PMID- 32389012 OWN - NLM STAT- MEDLINE DCOM- 20210224 LR - 20210224 IS - 2224-5839 (Electronic) IS - 2224-5820 (Linking) VI - 9 IP - 3 DP - 2020 May TI - Efficacy and safety of Qinzhuliangxue decoction for treating atopic eczema: a randomized controlled trial. PG - 870-882 LID - 10.21037/apm.2020.04.17 [doi] AB - BACKGROUND: Atopic eczema is the most common type of skin disorder in both children and adults. It is characterized by erythema, pruritus, papules, xeransis, and lichenification. Qinzhuliangxue decoction (QZLXD), a Chinese herbal medicine (CHM) prepared with several ingredients that are used to treat eczema, was formulated according to the traditional Chinese medicine (TCM) theory. This study aimed to investigate the efficacy and safety of QZLXD administration for treating atopic eczema compared to those of Runzaozhiyang capsules (RZZYC). METHODS: A total of 176 patients were enrolled at the Shanghai Yueyang Hospital and were randomly assigned to the QZLXD treatment group (n=82) or the RZZYC control group (n=86). The differences in Eczema Area and Severity Index (EASI), Dermatology Life Quality Index, itching score, recurrence rate, and adverse events (AEs) were compared between the groups. RESULTS: The EASI score (x2=14.181, P=0.003), recurrence rate (x2=7.398, P=0.007), and itching score (F=-3.427, P=0.001) were lower in the QZLXD group than in the RZZYC group. Incidence of AEs was similar between the RZZYC and QZLXD groups (P=0.434). CONCLUSIONS: QZLXD is recommended for the treatment of subacute atopic eczema because QZLXD showed good efficiency with low recurrence rate and tolerable AEs. FAU - Ma, Tian AU - Ma T AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Chai, Yuanyuan AU - Chai Y AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Department of Surgery of Traditional Chinese Medicine, Xiangshan Traditional Chinese Medicine Hospital, Shanghai 200020, China. FAU - Li, Su AU - Li S AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Sun, Xiaoying AU - Sun X AD - Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Wang, Yifei AU - Wang Y AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Xu, Rong AU - Xu R AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Chen, Jie AU - Chen J AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Zhou, Mi AU - Zhou M AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Zhou, Min AU - Zhou M AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Li, Bin AU - Li B AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Xu, Wenbin AU - Xu W AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. xuwenbin@shyueyanghospital.com. FAU - Li, Xin AU - Li X AD - Department of Dermatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Institute of Dermatology, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China. 13661956326@163.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200426 PL - China TA - Ann Palliat Med JT - Annals of palliative medicine JID - 101585484 RN - 0 (Drugs, Chinese Herbal) RN - 0 (qinzhu liangxue) SB - IM MH - Adult MH - Child MH - China MH - *Dermatitis, Atopic/drug therapy MH - *Drugs, Chinese Herbal/therapeutic use MH - *Eczema/drug therapy MH - Humans MH - *Medicine, Chinese Traditional MH - Severity of Illness Index MH - Treatment Outcome OTO - NOTNLM OT - Atopic eczema OT - Qinzhuliangxue decoction (QZLXD) OT - clinical research EDAT- 2020/05/12 06:00 MHDA- 2021/02/25 06:00 CRDT- 2020/05/12 06:00 PHST- 2019/10/09 00:00 [received] PHST- 2020/02/14 00:00 [accepted] PHST- 2020/05/12 06:00 [pubmed] PHST- 2021/02/25 06:00 [medline] PHST- 2020/05/12 06:00 [entrez] AID - apm.2020.04.17 [pii] AID - 10.21037/apm.2020.04.17 [doi] PST - ppublish SO - Ann Palliat Med. 2020 May;9(3):870-882. doi: 10.21037/apm.2020.04.17. Epub 2020 Apr 26.