Respiratory Conditions
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Published research studies are articles that present the findings of original research that has undergone a peer-review process and has been made publicly available in scholarly journals, books or other media.

Adenophora Stricta Root Extract Alleviates Airway Inflammation in Mice with Ovalbumin-Induced Allergic Asthma
2023 Apr 13 Antioxidants Jung CJ, Park SM, Lee DG, Yu YE, Ku TH, La IJ, et al.
The present results clearly showed that Adenophora stricta root extract (AsE) can protect the lung from allergic asthma by reducing the infiltration of inflammatory cells, as well as the production of T helper 2 lymphocyte-dependent cytokines. If several remaining issues are appropriately addressed in the future, AsE will be a promising nutraceutical for protecting the lungs by managing airway inflammation.
Network Pharmacology Animal Study Sha Shen Asthma
Effectiveness and safety of Qingfei Dayuan granules for treating influenza and upper respiratory tract infections manifested by the pulmonary heat-toxin syndrome: A multicenter, randomized, double-blind, placebo-controlled trial
2023 Mar 15 Frontiers in Pharmacology Li W, Xie L, Zhu X, Yang Y, Wang L, Yang M, et al.
The trial showed that QFDY was an effective and safe treatment modality for influenza and URTIs manifested by PHTS because it shortened the complete fever relief time, accelerated clinical recovery, and alleviated symptoms such as cough, a stuffy and running nose, and sneezing during the course of treatment.
Randomised Controlled Trial Qingfei Dayuan Granules Influenza
Effects of Pear Extracts on Microbiome and Immunocytokines to Alleviate Air Pollution-Related Respiratory Hypersensitivity
2023 Mar 01 Journal of Medicinal Food Yang M, Lee U, Cho HR, Lee KB, Shin YJ, Bae MJ, et al.
Air Pollution Asthma Gut Microbiota PearThis article was submitted by Jinnan C. and is awaiting moderation..
Korean pear extracts appear to alleviate air pollution-related respiratory hypersensitivity by modulating beneficial gut microflora and suppressing pro-inflammatory cytokines.

Xuanfei Baidu Decoction suppresses complement overactivation and ameliorates IgG immune complex-induced acute lung injury by inhibiting JAK2/STAT3/SOCS3 and NF-κB signaling pathway
2023 Jan Phytomedicine Li C, Li Y, Zhang H, Zhuo Y, Zhang L, Yang L, et al.
Xuanfei Baidu Decoction (XFBD) suppressed complement overactivation and ameliorated IgG immune complex-induced acute lung injury by inhibiting JAK2/STAT3/SOCS3 and NF-κB signaling pathway. These data contribute to understanding the mechanisms of XFBD in COVID-19 treatment.
Network Pharmacology Xuan Fei Bai Du decoction COVID-19
“An integrative approach with Ayurveda and Traditional Chinese Acupuncture in post covid parosmia – A case study”
2023 Jan Journal of Ayurveda and Integrative Medicine Bhat AK, Krishna Kumar V, Johnson JD
Parosmia was assessed by VAS which was ten on day one and zero on day seven. We could achieve complete normalcy in olfactory function within four months of this treatment. This integrative approach was found to be safe and effective in treating Post covid parosmia.
Case Report COVID-19 AcupunctureResearch insights are moderated by the Research Hub team and offer an at-a-glance overview of interesting research findings.

2023 Journal of Medicinal Food
Korean pear extracts appear to alleviate air pollution-related respiratory hypersensitivity by modulating beneficial gut microflora and suppressing pro-inflammatory cytokines.
Air Pollution Asthma Gut Microbiota Pear
Effects of Pear Extracts on Microbiome and Immunocytokines to Alleviate Air Pollution-Related Respiratory Hypersensitivity
Yang M, Lee U, Cho HR, Lee KB, Shin YJ, Bae MJ, et al.

2022 Mediators of Inflammation
Drinking pomegranate juice and sumac can help reduce symptoms in outpatients diagnosed with COVID-19, alongside standard treatment.
Randomised Controlled Trial COVID-19 Pomegranate Sumac
The Effect of Pomegranate Juice and Sumac Consumption in the Treatment of Outpatients with COVID-19
Forouzanfar F, Ahmadpoor M, Farahi MM, Hadianfar A, Sahebkar A, Esmaily H, et al.

2022 Evidence-Based Complementary and Alternative Medicine
HuoXiang ZhengQi (HQXXD) may be a safe and effective treatment for Chronic Cough Variant Asthma (CVA), improving clinical efficacy and airway responsiveness while reducing recurrence rates.
Systematic Review Asthma Cough Huang Qi Huangqi Xixin decoction Xi Xin
The Effectiveness and Safety of Huangqi Xixin Decoction for Cough Variant Asthma: A Systematic Review and Meta-Analysis
Wang C, Xia Q, Hu B, Jiang W, Zhang H

2022 Biomedicine & Pharmacotherapy
Pomegranate extract and its phytochemicals can potentially inhibit severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and improve gut microbiota, preventing obesity and diabetes.
Review Article COVID-19 Gut Microbiota Obesity Pomegranate Type 2 Diabetes
Medicinal uses, pharmacological activities, phytochemistry, and the molecular mechanisms of Punica granatum L. (pomegranate) plant extracts: A review
Maphetu N, Unuofin JO, Masuku NP, Olisah C, Lebelo SL

2022 Evidence-Based Complementary and Alternative Medicine
Acupuncture, either solo or alongside conventional treatment, results in a significant improvement in symptoms and quality of life for chronic rhinosinusitis sufferers.
Systematic Review Acupuncture Chronic Rhinosinusitis Sinusitis
Acupuncture for the Treatment of Chronic Rhinosinusitis: A PRISMA-Compliant Systematic Review and Meta-Analysis
Lee B, Kwon CY, Park MY
Review Articles
Review articles summarise and critically evaluate the current state of research on a specific topic or field by synthesising multiple primary research studies.

The potential for traditional Chinese therapy in treating sleep disorders caused by COVID-19 through the cholinergic anti-inflammatory pathway
2022 Oct 10 Frontiers in Pharmacology Xie X, Zhang N, Fu J, Wang Z, Ye Z, Liu Z
The reasons for the sleep disorders caused by the novel coronavirus and found that inflammation was the main reason leading to sleep distress in patients. And we reviewed the mechanisms of three common traditional Chinese in inhibiting inflammation through CAP and relieving the sleep or symptoms. We, therefore, propose that TCT may be a potential strategy to take for the treatment of sleep problems due to inflammation caused by COVID-19.
Review Article COVID-19
The Effectiveness and Safety of Huangqi Xixin Decoction for Cough Variant Asthma: A Systematic Review and Meta-Analysis
2022 Sep 20 Evidence-Based Complementary and Alternative Medicine Wang C, Xia Q, Hu B, Jiang W, Zhang H
Systematic Review Meta-Analysis Huangqi Xixin decoction Cough Huang Qi Asthma Xi XinHuoXiang ZhengQi (HQXXD) may be a safe and effective treatment for Chronic Cough Variant Asthma (CVA), improving clinical efficacy and airway responsiveness while reducing recurrence rates.

Traditional Chinese medicines as effective agents against influenza virus-induced pneumonia
2022 Sep Biomedicine & Pharmacotherapy Yang M, Wang Y, Yue Y, Liang L, Peng M, Zhao M, et al.
There has been some progress in the prevention and treatment of IVP by using TCMs. However, most research has focused on viral replication, the role of inflammatory cytokines, oxidative stress, and lung inflammatory cell infiltration in the pathogenesis of the disease, while there has been relatively little in-depth research on the lung lesions caused by influenza virus infection and on the role TCMs may have in preventing them. At present, analyses of the chemical components and mechanisms of action of TCMs useful in the treatment of IVP are insufficient, and this restricts their further use.
Systematic Review Meta-Analysis Pneumonia influenza virus-induced pneumonia
Medicinal uses, pharmacological activities, phytochemistry, and the molecular mechanisms of Punica granatum L. (pomegranate) plant extracts: A review
2022 Sep Biomedicine & Pharmacotherapy Maphetu N, Unuofin JO, Masuku NP, Olisah C, Lebelo SL
Review Article Gut Microbiota Type 2 Diabetes Obesity Pomegranate COVID-19Pomegranate extract and its phytochemicals can potentially inhibit severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and improve gut microbiota, preventing obesity and diabetes.

Efficacy and safety of traditional Chinese medicine nasal irrigation on chronic rhinosinusitis recovery after endoscopic sinus surgery: A protocol for a systematic review and meta-analysis
2022 Aug 01 PLOS One Yang Y, Sun Y, Xiang F, Zhang M, Fu L, Zhang Q
This protocol is suitable for evaluating the effectiveness and safety of TCM nasal rinse for chronic rhinosinusitis (CRS) recovery after endoscopic sinus surgery (ESS), and can provide corresponding evidence-based medical evidence.
Meta-Analysis Systematic Review Study Protocol Respiratory Conditions Chronic RhinosinusitisClinical Trials
Clinical trials are research studies that involve people and are conducted to evaluate the safety and efficacy of new treatments or interventions, such as drugs, medical devices, or behavioural therapies.

