Objective:To evaluate the efficacy and safety of Duhuo Jisheng Decoction combined with western medicine in the treatment of knee osteoarthritis.Methods:The databases of CNKI,VIP,CBM,WANFANG DATA and PubMed were electr...Objective:To evaluate the efficacy and safety of Duhuo Jisheng Decoction combined with western medicine in the treatment of knee osteoarthritis.Methods:The databases of CNKI,VIP,CBM,WANFANG DATA and PubMed were electronically to collect randomized controlled trials(RCTs)of the treatment of knee osteoarthritis with Duhuo Jisheng Decoction combined with western medicine.After literature was strictly screened and the study quality was evaluated according to relevant procedures,the Meta analysis was performed by RevMan5.3 software.Resluts:A total of 15 RCTs were included.The result of meta-analysis showed that:compared with the western medicine alone,Duhuo Jisheng Tang combined with western medicine could significantly improve the efficacy(RR=1.25,95%CI(1.18,1.32),p<0.00001),the posttreatment pain visual analogue scale scores(MD=-0.85,95%CI(-1.00,-0.71),p<0.00001)、the western ontario and mcmaster universities arthritis index scores(MD=-7.76,95%CI(-10.37,-5.15),p<0.00001)and matrix metalloproteinase3(MD=-11.72,95%CI(-17.39,-6.05),p<0.0001)were lower in treatment group compared to control group.There was no statistical difference in the incidence of adverse reactions between the 2groups.Conclusions:The current evidence shows that Duhuo Jisheng Decoction combined with western medicine can further improve the clinical efficacy for knee osteoarthritis.展开更多
Objective:To explore the clinical effect of Duhuo Jisheng Decoction in the treatment of lumbar disc herniation.Methods:CNKI,VIP,Wan Fang Data,Pubmed,Cochrane Library,Medline Complete and Embase databases were searched...Objective:To explore the clinical effect of Duhuo Jisheng Decoction in the treatment of lumbar disc herniation.Methods:CNKI,VIP,Wan Fang Data,Pubmed,Cochrane Library,Medline Complete and Embase databases were searched by computer.The randomized controlled trial(RCT)of Duhuo Jisheng Decoction combined with western medicine in the treatment of lumbar intervertebral disc herniation was studied.The searching time was from the establishment of the database to July 20,2019.Data were extracted and analyzed by Revman 5.3 software.Results:Twenty-four literatures involving 1980 patients were included.Meta-analysis showed that the total effective rate of Duhuo Jisheng Decoction group was significantly higher(OR=5.26,95%CI(4.13,6.69),Z=13.47,P<0.00001)and the incidence of adverse reactions was significantly lower(OR=0.45,95%CI(0.23,0.87),Z=2.36,P=0.00001)than that of Western medicine group.02).Conclusion:Duhuo Jisheng Decoction is effective and safe in the treatment of lumbar intervertebral disc herniation.However,the literature included in this study is limited,and the quality of the literature is low.It is necessary to carry out in-depth verification of high-quality,large-sample RCT.展开更多
Objective:To study the active ingredients,target and mechanism of Duhuo JiSheng Decoction for the treatment of osteoporosis by bioinformatics analysis and network pharmacology.Methods:The gene expression profile of GS...Objective:To study the active ingredients,target and mechanism of Duhuo JiSheng Decoction for the treatment of osteoporosis by bioinformatics analysis and network pharmacology.Methods:The gene expression profile of GSE56116 was acquired through the NCBI GEO database,and the software R was used for differential analysis.The Chinese medicine system pharmacology technology platform(TCMSP)was used to retrieve the chemical components,target genes of Duhuo,Fangfeng,Xixin,and Sangjisheng.The differential genes acquired from GSE56116 were intersected and analyzed by GO enrichment analysis and KEGG pathway to study the mechanism of Duhuo JiSheng Decoction.Results:A total of 33 active ingredients and 9 differential genes of Duhuo JiSheng Decoction for the treatment of Shengyin deficiency osteoporosis were screened.GO function enrichment analysis focuses on the regulation of intracellular signal transduction,calcium-mediated signaling,and steroid hormone mediated signaling.KEGG analysis showed that it was mainly concentrated in signal pathways such as P53 signal pathway,TNF signal pathway,and IL-17 signal pathway.Conclusion:Through bioinformatics and network pharmacological analysis,Duhuo JiShenng Decoction may exert therapeutic effects by acting on AR,IGFBP3,and FOS target genes.展开更多
