Qingre Lishi Tuihuang therapy for acute icteric hepatitis B: A systematic review

Bibliographic Details
Title: Qingre Lishi Tuihuang therapy for acute icteric hepatitis B: A systematic review
Authors: Zisong Wang, Xueqian Wang, Jiajie Zhu, Fafeng Cheng, Haiqiang Yao, Zheng Yang, Zengliang Zhang, Qingguo Wang
Source: Journal of Traditional Chinese Medical Sciences, Vol 4, Iss 2, Pp 95-105 (2017)
Publisher Information: Elsevier, 2017.
Publication Year: 2017
Collection: LCC:Miscellaneous systems and treatments
Subject Terms: Qingre Lishi Tuihuang therapy, Acute icteric hepatitis B, Systematic review, Traditional Chinese medicine, Miscellaneous systems and treatments, RZ409.7-999
More Details: Objective: To assess the efficacy of Qingre Lishi Tuihuang therapy (QLTT) for acute icteric hepatitis B infection. Methods: Eight electronic databases were searched from inception to December 2016 with no language restrictions for reports of randomized controlled trials evaluating the effect of QLTT treating acute icteric hepatitis B. Two researchers independently extracted detailed data and assessed methodological quality. Review Manager 5.3.0 software was used to analyze the data. Results: A total of 13 randomized controlled trials involving 2238 participants were included in this review. The methodological quality was generally poor. The results indicated that supplemented Yinchenhao decoction combined with non-specific treatments was more effective in improving the cure rate (risk ratio = 1.80; 95% CI 1.21–2.68) and reducing the serum levels of total bilirubin (mean difference = −29.74; 95% CI −31.91 to −27.57) and aspartate aminotransferase. Other self-made prescriptions conforming to QLTT plus non-specific treatments had beneficial effect for acute icteric hepatitis B in curing this disease (risk ratio = 1.48; 95% CI 1.27–1.73), as well as for negative seroconversion of HBeAg (risk ratio = 1.39; 95% CI 1.11–1.74). Supplemented Yinchenhao decoction plus non-specific treatments was more effective than other self-made prescriptions conforming to QLTT in reducing serum total bilirubin level. Conclusion: Qingre Lishi Tuihuang therapy appears to improve effect based on non-specific treatments for the treatment of acute icteric hepatitis B. However, it is premature to draw confirmative conclusions, owing to the poor methodological quality and high clinical heterogeneity of the included trials. Further well-designed clinical randomized controlled trials with large sample sizes should be undertaken.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2095-7548
Relation: http://www.sciencedirect.com/science/article/pii/S2095754817300418; https://doaj.org/toc/2095-7548
DOI: 10.1016/j.jtcms.2017.07.009
Access URL: https://doaj.org/article/d0f059e4ca6f4d708d9dd8147eb2052a
Accession Number: edsdoj.0f059e4ca6f4d708d9dd8147eb2052a
Database: Directory of Open Access Journals
More Details
ISSN:20957548
DOI:10.1016/j.jtcms.2017.07.009
Published in:Journal of Traditional Chinese Medical Sciences
Language:English