-Ran Kim
Hyo-Ju Park
So-Young Jung
Joo-Hee Kim
Mikyung Kim
Hye-Yoon Lee
Jun-Hwan Lee
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Trials / Issue 1/2017
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-1877-8

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