Objective:To study the effect of fumigation and washing with Shujin Huoluo Decoction combined with Duhuo Parasitic Decoction on Metalloproteinase inhibitor-1(TIMP-1)and Oxyphosphatase 1,PON1)level.Methods:A total of 1...Objective:To study the effect of fumigation and washing with Shujin Huoluo Decoction combined with Duhuo Parasitic Decoction on Metalloproteinase inhibitor-1(TIMP-1)and Oxyphosphatase 1,PON1)level.Methods:A total of 100 KOA patients,59 males and 41 females,were selected for diagnosis and treatment in our hospital from November 2018 to November 2019.The patients were divided into the control group and the combined group with 50 patients each according to a completely random method.The control group was treated with Duhuo Parasitic Decoction and the combined group was treated with Duhuo Parasitic Decoction and Shujinhuoluo decoction.Detection of TIMP-1,PON1,Matrix metalloproteinase-3(MMP-3),C-reactive protease(CRP),Tumor necrosis factor-alpha(TNF-α)and Superoxide dismutase(SOD)levels.WOMAC score,Lysholm score,and VAS score were evaluated.Results:The levels of TIMP-1 and PON1 in the combined group were higher than those in the control group after treatment,and the levels of MMP-3 were lower than those in control group(P<0.05).The WOMAC score and VAS score of the combined group were lower than those of the control group,and the Lysholm score was higher than that of control group(P<0.05).The levels of CRP and TNF-αin the combined group were lower than those in the control group,and the SOD levels were higher than those in control group(P<0.05).The total effective rate of the combined group was higher than the total effective rate of control group(P<0.05).Conclusion:The combination of fumigation and washing with Shujin Huoluo Decoction and Duhuo Parasitic Decoction has a significant effect on the treatment of KOA patients.It improves the levels of TIMP-1 and PON1,improves the knee function of patients and pain.展开更多
Objective:To systematically evaluate the efficacy and safety of Duhuo Jisheng decoction combined with manipulation in the treatment of lumbar disc herniation.Method:We systematically searched 8 databases at home and a...Objective:To systematically evaluate the efficacy and safety of Duhuo Jisheng decoction combined with manipulation in the treatment of lumbar disc herniation.Method:We systematically searched 8 databases at home and abroad.Literature quality of the included studies was evaluated by the bias risk assessment tool of Cochrane collaboration network,and the Meta-analysis was performed by RevMan 5.3 software.Result:A total of 427 related literature were retrieved,and 12 studies were eventually included,involving 1153 patients.All studies were in Chinese.Meta-analysis results showed that the total effective rate of Duhuo Jisheng decoction combined with manipulation in the treatment of LDH was better than that of the control group(RR=1.23,95%CI[1.17,1.29],P<0.00001).Subgroup analysis showed that Duhuo Jisheng decoction combined with manipulation had a more significant effect than conventional treatment(RR=1.34,95%CI[1.20,1.50],P<0.00001),nonsteroidal anti-inflammatory drugs(RR=1.24,95%CI[1.12,1.37],P<0.0001),and Yaotongning capsules(RR=1.19,95%CI[1.10,1.29],P<0.0001).It has obvious advantages in improving VAS scores(MD=-1.19,95%CI-1.19[-1.87,-0.51],P=0.0006),but it has no obvious advantages in improving JOA scores(MD=2.6595%CI[0.06,5.24],P=0.05).In terms of safety,Duhuo Jisheng decoction combined with manipulation treatment reported fewer adverse events.Conclusion:The Duhuo Jisheng decoction combined with manipulation treatment can effectively relieve the clinical symptoms of patients with lumbar disc herniation,with obvious clinical efficacy,and fewer adverse events.But in view of the limitations of clinical studies,there are some limitations in this study,and more studies with high quality of evidence are needed to further confirm its efficacy and safety.展开更多
Objective:To systematically evaluate the cllinical efficacy of Duhuo Jisheng decoction(DHJSD)combined with non-surgical therapy on lumbar disc herniation(LDH).Methods:China Science and Technology Journal Database(VIP)...Objective:To systematically evaluate the cllinical efficacy of Duhuo Jisheng decoction(DHJSD)combined with non-surgical therapy on lumbar disc herniation(LDH).Methods:China Science and Technology Journal Database(VIP),Chinese National Knowledge Infrastructure(CNKI),WanFang Data,PubMed were searched and eligible randomized controlled clinical trials(RCTs)were included.Two reviewers evaluated the quality of the included RCTs and extracted data independently.Then,data analysis was performed with RevMetn 4.2 software.Results:A total of 18 RCTs were enrolled,including 1682 patients.Meta-analysis results showed that the overall response rate of DHJSD combined with non-operative therapy group(treatment group)in the treatment of LDH was better than that of the non-operative therapy group(control group)[OR=4.29,95%CI(3.19,5.76),P<0.001].JOA score of the treatment group was significantly higher than that of control group[OR=3.96,95%CI(3.4,4.52),P<0.001].VAS score was dramatically lower in the treatment group than the control group[OR=-1.58,95%CI(-1.97,-1.18),P<0.001].Conclusion:The clinical efficacy of DHJSD combined with non-surgical therapy is better than that of non-surgical therapy alone.However,due to the low quality of the included literatures,large-scale and high-quality RCTs are still needed for further confirmation.展开更多