Effectiveness and safety of Qingfei Dayuan granules for treating influenza and upper respiratory tract infections manifested by the pulmonary heat-toxin syndrome: A multicenter, randomized, double-blind, placebo-controlled trial
2023 Mar 15 Frontiers in Pharmacology Li W, Xie L, Zhu X, Yang Y, Wang L, Yang M, et al.
The trial showed that QFDY was an effective and safe treatment modality for influenza and URTIs manifested by PHTS because it shortened the complete fever relief time, accelerated clinical recovery, and alleviated symptoms such as cough, a stuffy and running nose, and sneezing during the course of treatment.
Randomised Controlled Trial Qingfei Dayuan Granules Influenza
The Effect of Pomegranate Juice and Sumac Consumption in the Treatment of Outpatients with COVID-19
2022 Nov 30 Mediators of Inflammation Forouzanfar F, Ahmadpoor M, Farahi MM, Hadianfar A, Sahebkar A, Esmaily H, et al.
Randomised Controlled Trial Clinical Study COVID-19 Sumac PomegranateDrinking pomegranate juice and sumac can help reduce symptoms in outpatients diagnosed with COVID-19, alongside standard treatment.

Effect of Acupuncture in the Treatment of Seasonal Allergic Rhinitis: A Randomized Controlled Clinical Trial
2022 Jan The American Journal of Chinese Medicine Xue CC, English R, Zhang JJ, Da Costa C, Li CG
Randomised Controlled Trial Acupuncture Hay FeverAcupuncture is a safe and effective treatment for Seasonal Allergic Rhinitis, significantly improving symptoms without needing relief medication or causing side effects.

N-Chromosome Royal Jelly, Propolis and Bee Pollen Supplementation Improve the Clinical Conditions of COVID-19 Patients: A Randomized Controlled Trial
2022 Jan 08 Traditional and Integrative Medicine Abedini A, Shafaghi S, Ameri Ahmad Z, Javanmardi E, Ghorbani F, Sharif-Kashani B, et al.
In a randomized, open-label, controlled trial involving 50 cases of COVID-19, the intervention group receiving royal jelly, propolis, and bee pollen in addition to conventional treatment showed a more pronounced improvement in functional class compared to the control group. Additionally, the intervention group experienced significantly reduced total symptoms duration and time to return to work. Although these natural supplements are not definitive treatments for COVID-19, they can be considered as adjuvant treatments to limit disease symptoms and virus propagation.
Randomised Controlled Trial Bee Pollen COVID-19
Acupuncture is associated with a positive effect on odour discrimination in patients with postinfectious smell loss—a controlled prospective study
2021 May 25 European Archives of Oto-Rhino-Laryngology Drews T, Hummel T, Rochlitzer B, Hauswald B, Hähner A
Randomised Controlled Trial AnosmiaAcupuncture may be an effective supplementary treatment option for patients with olfactory loss.
Study Protocols
Published study protocols are detailed plans that outline the objectives, methodology, statistical analyses, and organisation of a research study that have been made publicly available for others to review and use as a reference.

Efficacy and safety of traditional Chinese medicine nasal irrigation on chronic rhinosinusitis recovery after endoscopic sinus surgery: A protocol for a systematic review and meta-analysis
2022 Aug 01 PLOS One Yang Y, Sun Y, Xiang F, Zhang M, Fu L, Zhang Q
This protocol is suitable for evaluating the effectiveness and safety of TCM nasal rinse for chronic rhinosinusitis (CRS) recovery after endoscopic sinus surgery (ESS), and can provide corresponding evidence-based medical evidence.
Meta-Analysis Systematic Review Study Protocol Respiratory Conditions Chronic Rhinosinusitis
The effectiveness and safety of traditional Chinese medicine for the treatment of children with COVID-19
2020 Jul 24 Medicine Li Y, Bi L, Li Y, Hu X, Wang Q, Liang X, et al.
This systematic review protocol is designed to provide evidence regarding the effectiveness and safety of traditional Chinese medicine for the treatment of children with COVID-19, such evidence may be useful and important for clinical treatment decisions.
Study Protocol COVID-19
Acupuncture for common cold
2018 Mar Medicine Cheng Y, Gao B, Jin Y, Xu N, Guo T
This protocol study will present the evidence of whether acupuncture therapy is an effective intervention for common cold.
Study Protocol Systematic Review Meta-Analysis Respiratory ConditionsPresentation Slides

Korean pear extracts appear to alleviate air pollution-related respiratory hypersensitivity by modulating beneficial gut microflora and suppressing pro-inflammatory cytokines.
Yang M, Lee U, Cho HR, Lee KB, Shin YJ, Bae MJ, Park KY

Randomised Controlled Trial
Drinking pomegranate juice and sumac can help reduce symptoms in outpatients diagnosed with COVID-19, alongside standard treatment.
Forouzanfar F, Ahmadpoor M, Farahi MM, Hadianfar A, Sahebkar A, Esmaily H, Nematy M, Rakhshandeh H

Systematic Review
HuoXiang ZhengQi (HQXXD) may be a safe and effective treatment for Chronic Cough Variant Asthma (CVA), improving clinical efficacy and airway responsiveness while reducing recurrence rates.
Wang C, Xia Q, Hu B, Jiang W, Zhang H

Review Article
Pomegranate extract and its phytochemicals can potentially inhibit severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and improve gut microbiota, preventing obesity and diabetes.
Maphetu N, Unuofin JO, Masuku NP, Olisah C, Lebelo SL

Systematic Review
Acupuncture, either solo or alongside conventional treatment, results in a significant improvement in symptoms and quality of life for chronic rhinosinusitis sufferers.
Lee B, Kwon CY, Park MY

Review Article
Honey, owing to its bioactive compounds, demonstrates potential in treating COVID-19 symptoms by reducing oxidative damage and enhancing the immune system.
Soares S, Bornet M, Grosso C, Ramalhosa MJ, Gouvinhas I, Garcia J, Rodrigues F, Delerue-Matos C

Systematic Review
The traditional Chinese medicine phlegm-resolving method combined with either CPAP or health guidance improves obstructive sleep apnea symptoms more effectively than the applied methods alone.
Zhou S, Xu H, Liu J, Fan X

Review Article
Acupuncture has shown to be potentially beneficial as an alternate or adjunct therapy for patients with Bell's palsy following recovery from COVID-19.
Yepthomi T, Somanadhapai S

Review Article
Pomegranate juice, due to its unique bioactive compounds, could potentially alleviate complications related to SARS-CoV-2 infections, especially in patients with pre-existing chronic diseases.
Banihani SA

Network Pharmacology
Asthma severity can be notably reduced by Xi Xin essential oil, which decreases inflammation, immunoglobulins, and fibrotic mediators, while also alleviating airway obstruction.
Han JM, Kim MH, Choi LY, Kim G, Yang WM

Randomised Controlled Trial
Acupuncture is a safe and effective treatment for Seasonal Allergic Rhinitis, significantly improving symptoms without needing relief medication or causing side effects.
Xue CC, English R, Zhang JJ, Da Costa C, Li CG

Review Article
High doses of vitamin C, vitamin D supplementation and natural honey can potentially decrease fatalities and support the management of COVID-19.
Rabby MII, Hossain F, Islam MA, Islam AKMS, Akhi IJ, Akter F

Review Article
Allergic rhinitis in children, according to traditional Chinese medicine, is interrelated with the functionality of lungs, spleen, and kidney and can be treated with combined Western and Chinese herbal medicines.
Liang J, Gu Q

Systematic Review
Green tea consumption has been found to be effective in preventing the contraction of influenza infections.
Rawangkan A, Kengkla K, Kanchanasurakit S, Duangjai A, Saokaew S

Randomised Controlled Trial
Acupuncture may be an effective supplementary treatment option for patients with olfactory loss.
Drews T, Hummel T, Rochlitzer B, Hauswald B, Hähner A

Qingfei Paidu Decoction might significantly inhibit IL-6 and TNF-α signaling pathways in regulating COVID-19-related cytokine storm.
Yifei Dai, Weijie Qiang, Yu Gui, Xue Tan, Tianli Pei, Kequan Lin, Siwei Cai, Liang Sun, Guochen Ning, Jianxun Wang, Hongyan Guo, Yimin Sun, Jing Cheng, Lan Xie, Xun Lan, Dong Wang

Review Article
Acupuncture, via nerve stimulation, can be a promising treatment strategy for controlling inflammation and improving organ function during sepsis by activating immune reflexes.
Pan WX, Fan AY, Chen S, Alemi SF.

Traditional Chinese medicine could reduce the all-cause mortality in COVID-19 patients, inhibit virus replication and transcription, and attenuate the cytokine storm and immune deficiency caused by the SARS-CoV-2.
Xuedong An, YueHong Zhang, Liyun Duan, De Jin, Shenghui Zhao, RongRong Zhou, Yingying Duan, Fengmei Lian, Xiaolin Tong

Systematic Review
The use of Yu Ping Feng San for pediatric allergic rhinitis appears relatively safe compared to Western medical therapy yet its routine use remains unsupported.
Liao Y, Zhong J, Liu S, Dai M, Liu Y, Li X, Yang Y, Zhang D, Lai D, Lu T, Zhang Q, Zhao Y

Review Article
Pomegranate demonstrates anti-proliferative, anti-oxidant, anti-inflammatory properties that can effectively control the progression of various respiratory diseases.
Shaikh SB, Bhandary YP

125 anti-COVID-19 traditional Chinese medicine formulae were identified with anti-inflammatory or immune-activating functions.
Qiao, L., Huang, W., Zhang, X. et al.

