기능성 소화불량에 대한 육군자탕 엑스과립의 사상체질별 치료효과: 위약 대조, 이중 맹검, 무작위 시험
Effects of a Herbal Medicine, Yukgunja-Tang Extract Granule, on Functional Dyspepsia Patients by Sasang Constitution: Placebo-Controlled, Double-Blind, Randomized Trial
1
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Objectives This study was aimed to compare effects of Yukgunja-tang (YGJT) extract granule on functional dyspepsia (FD) by sasang constitution. Methods A placebo-controlled, double-blind, randomized, two-center trial was performed. We obtained 3D face images of FD patients participating in this study using face-only scanner and classified them into two types as narrow face and wide face by 3D facial shape diagnosis system (3-FSDS). 96 subjects (48 subjects per type) were enrolled and were randomly allocated into treatment or control groups in a 2:1 ratio. YGJT extract granule or placebo were administered to each group during the 8 week treatment period. One of sasang constitutional specialist diagnosed their constitutions by referring to questionnaires and 3D face images. The primary outcome was total dyspepsia symptom scale (TDS scale), the secondary outcomes were single dyspepsia symptom scale (SDS scale), visual analog scale (VAS) and so on. This trial was registered with clinical research information service identifier: KCT0001920, 15 May, 2016. Results In the Taeeumin treatment group, the TDS scale was significantly decreased after 8 weeks compared to the control group (t=2.331, p=0.025) and the SDS scale also significantly decreased. (t=2.042, p=0.048). The specific effects of the YGJT extract granule without the placebo effect on the Taeeumin with functional dyspepsia were 30.61% in TDS scale and 28.33% in SDS scale. Conclusions The effects of Yukgunja-tang extract granule on functional dyspepsia was different according to Sasang constitution. So the constitution should be considered in randomized controlled trials using herbal extract granules.
Abstract
Objectives This study was aimed to compare effects of Yukgunja-tang (YGJT) extract granule on functional dyspepsia (FD) by sasang constitution. Methods A placebo-controlled, double-blind, randomized, two-center trial was performed. We obtained 3D face images of FD patients participating in this study using face-only scanner and classified them into two types as narrow face and wide face by 3D facial shape diagnosis system (3-FSDS). 96 subjects (48 subjects per type) were enrolled and were randomly allocated into treatment or control groups in a 2:1 ratio. YGJT extract granule or placebo were administered to each group during the 8 week treatment period. One of sasang constitutional specialist diagnosed their constitutions by referring to questionnaires and 3D face images. The primary outcome was total dyspepsia symptom scale (TDS scale), the secondary outcomes were single dyspepsia symptom scale (SDS scale), visual analog scale (VAS) and so on. This trial was registered with clinical research information service identifier: KCT0001920, 15 May, 2016. Results In the Taeeumin treatment group, the TDS scale was significantly decreased after 8 weeks compared to the control group (t=2.331, p=0.025) and the SDS scale also significantly decreased. (t=2.042, p=0.048). The specific effects of the YGJT extract granule without the placebo effect on the Taeeumin with functional dyspepsia were 30.61% in TDS scale and 28.33% in SDS scale. Conclusions The effects of Yukgunja-tang extract granule on functional dyspepsia was different according to Sasang constitution. So the constitution should be considered in randomized controlled trials using herbal extract granules.
참고문헌 (36)
- 신철민, "기능성 소화불량증의 진단 및 치료", 대한의사협회지, 59(4), pp.311~318 (2016), 대한의사협회[DOI]
- Kim JR, "Gastrointestinal disorders" (2011), Ilchokak
- Min BH, "Prevalence of uninvestigated dyspepsia and gastroesophageal reflux disease in Korea: a population-based study using the Rome III criteria", Dig Dis Sci, 59(11), pp.2721~2729 (2014)[DOI]
- Mahadeva S, "Epidemiology of functional dyspepsia. A global perspective", World J Gastroenterol, 12(17), pp.2661~2666 (2006)[DOI]
- Tack J, "Functional gastroduodenal disorders", Gastroenterology, 130(5), pp.1466~1479 (2006)[DOI]
- 박석규, "기능성 소화불량 환자 3인에 대한 평가 및 증례보고", 대한한방내과학회지, 23(2), pp.244~252 (2002), 대한한방내과학회
- 오중한, "二陳湯 加味方 투여 후 호전된 기능성 소화불량 환자 3례에 대한 증례보고", 대한한방내과학회지, 26(3), pp.641~651 (2005), 대한한방내과학회
