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Efficacy of Herbal Medicines for the Treatment of Psoriasis : Systematic Review and Meta-analysis

건선의 한약치료 효과에 대한 체계적 문헌 고찰과 메타 분석

  • Ryu, Deok-Hyun (Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University) ;
  • Ryu, Deok-Seon (Dept. of Biomedical Laboratory Science, Soonchunhyang University) ;
  • Roh, Seok-Sun (Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Daejeon University)
  • 류덕현 (대전대학교 한의과대학 안이비인후피부과) ;
  • 류덕선 (순천향대학교 의료과학대학 임상병리학과) ;
  • 노석선 (대전대학교 한의과대학 안이비인후피부과)
  • Received : 2017.06.16
  • Accepted : 2017.08.04
  • Published : 2017.08.25

Abstract

Objectives : This study aimed to validate the effect of herbal medicine intervention to relieve the symptoms of psoriasis using systematic review and meta-analysis and provide the newest reason of effectiveness of Korean medicine to psoriasis. Methods : Data were collected through electronic database including Pubmed, Cochrane CENTRAL, NDSL OASIS, Koreantk. Two experts assessed risk of bias of randomized controlled trials by Cochrane group's Risk of Bias tool after searching, reviewing and selecting papers. Data were analyzed using Review Manager(RevMan) 5.3 and Comprehensive Meta Analysis 2.0. Results : Total number of selected trials was 16 randomized controlled trials. This study evaluated the risk of bias and effectiveness of herbal medicine to psoriasis. There were high frequency uncertain in selection bias, performance bias and detection bias. In this meta-analysis, Korean medicine treatment was more effective than western medicine (ES:0.507, 95%CI:0.147-0.867) and placebo (ES:0.955, 95%CI:0.598-1.312). Conclusions : Herbal medicine intervention can be an effective for treatment in psoriasis. But enhancing levels of evidence, we must try to accumulate clinical researches of herbal medicine to psoriasis in Korea.

