BOOK
Evidence-based Clinical Chinese Medicine - Volume 3: Chronic Urticaria
Xue Charlie Changli | Lu Chuanjian | Coyle Meaghan
(2017)
Additional Information
Book Details
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Contents | xxv | ||
Disclaimer | v | ||
Foreword | vii | ||
Purpose of the Monograph | xi | ||
How to Use This Monograph | xi | ||
Authors and Contributors | xv | ||
Members of the Advisory Committee and Panel | xvii | ||
Professor Charlie Changli Xue, PhD | xix | ||
Professor Chuanjian Lu, MD | xxi | ||
Acknowledgements | xxiii | ||
List of Figures | xxxi | ||
List of Tables | xxxiii | ||
1. Introduction to Chronic Urticaria | 1 | ||
OVERVIEW | 1 | ||
Definition of Urticaria | 1 | ||
Clinical Presentation and Subtypes of Chronic Urticaria | 1 | ||
Epidemiology | 2 | ||
Burden | 3 | ||
Risk Factors | 3 | ||
Pathological Processes | 3 | ||
Diagnosis | 5 | ||
Management | 6 | ||
Pharmacological | 6 | ||
Non-Pharmacological | 8 | ||
Prognosis | 8 | ||
Limitations of Conventional Therapy | 9 | ||
References | 10 | ||
2. Chronic Urticaria in Chinese Medicine | 13 | ||
OVERVIEW | 13 | ||
Introduction | 13 | ||
Aetiology and Pathogenesis | 13 | ||
Syndrome Differentiation and Treatments | 14 | ||
Oral Chinese Herbal Medicine Treatment Based on Syndrome Differentiation | 15 | ||
Exterior Heat Syndrome | 15 | ||
Exterior Cold Syndrome | 16 | ||
Dampness-heat in Stomach and Intestine | 17 | ||
Defense-exterior Insecurity | 18 | ||
Dual Deficiency of qi and Blood | 19 | ||
Qi–Blood Stagnation and Stasis | 20 | ||
Blood Deficiency and Wind-dryness | 20 | ||
Topical Chinese Herbal Medicine Treatment | 21 | ||
Acupuncture Therapies and Other Chinese Medicine Therapies | 22 | ||
Other Management Strategies | 23 | ||
References | 24 | ||
3. Classical Chinese Medicine Literature | 25 | ||
OVERVIEW | 25 | ||
Introduction | 25 | ||
Search Terms | 26 | ||
Search Procedure and Data Coding | 26 | ||
Data Analysis Procedure | 27 | ||
Search Results | 28 | ||
Citations Related to Urticaria | 29 | ||
Definitions of Urticaria and Aetiology | 29 | ||
Chinese Herbal Medicine | 30 | ||
Frequency of Treatment Citations by Dynasty | 30 | ||
Symptoms Described in Treatment Citations | 31 | ||
Treatment with Chinese Herbal Medicine | 31 | ||
Most frequent formulae in possible urticaria citations | 31 | ||
Most frequent herbs in possible urticaria citations | 32 | ||
Most frequent formulae in most likely urticaria citations | 32 | ||
Most frequent herbs in most likely urticaria citations | 38 | ||
Discussion | 39 | ||
Acupuncture and Related Therapies | 40 | ||
Discussion | 40 | ||
Classical Literature in Perspective | 41 | ||
References | 42 | ||
4. Methods for Evaluating Clinical Evidence | 43 | ||
OVERVIEW | 43 | ||
Introduction | 43 | ||
Search Strategy | 44 | ||
Inclusion Criteria | 45 | ||
Exclusion Criteria | 47 | ||
Outcomes | 47 | ||
Risk of Bias Assessment | 48 | ||
Statistical Analyses | 50 | ||
Assessment Using Grading of Recommendations Assessment, Development and Evaluation | 50 | ||
References | 52 | ||
5. Chinese Herbal Medicine | 55 | ||
OVERVIEW | 55 | ||
Introduction | 55 | ||
Previous Systematic Reviews | 56 | ||
Characteristics of Chinese Herbal Medicine Clinical Studies | 56 | ||
Randomised Controlled Trials of ChineseHerbal Medicine | 58 | ||
Randomised Controlled Trials of Chinese Herbal Medicine | 58 | ||
Risk of Bias | 63 | ||
Disease Activity: Urticaria Activity Score | 64 | ||
Health-related Quality of Life: Dermatology Life Quality Index | 64 | ||
Effective Rate | 65 | ||
Relapse Rate | 67 | ||
Symptom Severity Reduction Index | 68 | ||
Assessment Using Grading of Recommendations Assessment, Development and Evaluation | 70 | ||
Chinese herbal medicine vs. second-generation antihistamines | 72 | ||
Chinese herbal medicine as integrative medicine vs. second-generation antihistamines | 72 | ||
