Evidence-based Clinical Chinese Medicine - Volume 2: Psoriasis Vulgaris

Evidence-based Clinical Chinese Medicine - Volume 2: Psoriasis Vulgaris

by Claire Shuiqing Zhang, Jingjie Yu


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Product Details

ISBN-13: 9789814723138
Publisher: World Scientific Publishing Company, Incorporated
Publication date: 06/14/2016
Series: Evidence-based Clinical Chinese Medicine Series , #2
Edition description: Reprint
Pages: 180
Product dimensions: 6.00(w) x 9.00(h) x 0.40(d)

Table of Contents

Purpose of the Monograph v

How to Use This Monograph vii

Disclaimer xi

Foreword xiii

Related Publications xvi

Authors and Contributors xix

Members of Advisory Committee and Panel xxi

Professor Charlie Changli Xue, PhD xxiii

Professor Chuanjian Lu, MD xxv

Acknowledgments xxvii

List of Figures xxxv

List of Tables xxxvii

1 Introduction to Psoriasis Vulgaris 1

Risk Factors 4

Pathological Processes 4

Diagnosis 5

Symptom Assessment 5

Evaluation of Psoriasis Symptom Severity 5

Differential Diagnosis 6

Management 6

Treatment Goals 8

References 10

2 Psoriasis Vulgaris in Chinese Medicine 13

Aetiology and Pathogenesis 14

Syndromes Differentiation and Treatments 14

Oral CHM Treatment Based on Syndrome Differentiation 15

Blood Heat 15

Blood Dryness 16

Blood Stasis 17

Topical Therapies of CHM 17

CHM Ointment 1 17

CHM Baths 18

Acupuncture Therapies and Other CM Therapies 18

Other Management Strategies 18

References 19

3 Classical Chinese Medicine Literature 21

Classical Literature Search 22

Terms of the Most Likely Psoriasis Vulgaris Citations 25

Representative Citations 25

Syndromes of Psoriasis Vulgaris in Classical Literature 26

Common Formulae and Herbs 27

Common Acupuncture Points 29

Classical Literature in Perspective 29

References 30

4 Methods for Evaluating Clinical Evidence 33

Introduction 33

Search Strategy 34

Inclusion Criteria 35

Exclusion Criteria 36

Methodological Quality Assessment 36

Statistical Analyses 38

Assessment Using GRADE 38

Outcome Measures 41

References 42

5 Chinese Herbal Medicine for Psoriasis Vulgaris 45

Previous Systematic Reviews 45

Clinical Evidence: Characteristics 47

Oral Chinese Herbal Medicine 47

Topical Chinese Herbal Medicine 50

Randomised Controlled Trials of Oral CHM 50

Risk of Bias Assessment 50

Effects of Oral CHM 52

Assessment Using GRADE 57

Frequently Reported Herbs in Meta-Analyses Showing Favourable Effect 57

Safety of Oral CHM in Randomised Controlled Trials 61

Controlled Clinical Trials (Non-Randomised) of Oral CHM 62

Non-Controlled Studies of Oral CHM 63

Randomised Controlled Trials of Topical CHM 63

Risk of Bias Assessment 63

Effects of Topical CHM 64

Assessment Using GRADE 66

Frequently Reported Herbs in Meta-Analyses Showing Favourable Effect 68

Safety of Topical CHM in Randomised Controlled Trials 68

Controlled Clinical Trials (Non-Randomised) of Topical CHM 69

Non-Controlled Studies of Topical CHM 70

Summary of Chinese Herbal Medicine Clinical Evidence 70

References 71

6 Pharmacological Actions of the Common Herbs 73

Experimental Studies of sheng di huang 73

Experimental Studies of dang gui 74

Experimental Studies of chi shao 74

Experimental Studies of dan shen 75

Experimental Studies of tu fu ling 76

Experimental Studies of mu dan pi 76

Experimental Studies of bai xian pi 77

Experimental Studies of zi cao 78

Experimental Studies of gan cao 79

Experimental Studies of ku shen 80

Experimental Studies of di fu zi 81

Summary of Pharmacological Actions of the Common Herbs 82

References 82

7 Clinical Evidence for Acupuncture and Related Therapies 89

Previous Systematic Reviews 90

Identification of Clinical Studies 90

Randomised Controlled Trials of Acupuncture and Related Therapies 92

Risk of Bias Assessment 92

Effects of Acupuncture 92

Effects of Acupuncture plus Moxibustion 92

Controlled Clinical Trials (Non-Randomised) of Acupuncture and Related Therapies 93

Non-Controlled Studies of Acupuncture and Related Therapies 93

Summary of Acupuncture Clinical Evidence 93

8 Clinical Evidence for Chinese Medicine Combination Therapy 95

Chinese Medicine Combination Therapy for Psoriasis Vulgaris 95

Summary of Main Findings 96

9 Summary and Conclusion 97

Chinese Herbal Medicine 98

Summary of CHM across Evidence Types 99

Acupuncture and Related Therapies 99

Summary of Acupuncture and Related Therapies across Evidence Types 1 102

Implications for Practice 102

Implications for Research 104

Methods 105

Intervention 105

Reporting 105

References 106

Appendix 1 All Included Clinical Studies 107

Glossary 127

Index 141

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