PMID- 37955143 OWN - NLM STAT- MEDLINE DCOM- 20231114 LR - 20231114 IS - 1471-1753 (Electronic) IS - 0954-6634 (Linking) VI - 34 IP - 1 DP - 2023 Dec TI - An updated systematic review and meta-analysis of efficacy and safety of Chinese herbal medicine for treating atopic dermatitis. PG - 2268766 LID - 10.1080/09546634.2023.2268766 [doi] AB - BACKGROUND: This systematic review evaluated the Chinese herbal medicine (CHM) for treating atopic dermatitis (AD). METHODS: PubMed, EMBASE, the Cochrane library, the Wanfang database, and China National Knowledge Infrastructure (CNKI) were searched for relevant randomized controlled trials (RCTs) from inception to December 2021. Overall recovery rate, disease/symptom severity scoring, quality of life (QoL), recurrence rate, and incidence of adverse events (AEs) were evaluated. STATA SE 14.0 software was used for statistical analysis. RESULTS: 17 RCTs involving 1624 patients were eligible. CHM was associated with a higher overall recovery rate (risk ratio [RR] = 1.15, 95% confidence interval [CI]: 1.05, 1.26, p = .003) and decreased recurrence rate (odds ratio [OR] = 0.19, 95% CI: 0.07, 0.55, p = .002), both confirmed by sensitivity analyses. CHM could decrease scoring atopic dermatitis index (MD = -0.61, 95% CI: -1.12, -0.11, p = .017), however, sensitivity analysis revealed non-robustness. No significant differences were found between the CHM and the control group in Eczema Area and Severity Index, QoL, and the incidence of AEs. CONCLUSIONS: CHM was effective for treating AD as it could improve the overall recovery rate and decrease the recurrence rate. More studies are required to validate the potential of CHM on disease/symptoms severity and QoL. FAU - Jia, Jinjing AU - Jia J AD - State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Department of Dermatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Guangdong-Hong Kong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Gu, Sherman X AU - Gu SX AD - School of Health and Biomedical Sciences, STEM College, RMIT University, Melbourne, Australia. FAU - Mo, Xiumei AU - Mo X AD - State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Department of Dermatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Guangdong-Hong Kong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Liu, Junfeng AU - Liu J AD - State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Department of Dermatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Guangdong-Hong Kong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Chen, Dacan AU - Chen D AD - State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Department of Dermatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Guangdong-Hong Kong-Macau Joint Lab on Chinese Medicine and Immune Disease Research, Guangzhou University of Chinese Medicine, Guangzhou, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20231113 PL - England TA - J Dermatolog Treat JT - The Journal of dermatological treatment JID - 8918133 RN - 0 (Drugs, Chinese Herbal) SB - IM MH - Humans MH - *Drugs, Chinese Herbal/adverse effects MH - *Dermatitis, Atopic/drug therapy MH - China MH - Quality of Life MH - Research Design OTO - NOTNLM OT - Atopic dermatitis OT - Chinese herbal medicine OT - atopic eczema OT - meta-analysis EDAT- 2023/11/13 06:42 MHDA- 2023/11/14 06:43 CRDT- 2023/11/13 05:27 PHST- 2023/11/14 06:43 [medline] PHST- 2023/11/13 06:42 [pubmed] PHST- 2023/11/13 05:27 [entrez] AID - 10.1080/09546634.2023.2268766 [doi] PST - ppublish SO - J Dermatolog Treat. 2023 Dec;34(1):2268766. doi: 10.1080/09546634.2023.2268766. Epub 2023 Nov 13.