Traditional Chinese Medicine Formula (Er-Xian Decoction) for Menopausal Symptoms

Traditional Chinese Medicine Formula (Er-Xian Decoction) for Menopausal Symptoms
Author: Lidan Zhong
Publisher:
Total Pages:
Release: 2017-01-26
Genre:
ISBN: 9781361315354

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This dissertation, "Traditional Chinese Medicine Formula (Er-xian Decoction) for Menopausal Symptoms: Literature Review and Clinical Trial" by Lidan, Zhong, 钟丽丹, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: More than half of the women aged from 45-55 suffer from menopausal symptoms which can seriously affect the quality of life of the midlife women. The menopause transition has become a very active research area in healthy aging in the last several decades. In recent years, more and more women have turned to traditional Chinese medicine (TCM) to manage their menopausal symptoms. Among various Chinese medicine formulae, Er-Xian Decoction (EXD) is one of the most acceptable Chinese medicine formulae to relieve menopausal symptoms. Although EXD is popular in the management of menopausal symptoms, its effectiveness has not been evaluated by strictly designed clinical study. A systematic review was conducted to evaluate the current evidence to assess the efficacy and safety of EXD as a basic formula for menopausal symptoms. A total of 12 randomized controlled trials (RCTs) were included for further analysis. The results of these studies suggested that EXD was more effective than the control interventions, which included various HRT and other Chinese herbal medicine. Seven of the studies compared EXD with HRT and the meta-analysis seemed to suggest that EXD as a basic formula was superior to hormone replacement therapy. However, the included studies were insufficient in methodological quality and had a high probability of bias. A double-blind randomized controlled clinical trial was then conducted to assess the efficacy and safety of EXD for menopausal symptoms. Of 557 recruited women, 108 subjects were eligible to participate in the study and 101 subjects finished the study. Comparisons between placebo and EXD groups were conducted by using an analysis of covariance (ANCOVA) with baseline as covariate. EXD granules when compared with placebo significantly reduced the frequency and severity of hot flushes and night sweats. EXD compared with placebo significantly reduced the frequency of hot flushes (P=0.041) and the hot flush severity score (P=0.016). Superiority of EXD over placebo was also observed in greater improvement in total scores of MRS (P=0.028) and MENQOL questionnaires (P=0.021). There were no differences between EXD and placebo group in serum hormones and bone markers. There were no serious adverse events and the safety indices of whole blood counts, renal and liver functions were normal before and after the treatment. Both EXD and placebo were well tolerated. In summary, this Chinese herbal formula EXD was found to be superior to placebo in reducing hot flushes and improving menopausal symptoms in Hong Kong perimenopausal women. It was well tolerated, with no serious adverse events noted during the study period. DOI: 10.5353/th_b4807965 Subjects: Medicine, Chinese - Formulae, receipts, prescriptions Menopause - Alternative treatment

Elucidation of the Action Mechanism of Erxian Decoction, a Chinese Medicinal Formula for Menopause

Elucidation of the Action Mechanism of Erxian Decoction, a Chinese Medicinal Formula for Menopause
Author: Ho-Pan Cheung
Publisher:
Total Pages:
Release: 2017-01-26
Genre:
ISBN: 9781361320068