Among the patients hospitalized for COVID-19, the use of Qingfei Paidu Tang was associated with halving the risk of mortality, without raising the risk of acute liver injury or acute kidney injury.
Lihua Zhang, Xin Zheng, Xueke Bai, Qing Wang, Bowang Chen, Haibo Wang, Jiapeng Lu, Shuang Hu, Xiaoyan Zhang, Haibo Zhang, Jiamin Liu, Ying Shi, Zhiye Zhou, Lanxia Gan, Xi Li, Jing Li

Review Article
Bee honey and propolis could have potential beneficial effects as supporting treatments for COVID-19, enhancing immunity and inhibiting viral activity.
Ali AM, Kunugi H

Systematic Review
Gui Zhi Decoction and associated formulas significantly improve the effectiveness of allergic rhinitis treatments when used alone or combined with Western medicine.
Yang S, Fu Q, Deng H, Wu J, Zhang Q, Wang L, Yao X

Review Article
Honey's phytochemical components and bioactive compounds have potential antiviral effects, potentially making it an effective natural product against COVID-19.
Al-Hatamleh MAI, Hatmal MM, Sattar K, Ahmad S, Mustafa MZ, Bittencourt MDC, Mohamud R

Review Article
Traditional Chinese medicine has unique advantages in relieving symptoms, shortening treatment time and reducing the development of severe viral pneumonia.
Xi S, Li Y, Yue L, Gong Y, Qian L, Liang T, Ye Y

Systematic Review
Our findings revealed that all acupuncture methods are effective and safe for allergic rhinitis. Acupuncture plus conventional medicine are potentially the most effective treatment strategies for allergic rhinitis.
Yin, Z., Geng, G., Xu, G. et al.

Review Article
Traditional Chinese Medicine, specifically acupuncture, demonstrates promising effects in managing allergic diseases like allergic rhinitis and asthma.
Chan HHL, Ng T

Systematic Review
Chinese medicine combined with conventional treatment significantly improved clinical efficacy, increased viral nucleic acid negative conversion rate, prominently reduced pulmonary inflammation, and improved host immune function.
Sun, C. Y., Sun, Y. L., & Li, X. M.

Cohort Study
Chinese herbal medicine usage in children with asthma can reduce their risk of hospitalization.
Lo PC, Lin SK, Lai JN

Meta-Analysis
Consumption of raw milk early in life appears to provide protection against asthma and allergies, regardless of whether children live on farms or in rural, non-farm areas.
Brick T, Hettinga K, Kirchner B, Pfaffl MW, Ege MJ

Animal Study
A traditional Chinese prescription, Yu Ping Feng San, significantly mitigates symptoms in cases of asthma recurrence, outperforming commonly prescribed asthma medications.
Bao K, Yuan W, Zhou Y, Chen Y, Yu X, Wang X, Jia Z, Yu X, Wang X, Yao L, Wang S, Xu Y, Zhang Y, Zheng J and Hong M

Systematic Review
Chinese medicine treatments involving the Bladder and Conception Vessel meridians may be more effective to relieve asthma symptoms than non-meridian interventions.
Mei-Hua Wang, Chiehfeng Chen, Mei-Ling Yeh and Jaung-Geng Lin

Review Article
Tea catechins, found in green tea, may reduce the rates of influenza infection and diminish certain cold symptoms.
Furushima D, Ide K, Yamada H

Randomised Controlled Trial
Acupuncture appeared to significantly reduce the number of days of antihistamine use while improving rhinitis-specific quality of life and seasonal allergic rhinitis symptoms
Adam D, Grabenhenrich L, Ortiz M, Binting S, Reinhold T, Brinkhaus B

Review Article
Moderate‐certainty evidence showed that honey probably reduces cough duration to a greater extent than salbutamol or placebo. Honey group participants were first to get total relief of cough compared to salbutamol or placebo.
Oduwole O, Udoh EE, Oyo-Ita A, Meremikwu MM

Systematic Review
Ma Huang Tang may lower the duration of fever when it is used alone or in combination with neuraminidase inhibitors and may be a well-tolerated treatment.
Yoshino, T., Arita, R., Horiba, Y. et al

Systematic Review
Yu Ping Feng San, a Chinese herbal medicine, combined with pharmacotherapy could be effective for treating allergic rhinitis in adults.
Luo Q, Zhang CS, Yang L, Zhang AL, Guo X, Xue CC, Lu C

Systematic Review
Bu Zhong Yi Qi Tang treatment improves clinical symptoms, exercise capacity, lung function and quality of life for patients with stable chronic obstructive pulmonary disease.
Yuanbin Chen, Johannah Linda Shergis, Lei Wu, Xuhua Yu, Qigang Zeng, Yinji Xu, Xinfeng Guo, Anthony Lin Zhang, Charlie Changli Xue, Lin Lin

Systematic Review
Herbal medicines combined with routine pharmacotherapies improved asthma outcomes greater than pharmacotherapies alone.
Shergis JL, Wu L, Zhang AL, Guo X, Lu C, Xue CC

Meta-Analysis
Compared with oseltamivir, Chinese herbs might have superior potential effects on fever resolution and similar effects on viral shedding.
Li, Jiang-Honga,; Wang, Re-Qina; Guo, Wen-Jieb; Li, Juan-Shengc

Systematic Review
There are high-quality randomized controlled trials that demonstrate efficacy and effectiveness for acupuncture in the treatment of both seasonal and perennial allergic rhinitis.
Malcolm B. Tawa, William D. Reddyb, Folashade S. Omolec, and Michael D. Seidmand

Systematic Review
There is strong evidence for Andrographis paniculata (Chuan Xin Lian) being significantly superior to placebo in alleviating the frequency and severity of cough symptoms.
Wagner L., Cramer H., Klose P., Lauche R., Gass F., Dobos G, Langhorst J.

Meta-Analysis
Our meta-analysis suggests that that acupuncture could be a safe and valid treatment option for allergic rhinitis patients.
Feng S, Han M, Fan Y, Yang G, Liao Z, Liao W, Li H

Traditional Chinese Medicine (TCM) is regularly used in treating upper respiratory tract infections, particularly for patients (more female patients in database found) with mild symptoms, using commonly preferred prescriptions, i.e Yin Qian San & Ma Xing Shi Gan Tang.
Yu JS, Ho CH, Hsu YC, Wang JJ, Hsieh CL

Systematic Review
Most Chinese medical herbs in the included studies showed similar effects to antiviral drugs in preventing or treating influenza.
Jiang L, Deng L, Wu T.