- 강래엽, "보중익기탕으로 호전된 위 운동장애형 기능성 소화불량 환자 2례", 대한한의학 방제학회지, 17(2), pp.203~213 (2009), 대한한의학방제학회
- 이승윤, "少陰人 환자에서 나타난 噎膈 유사증의 치험 1례", 사상체질의학회지, 21(1), pp.263~269 (2009), 사상체질의학회
- 김상진, "계지반하생강탕 및 침구치료로 호전된 기능성 소화불량 환자의 치험 1례", 대한한방내과학회지, 37(2), pp.406~411 (2016), 대한한방내과학회
- Yoon SH, "Evaluation for Therapeutic Effectiveness of Banwhasashim-tang in Functional Dyspepsia", J. Int. Korean Med., 24(2), pp.329~336 (2003)
- Park JW, "The Effects of Banha-sasim-tang on Dyspeptic Symptoms and Gastric Motility in Cases of Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled, and Two-Center Trial", eCAM, pp.265035~ (2013)
- Xiao Y, "Chinese herbal medicine liu jun zi tang and xiang sha liu jun zi tang for functional dyspepsia: meta-analysis of randomized controlled trials", eCAM, pp.936459~ (2012)
- Zhao L, "Clinical and Psychological Assessment on Xinwei Decoction for Treating Functional Dyspepsia Accompanied with Depression and Anxiety", Am. J. Chin. Med., 33(2), pp.249~257 (2005)[DOI]
- Zhang S, "Efficacy of modified LiuJunZi decoction on functional dyspepsia of spleen-deficiency and qi-stagnation syndrome: a randomized controlled trial", BMC Complement Altern Med, 13, pp.54~ (2013)[DOI]
- Oikawa t, "Hangekobokuto (Banxia-huopo-tang), a Kampo Medicine that Treats Functional Dyspepsia", eCAM, 6(3), pp.375~378 (2009)
- Kusunoki H, "Efficacy of Rikkunshito, a traditional Japanese medicine(Kampo), in treating functional dyspepsia", Intern Med, 49(20), pp.2195~2202 (2010)[DOI]
- Shiratori M, "Effect of rikkunshito on gastric sensorimotor function under distention", Neurogastroenterol Motil, 23(4), pp.323~329 (2011)[DOI]
- Tatsuta M, "Effect of treatment with Lui-Jun-Zi-Tang (TJ-43) on gastric emptying and gastrointestinal symptoms in dyspeptic patients", Aliment Pharmacol Ther, 7, pp.459~462 (1993)
- Kawahara H, "Impact of rikkunshito, an herbal medicine, on delayed gastric emptying in profoundly handicapped patients", Pediatr Surg Int, 25(11), pp.987~990 (2009)[DOI]
- Yagi M, "The herbal medicine Rikkunshi-to stimulates and coordinates the gastric myoelectric activity in post-operative dyspeptic children after gastrointestinal surgery", Pediatr Surg Int, 19(12), pp.760~765 (2004)[DOI]
- Hayakawa T, "Liu-Jun-Zi-Tang, a kampo medicine, promotes adaptive relaxation in isolated guinea pig stomachs", Drugs Exp Clin Res, 25, pp.211~218 (1999)
- Kido T, "Effects of rikkunshi-to, a traditional Japanese medicine, on the delay of gastric emptying induced by N(G)-nitro-L-arginine", J Pharmacol Sci, 98, pp.161~167 (2005)[DOI]
- Tominaga K, "The traditional Japanese medicine rikkunshito promotes gastric emptying via the antagonistic action of the 5-HT3 receptor pathway in rats", eCAM, 2011, pp.248481~ (2011)
- Kito Y, "Properties of Rikkunshi-to (TJ-43)-induced relaxation of rat gastric fundus smooth muscles", Am J Physiol Gastrointest Liver Physiol, 298(5), pp.755~763 (2010)[DOI]
- Saegusa Y, "A New Strategy Using Rikkunshito to Treat Anorexia and Gastrointestinal Dysfunction", eCAM, 2015, pp.364260~ (2015)
- Togawa K, "Association of baseline plasma des-acyl ghrelin level with the response to rikkunshito in patients with functional dyspepsia", J Gastroenterol Hepatol, 31(2), pp.334~341 (2016)[DOI]
- Suzuki H. Matsuzaki J, "Randomized clinical trial: rikkunshito in the treatment of functional dyspepsia-a multicenter, double-blind, randomized, placebo-controlled study", Neurogastroenterol Motil, 26, pp.950~961 (2014)[DOI]
- Kim JY, "Effects of a Herbal Medicine, Yukgunja-Tang, on Functional Dyspepsia Patients Classified by 3-Dimensional Facial Measurement: A Study Protocol for Placebo-Controlled, Double-Blind, Randomized Trial", eCAM, 2017, pp.2894507~ (2017)
- 김경철, "얼굴스캐너를 활용한 안면형상 영상진단기의 기초 연구", 동의생리병리학회지, 22(2), pp.497~501 (2008), 한의병리학회
- 나영주, "월경통 환자를 대상으로 환자용 사상체질진단 설문지의 체질별 응답차이 연구", 사상체질의학회지, 28(4), pp.330~337 (2016), 사상체질의학회[DOI]
- 정종훈, "환자용 사상체질설문지(SSCQ-P) 축소화에 관한 연구", 사상체질의학회지, 26(4), pp.339~349 (2014), 사상체질의학회[DOI]
- 백영화, "체형, 성격, 소증 기반 단축형 사상체질 진단설문지(KS-15) 개발 및 타당도 연구", 사상체질의학회지, 27(2), pp.211~221 (2015), 사상체질의학회[DOI]
- Zhao L, "Efficacy of Modified Ban Xia Xie Xin Decoction on Functional Dyspepsia of Cold and Heat in Complexity Syndrome: A Randomized Controlled Trial", eCAM, 2013, pp.812143~ (2013)
- Claudia M. Witt, "Clinical Research in Complementary and Integrative Medicine, 1st edition", pp.13~17 (2013), Elsevier Korea LLC
- Huh Joon, "Donguibogam", pp.72;218~ (2006), Donguibogam Publisher