基金National natural science foundation of China(No.81874476)Hunan natural science foundation project(No.2018JJ2303)Hunan Postgraduate Innovation Project(No.CX2018B496)
文摘Objective:To evaluate the efficacy and safety of Duhuo Jisheng Decoction combined with western medicine in the treatment of knee osteoarthritis.Methods:The databases of CNKI,VIP,CBM,WANFANG DATA and PubMed were electronically to collect randomized controlled trials(RCTs)of the treatment of knee osteoarthritis with Duhuo Jisheng Decoction combined with western medicine.After literature was strictly screened and the study quality was evaluated according to relevant procedures,the Meta analysis was performed by RevMan5.3 software.Resluts:A total of 15 RCTs were included.The result of meta-analysis showed that:compared with the western medicine alone,Duhuo Jisheng Tang combined with western medicine could significantly improve the efficacy(RR=1.25,95%CI(1.18,1.32),p<0.00001),the posttreatment pain visual analogue scale scores(MD=-0.85,95%CI(-1.00,-0.71),p<0.00001)、the western ontario and mcmaster universities arthritis index scores(MD=-7.76,95%CI(-10.37,-5.15),p<0.00001)and matrix metalloproteinase3(MD=-11.72,95%CI(-17.39,-6.05),p<0.0001)were lower in treatment group compared to control group.There was no statistical difference in the incidence of adverse reactions between the 2groups.Conclusions:The current evidence shows that Duhuo Jisheng Decoction combined with western medicine can further improve the clinical efficacy for knee osteoarthritis.
基金Fund Project:National Natural Science Foundation of China(No.81173423,81873141)the Beijing Municipal Science and Technology Plan Capital Clinical Specialty Applied Research Project(No.Z16110000516009).
文摘Objective:To explore the clinical effect of Duhuo Jisheng Decoction in the treatment of lumbar disc herniation.Methods:CNKI,VIP,Wan Fang Data,Pubmed,Cochrane Library,Medline Complete and Embase databases were searched by computer.The randomized controlled trial(RCT)of Duhuo Jisheng Decoction combined with western medicine in the treatment of lumbar intervertebral disc herniation was studied.The searching time was from the establishment of the database to July 20,2019.Data were extracted and analyzed by Revman 5.3 software.Results:Twenty-four literatures involving 1980 patients were included.Meta-analysis showed that the total effective rate of Duhuo Jisheng Decoction group was significantly higher(OR=5.26,95%CI(4.13,6.69),Z=13.47,P<0.00001)and the incidence of adverse reactions was significantly lower(OR=0.45,95%CI(0.23,0.87),Z=2.36,P=0.00001)than that of Western medicine group.02).Conclusion:Duhuo Jisheng Decoction is effective and safe in the treatment of lumbar intervertebral disc herniation.However,the literature included in this study is limited,and the quality of the literature is low.It is necessary to carry out in-depth verification of high-quality,large-sample RCT.
基金Peiyou Shenzhen municipal medical and health care(No.SZSM201602087)
文摘Objective:To study the active ingredients,target and mechanism of Duhuo JiSheng Decoction for the treatment of osteoporosis by bioinformatics analysis and network pharmacology.Methods:The gene expression profile of GSE56116 was acquired through the NCBI GEO database,and the software R was used for differential analysis.The Chinese medicine system pharmacology technology platform(TCMSP)was used to retrieve the chemical components,target genes of Duhuo,Fangfeng,Xixin,and Sangjisheng.The differential genes acquired from GSE56116 were intersected and analyzed by GO enrichment analysis and KEGG pathway to study the mechanism of Duhuo JiSheng Decoction.Results:A total of 33 active ingredients and 9 differential genes of Duhuo JiSheng Decoction for the treatment of Shengyin deficiency osteoporosis were screened.GO function enrichment analysis focuses on the regulation of intracellular signal transduction,calcium-mediated signaling,and steroid hormone mediated signaling.KEGG analysis showed that it was mainly concentrated in signal pathways such as P53 signal pathway,TNF signal pathway,and IL-17 signal pathway.Conclusion:Through bioinformatics and network pharmacological analysis,Duhuo JiShenng Decoction may exert therapeutic effects by acting on AR,IGFBP3,and FOS target genes.
