화병치료에 대한 침과 한약의 효과에 대한 메타분석

Abstract

Background and Objective: Whabyung is a Korean cultural disorder characterized by a combination of emotional stress andphysical symptoms. Acupuncture, herbal medicines and other complementary medicinal treatments are used to treat the symptomsof whabyung. The purpose of this study is to investigate the effects of acupuncture treatment and herbal medicine treatments onanger, anxiety and depression of whabyung. Methods: Using PubMed, CENTRAL, AMED, MEDLINE, EMBASE, MEDLINE, CINAHL,Cnii, CNKI, J-SATGE, PsycArticles, KISS, KoreaMed, kmbase, NDSL, RISS, OASIS and Korean Traditional Knowledge Portal, articlespublished by March 2017 for whabyung or whabyung-related syndrome were searched. The quality of selected articles wasevaluated using RoB and RoBANS. The effects of acupuncture and herbal medicines on anger, anxiety, and depression levels ofwhabyung patients were considered for meta-analyses. Results: Of the total 2408 articles retrieved from the database, 11 werefinally selected and 4 articles were used for meta-analyses. Acupuncture reduced whabyung patients’ anger and anxiety. Especially, the state anxiety was significantly reduced (effect size= -0.676, p= .026). Herbal medicine had effects on reducinganxiety and state anger while trait anger was increased without statistical significance. Conclusion: The present study showed theeffectiveness of acupuncture and herbal medicines for whabyung patients in general. However, considering the limited availabilityof articles and the heterogeneity between them included for the meta-analysis, the results should be generalized with caution. Inthe future, more studies within the structure of evidence-based medicine need to be conducted to generate objective and validevidences of korean medicine.