Menopause in German and Chinese women--an analysis of symptoms, TCM-diagnosis and hormone status.

Autor: Rampp T; Kliniken Essen-Mitte, Knappschafts-Krankenhaus, University Duisburg-Essen, Am Deimelsberg 34 a, 45276, Essen, Germany., Tan L, Zhang L, Sun ZJ, Klose P, Musial F, Dobos GJ
Jazyk: angličtina
Zdroj: Chinese journal of integrative medicine [Chin J Integr Med] 2008 Sep; Vol. 14 (3), pp. 194-6. Date of Electronic Publication: 2008 Oct 14.
DOI: 10.1007/s11655-008-0194-1
Abstrakt: Objective: To investigate menopause-related symptoms, traditional Chinese Medicine (TCM)-diagnosis and hormone status of two comparable urban samples of menopausal women, one in Essen (Germany) and the other in Shanghai (China).
Methods: Patients suffering from menopause-syndrome were recruited from the TCM-outpatient clinic of the University of Duisburg-Essen in Germany (35 subjects) and from the Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine in China (35 subjects). The Kupperman-Index for tracing menopausal symptoms was applied. The complete TCM-diagnosis was carried out by the same investigator in China as well as in Germany. Testosterone and estrogen blood samples were collected once from every woman.
Results: There were significant differences in specific symptoms of the Kupperman-Index, such as a higher prevalence of formication and depression in German menopausal women; whereas Chinese menopausal women suffered significantly more from vertigo, headache and paraesthesia symptoms. Concerning TCM-diagnosis, Shen ()-yang deficiency was diagnosed in 51.43% of the German women in contrast to 5.71% of the Chinese women; 17.14% of the German women were diagnosed as having Shen-yin deficiency compared to 74.29% of the Chinese women. The German women showed significantly lower mean hormone levels for testosterone compared to the Chinese women (PConclusions: German and Chinese menopausal women do not show different prevalence but have different patterns of menopausal symptoms. Furthermore, from a TCM point of view, German women suffer more from Shen-yang deficiency whereas Chinese women suffer more from Shen-yin deficiency syndrome. These results are supported by significantly lower levels of testosterone in German women compared to Chinese women, which, in TCM, is a characteristic of yang deficiency.
Databáze: MEDLINE
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