Randomised Controlled Trial
Acupuncture was found to be a more effective and safe treatment for allergic rhinitis than sham acupuncture or no treatment.
Choi SM, Park JE, Li SS, Jung H, Zi M, Kim TH, Jung S, Kim A, Shin M, Sul JU, Hong Z, Jiping Z, Lee S, Liyun H, Kang K, Baoyan L
Executive Summary
Write an executive summary in the form of a blog article on the topic of "Research into Chinese medicine treatment for Respiratory Conditions" summarising the research below and using language that can be easily understood by patients and avoiding medical jargon using a professional and caring tone of voice.
Write an executive summary in the form of a blog article on the topic of "Researched Chinese medicine treatments for Respiratory Conditions" summarising the research below in an objective and easy to understand way, and using language that can be easily understood by patients. Group the article into Chinese medicine treatments first, followed by nutrition and other treatments. Avoid using medical jargon and use a professional and caring tone of voice.
Write me a concise but easy to understand executive summary on the topic of "Chinese medicine treatments for Respiratory Conditions" based on the following research that I will give you. Your summary should be 2 paragraphs long in Australian English spelling and include references to the studies.
A published in 2023 in the journal Journal of Medicinal Food found that Korean pear extracts appear to alleviate air pollution-related respiratory hypersensitivity by modulating beneficial gut microflora and suppressing pro-inflammatory cytokines. In the preclinical and randomized double-blind clinical studies, mild-asthma subjects living in Seoul, Korea were divided into two groups: one receiving a daily treatment of pear extracts for four weeks, and a placebo group. The pear extract was tested for its ability to mitigate respiratory hypersensitivity connected to air pollution. The treatment's effects were evaluated based on the toxicokinetic study of exposure biomarkers for airborne polyaromatic hydrocarbons and levels of pro-inflammatory cytokines in human subjects. In terms of results, it was found that those individuals receiving daily pear extract exhibited decreased levels of exposure biomarkers related to airborne polyaromatic hydrocarbons. Furthermore, the pear extract treatment was associated with a significant increase in populations of fiber-degrading bacteria that boost beneficial gut microflora crucial for immune defense. Additionally, the extracts significantly suppressed the production of various pro-inflammatory cytokines, as per the preclinical tests conducted on asthma-induced mice. Overall, these outcomes suggest a beneficial role of Korean pear extracts in mitigating air pollution-related respiratory hypersensitivity.
A Randomised Controlled Trial published in 2022 in the journal Mediators of Inflammation found that Drinking pomegranate juice and sumac can help reduce symptoms in outpatients diagnosed with COVID-19, alongside standard treatment. In the applied methodology, two groups were randomly formed from 182 outpatients with COVID-19. The first group had a diet containing pomegranate juice and sumac, in addition to their standard treatment. The second group, the control group, stuck to the standard treatment only. The results from the study show that outpatients with COVID-19 who consumed a diet containing pomegranate juice and sumac, along with their standard treatment, experienced a significant decrease in their symptoms. Such symptoms include fever, chills, coughing, weakness, smell and taste disorders, shortness of breath, diarrhea, nausea and vomiting, and abdominal pain. This decrease in symptoms was in comparison to the outpatients with COVID-19 who underwent only the standard treatment. Overall, the consumption of pomegranate juice and sumac has shown to be beneficial in reducing COVID-19 related symptoms.
A Systematic Review published in 2022 in the journal Evidence-Based Complementary and Alternative Medicine found that HuoXiang ZhengQi (HQXXD) may be a safe and effective treatment for Chronic Cough Variant Asthma (CVA), improving clinical efficacy and airway responsiveness while reducing recurrence rates. HuoXiang ZhengQi (HQXXD) for Chronic Cough Variant Asthma (CVA) was systematically evaluated. The HQXXD group showed significantly higher total effective rates of clinical efficacy and airway responsiveness compared to the control group, while the recurrence rate was lower. Adverse reactions were not reported in HQXXD treatment, indicating its safety for CVA patients.
A Review Article published in 2022 in the journal Biomedicine & Pharmacotherapy found that Pomegranate extract and its phytochemicals can potentially inhibit severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) and improve gut microbiota, preventing obesity and diabetes. The study employs the use of in silico molecular docking methodologies to demonstrate that extract from pomegranates and their phytochemicals can serve as inhibitors of severe acute respiratory syndrome coronavirus 2's spike protein and the angiotensin-converting enzyme 2 receptor contact. These findings are further reinforced by clinical trials which suggest that pomegranates can also alleviate non-alcoholic fatty liver disease, metabolic syndrome, dental infections, and symptoms of menopause. This study has also identified numerous active compounds within pomegranates such as alkaloids, anthocyanidins, tannins, flavonoids, phenolics, proanthocyanidins, sterols, terpenes, terpenoids, xanthonoids, fatty acids, organic acids, lignans, saccharides, and vitamin C. This mixture of active compounds is believed to significantly contribute to the broad array of pharmacological activities identified within the pomegranate. This includes anti-diabetic, anti-tumor, anti-inflammatory, anti-malaria, anti-fibrotic, anti-fungal, and anti-bacterial effects. The extract from this fruit improves gut microbiota which could potentially aid in the prevention of obesity and diabetes.
A Systematic Review published in 2022 in the journal Evidence-Based Complementary and Alternative Medicine found that Acupuncture, either solo or alongside conventional treatment, results in a significant improvement in symptoms and quality of life for chronic rhinosinusitis sufferers. To evaluate the effectiveness of acupuncture in treating chronic rhinosinusitis, this study utilized 10 randomized controlled clinical trials, found through searching electronic databases. Through these trials, the posttreatment severity of chronic rhinosinusitis was measured, primarily focusing on the Total Effective Rate and patient ratings on the Visual Analogue Scale. From the analysis of the trial data, it was revealed that acupuncture, when used alone or in combination with conventional treatment methods, led to significant improvements in the severity of chronic rhinosinusitis symptoms and the quality of life of patients. This was indicated by enhanced ratings on the Visual Analogue Scale and the Total Effective Rate. It was also noted that the incidence of adverse events was similar across treatment methods. Despite these promising results, the researchers found a high degree of clinical heterogeneity across the included trials, as well as generally moderate-to-low quality of evidence.
A Review Article published in 2022 in the journal Applied Sciences found that Honey, owing to its bioactive compounds, demonstrates potential in treating COVID-19 symptoms by reducing oxidative damage and enhancing the immune system. The review outlines the SARS-CoV-2 virus's mechanisms of action, which is responsible for COVID-19, offering a comprehensive understanding. It also explores the various bioactive assets honey has at its disposal, primarily focusing on its beneficial properties. The discussion elaborates on the potentials of honey's biological properties, especially its antioxidant and anti-inflammatory activities. These characteristics of honey, as suggested by the review, could contribute to the relief of oxidative damage and boost the immune system, thereby proving beneficial in combating viral infections, including COVID-19.
A Systematic Review published in 2022 in the journal Evidence-Based Complementary and Alternative Medicine found that The traditional Chinese medicine phlegm-resolving method combined with either CPAP or health guidance improves obstructive sleep apnea symptoms more effectively than the applied methods alone. The research was conducted by methodically searching databases such as PubMed, Embase, Cochrane Library, Wanfang, CNKI, and VIP using specific search strategies. Data analysis was done using specialized software. For this investigation, thirteen randomized controlled trials were selected which involved a total of 882 patients diagnosed with obstructive sleep apnea-hypopnea syndrome. These trials compared the efficacy of the traditional Chinese medicine (TCM) phlegm-resolving method when combined with continuous positive airway pressure (CPAP) or with health guidance. In terms of results, it was determined that both combinations of TCM phlegm-resolving method with either CPAP or health guidance significantly improved the apnea/hypopnea index, Epworth Sleepiness Scale, and lowest oxygen saturation. The effects were observed to be generally better with treatment duration greater than six weeks. During the treatment, except for one mild report of nausea, there were no significant side effects mentioned.
A Review Article published in 2022 in the journal Journal of Complementary and Alternative Medical Research found that Acupuncture has shown to be potentially beneficial as an alternate or adjunct therapy for patients with Bell's palsy following recovery from COVID-19. In the methodology utilized for this research, an extensive literature search was carried out by two independent investigators. They used multiple sources including PubMed, MEDLINE, Google scholar, LILACS, and the Cochrane Register of Controlled Trials, from the year 2000 up until 2021. They used the keywords: Bell’s Palsy, covid-19, acupuncture, Mucormycosis, vaccine, and steroids. Selected articles were only those published in English and included full-text. The studies included in the review were all randomized controlled trials which compared acupuncture intervention's clinical effects (used alone or add on) with no treatment. In terms of results, although the methodological quality of most studies was considered generally low, six randomized controlled trials were found to be satisfactory and included in the study. According to the results across these studies, the groups who received acupuncture treatment reported improved outcomes compared to their baseline or control groups. This was evident as no negative side effects were reported. The review therefore indicates that acupuncture could play a beneficial role in treating patients with Bell's palsy post-recovery from COVID-19, particularly those at risk of mucormycosis and other severe health complications.
A Review Article published in 2022 in the journal Journal of Nutrition and Metabolism found that Pomegranate juice, due to its unique bioactive compounds, could potentially alleviate complications related to SARS-CoV-2 infections, especially in patients with pre-existing chronic diseases. The methodology employed in this research involved reviewing and discussing currently available published evidence of the beneficial effects of pomegranate juice during conditions of viral infections. The team exploited databases such as PubMed and Scopus to access relevant references. They centered their investigation around the hypothesis that the bioactive compounds in fresh pomegranate juice are advantageous in various chronic diseased conditions, thereby making the juice potentially beneficial for SARS-CoV-2 infected patients. In the discussion of results, the researchers found compelling evidence supporting the idea that pomegranate juice can be helpful in the contexts of SARS-CoV-2 infections, particularly for those patients who have a clinical history of chronic diseases like hypertension, cardiovascular disease, diabetes, and cancer. Notably, they point out that it is the unique bioactive compounds in the juice that make it beneficial for such situations.
