The efficacy and safety of Danggui-Sayuk-Ga-Osuyu-Saenggang-tang on Korean patients with cold hypersensitivity in the hands: study protocol for a pilot, double-blind, randomized, placebo-controlled, parallel-group clinical trial

Youme Ko, Ho-Yeon Go, Yoon-Young Cho, Ji-Hye Shin, Tae-Hoon Kim, Dong-Jun Choi, Jin-Moo Lee, Jun-Bok Jang, Yun-Kyung Song, Seong-Gyu Ko, Seung-Ho Sun, Chan-Yong Jeon, Youme Ko, Ho-Yeon Go, Yoon-Young Cho, Ji-Hye Shin, Tae-Hoon Kim, Dong-Jun Choi, Jin-Moo Lee, Jun-Bok Jang, Yun-Kyung Song, Seong-Gyu Ko, Seung-Ho Sun, Chan-Yong Jeon

Abstract

Background: In recent years, cold hypersensitivity in the hands (CHH) has become a common ailment of women in Korea. It can lead to gynecological problems such as irregular menstruation, miscarriage, and infertility. Traditionally, Korean herbal medicine has been the primary treatment method used to balance thermoregulation in the human body; however, its effectiveness has not been confirmed through systematic study. Thus, in this trial, we will investigate the feasibility of a full randomized clinical trial, Danggui-Sayuk-Ga-Osuyu-Saenggang-tang (DSGOST) in Korean women with CHH.

Methods: This study will be a pilot, multicenter, double-blind, randomized, parallel-group, two-arm, placebo-controlled clinical trial. A total of 66 participants will be randomly divided into two groups, a DSGOST treatment group and a placebo control group, in a 1:1 ratio using a web-based randomization system. Each group will take DSGOST or placebo three times daily for 6 weeks. The primary outcome will be measured using Visual Analogue Scale (VAS) scores of CHH. Secondary outcomes will include changes in skin temperature of the hands, Clinical Global Impressions (CGI) scale scores, recovery rate of skin temperature of the hands after the cold stress test, and the Korean version of the WHO Quality of Life Scale, abbreviated version (WHOQOL-BREF).

Discussion: This trial will be the first trial to reflect the newly defined disease range of CHH which was compiled by Korean medicine expert consensus. This study will provide considerable evidence for further large-scale trials and general clinical guidelines for CHH in the Korean medical field.

Trial registration: This study is registered at ClinicalTrials.gov, ID: NCT02645916 . Registered on 30 December 2015.

Keywords: Cold hypersensitivity; Cold temperature; Herbal medicine; Randomized clinical trial.

Figures

Fig. 1
Fig. 1
Flow chart of the trial process
Fig. 2
Fig. 2
Study schedule of the Danggui-Sayuk-Ga-Osuyu-Saenggang-tang (DSGOST) clinical trial

