Objective

2

To observe the clinical efficacy and mechanism of Shugan Bushen Huoxue decoction in the treatment of perimenopausal perio syndrome （PPS） with kidney deficiency， liver depression and blood stasis syndrome.

Method

2

One hundred and twelve patients were randomly divided into control group and observation group according to random number table. Both groups took Remifemin orally， 1 tablet/time， by swallowing in the morning and evening. The patients in control group additionally took Fuke Yangrong capsules， 4 capsules/time， 3 times/day. The patients in observation group additionally took Shugan Bushen Huoxue decoction， 1 dose/day. The course of treatment was 12 weeks in both groups. Before and after treatment， scores were graded for modified Kupperman index （KI）， traditional Chinese medicine （TCM） syndromes， menopausal quality of life scale （MENQOL）， self-rating depression scale （SDS） and self-rating anxiety scale （SAS）. Follicle stimulating hormone （FSH），luteinizing hormone （LH），serum estrogen （E

2

）， 5-hydroxytryptamine （5-HT）， dopamine （DA）， norepinephrine （NE）， 5-hydroxyindole acetic acid （5-HIAA）， endothelin （ET）， and nitric oxide （NO） levels were detected before and after therapy.

Result

2

In the observation group， scores of KI， TCM syndrome， SDS and SAS were lower than those in the control group （

P

<

0.01）. All dimensions of MENQOL scores in the observation group were lower than those in the control group （

P

<

0.01）. FSH and LH levels in the observation group were lower than those in the control group， and the E

2

level was higher than that of the control group （

P

<

0.01）. The levels of 5-HT， 5-HIAA， DA and NE in the observation group were higher than those in the control group （

P

<

0.01）. The ET level in the observation group was lower than that in the control group， and the NO level was higher than that of the control group （

P

<

0.01）. In observation group，the clinical efficacy was superior to that in control group （

Z

=2.073

，P

<

0.05）， and the efficacy of TCM syndromes was also superior to that in control group （

Z

=2.086

，P

<

0.05）.

Conclusion

2

Shugan Bushen Huoxue decoction in the treatment of PPS in patients with kidney deficiency and liver depression and blood stasis can significantly reduce clinical symptoms， depression and anxiety， regulate the sex hormones， vasomotor factors and monoamine neurotransmitters levels， and improve the quality of life， with obvious clinical efficacy and high safety， so it is worthy of clinical use.