A Network Pharmacology published in 2022 in the journal Pharmaceutics found that Asthma severity can be notably reduced by Xi Xin essential oil, which decreases inflammation, immunoglobulins, and fibrotic mediators, while also alleviating airway obstruction. AEO was administered via a nebulizer for three weeks ahead of exposing mice to ovalbumin (OVA), a protein commonly used to provoke an allergic reaction, and particulate matter (PM), common air pollutants. Co-treatment of AEO, OVA, and PM was carried out for four weeks. Additionally, A549 lung epithelial cells were exposed to PM to study the influence of AEO on lung-fibrosis-related factors. In our study, we found that AEO notably inhibited goblet cell accumulation, which led to a decrease in epithelial thickness. Collagen deposition in lung tissues, a common marker of airway remodeling, was significantly inhibited by AEO in asthmatic mice exposed to OVA and PM. AEO also lessened the influx of inflammatory cells into the bronchoalveolar lavage fluid, an indicator of respiratory inflammation. Similarly, the increases in serum IgE and IgG, immunoglobulins associated with allergic reactions, and cytokines in lung tissues were reduced by AEO. Moreover, AEO successfully managed the expression of key fibrotic mediators, particularly POSTN and TGF-β. All these indicators point to AEO's potential as a promising therapeutic treatment to alleviate asthma symptoms.
A Randomised Controlled Trial published in 2022 in the journal The American Journal of Chinese Medicine found that Acupuncture is a safe and effective treatment for Seasonal Allergic Rhinitis, significantly improving symptoms without needing relief medication or causing side effects. The study was a two-phase, single-blind, crossover clinical trial where randomly assigned subjects, split into two groups, were treated with either real or sham acupuncture. All participants received treatment thrice a week for four weeks straight before being flipped onto the other form of treatment for another four uninterrupted weeks without a washout period. The real acupuncture treatment plan was guided by Chinese Medicine Theory. The subjects' responses were measured at various stages - before, during, and after the trials. In the study, significant improvement was marked in the subjective symptom scores, both nasal and non-nasal, between the group that received the genuine acupuncture and the sham treatment. It was noteworthy, however, that no marked differences were found in the relief medication scores between the two groups. There were also no recorded side effects from either the real or sham acupuncture groups. This suggests that acupuncture proves to be a safe and effective alternative for managing Seasonal Allergic Rhinitis.
A Review Article published in 2022 in the journal Brazilian Journal of Pharmaceutical Sciences found that High doses of vitamin C, vitamin D supplementation and natural honey can potentially decrease fatalities and support the management of COVID-19. The team undertook a systematic analysis of existing literature and pertinent clinical trials to evaluate the potential of vitamin C, vitamin D, and natural honey intervention during the progression of the COVID-19 pandemic. This assessment aimed to determine the impact of these substances upon the outcomes of COVID-19, particularly in reducing respiratory damage and potentially improving patient immunity. The research revealed that substantial doses of vitamin C illustrated to lower lung damage and reduce intensive care stay duration for COVID-19 patients. It was observed that vitamin D deficiency is common among individuals living in institutions, and having supplements could aid in defending against respiratory infections. Natural honey, due to its antiviral effects and immune-enhancement capacities, also displayed promising results in treating COVID-19. The acquired evidence drove the belief that administering vitamin C, vitamin D, and natural honey, along with the existing treatment protocols, could potentially be a compelling method to decrease fatalities associated with COVID-19.
A Review Article published in 2021 in the journal Translational Pediatrics found that Allergic rhinitis in children, according to traditional Chinese medicine, is interrelated with the functionality of lungs, spleen, and kidney and can be treated with combined Western and Chinese herbal medicines. The methodology of this study was based on a review of both traditional Chinese and Western medical theories and practices. Chinese theory postulates that BiQiu, or allergic rhinitis in children, is primarily related to a congenital deficiency in vital qi, dysfunction of the lungs inhibiting nose orifices, and a deficiency of spleen and kidney leading to lung qi deficiency. The review looked into herbal monomers and compounds of Chinese herbal medicines as potential treatments for allergic rhinitis, while also considering the impact of external factors like the cold and inadequate diet. The review highlighted some of the effects and shortcomings of Chinese herbal medicines used alongside Western medicines for treating allergic rhinitis. Particularly, it focussed on how the unique perceptions of life science of the human body from both Eastern and Western cultures can be brought together for a comprehensive method of treatment. The study also outlined future trends of research to enhance this combined treatment approach.
A Systematic Review published in 2021 in the journal Molecules found that Green tea consumption has been found to be effective in preventing the contraction of influenza infections. To identify the potential benefits of green tea in influenza prevention, a methodical review and combined analysis of eight distinct research studies involving 5,048 participants was completed. The effect of green tea catechin treatment was tested against control conditions and assessed based on infection rates. Five of these studies were randomized controlled trials involving 884 participants and three were cohort studies with 2,223 participants. Subgroups such as those who gargled or took orally ingested forms of green tea were also analyzed separately. Further to this, the possibility of publication biases was evaluated using Begg's and Egger's tests. The results showed both the randomized trials and the cohort studies displayed significant preventative effects on influenza infection for those treated with green tea catechins. Notably, there was no evidence of non-uniformity within the data, reinforcing these findings. The pooled results of different consumption methods further supported these findings, showing no disparities among the subgroups. These results suggest the consumption of green tea has tangible prophylactic effects against influenza infection.
A Randomised Controlled Trial published in 2021 in the journal European Archives of Oto-Rhino-Laryngology found that Acupuncture may be an effective supplementary treatment option for patients with olfactory loss. Sixty patients with smell loss following infections of the upper respiratory tract were included in this investigation Half of the study group were randomly assigned to verum acupuncture and the other half to sham acupuncture Olfaction was measured by means of the “Sniffin’ Sticks” test battery (odour threshold, discrimination and identification). Compared to sham acupuncture, verum was associated with an improvement of smell function as measured by the TDI score. The improvement was largely determined by improvement in odour discrimination, and was significantly better in patients with a shorter duration of the disorder.
A published in 2021 in the journal Science Bulletin found that Qingfei Paidu Decoction might significantly inhibit IL-6 and TNF-α signaling pathways in regulating COVID-19-related cytokine storm. We evaluated the effects of 578 herbs and all 338 reported anti-COVID-19 TCM formulae on cytokine storm-related signaling pathways, and identified the key targets of the relevant pathways and potential active ingredients in these herbs. A total of 16 herbs was identified to have a significant inhibitory effect on the IL-6 pathway, while 37 herbs suppress the TNF-α pathway significantly. In the heatmap of gene expression induced by these herbs, more than half of the genes are down-regulated, suggesting that these herbs have a significant inhibitory effect on the expression of cytokine storm-related genes. By combining the HTS2 assay and herb scoring results, we constructed a formula-herb-gene-pathway network diagram of Qingfei Paidu Decoction. In this formula, we identified 4 herbs with an inhibitory effect on the IL-6 or TNF-α pathways, including Guizhi, which significantly inhibits the IL-6 pathway, and Shegan, Baizhu, and Zexie, which significantly inhibit the TNF-α pathway.
A Review Article published in 2021 in the journal Autonomic Neuroscience: Basic and Clinical found that Acupuncture, via nerve stimulation, can be a promising treatment strategy for controlling inflammation and improving organ function during sepsis by activating immune reflexes. The study used a neuromodulation approach, leveraging the technique of peripheral nerve stimulation through acupuncture. This was linked with known somatic-autonomous-immune reflexes with the aim to control inflammation and improve organ functions in sepsis cases. The local and systematic effects of this methodology were largely achieved through the activation of several reflexes. These included the somatic-sympathetic-splenic reflex, the somatic-sympathic-adrenal reflex, the somatic-vagal-splenic reflex, and the somatic-vagal-adrenal reflex. The activation of these particular reflexes is what sets acupuncture apart from other nerve stimulation techniques. In terms of results, the method used for immunomodulation and inflammation control showed considerable promise for sepsis treatment. The acupuncture procedure achieved regulation by activating appropriate reflexes which in turn produced a systemic effect, thereby controlling inflammation and enhancing organ function. The research findings underscore acupuncture as an effective therapy, providing significant advantages for immunomodulation in acute inflammation such as sepsis, leading to a comprehensive, evidence-based therapy recommendation.
A published in 2021 in the journal Biomedicine & Pharmacotherapy found that Traditional Chinese medicine could reduce the all-cause mortality in COVID-19 patients, inhibit virus replication and transcription, and attenuate the cytokine storm and immune deficiency caused by the SARS-CoV-2. Presently, there is good evidence that TCM can effectively alleviate the symptoms of patients with suspected and confirmed COVID-19, delay the progression from mild and moderate to severe and critical disease, and reduce severe and critical all-cause mortality. The role of TCM is related to affecting the transcription, replication, and binding of SARS-CoV-2 to the host and attenuating the cytokine storm and weak immunity in patients with COVID-19.