References

    1. Sun SH, Go HY, Ko SW, Cho YY, Shin JH, Kim TH, et al. A Delphi study for treatment standardization of coldness in hands and Feet. J Soc Preven Korean Med. 2015;19(3):131–140.
    1. Bae KH, Lee JA, Park KH, Yoo JH, Lee Y, Lee S. Cold hypersensitivity in the hands and feet may be associated with functional dyspepsia: results of a multicenter survey study. Evid Based Complement Alternat Med. 2016;2016:8948690.
    1. Hur YM, Chae JH, Chung KW, Kim JJ, Jeong HU, Kim JW, et al. Feeling of cold hands and feet is a highly heritable phenotype. Twin Res Hum Genet. 2012;15(2):166–169. doi: 10.1375/twin.15.2.166.
    1. Lee SL, Lee KS, Song BK. The literature review on the cold hypersensitivity of women. Korean J Obstet Gynecol. 1996;9:55–80.
    1. Herrick AL. Pathogenesis of Raynaud’s phenomenon. Rheumatology (Oxford) 2005;44(5):587–596. doi: 10.1093/rheumatology/keh552.
    1. Naidu S, Baskerville PA, Goss DE, Roberts VC. Raynaud’s phenomenon and cold stress testing: a new approach. Eur J Vasc Surg. 1994;8(5):567–573. doi: 10.1016/S0950-821X(05)80592-4.
    1. Ratchford EV, Evans NS. Raynaud’s phenomenon. Vasc Med. 2015;20(3):269–271. doi: 10.1177/1358863X15579122.
    1. Wilms S. Jin Gui Yao Lue: essential prescriptions of the Golden Cabinet, Translation and Commentaries. New Mexico: Paradigm Publications; 2012.
    1. Lee YH, Sun SH, Jeong JJ, Park JS, Go HY, Jung KY, et al. Literature review on Danggwisayeokgaohsuyusaenggang-tang. Korean J Oriental Physiol Pathol. 2014;28(1):1–8. doi: 10.13048/jkm.14025.
    1. Liu G, McCann H. Discussion of cold damage (Shang Han Lun): Commentaries and Clinical Applications. 1st ed. London: Singing Dragon; 2015.
    1. Ehling D. Chinese herbalist’s handbook. 3rd ed. New Delhi: Lotus Press; 2002.
    1. Nishida S, Eguchi E, Ohira T, Kitamura A, Kato YH, Hagihara K, et al. Effects of a traditional herbal medicine on peripheral blood flow in women experiencing peripheral coldness: a randomized controlled trial. BMC Complement Altern Med. 2015;15:105. doi: 10.1186/s12906-015-0617-4.
    1. Cho SG, Go HY, Park JS, Jung KY, Sun SH, Choi YK, et al. Herbal prescription, DSGOST, prevents cold-induced RhoA activation and endothelin-1 production in endothelial cells. Evid Based Complement Alternat Med. 2014;2014:549307.
    1. Busner J, Targum SD. The Clinical Global Impressions Scale: applying a research tool in clinical practice. Psychiatry (Edgmont) 2007;4(7):28–37.
    1. Harada N. Cold-stress tests involving finger skin temperature measurement for evaluation of vascular disorders in hand-arm vibration syndrome: review of the literature. Int Arch Occup Environ Health. 2002;75(1-2):14–19.
    1. Park KS, Kim JW, Jo JY, Hwang DS, Lee CH, Jang JB, et al. Effect of Korean red ginseng on cold hypersensitivity in the hands and feet: study protocol for a randomized controlled trial. Trials. 2013;14:438. doi: 10.1186/1745-6215-14-438.
    1. Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF. Qual Life Res. 2002;11(6):593–600. doi: 10.1023/A:1016351406336.
    1. Tokunaga H, Munakata K, Katayama K, Yamaguchi R, Imoto S, Miyano S, et al. Clinical data mining related to the Japanese kampo concept “hie” (oversensitivity to coldness) in men and pre- and postmenopausal women. Evid Based Complement Alternat Med. 2014;2014:832824. doi: 10.1155/2014/832824.
    1. Gepshtein Y, Plotnikoff GA, Watanabe K. Kampo in women’s health: Japan’s traditional approach to premenstrual symptoms. J Altern Complement Med. 2008;14(4):427–435. doi: 10.1089/acm.2007.7064.
    1. Schuhfried O, Vacariu G, Lang T, Korpan M, Kiener HP, Fialka-Moser V. Thermographic parameters in the diagnosis of secondary Raynaud’s phenomenon. Arch Phys Med Rehabil. 2000;81(4):495–499. doi: 10.1053/mr.2000.4870.
    1. Poole K, Elms J, Mason HJ. The diagnostic value of finger systolic blood pressure and cold-provocation testing for the vascular component of hand-arm vibration syndrome in health surveillance. Occup Med (Lond) 2004;54(8):520–527. doi: 10.1093/occmed/kqh108.
    1. House CM, Taylor RJ, Oakley EH. Repeatability of a cold stress test to assess cold sensitization. Occup Med (Lond) 2015;65(7):578–584. doi: 10.1093/occmed/kqv111.

Source: PubMed

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