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Column March 11, 2026

Drop in Vitality During Menopause — It Isn't Just About Hormones

Hyo-seop Kim
Hyo-seop Kim
Chief Director

Around your 50s, when everything suddenly feels harder

During menopause, declining estrogen and testosterone come together with a lower basal metabolic rate, decreasing muscle mass, joint pain, sleep disturbance, and depressed mood — all at the same time. This isn't simply about a single hormone; it's a period when the entire body system is being recalibrated.

How Korean medicine views menopause

Korean medicine views menopause as a time of declining kidney essence (腎精). The kidney (腎) is the organ system that stores the foundational energy of life, and as this energy diminishes, whole-body functions decline alongside it.

  • Kidney yin deficiency (腎陰虛): Hot flashes, sweating, insomnia, dry mouth — formulas in the Jwagwi-eum (Zuogui-yin) family
  • Kidney yang deficiency (腎陽虛): Cold intolerance, frequent urination, lethargy, edema — formulas in the Ugwi-eum (Yougui-yin) family
  • Disharmony between heart and kidney (心腎不交): Palpitations and insomnia together — Cheonwangbosim-dan (Tianwangbuxin-dan) is used

How menopausal wellness care differs from a general tonic

Menopausal wellness care isn't just about boosting energy — the key is balancing yin and yang. Using warming tonic herbs (溫補藥) on a person with internal heat can actually worsen flushing and insomnia, so accurate constitution diagnosis must always come first.

Helpful complementary care

  • Combine aerobic and strength training (preserving muscle mass is the key to keeping your metabolism)
  • Maintain bone density with adequate calcium and vitamin D
  • Keep a regular sleep schedule — "sleep is the best tonic" applies especially during menopause

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Hyo-seop Kim

Hyo-seop Kim Chief Director

Hello, I am Director Hyo-seop Kim, Chief Director of Geummaek Korean Medical Clinic. I look beyond visible symptoms to find the root causes. Through over 15 years of clinical experience and research, I provide the most helpful treatment for each individual patient. Please feel free to share your concerns. Together, we will find the answers.

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