A Systematic Review published in 2021 in the journal Medicine found that The use of Yu Ping Feng San for pediatric allergic rhinitis appears relatively safe compared to Western medical therapy yet its routine use remains unsupported. The study undertakes a systematic search across multiple databases, including PubMed, the Excerpta Medical Database, Cochrane library and more, for randomized controlled trials (RCTs) concerning the use of YPFS for pediatric allergic rhinitis. Extracted results were subjected to stringent bias-risk analysis based on the Cochrane Handbook. A meta-analysis was then implemented using RevMan 5.3 software, and the Grading of Recommendations Assessment, Development and Evaluation methodology was applied to check the quality of evidence for every outcome. The study pooled 10 RCTs covering 1,069 participants aged between 3-15 years for initial inclusion. After certain exclusions, it was determined from the remaining eight RCTs that the overall efficacy did not show any notable advantage for the test group. In addition, inspections into variation of serum immunoglobulin levels showed no statistical significance. However, the safety of YPFS displayed better results, demonstrating a relatively safer approach with lower recurrence rates compared to Western medical therapy.
A Review Article published in 2021 in the journal Journal of Food Biochemistry found that Pomegranate demonstrates anti-proliferative, anti-oxidant, anti-inflammatory properties that can effectively control the progression of various respiratory diseases. The research methodology involved both in vivo and in vitro studies to examine the potential effects of pomegranate fruit, juice, extract, peel powder, and oil on a variety of respiratory disorders such as asthma, lung cancer, and chronic obstructive pulmonary disease. The focus was to understand the properties of pomegranates that led to its anti-proliferative, anti-oxidant, anti-microbial, anti-inflammatory, anti-cancer, and anti-tumorigenic effects, and how these qualities could potentially attenuate these diseases through modulation of various signaling pathways. The discussion of results revealed that pomegranate was effective in controlling the progression of diverse respiratory diseases, suggesting it could be a key therapeutic target. These results not only demonstrated the potential medical benefits of pomegranate against lung-based diseases but also highlighted its possible role in influencing the lung fibrinolytic system. The findings from both preclinical and clinical studies underscored the influence of pomegranate in tackling lung diseases.
A published in 2021 in the journal Signal Transduction and Targeted Therapy found that 125 anti-COVID-19 traditional Chinese medicine formulae were identified with anti-inflammatory or immune-activating functions. Our research suggested a good approach for evaluating the efficacy of anti-COVID-19 TCM formulae based on their immunoregulatory effects on a macrophage model. The state council of the People’s Republic of China recommended three patented medicines and three TCM formulae for the treatment of COVID-19 which have shown good anti-COVID-19 effects in clinical practice. Our system indicated that five of six formulae and medicines mentioned above possessed a negative normalized enrichment score (NES), including Qingfei Paidu Decoction (ranking 1/98), Lianhua Qingwen Capsule (ranking 6/98), Xuanfei Baidu Formula (ranking 14/98), Huashi Baidu Formula (ranking 20/98), and Jinhua Qinggan Granule (ranking 45/98). The remaining one, Xuebijing Injection (ranking 26/26), had a positive NES.
A published in 2021 in the journal Phytomedicine found that Among the patients hospitalized for COVID-19, the use of Qingfei Paidu Tang was associated with halving the risk of mortality, without raising the risk of acute liver injury or acute kidney injury. Of the 8939 patients included, 28.7% received QPT. The COVID-19 related mortality was 1.2% among the patients receiving QPT and 4.8% among those not receiving QPT. After adjustment for patient characteristics and concomitant treatments, QPT use was associated with a relative reduction of 50% in-hospital COVID-19 related mortality. This association was consistent across subgroups by sex and age. Meanwhile, the incidences of acute liver injury and acute kidney injury were comparable between patients receiving QPT and those not receiving QPT. The major study limitations included that the study was an observational study based on real-world data rather than a randomized control trial, and the quality of data could be affected by the accuracy and completeness of medical records. In this analysis based on a national registry of hospitalized patients with COVID-19, we first demonstrated that QPT use was associated with halving the risk of in-hospital mortality, without any significant increase in the risk of adverse effects, such as acute liver injury or acute kidney injury. Our findings have provided new evidence and insights regarding the treatment of COVID-19.
A Review Article published in 2021 in the journal Molecules found that Bee honey and propolis could have potential beneficial effects as supporting treatments for COVID-19, enhancing immunity and inhibiting viral activity. The study's methodology involved a comprehensive review of the literature on the potential anti-COVID-19 effects of bee honey and propolis, products known for their strong antimicrobial and antioxidant abilities. The researchers conducted molecular simulations to see how various flavonoids found in these products might inhibit essential viral processes. Additionally, they compared the effectiveness of propolis extracts delivered by nanocarriers to ethanolic extracts, and they examined the effects of a combination of honey and propolis on hospitalized COVID-19 patients. The findings from the review and simulations suggested that certain flavonoids in honey and propolis may inhibit the fusion of the virus spike with host cells, interactions that cause a cytokine storm, and viral replication. Propolis ethanolic extract, rutin, and propolis liposomes displayed inhibitory action against non-structural proteins of the virus in vitro while naringin inhibited viral infection in specific cells. When delivered via nanocarriers, propolis extracts showed enhanced antiviral effects against the virus compared to ethanolic extracts. Observations of hospitalized patients suggested that those treated with green Brazilian propolis or a honey-propolis combination experienced quicker viral clearance, symptom recovery, and hospital discharge, along with lower mortality rates.
A Systematic Review published in 2021 in the journal Evidence-Based Complementary and Alternative Medicine found that Gui Zhi Decoction and associated formulas significantly improve the effectiveness of allergic rhinitis treatments when used alone or combined with Western medicine. The study aimed to evaluate the efficacy of Guizhi Decoction and associated formulas for treating allergic rhinitis. It included a comprehensive search of seven online databases for studies published until February 23, 2020. Each selected study's quality was assessed using the Cochrane Collaboration risk of bias tool. The research used systematic reviews based on the Cochrane systematic review method, facilitated by RevMan 5.3 Software. Interventions in the study varied from using Guizhi Decoction and associated formulas alone to combining them with Western medicine, acupoint-based therapy, Chinese patent medicine, and placebo control. Data from 23 trials involving 2281 participants were collected and systematically analysed. The results showed that Guizhi Decoction and associated formulas, either alone or in conjunction with Western medicine or acupoint-based therapies, exhibited higher efficacy compared to Western medicine alone. The study also reported that adding nasal traditional Chinese medicine fumigation therapy to the Guizhi Decoction formulations could further improve treatment effectiveness. Adverse events were primarily mild and primarily associated with the control groups that used Western medicine alone, requiring no specific medical intervention.
A Review Article published in 2020 in the journal Molecules found that Honey's phytochemical components and bioactive compounds have potential antiviral effects, potentially making it an effective natural product against COVID-19. The methodology of this research utilizes a comprehensive review and analysis of existing literature regarding the antiviral effects and phytochemical components of honey. Previous studies have indicated that certain bioactive compounds present in honey, such as methylglyoxal, chrysin, caffeic acid, galangin, hesperidin, levan, and ascorbic acid, may exhibit antiviral effects or stimulate the body's antiviral immune responses. Through thorough examination of past works, the researchers isolated and focused on these compounds, exploring their potential utility in the context of COVID-19, a novel coronavirus that currently lacks established preventative or treatment measures. The results of the analysis pointed towards the efficacy of honey's bioactive compounds, which were found to potentially display both direct antiviral effects and the promotion of antiviral immune responses. However, the precise mechanisms by which these compounds exert their antiviral activity, particularly against SARS-CoV-2, remain largely unclear. Despite these ambiguities, the research established honey as a fruitful field of study for potential therapeutic material against the novel coronavirus disease.
A Review Article published in 2020 in the journal Frontiers in Pharmacology found that Traditional Chinese medicine has unique advantages in relieving symptoms, shortening treatment time and reducing the development of severe viral pneumonia. In the treatment of viral pneumonia through syndrome differentiation, traditional Chinese medicine (TCM) plays a variety of roles in inhibiting the proliferation, replication, adsorption and membrane penetration of the virus, promoting the expression of interferon in vivo, inhibiting inflammatory reaction, enhancing immunity, etc., which is one of the theoretical bases for the clinical application of TCM in the prevention and treatment of viral pneumonia. Traditional Chinese herbal medicine and compound medicinals are characterized by multi-component, multi-pathway and multi-pathway complex networks. Therefore, drug resistance is relatively rare in the clinical practice of TCM. Moreover, in the process of diagnosis and treatment of TCM, treatment based on differentiation of symptoms and signs, especially treatment based on classification of symptoms and signs, can best reflect the overall concept of TCM. TCM has precise therapeutic activity and less adverse reactions. Accumulating evidence has demonstrated the competent therapeutic effects of TCM against viral pneumonia with a prominent safety profile.
A Systematic Review published in 2020 in the journal Chinese Medicine found that Our findings revealed that all acupuncture methods are effective and safe for allergic rhinitis. Acupuncture plus conventional medicine are potentially the most effective treatment strategies for allergic rhinitis. Our findings revealed that all acupuncture methods are effective and safe for allergic rhinitis. Moreover, either moxibustion or manual acupuncture plus conventional medicine are potentially the most effective treatment strategies for allergic rhinitis. Based on these findings, it is evident that acupuncture therapy is not inferior to pharmacologic therapy. Therefore, for allergic rhinitis patients who are either unresponsive to conventional medicine or are intolerant to adverse events, acupuncture therapy should be administered. However, the quality of these included trials was mainly ranked as moderate quality, we recommend additional well-designed RCTs with larger sample sizes to validate these findings.
