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Chinesische Medizin bei unerfülltem Kinderwunsch und im Klimakterium

Chinese medicine for infertility and menopause

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Gynäkologische Endokrinologie Aims and scope

Zusammenfassung

Die chinesische Medizin (CM) ist ein vegetatives Behandlungssystem, das neben der in Deutschland besonders verbreiteten Akupunktur vielfältige andere Therapiestrategien umfasst. Diese werden aufgrund einer vegetativen Diagnose einzeln oder in Kombination individuell eingesetzt und im weiteren Verlauf der Behandlung modifiziert und angepasst. Die Akupunktur wird in der Praxis und auch in vielen Studien häufig nur aufgrund von westlichen Diagnosen ohne Berücksichtigung des sich ändernden funktionellen vegetativen Status gelehrt und eingesetzt. Sogar diese Anwendung kann wirksam sein und erleichtert die Durchführung von Studien, verzichtet aber auf die Chance, durch Berücksichtigung der modernen wissenschaftlichen Hypothesen zur umfassenden Theorie der chinesischen Medizin unsere westlichen Behandlungsstrategien durch das ergänzende Konzept der CM zu bereichern. Nach einem Überblick über das Heidelberger Modell der CM und häufige chinesische Diagnosen bei unerfülltem Kinderwunsch und im Klimakterium werden vorhandene Studien dargestellt und auf der Basis der verfügbaren Evidenz Empfehlungen sowohl für die Praxis als auch für die weitere Forschung gegeben.

Abstract

Traditional Chinese medicine (CM) is a vegetative treatment system that includes various other therapeutic options apart from acupuncture, which is very widespread in Germany and other western countries. Following the special Chinese diagnosis, these treatments may be administered as a single or combined treatment and can be modified during further treatment. In western countries, acupuncture is often based on a western indication only without considering the Chinese diagnosis and without further adaptation to the changing Chinese diagnosis during the course of therapy. This western standardisation in education and practical application without considering modern scientific hypotheses of Chinese medical theories may be suitable for conducting trials but does not take into account the advantage of adding a complementary concept to our treatment strategies. After an introduction to the Heidelberg model of Chinese medicine, a summary of common Chinese diagnoses in sterility and menopause is given; the available evidence from published trials is presented followed by recommendations both for practical applications and for further research.

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Literatur

  1. Greten J (2006) Kursbuch Traditionelle Chinesische Medizin, 2. korr. u. erw. Aufl. Thieme, Stuttgart

  2. Porkert M (1991) Die theoretischen Grundlagen der chinesischen Medizin, erneut durchgesehene 3. Aufl. Phainon, Dinkelschwerben

  3. Porkert M (1992) Die chinesische Medizin, 3. Aufl. Econ, Berlin

  4. Porkert M (1993) Neues Lehrbuch der chinesischen Diagnostik. Phainon, Dinkelschwerben

  5. Porkert M (1994) Klassische chinesische Rezeptur, durchgesehene 2. Aufl. Phainon, Dinkelschwerben

  6. Porkert M (1994) Klinische chinesische Pharmakologie, 2. Aufl. Phainon, Dinkelschwerben

  7. Zell B, Hirata J, Marcus A et al. (2000) Diagnosis of symptomatic postmenopausal women by traditional Chinese medicine practitioners. Menopause 7(2): 129–134

    PubMed  CAS  Google Scholar 

  8. Coyle M, Smith C (2005) A survey comparing TCM diagnosis, health status and medical diagnosis in women undergoing assisted reproduction. Acupunct Med 23(2): 62–69

    PubMed  Google Scholar 

  9. Heutling D, Schulz H, Randeva H et al. (2007) Polycystic ovary syndrome. Prototype of a cardio-metabolic syndrome. Internist 48(2): 144–153

    Article  PubMed  CAS  Google Scholar 

  10. Rich-Edwards JW, Spiegelman D, Garland M et al. (2002) Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology 13(2): 184–190

    Article  PubMed  Google Scholar 

  11. Frank-Herrmann P, Gnoth C, Baur S et al. (2005) Determination of the fertile window: reproductive competence of women – European cycle databases. Gynecol Endocrinol 20(6): 305–312

