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 (n ¼ 1145; RRofcoughpersistingaftertreatment ¼ 0.26; 95%CI 0.19 -, 0.34
I2, ¼ 0%). TheadditionofMMDTtoconventionalmedication. Inpatientswithpostinfectiouscoughsignificantly
alleviatedsymptomsuptoday5buttheeffectwasnotmaintainedoneweekafterwards.Forotherdiseases /
conditions. ,,, includingchronicobstructivepulmonarydisease lungcancersurgery andasthma theevidenceis
.InconsistentforMMDT / mMMDTforcough.Adverseeventsappeartoberarebutthereportingwaspoor.
-
conclusiveandweproposethatrigorouslydesigned Conclusions: The currentevidencefromoursystematicreviewandmeta-analysisonMMDTforcoughisin, establishitsplaceinmanagementofcough placebo-controlledtrialsofMMDTshouldbeconductedto
.
&. 2015ElsevierIrelandLtd.Allrightsreserved.
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