A Review Article published in 2020 in the journal Current Allergy and Asthma Reports found that Traditional Chinese Medicine, specifically acupuncture, demonstrates promising effects in managing allergic diseases like allergic rhinitis and asthma. The methodology for this paper involved an extensive review of recent publications, predominantly those presenting randomized controlled trials, that assess the use of Traditional Chinese Medicine (TCM) in treating allergies. The focus was on the two most popular treatment modalities in TCM, Chinese herbal medicine and acupuncture. Publications detailing the mechanisms by which TCM impacts allergic diseases, as well as literature in Chinese, were also examined. The analysis of the results showed an increasing trend of using TCM, specifically Chinese herbal medicine, to manage allergic diseases. However, literature evidence was found lacking to conclusively establish its effectiveness. On the other hand, acupuncture showed more definitive evidence of its utility, especially when treating allergic rhinitis and asthma, either as a standalone intervention or alongside conventional western medication. Its effectiveness in treating atopic eczema and urticaria was less clear, nonetheless, it's recommended to be incorporated into the treatment of specific allergic diseases on a personalized basis.
A Systematic Review published in 2020 in the journal The American Journal of Emergency Medicine found that Chinese medicine combined with conventional treatment significantly improved clinical efficacy, increased viral nucleic acid negative conversion rate, prominently reduced pulmonary inflammation, and improved host immune function. A total of 7 valid studies involving 681 patients were included. The meta-analysis exhibited in comparison to conventional treatment, Chinese medicine combined with conventional treatment significantly improved clinical efficacy, and significantly increased viral nucleic acid negative conversion rate. Chinese medicine also prominently reduced pulmonary inflammation, and improved host immune function. Meanwhile, Chinese medicine did not increase the incidence of adverse reactions. According to the allocated data, Chinese medicine has demonstrated clinical efficacy and safety on COVID-19 pneumonia, which need to be confirmed by high quality, multiple-center, large sample randomized controlled trials.
A Cohort Study published in 2020 in the journal Journal of Traditional and Complementary Medicine found that Chinese herbal medicine usage in children with asthma can reduce their risk of hospitalization. The study used data from one million individuals randomly selected from the National Health Insurance Research Database's Registry of Beneficiaries. Children under 18 years old diagnosed with asthma were followed from the year 2000 to 2012. These patients were classified into two groups: the Chinese Herbal Medicine (CHM) group and the non-CHM group. The Kaplan-Meier survival curve and Cox proportional hazard regression model were utilized to estimate the adjusted hazard ratio of the two groups and to determine the correlation between the number of cumulative days the CHM was used and consequent hospitalizations due to asthma. After adjusting for variables such as gender, age, comorbidities, and the total numbers of asthma medications taken, it was found that users of CHM had a reduced risk of hospitalization due to asthma compared to non-CHM users. Children older than six years who used CHM therapy for more than 180 days demonstrated a significant reduction in the risk of subsequent hospitalization for asthma.
A Meta-Analysis published in 2020 in the journal The Journal of Allergy and Clinical Immunology: In Practice found that Consumption of raw milk early in life appears to provide protection against asthma and allergies, regardless of whether children live on farms or in rural, non-farm areas. Whoever did the research carried out a comprehensive literature review, identifying twelve relevant publications from eight unique studies. Their approach involved a meta-analysis to substantiate the protective effect of raw milk consumption in early life, particularly for ages ranging from less than one year old to five years old. They further analyzed the impacts of raw milk on not only asthma but also other ailments such as wheezing, hay fever, allergic rhinitis, and atopic sensitization. Moreover, evidence was provided about the beneficial effects of raw milk for children, both living on the farms and those in rural sectors but not on farms. Moreover, in the interpretation of results, it was clearly evident that the consumption of raw milk had an independent effect, separate from other farm exposures. In essence, even children not residing on farms theoretically can still gain from the benefits of raw milk consumption. However, they express a strong sense of caution, advocating against the consumption of raw milk due to the possibility of life-threatening infections. Furthermore, the distinction between raw farm milk and industrially processed milk was underlined to highlight differences in cellular components, fat fraction, and heating degrees. Preliminary findings link these characteristics and attributes of raw milk to heat-labile molecules and components found in its fat fraction.
A Animal Study published in 2020 in the journal Frontiers in Pharmacology found that A traditional Chinese prescription, Yu Ping Feng San, significantly mitigates symptoms in cases of asthma recurrence, outperforming commonly prescribed asthma medications. In the research, an optimized mouse model was employed, which was induced with asthma recurrence by house dust mites. This model exhibited classic asthma responses, such as augmented airways hyperresponsiveness, increased serum IgE, and elevated pulmonary type 2 cytokines levels among others. Then, YPFS was applied during the remission phase preceding a second symptomatic phase. The researchers observed significant improvements in the asthmatic pathological features, and compared its effectiveness to three different types of standard clinical medications: dexamethasone, montelukast, and salbutamol, which were given during the recurrence phase. The research results revealed that the application of YPFS during the remission phase remarkably alleviated the asthma relapses induced by house dust mites. This was achieved by restoring the deficiency of desmoglein 1 (a type of protein) and decreasing thymic stromal lymphopoietin (a type of cytokine) overexpression, which are believed to be key contributors to chronic asthma relapse. Not only was the fundamental role of desmoglein 1 in asthma pathogenesis demonstrated, it also gave rise to a new and potent strategy for chronic asthma treatment.
A Systematic Review published in 2019 in the journal The American Journal of Chinese Medicine found that Chinese medicine treatments involving the Bladder and Conception Vessel meridians may be more effective to relieve asthma symptoms than non-meridian interventions. In 204 RCTs that were identified and used in a meta-synthesis, meridians were used 521 times, with the bladder meridian being the most frequently used. Furthermore, 23 RCTs were included in the meta-analysis. Surface under the cumulative ranking (SUCRA) revealed that the bladder–conception vessel–governor vessel–stomach multiplex meridian intervention was more effective than non-meridian interventions in relieving asthma symptoms. Additionally, either bladder–conception vessel–stomach or bladder–conception vessel–governor vessel–kidney multiplex meridians may be selected in interventions. This study suggests that practitioners target multiplex meridians, especially the meridians of the bladder and conception vessel, to effectively relieve asthma symptoms.
A Review Article published in 2018 in the journal Molecules found that Tea catechins, found in green tea, may reduce the rates of influenza infection and diminish certain cold symptoms. The research methodology started with interpreting several experimental studies which reported that tea catechins can inhibit influenza viral adsorption and suppress replication and neuraminidase activity. These catechins were also found effective against some common cold viruses and helped to enhance immunity against such viral infections. Additionally, epidemiological studies conducted since the late 1990s were examined which suggested that regular consumption of green tea may decrease influenza infection rates and some cold symptoms, and gargling with tea catechin could potentially protect against the development of influenza infection. For the discussion of results, the studies collectively showed that tea catechins have potential antiviral activity against influenza and some cold viruses. Although clinical evidence supporting these effects remained unconclusive, the review showed promising trends. The consumption of green tea and gargling with tea catechins could lead to potentially decreased rates of influenza infection and lessened cold symptoms according to the analyzed epidemiological studies.
A Randomised Controlled Trial published in 2018 in the journal Acupuncture in Medicine found that Acupuncture appeared to significantly reduce the number of days of antihistamine use while improving rhinitis-specific quality of life and seasonal allergic rhinitis symptoms The data from 414 patients were analysed. The acupuncture group used antihistamines significantly less often compared with the other groups (acupuncture vs sham acupuncture: mean difference −4.49 days, p=0.01; acupuncture vs RM: mean difference −9.15 days, p<0.001). Approximately 38% of the acupuncture group did not use any antihistamine in contrast to only 16% in the RM group. The pre-post comparison suggested that the acupuncture patients did not need to increase the days of antihistamine use to alleviate their symptoms, unlike the other groups. Acupuncture appeared to significantly reduce the number of days of antihistamine use while improving RQoL and SAR symptoms; it can therefore be considered a valuable, additional treatment option for patients with SAR.
A Review Article published in 2018 in the journal Cochrane Database of Systematic Reviews found that Moderate‐certainty evidence showed that honey probably reduces cough duration to a greater extent than salbutamol or placebo. Honey group participants were first to get total relief of cough compared to salbutamol or placebo. Honey probably relieves cough symptoms to a greater extent than no treatment, diphenhydramine, and placebo, but may make little or no difference compared to dextromethorphan. Honey probably reduces cough duration better than placebo and salbutamol. There was no strong evidence for or against using honey. Most of the children received treatment for one night, which is a limitation to the results of this review. There was no difference in occurrence of adverse events between the honey and control arms.
A Systematic Review published in 2018 in the journal BMC Complementary Medicine and Therapies found that Ma Huang Tang may lower the duration of fever when it is used alone or in combination with neuraminidase inhibitors and may be a well-tolerated treatment. Twelve relevant studies were identified, including two randomised controlled trials (RCTs, N = 60) and ten non-randomised studies (NRSs, N = 1110). We found that maoto plus NAIs was superior to NAIs alone in terms of the duration of fever in one RCT and four NRSs. The duration of symptoms or virus isolation did not differ between maoto and NAIs. No severe side effects or adverse reactions were reported related to maoto or NAIs. Although we could not reach a definitive conclusion because of the small sample sizes and high risk of bias in the analysed studies, maoto may lower the duration of fever when it is used alone or in combination with NAIs and may be a well-tolerated treatment. More RCTs are needed to determine the efficacy and safety of maoto.