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This dissertation, "Elucidation of the Action Mechanism of Erxian Decoction, a Chinese Medicinal Formula for Menopause: From Pharmacological Approach to Analytical Approach" by Ho-pan, Cheung, 張浩斌, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract:  As the aging in reproductive system proceeds, females will eventually enter the period of menopause, during which a series of physiological changes occurs. The decline of estrogen level during menopausal transition is thought to associate with various menopausal symptoms. Although hormone replacement therapy can be adopted to deal with the estrogen-deficient state, side effects such as cancer risk cannot be overlooked. Alternatively, Erxian Decoction (EXD), a Chinese medicine formula for treating menopausal symptoms has been used clinically for more than 60 years without adverse effects reported. Some pharmacological properties of EXD have been reported in previous research, which are thought to be contributed by its multiple bioactive components. Thus in the present study, the pharmacological properties of EXD have been further evaluated. The drug compatibility of Traditional Chinese Medicine (TCM) formula, EXD, was also demonstrated. At last, a novel approach for identification of bioactive components from Chinese medicine formula was introduced using EXD as study model. To evaluate the multiple pharmacological properties of EXD, proteins involved in steroidogenesis in ovaries of aged female rats were measured by immunoblotting analysis. On top of that, serum lipid profiles and the related proteins were determined by colorimetric assay and immunoblotting analysis respectively. Also, anti-osteoporotic properties and drug compatibility of EXD were evaluated by in vitro methods such as proliferation assay, osteoclast differentiation assay, ELISA assay or immunoblotting analysis. Lastly, a novel approach for identification of bioactive components in relation to the subsequent bioactivity from traditional Chinese medicinal formula was introduced using HPLC profiles. From the results, it was demonstrated that EXD can modulate steroidogenesis in aged female rat model at least through up-regulation of ovarian aromatase, protein kinase B and estrogen receptor beta at protein level. Besides, EXD also exerts antihyperlipidemic effects in aged female rats as reflected from the decreased serum total cholesterol and LDL-cholesterol levels via regulation of HMG CoA reductase and LDL-receptor, the key proteins for cholesterol synthesis and LDL-cholesterol clearance. In vitro study has also demonstrated the anti-osteoporotic properties of EXD through stimulation of osteoblast proliferation and inhibition of proliferation and differentiation of osteoclast precursor cells. The later was proved to be mediated by down-regulation of NFATc1 proteins, a key protein for osteoclastogenesis. The roles of the drugs categories according to the drug compatibility of traditional Chinese medicine contributing to the optimal anti-osteoporotic properties of EXD were also elucidated. Since the diverse pharmacological properties of a Chinese medicinal formula are often the results of the effects of complex bioactive constituents in the extract, yet identification of the bioactive components has been a tedious task. Thus in the last part of the study, a novel approach for identification of bioactive component from Chinese medicinal formula has been developed. By comparing the HPLC profiles of EXD extracted by different decoction method in relation to their pharmacological properties, six bioactive chemicals were successf

Evidence-based Clinical Chinese Medicine - Volume 24: Menopause

Evidence-based Clinical Chinese Medicine - Volume 24: Menopause
Author: Meaghan Coyle
Publisher: World Scientific
Total Pages: 440
Release: 2020-10-23
Genre: Medical
ISBN: 9811224382

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Menopausal symptoms can significantly reduce women's quality of life, and may last for several years. Women who seek relief from symptoms often turn to complementary therapies, including Chinese medicine. The latest in the Evidence-based Clinical Chinese Medicine series uses a 'whole evidence' approach to summarise the management of menopausal symptoms with Chinese medicine. The first chapter describes the conventional medicine understanding of menopause, including common signs and symptoms, diagnosis and treatment. The Chinese medicine conceptualisation of menopause, both in contemporary and classical literature, is reviewed and discussed.The evidence from clinical studies is reviewed using internationally accepted scientific methods. Systematic reviews describe the treatments used in clinical studies, and analyse the effectiveness of Chinese herbal medicines, acupuncture and related therapies, other Chinese medicine therapies, and combinations of Chinese medicine therapies. Experimental studies that describe the potential mechanisms of action of key herbs are summarised. The final chapter synthesises the current evidence and offers suggestions for contemporary clinical practice and future research.This book is a handy desktop reference for both clinicians and students of Chinese and integrative medicine. It provides a comprehensive synthesis of both traditional and contemporary knowledge that can inform clinical decision-making.

Managing Menopause Naturally with Chinese Medicine

Managing Menopause Naturally with Chinese Medicine
Author: Honora Lee Wolfe
Publisher: Blue Poppy Enterprises, Inc.
Total Pages: 226
Release: 1999-03
Genre: Medicine, Chinese
ISBN: 9780936185989

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More than 40 million women in the United States are now experiencing menopause, and it is affecting their sex drive, energy level, and emotions. This book explains how Chinese medicine can aid in the diagnosis, treatment, and prevention of menopausal problems, restoring balance to a woman's body. Topics covered include Chinese self-care and home remedies and information on Chinese dietary therapy, exercise, and deep relaxation.

Menopause, a Second Spring

Menopause, a Second Spring
Author: Honora Lee Wolfe
Publisher:
Total Pages: 212
Release: 1993-05
Genre: Health & Fitness
ISBN: 9780936185477

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Provides information on Chinese medicine in relation to menopause and how it may help the physical and emotional discomforts associated with menopause.