    Article  PubMed  Google Scholar 

  12. Gnoth C, Frank-Herrmann P, Freundl G (2002) Opinion: natural family planning and the management of infertility. Arch Gynecol Obstet 267(2): 67–71

    Article  PubMed  Google Scholar 

  13. Chavarro JE, Rich-Edwards JW, Rosner B, Willett WC (2007) A prospective study of dairy foods intake and anovulatory infertility. Hum Reprod 22(5):1340–1347

    Article  PubMed  CAS  Google Scholar 

  14. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC (2007) Dietary fatty acid intakes and the risk of ovulatory infertility. Am J Clin Nutr. 2007 Jan;85(1):231–7.

    Google Scholar 

  15. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstet Gynecol 110(5): 1050–1058

    Google Scholar 

  16. Xu X, Yin H, Tang D et al. (2003) Application of traditional Chinese medicine in the treatment of infertility. Hum Fertil (Camb) 6(4): 161–168

    Google Scholar 

  17. Xia YW, Cai LX, Zhang SC (2004)Therapeutic effect of Chinese herbal medicines for nourishing blood and reinforcing shen in treating patients with anovulatory sterility of shen-deficiency type and its influence on the hemodynamics in ovarian and uterine arteries. Zhongguo Zhong Xi Yi Jie He Za Zhi 24(4): 299–302 (Article in Chinese)

    PubMed  Google Scholar 

  18. Ushiroyama T, Hosotani T, Yamashita Y et al. (2003) Effects of Unkei-to on FSH, LH and estradiol in anovulatory young women with hyper- or hypo-functioning conditions. Am J Chin Med 31(5): 763–771

    Article  PubMed  Google Scholar 

  19. Ushiroyama T, Hosotani T, Mori K et al. (2006) Effects of switching to wen-jing-tang (unkei-to) from preceding herbal preparations selected by eight-principle pattern identification on endocrinological status and ovulatory induction in women with polycystic ovary syndrome. Am J Chin Med 34(2): 177–187

    Article  PubMed  Google Scholar 

  20. Ushiroyama T, Ikeda A, Sakai M et al. (2001) Effects of unkei-to, an herbal medicine, on endocrine function and ovulation in women with high basal levels of luteinizing hormone secretion. J Reprod Med 46(5): 451–456

    PubMed  CAS  Google Scholar 

  21. Song JJ, Yan ME, Wu XK, Hou LH (2006) Progress of integrative Chinese and Western medicine in treating polycystic ovarian syndrome caused infertility. Chin J Integr Med 12(4): 312–316

    Article  PubMed  Google Scholar 

  22. Ushiroyama T, Ikeda A, Higashio S et al. (2003) Unkei-to for correcting luteal phase defects. J Reprod Med 48(9): 729–734

    PubMed  Google Scholar 

  23. Usuki S, Higa TN, Soreya K (2002) The improvement of luteal insufficiency in fecund women by tokishakuyakusan treatment. Am J Chin Med 30(2–3): 327–338

    Google Scholar 

  24. Chao SL, Huang LW, Yen HR (2003) Pregnancy in premature ovarian failure after therapy using Chinese herbal medicine. Chang Gung Med J 26(6): 449–452

    PubMed  Google Scholar 

  25. Huang J (2005) External application of chinese drugs on acupoint Shenque combined with salpingostomy for treatment of sterility caused by obstruction of the fallopian tube – a clinical report of 45 cases. J Tradit Chin Med 25(3): 174–176

    PubMed  Google Scholar 

  26. Ernst E (2002) Toxic heavy metals and undeclared drugs in Asian herbal medicines. Trend Pharmacol Sci 23(3): 136–139

    Article  CAS  Google Scholar 

  27. Ernst E (2002) Adulteration of chinese herbal medicines with synthetic drugs: a systematic review, J Int Med 252: 107–113