A Systematic Review published in 2017 in the journal BMC Complementary Medicine and Therapies found that Yu Ping Feng San, a Chinese herbal medicine, combined with pharmacotherapy could be effective for treating allergic rhinitis in adults. The paper evaluates Chinese herbal medicine, YPFS, for treating allergic rhinitis in adults by conducting a meta-analysis and subgroup meta-analyses of several randomized controlled trials (RCTs). Seven databases were searched from their inceptions to September 2017 where RCTs evaluating YPFS for adult allergic rhinitis were included. The Cochrane risk of bias tool was used to assess the methodological quality of these studies and meta-analysis and subgroup meta-analyses were conducted to evaluate the effectiveness of YPFS. Based on the results, YPFS when used in combination with pharmacotherapy seemed to be more effective than using pharmacotherapy alone for treating allergic rhinitis. The paper highlighted an alleviation of four individual nasal symptom scores post YPFS combination treatment; these being itchy nose, sneezing, blocked nose, and runny nose. Furthermore, it was found that the YPFS combination treatment was more beneficial when it was used for more than three weeks. The paper also mentions that YPFS was safe and well-tolerated for treating adult allergic rhinitis. However, it did not seem to be superior to the second-generation antihistamine.
A Systematic Review published in 2016 in the journal Complementary Therapies in Medicine found that Bu Zhong Yi Qi Tang treatment improves clinical symptoms, exercise capacity, lung function and quality of life for patients with stable chronic obstructive pulmonary disease. Methodology: The researchers performed a systematic review of three English databases (PubMed, EMBASE and CENTRAL) and four Chinese databases (CBM, CNKI, CQVIP and WFMO), with selection ending on 30th June 2016. Participants in the reviewed studies were diagnosed with chronic obstructive pulmonary disease according to recognized guidelines and were in a stable stage of the disease. Included were randomized controlled trials of oral Buzhong Yiqi Tang, whether alone or combined with conventional treatment, compared to conventional treatment alone or with a placebo. Various outcome measures were used to evaluate the efficacy of the treatment. Discussion of Results: Sixteen studies involving 1400 participants were included. In general, patients treated with Buzhong Yiqi Tang alone or in combination with conventional treatments showed significant improvement in their condition. This improvement was noted in areas such as clinical symptoms, exercise capacity, lung function, and quality of life compared to those on conventional treatment alone or with a placebo. The treatment also reduced the number of acute exacerbations of the disease. There were very few reported adverse events, inferring a good safety profile for this treatment regimen.
A Systematic Review published in 2016 in the journal Journal of Asthma found that Herbal medicines combined with routine pharmacotherapies improved asthma outcomes greater than pharmacotherapies alone. Twenty-nine (29) studies involving 3,001 participants were included. Herbal interventions used multi-ingredients such as licorice root, crow-dipper, astragali, and angelica. Compared with routine pharmacotherapies alone, herbal medicines as add-on therapy improved lung function; asthma control; reduced salbutamol usage; and reduced acute asthma exacerbations over one year. Compared with placebo plus pharmacotherapies herbal medicines as add-on therapy improved lung function. Other outcomes were not reported in these placebo studies. Included studies were low to moderate quality. Adverse events were rare.
A Meta-Analysis published in 2016 in the journal Journal of the Chinese Medical Association found that Compared with oseltamivir, Chinese herbs might have superior potential effects on fever resolution and similar effects on viral shedding. In this review, several Chinese herbal medicines demonstrated a potentially positive effect on the influenza A (H1N1) strain, especially on its time to defervescence, as in the studies analyzed, the mean time to defervescence in the TCM treatment group was less than that noted in the control group. Furthermore, the duration of influenza A (H1N1) shedding in the integrated Chinese and Western medicine subgroup was less than that noted in the control group, although existing evidence indicated that the difference in duration of viral shedding and effective rate between the two groups was statistically similar. The applicability of the included studies was limited, however, because their inclusion criteria, interventions, durations, and outcome measures were different. Consequently, more well-designed trials are required.
A Systematic Review published in 2015 in the journal Current Opinion in Otolaryngology & Head and Neck Surgery found that There are high-quality randomized controlled trials that demonstrate efficacy and effectiveness for acupuncture in the treatment of both seasonal and perennial allergic rhinitis. Our review of the medical literature from January 2013 through December 2014 revealed that there is research demonstrating efficacy and effectiveness for acupuncture in the treatment of allergic rhinitis, as well as improvement of quality of life and quality-adjusted life-years.
A Systematic Review published in 2015 in the journal Complementary Medicine Research found that There is strong evidence for Andrographis paniculata (Chuan Xin Lian) being significantly superior to placebo in alleviating the frequency and severity of cough symptoms. Most studies showed significant improvements in active treatment group patients with cough-related symptoms. The study by Narimanian et al. showed particularly good results for mucociliary clearance. The sole exception was the trial conducted by Melchior et al.; a pilot study with relatively few patients. All studies reported small numbers of mild adverse effects, including nausea, emesis, vertigo, skin rash and diarrhea, but none required further treatment. Four trials were assessed quantitatively with regard to changes in the frequency of patients' cough symptoms. In these studies, meta-analysis showed strong evidence that A. paniculata reduced this frequency, although significant heterogeneity was found in the original study results. These 5 trials were also compared with regard to changes in the severity of patients' cough symptoms. The results showed strong evidence for the benefit of phytotherapeutics in this area, although significant heterogeneity was found here, too. These analyses show that A. paniculata is effective in reducing the frequency and severity of patients' cough symptoms.
A Meta-Analysis published in 2015 in the journal American Journal of Rhinology & Allergy found that Our meta-analysis suggests that that acupuncture could be a safe and valid treatment option for allergic rhinitis patients. Because acupuncture may modulate the immune system, it has been proposed as a useful treatment for patients with allergic rhinitis (AR). Here, we assessed the evidence for the clinical efficacy of acupuncture for the management of AR patients by performing a systematic review and meta-analysis of the published literatures. Thirteen full papers that met our inclusion criteria were included, and a total of 2365 participants, including 1126 as treatment group and 1239 as control group, were enrolled. Compared with control group, acupuncture treatment group exerted a significant reduction in nasal symptom scores (weighted mean difference [WMD]: -4.42, 95% confidence interval [CI]: -8.42 to -0.43, p = 0.03), medication scores (WMD: 1.39, 95% CI: -2.18 to -0.61, p = 0005), and serum IgE (WMD: -75.00, 95% CI: -91.17 to -58.83, p < 0.00001). Data relating to Rhinitis Quality of Life Questionnaire (RQLQ) and 36-Item Short-Form (SF-36) component score in included studies were analyzed, which ultimately point to the efficacy of acupuncture treatment in improving quality of life in AR patients. No fatal events were reported in any of the included studies, and no serious systemic reaction, which needed treatment in the hospital, was related to the acupuncture treatment.
A published in 2014 in the journal European Journal of Integrative Medicine found that Traditional Chinese Medicine (TCM) is regularly used in treating upper respiratory tract infections, particularly for patients (more female patients in database found) with mild symptoms, using commonly preferred prescriptions, i.e Yin Qian San & Ma Xing Shi Gan Tang. In this study, data from the National Health Insurance Research Database was analyzed with particular attention to the treatments used for upper respiratory tract infections (URTIs). The International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses codes for Taiwan in 2009, were used to identify these treatments. Techniques of data mining and association rules were deployed to examine co-prescriptions of TCM for patients with URTIs. Discussion of the results shows that out of a sample of 472,005 patients who sought treatment for URTIs, approximately 10 percent were treated with TCM and among these, over three-fifths were female. A majority - 79 percent - presented with an acute common cold. The study also noted that certain prescriptions, namely Yin-Qiao-San and Ma-Xing-Gan-Shi-Tang, were most commonly combined for patients with URTIs. The insight showed that patients were more likely to request TCM treatment if their symptoms were mild and they were women. Chinese medicine doctors treating URTIs generally adhered to TCM theory.
A Systematic Review published in 2013 in the journal Cochrane Database of Systematic Reviews found that Most Chinese medical herbs in the included studies showed similar effects to antiviral drugs in preventing or treating influenza. This updated review assessed the therapeutic effects and safety of Chinese medicinal herbs as an alternative and adjunctive therapy to other commonly used drugs for influenza. Eighteen studies involving 2521 participants were included in the review. 'Ganmao' capsules were found to be more effective than amantadine in decreasing influenza symptoms and aiding recovery in one study (in which adverse reactions were mentioned in the amantadine group although no data were reported). There were no significant differences between 'E Shu You' and ribavirin in treating influenza, nor in the occurrence of adverse reactions. The remaining 17 Chinese herbal trials showed a similar effect to antiviral drugs in preventing or treating influenza. However, since these included studies were of poor quality, the evidence does not support or reject the use of any Chinese herbal preparations for influenza. High‐quality trials are required.
A Randomised Controlled Trial published in 2012 in the journal Allergy found that Acupuncture was found to be a more effective and safe treatment for allergic rhinitis than sham acupuncture or no treatment. Methodology: The study was a multicenter, parallel-controlled experiment. Three groups of randomized participants either received active acupuncture, sham acupuncture (minimal acupuncture at nonacupuncture points), or were placed on a waitlist (no acupuncture treatment). The treatments were given three times a week over a four-week period. Discussion of Results: The active acupuncture group showed a marked reduction in allergic rhinitis symptoms compared to the other two groups. Despite this, both acupuncture types still showed significant improvements in symptoms when compared to their initial condition, confirming the efficacy of acupuncture in treating allergic rhinitis.
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