基金Health and Planning Commission of Guangxi Zhuang Autonomous Region(No.Z20170705)
文摘Objective:To study the effect of fumigation and washing with Shujin Huoluo Decoction combined with Duhuo Parasitic Decoction on Metalloproteinase inhibitor-1(TIMP-1)and Oxyphosphatase 1,PON1)level.Methods:A total of 100 KOA patients,59 males and 41 females,were selected for diagnosis and treatment in our hospital from November 2018 to November 2019.The patients were divided into the control group and the combined group with 50 patients each according to a completely random method.The control group was treated with Duhuo Parasitic Decoction and the combined group was treated with Duhuo Parasitic Decoction and Shujinhuoluo decoction.Detection of TIMP-1,PON1,Matrix metalloproteinase-3(MMP-3),C-reactive protease(CRP),Tumor necrosis factor-alpha(TNF-α)and Superoxide dismutase(SOD)levels.WOMAC score,Lysholm score,and VAS score were evaluated.Results:The levels of TIMP-1 and PON1 in the combined group were higher than those in the control group after treatment,and the levels of MMP-3 were lower than those in control group(P<0.05).The WOMAC score and VAS score of the combined group were lower than those of the control group,and the Lysholm score was higher than that of control group(P<0.05).The levels of CRP and TNF-αin the combined group were lower than those in the control group,and the SOD levels were higher than those in control group(P<0.05).The total effective rate of the combined group was higher than the total effective rate of control group(P<0.05).Conclusion:The combination of fumigation and washing with Shujin Huoluo Decoction and Duhuo Parasitic Decoction has a significant effect on the treatment of KOA patients.It improves the levels of TIMP-1 and PON1,improves the knee function of patients and pain.
基金Key projects of the national natural science foundation of China(No.81930118)National support program for leading talents in traditional Chinese medicine--"Qi-huang scholars"program+1 种基金Key research projects of the 13th five-year plan of the China academy of Chinese medical sciences(No.ZZ10-022)Jiangxi province postdoctoral subsidy project(No.2018RC13).
文摘Objective:To systematically evaluate the efficacy and safety of Duhuo Jisheng decoction combined with manipulation in the treatment of lumbar disc herniation.Method:We systematically searched 8 databases at home and abroad.Literature quality of the included studies was evaluated by the bias risk assessment tool of Cochrane collaboration network,and the Meta-analysis was performed by RevMan 5.3 software.Result:A total of 427 related literature were retrieved,and 12 studies were eventually included,involving 1153 patients.All studies were in Chinese.Meta-analysis results showed that the total effective rate of Duhuo Jisheng decoction combined with manipulation in the treatment of LDH was better than that of the control group(RR=1.23,95%CI[1.17,1.29],P<0.00001).Subgroup analysis showed that Duhuo Jisheng decoction combined with manipulation had a more significant effect than conventional treatment(RR=1.34,95%CI[1.20,1.50],P<0.00001),nonsteroidal anti-inflammatory drugs(RR=1.24,95%CI[1.12,1.37],P<0.0001),and Yaotongning capsules(RR=1.19,95%CI[1.10,1.29],P<0.0001).It has obvious advantages in improving VAS scores(MD=-1.19,95%CI-1.19[-1.87,-0.51],P=0.0006),but it has no obvious advantages in improving JOA scores(MD=2.6595%CI[0.06,5.24],P=0.05).In terms of safety,Duhuo Jisheng decoction combined with manipulation treatment reported fewer adverse events.Conclusion:The Duhuo Jisheng decoction combined with manipulation treatment can effectively relieve the clinical symptoms of patients with lumbar disc herniation,with obvious clinical efficacy,and fewer adverse events.But in view of the limitations of clinical studies,there are some limitations in this study,and more studies with high quality of evidence are needed to further confirm its efficacy and safety.
文摘Objective:To systematically evaluate the cllinical efficacy of Duhuo Jisheng decoction(DHJSD)combined with non-surgical therapy on lumbar disc herniation(LDH).Methods:China Science and Technology Journal Database(VIP),Chinese National Knowledge Infrastructure(CNKI),WanFang Data,PubMed were searched and eligible randomized controlled clinical trials(RCTs)were included.Two reviewers evaluated the quality of the included RCTs and extracted data independently.Then,data analysis was performed with RevMetn 4.2 software.Results:A total of 18 RCTs were enrolled,including 1682 patients.Meta-analysis results showed that the overall response rate of DHJSD combined with non-operative therapy group(treatment group)in the treatment of LDH was better than that of the non-operative therapy group(control group)[OR=4.29,95%CI(3.19,5.76),P<0.001].JOA score of the treatment group was significantly higher than that of control group[OR=3.96,95%CI(3.4,4.52),P<0.001].VAS score was dramatically lower in the treatment group than the control group[OR=-1.58,95%CI(-1.97,-1.18),P<0.001].Conclusion:The clinical efficacy of DHJSD combined with non-surgical therapy is better than that of non-surgical therapy alone.However,due to the low quality of the included literatures,large-scale and high-quality RCTs are still needed for further confirmation.