Randomised Controlled Trial Evidence for Individual Formulae | 72 | ||
Randomised Controlled Trial Evidence from Formulae Commonly Used in Clinical Practice | 79 | ||
Frequently Reported Herbs in Meta-Analyses Showing Favourable Effect | 80 | ||
Safety of Chinese Herbal Medicine in Randomised Controlled Trials | 80 | ||
Controlled Clinical Trials of Chinese Herbal Medicine | 83 | ||
Controlled Clinical Trial Evidence for Individual Formulae | 84 | ||
Controlled Clinical Trial Evidence for Formulae Commonly Used in Clinical Practice | 85 | ||
Safety of Chinese Herbal Medicine in Controlled Clinical Trials | 85 | ||
Clinical Evidence from Non-Controlled Studies | 85 | ||
Non-Controlled Studies of Individual Formulae | 86 | ||
Non-Controlled Studies of Formulae Used in Clinical Practice | 86 | ||
Safety of Chinese Herbal Medicine in Non-Controlled Studies | 87 | ||
Summary of Chinese Herbal Medicine Clinical Evidence | 88 | ||
References | 89 | ||
6. Pharmacological Actions of the Frequently Used Herbs | 91 | ||
OVERVIEW | 91 | ||
Introduction | 91 | ||
Experimental Studies on Fang Feng 防风 | 91 | ||
Experimental Studies on Gan Cao 甘草 | 92 | ||
Experimental Studies on Dang Gui 当归 | 93 | ||
Experimental Studies on Jing Jie 荆芥 | 94 | ||
Experimental Studies on Huang Qi 黄芪 | 94 | ||
Experimental Studies on Di Huang 地黄 | 95 | ||
Experimental Studies on Bai Zhu 白朮 | 95 | ||
Experimental Studies on Bai Shao 白芍 | 96 | ||
Experimental Studies on Chan Tui 蝉蜕 | 97 | ||
Experimental Studies on Bai Xian Pi 白鲜皮 | 97 | ||
Experimental Studies on Mu Dan Pi 牡丹皮 | 98 | ||
Experimental Studies on Herbal Formulae | 99 | ||
Summary of Pharmacological Actions of the Common Herbs | 100 | ||
References | 100 | ||
7. Clinical Evidence for Acupuncture and Related Therapies | 107 | ||
OVERVIEW | 107 | ||
Introduction | 107 | ||
Previous Systematic Reviews | 108 | ||
Characteristics of Acupuncture and Related Therapies Clinical Studies | 108 | ||
Randomised Controlled Trials of Acupuncture and Related Therapies | 110 | ||
Risk of Bias | 110 | ||
Acupuncture | 111 | ||
Acupuncture alone | 112 | ||
Acupuncture as integrative medicine | 112 | ||
Acupuncture plus moxibustion as integrative medicine | 112 | ||
Frequently reported acupuncture points in meta-analyses showing favourable effect: acupuncture | 113 | ||
Assessment using GRADE | 113 | ||
Acupuncture versus second-generation antihistamines | 113 | ||
Acupuncture as integrative medicine vs. second-generation antihistamines | 116 | ||
Moxibustion | 116 | ||
Moxibustion alone | 116 | ||
Assessment using GRADE | 116 | ||
Randomised Controlled Trial Evidence for Interventions Commonly Used in Clinical Practice | 118 | ||
Clinical Evidence from Controlled Clinical Trials | 118 | ||
Clinical Evidence from Non-Controlled Studies | 118 | ||
Non-Controlled Study Evidence for Interventions Commonly Used in Clinical Practice | 118 | ||
Summary of Acupuncture and Related Therapies Clinical Evidence | 119 | ||
References | 119 | ||
8. Clinical Evidence for Combination Therapies | 121 | ||
OVERVIEW | 121 | ||
Introduction | 121 | ||
Randomised Controlled Trials of Combination Therapies | 121 | ||
Risk of Bias | 123 | ||
Results of Combination Therapies | 124 | ||
Safety of Combination Therapies | 124 | ||
Summary of Combination Therapies Evidence | 124 | ||
9. Summary and Conclusions | 127 | ||
OVERVIEW | 127 | ||
Introduction | 127 | ||
Chinese Herbal Medicine | 128 | ||
Chinese Herbal Medicine Formulae in the Contemporary and Classical Literature, and Clinical Studies | 129 | ||
Acupuncture and Related Therapies | 132 | ||
Acupuncture Therapies in the Contemporary and Classical Literature, and Clinical Studies | 133 | ||
Implications for Practice | 133 | ||
Implications for Research | 135 | ||
Clinical Trial Design | 136 | ||
References | 137 | ||
Appendix 1: All Included Clinical Studies | 139 | ||
Glossary | 151 | ||
Index | 165 |