Perspectives on the Use of Ninjin'yoeito in Modern Medicine: A Review of Randomized Controlled Trials.


Journal

Evidence-based complementary and alternative medicine : eCAM
ISSN: 1741-427X
Titre abrégé: Evid Based Complement Alternat Med
Pays: United States
ID NLM: 101215021

Informations de publication

Date de publication:
2019
Historique:
received: 25 04 2019
revised: 15 07 2019
accepted: 31 07 2019
entrez: 1 10 2019
pubmed: 1 10 2019
medline: 1 10 2019
Statut: epublish

Résumé

Ninjin'yoeito (NYT), a traditional Japanese (Kampo) medicine that originates from China, has been used to treat qi and blood deficiency based on its original concept. Kampo medicine has been widely used to treat many conditions and disorders combined with western medicine or Kampo medicine alone in modern situation. We reviewed randomized controlled trials (RCTs) of NYT and discussed various standpoints regarding its use in modern situation. We searched PubMed, Cochrane Library, and Evidence Reports of Kampo Treatment (EKAT) for articles written in English, and Ichushi, J-Stage, and EKAT for those written in Japanese. Articles published before January 1, 2019, were retrieved using the keywords "ninjinyoeito" and "ninjin'yoeito," and RCTs were selected from these extracted articles. Of 734 articles, 13 were RCTs, 46 were non-RCTs or studies of other designs, 15 were case reports, and 36 were experimental studies using NYT. NYT was evaluated for its use as a treatment for cancer and related conditions, refractory blood diseases and conditions, and otorhinolaryngologic symptom in 13 RCTs. Based on the use of Kampo medicine in modern situation called as Yasui's classification, 10 of 13 RCTs were categorized as "the side effects of Western medicinal treatment are mitigated when combined with Kampo treatment" and the remaining 3 were categorized as "treatment effect of Kampo medicine is increased in combination with standard Western medicinal treatment."

Sections du résumé

BACKGROUND BACKGROUND
Ninjin'yoeito (NYT), a traditional Japanese (Kampo) medicine that originates from China, has been used to treat qi and blood deficiency based on its original concept. Kampo medicine has been widely used to treat many conditions and disorders combined with western medicine or Kampo medicine alone in modern situation.
AIMS OBJECTIVE
We reviewed randomized controlled trials (RCTs) of NYT and discussed various standpoints regarding its use in modern situation.
METHODS METHODS
We searched PubMed, Cochrane Library, and Evidence Reports of Kampo Treatment (EKAT) for articles written in English, and Ichushi, J-Stage, and EKAT for those written in Japanese. Articles published before January 1, 2019, were retrieved using the keywords "ninjinyoeito" and "ninjin'yoeito," and RCTs were selected from these extracted articles.
RESULT RESULTS
Of 734 articles, 13 were RCTs, 46 were non-RCTs or studies of other designs, 15 were case reports, and 36 were experimental studies using NYT. NYT was evaluated for its use as a treatment for cancer and related conditions, refractory blood diseases and conditions, and otorhinolaryngologic symptom in 13 RCTs. Based on the use of Kampo medicine in modern situation called as Yasui's classification, 10 of 13 RCTs were categorized as "the side effects of Western medicinal treatment are mitigated when combined with Kampo treatment" and the remaining 3 were categorized as "treatment effect of Kampo medicine is increased in combination with standard Western medicinal treatment."

Identifiants

pubmed: 31565066
doi: 10.1155/2019/9590260
pmc: PMC6745181
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

9590260

Informations de copyright

Copyright © 2019 Shin Takayama et al.

Déclaration de conflit d'intérêts

S. T., M. O., and T. I. belong to the Department of Kampo and Integrative Medicine, Tohoku University School of Medicine. The department received a grant from Tsumura & Co, a Japanese manufacturer of Kampo medicine which was used as per Tohoku University rules. T. M. received a research grant support from Tsumura & Co. and JPS Pharmaceuticals.

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Auteurs

Shin Takayama (S)

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.
Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine, 1-2 Seiryo-machi, Aoba Ward, Sendai, Miyagi, Japan.
Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.

Ryutaro Arita (R)

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.
Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.

Minoru Ohsawa (M)

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.
Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine, 1-2 Seiryo-machi, Aoba Ward, Sendai, Miyagi, Japan.
Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.

Akiko Kikuchi (A)

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.
Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine, 1-2 Seiryo-machi, Aoba Ward, Sendai, Miyagi, Japan.
Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.

Hiromichi Yasui (H)

Japan Institute of TCM Research, 7-8 Kitahamacho, Yokkaichi, Mie 510-0091, Japan.

Toshiaki Makino (T)

Department of Pharmacognosy, Graduate School of Pharmaceutical Sciences, Nagoya City University, 3-1 Tanabe-Dori, Mizuho-ku, Nagoya 4678603, Japan.

Yoshiharu Motoo (Y)

Department of Medical Oncology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa 920-0293, Japan.

Tadashi Ishii (T)

Department of Kampo Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.
Department of Kampo and Integrative Medicine, Tohoku University Graduate School of Medicine, 1-2 Seiryo-machi, Aoba Ward, Sendai, Miyagi, Japan.
Department of Education and Support for Regional Medicine, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba Ward, Sendai, Miyagi 980-8574, Japan.

Classifications MeSH