    Google Scholar 

  28. Drew AK, Myers SP (1997) Safety issues in herbal medicine: implications for the health professions. MJA 166: 538–541

    PubMed  CAS  Google Scholar 

  29. Garvey GJ, Hahn G, Lee RV, Harbison RD (2001) Heavy metal hazards of Asian traditional remedies. Int Environ health Res 11(1): 63

    Article  CAS  Google Scholar 

  30. Zhang M, Huang G, Lu F et al. (2002) Influence of acupuncture on idiopathic male infertility in assisted reproductive technology. J Huazhong Univ Sci Technolog Med Sci 22(3): 228–230

    PubMed  Google Scholar 

  31. Fischl F, Riegler R, Bieglmayer C et al. (1984) Modification of semen quality by acupuncture in subfertile males. Geburtshilfe Frauenheilkd 44(8): 510–512

    PubMed  CAS  Google Scholar 

  32. Li DJ, Li CJ, Zhu Y (1995) Treatment of immunological infertility with Chinese medicinal herbs of ziyin jianghuo. Zhongguo Zhong Xi Yi Jie He Za Zhi 15(1): 3–5 (Article in Chinese)

    PubMed  CAS  Google Scholar 

  33. Siterman S, Eltes F, Wolfson V et al. (1997) Effect of acupuncture on sperm parameters of males suffering from subfertility related to low sperm quality. Arch Androl 39(2): 155–161

    Article  PubMed  CAS  Google Scholar 

  34. Zheng Z (1997) Analysis on the therapeutic effect of combined use of acupuncture and mediation in 297 cases of male sterility. J Tradit Chin Med 17(3): 190–193

    PubMed  CAS  Google Scholar 

  35. Siterman S, Eltes F, Wolfson V et al. (2002) Does acupuncture treatment affect sperm density in males with very low sperm count? A pilot study. Andrologia 32(1): 31–39

    Article  Google Scholar 

  36. Gurfinkel E, Cedenho AP, Yamamura Y, Srougi M (2003) Effects of acupuncture and moxa treatment in patients with semen abnormalities. Asian J Androl 5(4): 345–348

    PubMed  Google Scholar 

  37. Yu AL, Zhang FZ, Zhang FX (2004) Clinical observation on effect of combination of zhuanyindan and hormone in treating male infertility with positive antisperm antibody. Zhongguo Zhong Xi Yi Jie He Za Zhi 24(3): 223–226 (Article in Chinese)

    PubMed  Google Scholar 

  38. Pei J, Strehler E, Noss U et al. (2005) Quantitative evaluation of spermatozoa ultrastructure after acupuncture treatment for idiopathic male infertility. Fertil Steril 84(1): 141–147

    Article  PubMed  Google Scholar 

  39. Fu B, Lun X, Gong Y (2005) Effects of the combined therapy of acupuncture with herbal drugs on male immune infertility – a clinical report of 50 cases. J Tradit Chin Med 25(3): 186–189

    PubMed  Google Scholar 

  40. Dong C, Chen SR, Jiang J et al. (2006) Clinical observation and study of mechanisms of needle-picking therapy for primary infertility of abnormal sperm. Zhongguo Zhen Jiu 26(6): 389–391 (Article in Chinese)

    PubMed  Google Scholar 

  41. Filshie J, Bolton T, Browne D, Ashley S (2005) Acupuncture and self acupuncture for long-term treatment of vasomotor symptoms in cancer patients – audit and treatment algorithm. Acupunct Med 23(4): 171–180

    Article  PubMed  Google Scholar 

  42. Qu F, Zhou J, Nan R (2007) Acupuncture for perimenopausal symptoms in women who underwent oophorectomy a comparative study. Forsch Komplement Med 14(1): 25–32

    Article  Google Scholar 

  43. Grille M, Lamma A, Macchiagodena C et al. (1989) L’emploi thérapeutique de l’acupuncture dans la menopause. (Expériences de l’hôpital de Ravenne et de Bologne). Revue Francaise Médecine Traditionelle Chinoise 133: 65–66

    Google Scholar 

  44. Zaborowska E, Brynhildsen J, Damberg S et al. (2007) Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies. Climacteric 10(1): 38–45

