Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial

Background. There is no effective therapy for silicosis, and Dahuang Zhechong pill (DHZCP), an ancient Chinese medicine prescription, may have a therapeutic effect on silicosis. This study aims to verify the efficacy and safety of DHZCP in silicosis. Methods. This is a randomized controlled clinical...

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Autores principales: Wu-Yi-Nuo Tang, Jing-Tao Liang, Ju Wu, Li Liu, Ming-Zhang Lu, Xiao-Yan He, Li-Juan Wu, Huan-Yu Jiang, Fei Wang, Xiao Meng, Shun-Pin Li
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Publicado: Hindawi Limited 2021
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Acceso en línea:https://doaj.org/article/0d22b6dcaee547b6b94cee6218d7580a
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spelling oai:doaj.org-article:0d22b6dcaee547b6b94cee6218d7580a2021-11-29T00:56:55ZEfficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial1741-428810.1155/2021/4354054https://doaj.org/article/0d22b6dcaee547b6b94cee6218d7580a2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/4354054https://doaj.org/toc/1741-4288Background. There is no effective therapy for silicosis, and Dahuang Zhechong pill (DHZCP), an ancient Chinese medicine prescription, may have a therapeutic effect on silicosis. This study aims to verify the efficacy and safety of DHZCP in silicosis. Methods. This is a randomized controlled clinical trial done at Panzhihua Second People’s Hospital (Panzhihua City, Sichuan Province, China). Participants diagnosed with silicosis were recruited and randomized to the conventional treatment group (CG) or DHZCP combined with the conventional treatment group (DG). Forced vital capacity % predicted (FVC%), diffusing capacity of the lung for carbon monoxide % predicted (DLCO%), six-minute walk distance (6MWD), peripheral oxygen (SpO2), King’s Brief Interstitial Lung Disease Questionnaire (K-BILD), and safety outcomes were measured at baseline and 9 weeks. Results. Fifty-six participants (28 in each group) completed the study, and 53 of them (26 in DG and 27 in CG) completed pulmonary function. At 9 weeks, compared with no DHZCP, DHZCP treatment was associated with significant improvements in FVC% (mean ± SD, 95%CI) (8.2 ± 3.9, 0.3 to 16.0), DLCO% (8.6 ± 3.5, 1.5 to 15.7), SpO2 (3.8 ± 0.7, 2.3 to 5.2), and K-BILD total score (6.0 ± 2.3, 1.4 to 10.7). And, there were no statistical differences of safety outcomes between the two groups. Eight patients accepting DHZCP developed mild diarrhea during the first week, which subsequently resolved on its own. Conclusion. DHZCP could improve the pulmonary function, the quality of life, and the exercise capacity of silicosis patients.Wu-Yi-Nuo TangJing-Tao LiangJu WuLi LiuMing-Zhang LuXiao-Yan HeLi-Juan WuHuan-Yu JiangFei WangXiao MengShun-Pin LiHindawi LimitedarticleOther systems of medicineRZ201-999ENEvidence-Based Complementary and Alternative Medicine, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Other systems of medicine
RZ201-999
spellingShingle Other systems of medicine
RZ201-999
Wu-Yi-Nuo Tang
Jing-Tao Liang
Ju Wu
Li Liu
Ming-Zhang Lu
Xiao-Yan He
Li-Juan Wu
Huan-Yu Jiang
Fei Wang
Xiao Meng
Shun-Pin Li
Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
description Background. There is no effective therapy for silicosis, and Dahuang Zhechong pill (DHZCP), an ancient Chinese medicine prescription, may have a therapeutic effect on silicosis. This study aims to verify the efficacy and safety of DHZCP in silicosis. Methods. This is a randomized controlled clinical trial done at Panzhihua Second People’s Hospital (Panzhihua City, Sichuan Province, China). Participants diagnosed with silicosis were recruited and randomized to the conventional treatment group (CG) or DHZCP combined with the conventional treatment group (DG). Forced vital capacity % predicted (FVC%), diffusing capacity of the lung for carbon monoxide % predicted (DLCO%), six-minute walk distance (6MWD), peripheral oxygen (SpO2), King’s Brief Interstitial Lung Disease Questionnaire (K-BILD), and safety outcomes were measured at baseline and 9 weeks. Results. Fifty-six participants (28 in each group) completed the study, and 53 of them (26 in DG and 27 in CG) completed pulmonary function. At 9 weeks, compared with no DHZCP, DHZCP treatment was associated with significant improvements in FVC% (mean ± SD, 95%CI) (8.2 ± 3.9, 0.3 to 16.0), DLCO% (8.6 ± 3.5, 1.5 to 15.7), SpO2 (3.8 ± 0.7, 2.3 to 5.2), and K-BILD total score (6.0 ± 2.3, 1.4 to 10.7). And, there were no statistical differences of safety outcomes between the two groups. Eight patients accepting DHZCP developed mild diarrhea during the first week, which subsequently resolved on its own. Conclusion. DHZCP could improve the pulmonary function, the quality of life, and the exercise capacity of silicosis patients.
format article
author Wu-Yi-Nuo Tang
Jing-Tao Liang
Ju Wu
Li Liu
Ming-Zhang Lu
Xiao-Yan He
Li-Juan Wu
Huan-Yu Jiang
Fei Wang
Xiao Meng
Shun-Pin Li
author_facet Wu-Yi-Nuo Tang
Jing-Tao Liang
Ju Wu
Li Liu
Ming-Zhang Lu
Xiao-Yan He
Li-Juan Wu
Huan-Yu Jiang
Fei Wang
Xiao Meng
Shun-Pin Li
author_sort Wu-Yi-Nuo Tang
title Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
title_short Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
title_full Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
title_fullStr Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
title_full_unstemmed Efficacy and Safety of Dahuang Zhechong Pill in Silicosis: A Randomized Controlled Trial
title_sort efficacy and safety of dahuang zhechong pill in silicosis: a randomized controlled trial
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/0d22b6dcaee547b6b94cee6218d7580a
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