Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status

Thomas Rampp; Linda Tan; Lin Zhang; Zhuo-jun Sun; Petra Klose; Frauke Musial; Gustav Jürgen Dobos

doi:10.1007/s11655-008-0194-1

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Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status

OriginalPaper | Updated：2021-08-27

- Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status
- Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status
- 中国结合医学杂志（英文版） 2008年14卷第3期页码：194-196
- Affiliations：
  
  1. Kliniken Essen-Mitte, Knappschafts-Krankenhaus, University Duisburg-Essen, Essen,Germany
  2. Department of Gynaecology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China
- Author bio：
- Funds：
  
  Supported by the German Academic Exchange Service (Deutscher Akademischer Austauschdienst, DAAD, No. A/06/00013)
- DOI：10.1007/s11655-008-0194-1
  中图分类号：
- 纸质出版日期：2008，
  
  网络出版日期：2008-10-14，
Scan for full text
Rampp, T., Tan, L., Zhang, L. et al. Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status., Chin. J. Integr. Med. 14, 194–196 (2008). https://doi.org/10.1007/s11655-008-0194-1

Thomas Rampp, Linda Tan, Lin Zhang, et al. Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status[J]. Chinese Journal of Integrative Medicine, 2008,14(3):194-196.
Rampp, T., Tan, L., Zhang, L. et al. Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status., Chin. J. Integr. Med. 14, 194–196 (2008). https://doi.org/10.1007/s11655-008-0194-1 DOI：

Thomas Rampp, Linda Tan, Lin Zhang, et al. Menopause in German and Chinese women—An analysis of symptoms, TCM-diagnosis and hormone status[J]. Chinese Journal of Integrative Medicine, 2008,14(3):194-196. DOI： 10.1007/s11655-008-0194-1.

摘要

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). 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. 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 (肾)-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 (P⩽0.0005). 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.

Abstract

To investigate menopause-related symptoms

traditional Chinese Medicine (TCM)-diagnosis and hormone status of two comparable urban samples of menopausal women

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

from a TCM point of view

which

in TCM

is a characteristic of yang deficiency.

关键词

Traditional Chinese MedicineyinyangmenopauseChineseGermanKupperman-IndexTestosteroneestrogen

Keywords

Traditional Chinese MedicineyinyangmenopauseChineseGermanKupperman-IndexTestosteroneestrogen

references

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Teschner A, Hinrichsen M. Klimakterium. In: Stauber M, Weyerstahl T. Gynäkologie und Geburtshilfe. Stuttgart: Thieme, 2005:133–136.

Eichling PS, Sahni J. Menopause related sleep disorders. J Clin Sleep Med 2005;1:291–300.

Rapkin AJ. Vasomotor symptoms in menopause: physiologic condition and central nervous system approaches to treatment. Am J Obstet Gynecol 2007;196:97–106.

Chim H, Tan BH, Ang CC, et al. The prevalence of menopausal symptoms in a community in Singapore. Maturitas 2002;41:275–282.

Shea JL. Chinese women’s symptoms: relation to menopause, age and related attitudes. Climacteric 2006;9:30–39.

Lasley BL, Santoro N, Randolf JF, et al. The relationship of circulating dehydroepiandrosterone, testosterone, and estradiol to stages of the menopausal transition and ethnicity. J Clin Endocrinol Metab 2002;87:3760–3767.

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Randolph JF, Sowers M, Gold EB, et al. Reproductive hormones in the early menopausal transition: relationship to ethnicity, body size, and menopausal status. J Clin Endocrinol Metab 2003;88:1516–1522.

Langevin HM, Badger GJ, Povolny BK, et al. Yin scores and yang scores: A new method for quantitative diagnostic evaluation in traditional Chinese medicine research. J Altern Complement Med 2004;10:389–395

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