    Article  PubMed  CAS  Google Scholar 

  45. Wyon Y, Wijma K, Nedstrand E, Hammar M (2004) A comparison of acupuncture and oral estradiol treatment of vasomotor symptoms in postmenopausal women. Climacteric 7(2): 153–164

    Article  PubMed  CAS  Google Scholar 

  46. Nedstrand E, Wijma K, Wyon Y, Hammar M (2005) Vasomotor symptoms decrease in women with breast cancer randomized to treatment with applied relaxation or electro-acupuncture: a preliminary study. Climacteric 8(3): 243–250

    Article  PubMed  CAS  Google Scholar 

  47. Nedstrand E, Wyon Y, Hammar M, Wijma K (2006) Psychological well-being improves in women with breast cancer after treatment with applied relaxation or electro-acupuncture for vasomotor symptom. J Psychosom Obstet Gynaecol 27(4): 193–199

    Article  PubMed  Google Scholar 

  48. Kraft K, Coulon S (1999) Effect of a standardized acupuncture treatment on complains, blood pressure and serum lipids of hypertensive, postmenopausal women. A randomized, controlled clinical study. Forsch Komplementarmed 6(2): 74–79

    Article  PubMed  CAS  Google Scholar 

  49. Sandberg M, Wijma K, Wyon Y et al. (2002) Effects of electro-acupuncture on psychological distress in postmenopausal women. Complement Ther Med 10(3): 161–169

    Article  PubMed  CAS  Google Scholar 

  50. Cohen SM, Rousseau ME, Carey BL (2003) Can acupuncture ease the symptoms of menopause? Holist Nurs Pract 17(6): 295–299

    PubMed  Google Scholar 

  51. Vincent A, Barton DL, Mandrekar JN et al. (2007) Acupuncture for hot flashes: a randomized, sham-controlled clinical study. Menopause 14(1): 45–52

    Article  PubMed  Google Scholar 

  52. Huang MI, Nir Y, Chen B et al. (2006) A randomized controlled pilot study of acupuncture for postmenopausal hot flashes: effect on nocturnal hot flashes and sleep quality. Fertil Steril 86(3): 700–710

    Article  PubMed  Google Scholar 

  53. Nir Y, Huang MI, Schnyer R et al. (2007) Acupuncture for postmenopausal hot flashes. Maturitas 20;56(4): 383–395

    Google Scholar 

  54. Deng G, Vickers A, Yeung S, Cassileth B (2007) Randomized, controlled trial of acupuncture for the treatment of hot flashes in breast cancer patients. J Clin Oncol 10;25(35): 5584–5590

    Google Scholar 

  55. Davis SR, Briganti EM, Chen RQ et al. (2001) The effects of Chinese medicinal herbs on postmenopausal vasomotor symptoms of Australian women. A randomised controlled trial. Med J Aust 15;174(2): 68–71

    Google Scholar 

  56. Hirata JD, Swiersz LM, Zell B et al. (1997) Does dong quai have estrogenic effects in postmenopausal women? A double-blind, placebo-controlled trial. Fertil Steril 68(6): 981–986

    Article  PubMed  CAS  Google Scholar 

  57. Kwee SH, Tan HH, Marsman A, Wauters C (2007) The effect of Chinese herbal medicines (CHM) on menopausal symptoms compared to hormone replacement therapy (HRT) and placebo. Maturitas 20;58(1): 83–90

    Google Scholar 

  58. Ushiroyama T, Ikeda A, Sakuma K, Ueki M (2005) 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 33(2): 259–267

    Article  PubMed  Google Scholar 

  59. Hsieh SC, Lai JN, Chen PC et al. (2006) Development of active safety surveillance system for traditional Chinese medicine: an empirical study in treating climacteric women. Pharmacoepidemiol Drug Saf 15(12): 889–899

    Article  PubMed  Google Scholar 

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Osburg, J., Greten, J., Sertel, S. et al. Chinesische Medizin bei unerfülltem Kinderwunsch und im Klimakterium. Gynäkologische Endokrinologie 6, 94–101 (2008). https://doi.org/10.1007/s10304-008-0261-x

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