Ethnopharmacological relevance:Maekmoondong-tang (MMDT) isatraditionalherbalmedicationwidely
used toimprovecoughinKorea,Japan,andChina.Itiscomposedofsixherbs(OphiopogonisTuber,
Pinelliae Tuber,GlycyrrhizaeRadix,ZizyphiFructus,GinsengRadix,andOryzaeSemen).
Aim ofthestudy: This studyisaimedtosystematicallyreviewtherelevantrandomisedcontrolledtrials
(RCTs)todeterminetheeffectivenessandsafetyofMMDTforcough.
Materials andmethods: Electronic andhand-searchingof7databases(CochraneLibrary,MEDLINE,
EMBASE, OASIS,RISS,CNKIandCiNii)wassystematicallyconducteduptoFebruary2015forRCTstesting
MMDT inpatientswithcough.Theprimaryoutcomewascoughsymptomimprovementusingcough
diary,visualanalogscale,orresponserate.Riskofbiasoftheincludedtrialswasevaluatedwiththe
Cochrane riskofbiasassessmenttool.Thedichotomousdatawerepooledtoobtainariskratio(RR)of
cough persistingaftertreatment,with95%confidence intervals(CI).
Results: NineRCTsinvolving2453participantswereincluded.Themethodologicalqualitywaslargelypoorfora
majorityofthestudies.MMDTreducedtheseverityofcough by74%comparedwiththeconventionalantitussive
medicationsinvariousconditions(n¼1145;RRofcoughpersistingaftertreatment¼0.26;95%CI,0.19–0.34,
I2¼0%).TheadditionofMMDTtoconventionalmedication inpatientswithpostinfectiouscoughsignificantly
alleviatedsymptomsuptoday5buttheeffectwasnotmaintainedoneweekafterwards.Forotherdiseases/
conditions includingchronicobstructivepulmonarydisease,lungcancersurgery,andasthma,theevidenceis
inconsistentforMMDT/mMMDTforcough.Adverseeventsappeartoberarebutthereportingwaspoor.
Conclusions: The currentevidencefromoursystematicreviewandmeta-analysisonMMDTforcoughisin-
conclusiveandweproposethatrigorouslydesigned,placebo-controlledtrialsofMMDTshouldbeconductedto
establishitsplaceinmanagementofcough.
& 2015ElsevierIrelandLtd.Allrightsreserved.
เกี่ยวข้อง: Maekmoondong Ethnopharmacological-isatraditionalherbalmedicationwidely ถัง (MMDT)ใช้ toimprovecoughinKorea,Japan,andChina.Itiscomposedofsixherbs(OphiopogonisTuber,หัว Pinelliae, GlycyrrhizaeRadix, ZizyphiFructus, GinsengRadix, andOryzaeSemen)จุดมุ่งหมาย ofthestudy: studyisaimedtosystematicallyreviewtherelevantrandomisedcontrolledtrials นี้(RCTs) todeterminetheeffectivenessandsafetyofMMDTforcoughAndmethods วัสดุ: อิเล็กทรอนิกส์ andhand-searchingof7databases(CochraneLibrary,MEDLINE,EMBASE โอเอซิส RISS, CNKIandCiNii) wassystematicallyconducteduptoFebruary2015forRCTstestingMMDT inpatientswithcough Theprimaryoutcomewascoughsymptomimprovementusingcoughไดอารี่ visualanalogscale, orresponserate Riskofbiasoftheincludedtrialswasevaluatedwiththeขั้น riskofbiasassessmenttool Thedichotomousdatawerepooledtoobtainariskratio (RR) ของไอ persistingaftertreatment, with95% ความเชื่อมั่น intervals(CI)ผลลัพธ์: NineRCTsinvolving2453participantswereincluded.Themethodologicalqualitywaslargelypoorforamajorityofthestudies MMDTreducedtheseverityofcough by74% comparedwiththeconventionalantitussivemedicationsinvariousconditions (n¼1145 RRofcoughpersistingaftertreatment¼0.26;95%CI,0.19–0.34I2¼0%) TheadditionofMMDTtoconventionalmedication inpatientswithpostinfectiouscoughsignificantlyalleviatedsymptomsuptoday5buttheeffectwasnotmaintainedoneweekafterwards Forotherdiseases /เงื่อนไข includingchronicobstructivepulmonarydisease, lungcancersurgery, andasthma, theevidenceisinconsistentforMMDT/mMMDTforcough.Adverseeventsappeartoberarebutthereportingwaspoorบทสรุป: currentevidencefromoursystematicreviewandmeta-analysisonMMDTforcoughisin -conclusiveandweproposethatrigorouslydesigned, controlledtrialsofMMDTshouldbeconductedto ยาหลอกestablishitsplaceinmanagementofcough& 2015ElsevierIrelandLtd.Allrightsreserved
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ethnopharmacological The maekmoondong Tang ( mmdt ) isatraditionalherbalmedicationwidely
ใช้ toimprovecoughinkorea , ญี่ปุ่น , และประเทศจีน . itiscomposedofsixherbs ( ophiopogonistuber
pinelliae , หัว , glycyrrhizaeradix zizyphifructus ginsengradix , , , andoryzaesemen )
:
studyisaimedtosystematicallyreviewtherelevantrandomisedcontrolledtrials ofthestudy นี้จุดมุ่งหมาย( RCTs ) todeterminetheeffectivenessandsafetyofmmdtforcough .
วัสดุและวิธีการ : andhand-searchingof7databases อิเล็กทรอนิกส์ ( cochranelibrary Medline , โอเอซิส , ริส , embase
, ,
cnkiandcinii ) wassystematicallyconducteduptofebruary2015forrctstesting mmdt inpatientswithcough . theprimaryoutcomewascoughsymptomimprovementusingcough
ไดอารี่ visualanalogscale orresponserate , .riskofbiasoftheincludedtrialswasevaluatedwiththe
Cochrane riskofbiasassessmenttool . thedichotomousdatawerepooledtoobtainariskratio ( RR )
ไอ persistingaftertreatment ช่วงความเชื่อมั่น with95 % ( CI ) .
ผล : ninerctsinvolving2453participantswereincluded . themethodologicalqualitywaslargelypoorfora by74 % comparedwiththeconventionalantitussive
majorityofthestudies.mmdtreducedtheseverityofcoughmedicationsinvariousconditions ( N ¼ว ; rrofcoughpersistingaftertreatment ¼ 0.26 ; 95% CI , 0.19 และ 0.34 ,
I2 ¼ 0 % ) theadditionofmmdttoconventionalmedication inpatientswithpostinfectiouscoughsignificantly
alleviatedsymptomsuptoday5buttheeffectwasnotmaintainedoneweekafterwards . forotherdiseases /
เงื่อนไข includingchronicobstructivepulmonarydisease lungcancersurgery andasthma theevidenceis
, , ,inconsistentformmdt / mmmdtforcough . adverseeventsappeartoberarebutthereportingwaspoor .
สรุป : currentevidencefromoursystematicreviewandmeta analysisonmmdtforcoughisin -
conclusiveandweproposethatrigorouslydesigned , placebo establishitsplaceinmanagementofcough controlledtrialsofmmdtshouldbeconductedto
.
& 2015elsevierirelandltd.allrightsreserved .
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