Keywords

References

  1. Boyman O, Conrad C, Tonel G, Gilliet M, Nestle FO. The pathogenic role of tissueresident immune cells in psoriasis. Trends Immunol. 2007;28(2):51-7. https://doi.org/10.1016/j.it.2006.12.005
  2. Menter A, Gottlieb A, Feldman SR, Van Voorhees AS, Leonardi CL, Gordon KB. Guidelines of care for the management of psoriasis and psoriatic arthritis : Section 1. Overview of psoriasis and guidelines of care for the treatment of psoriasis with biologics. J Am Acad Dermatol. 2008;58(5):826-50. https://doi.org/10.1016/j.jaad.2008.02.039
  3. Kim GJ. Classifications and symptoms of psoriasis. Update in Dermatol. 2003;1(4):8-12.
  4. Pathirana D, Ormerod AD, Saiag P, Smith C, Spuls PI, Nast A. European S3-Guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venerol. 2009;23:5-70.
  5. Kim MH, Lee BC, Yun YH, Choi IH. Traditional Korean Medicine Treatment for Psoriasis Vulgaris: Retrospective Chart Review. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013;26(1):97-103. https://doi.org/10.6114/jkood.2013.26.1.097
  6. Kim JY, Lee WJ, Lee SJ, Kim DW, Kim TH, Jun JB. An Investigation on the Use of Complementary and Alternative Medicine for Psoriasis. Korean J Dermatol. 2010;48(6):494-502.
  7. Brian HM, Anthony LZ, Wenyu Z, Chuan-jian L, Shiqiang D, Charlie CL. Oral herbal medicines for psoriasis: a review of clinical studies. Chin J Interg Med. 2012;18:172-8. https://doi.org/10.1007/s11655-012-1008-z
  8. Kim SH, Hwang DS, Lee JM, Lee GS, Lee CH, Jang JB. Recent Acupuncture Therapy for Polycystic Ovary Syndromes : Systematic Review. J Korean Obstet Gynecol. 2014;27(2):71-82. https://doi.org/10.15204/jkobgy.2014.27.2.071
  9. Park TH, Oh CG, Park YR, Yang SB, Kim JH. A Systematic Review of Randomized Controlled Trials on Acupuncture for Shoulder Pain Based on Jadad Scale and STRICTA recommendations. Korean J Acupunct. 2012;29(1):93-107.
  10. Gwon YJ, Jo HY, Hwang UW, Jo SH. A Systematic Review of Clinical Studies for Herbal Medicine of Dementia - based on Korean Literature -. J Orient Neuropsychiatry. 2010;21(4):151-61.
  11. Lee DH, Lee JH, Oh YY, Kim NG. Protocol developing : A Systematic Review of Randomized Controlled Trials in Tinnitus - a Focus on Methods of Outcome Measurement. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22(2):186-91.
  12. Health Insurance Reviews & Assessment Service. HIRA's guideline for undertaking systematic reviews. Introduction. 2013.
  13. Oh SS. Theory and Practice of meta-analysis. 1st ed. Seoul:Press in University of Kunkuk. 2002:16,124.
  14. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Suh HS. NECA's guidance for undertaking systematic review and meta-analyses for intervention. 2011:64.
  15. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Suh HS. NECA's guidance for undertaking systematic review and meta-analyses for intervention. 2011:65.
  16. Yan Y, Liu W, Andres P, Pernin C, Chantalat L, Briantatis P, et al. Exploratory Clinical Trial to Evaluate the Efficacy of a Topical Traditional Chinese Herbal Medicine in Psoriasis Vulgaris. Evid Based Complement Alternat Med. 2015;2015:719641.
  17. Lin YK, Chang CJ, Chang YC, Wang WR, Chang SC, Pang JH. Clinical Assessment of Patients With Recalcitrant Psoriasis in a Randomized, Observer-Blind, Vehicle- Controlled Trial Using Indigo Naturalis. Arch Dermatol. 2008;144(11);1457-64. https://doi.org/10.1001/archderm.144.11.1457
  18. Zhou N, Bai YP, Man XH, Zhang YB, Kong YH, Ju H, et al. Effect of New Pulian Ointment in Treating Psoriasis of Blood-Heat Syndrome: A Randomized Controlled Trial. Chin J Integr Med. 2009;15(6):409-14. https://doi.org/10.1007/s11655-009-0409-0
  19. Yao DN, Lu CJ, Wen ZH, Yan YH, Xuan ML, Li XY, et al. Oral PSORI-CM01, a Chinese herbal formula, plus topical sequential therapy for moderate-to-severe psoriasis vulgaris: pilot study for a double-blind, randomized, placebo-controlled trial. Yao et al Trials. 2016;17:140. https://doi.org/10.1186/s13063-016-1272-x
  20. Lin YK, See LC, Huang YH, Chang YC, Tsou TC, Lin TY, et al. Efficacy and safety of Indigo naturalis extract in oil(Lindioil) in treating nail psoriasis : A randomized, observer-blind, vehicle-controlled trial. J phymed. 2014;21:1015-20.
  21. Li FL, Li B, Xu R, Song X, Yu Y, Xu ZC. Qingzhu Liangxue Decoction in treatment of blood-heat type psoriasis vulgaris: a randomized controlled trial. J Chin Integr Med. 2008;6(6):586-90. https://doi.org/10.3736/jcim20080608
  22. Lin YK, Chang YC, Hui CY, See LC, Chang CJ, Yang CH, et al. A Chinese Herb, Indigo Naturalis, Extracted in Oil(Lindioil) Used Topically to Treat Psoriasis Nails: A Randomized Clinical Trial. JAMA Dermatol. 2015;151(6):672-4. https://doi.org/10.1001/jamadermatol.2014.5460
  23. Wu C, Jin HZ, Shu D, Li F, He CX, Qiao J, et al. Efficacy and Safety of Tripterygium wilfordii Hook F Versus Acitretin in Moderate to Severe Psoriasis Vulgaris: A Randomized Clinical Trial. Chin Med J. 2015;128(4):443-9. https://doi.org/10.4103/0366-6999.151069
  24. Ho SGY, Yeung CK, Chan HHL. Methotrexate versus traditional Chinese medicine in psoriasis: a randomized, placebo-controlled trial to determine efficacy, safety and quality of life. Clin Exp Dermatol. 2009;35:717-22.
  25. Lu CJ, Xiang Y, Xie XL, Xuan ML, He ZH. A Randomized Controlled Single-Bling Clinical Trial on 84 Outpatients with Psoriasis Vulgaris by Auricular Therapy Combined with Optimized Yinxieling Formula. Chin J Integr Med. 2012;18(3):186-91. https://doi.org/10.1007/s11655-012-1020-3
  26. Carrion-Gutierrez M, Ramirez-Bosca A, Navarro-Lopez V, Martinez-Andres A, Asin-Llorca M, Bernd A, et al. Effects of Curcuma extract and visible light on adults with plaque psoriasis. Eur J Dermatol. 2015;25(3):240-6. https://doi.org/10.1684/ejd.2015.2584
  27. Wang J, Xu R, Li B. Observation on the efficacy of modified Qingzhu Liangxue decoction plus tazarotene gel for the treatment of blood-heat syndrome psoriasis vulgaris. J Shanghai Jiao Tong Univ. 2016;36(11):1610-2.
  28. Sha H, Guo S, Liu Y, Zhao J. Combination of Qingzhu Liangxue Decoction and acitretin on the treatment of psoriasis vulgaris: a randomized controlled trial. Int J Clin Exp Med. 2016;9(4):7256-64.
  29. Antiga E, Bonciolini V, Vopli W, Bianco ED, Caproni M. Oral Curcumin (Meriva) Is Effective as an Adjuvant Treatment and Is Able to Reduce IL-22 Serum Levels in Patients with Psoriasis Vulgaris. BioMed Res Int. 2015;2015:283634.
  30. Zhang LX, Bai YP, Song ph, You LP, Yang DQ. Effect of Chinese Herbal Medicine Combined with Acitretin Capsule in Treating Psoriasis of Blood-Heat Syndrome Type. Chin J Integr Med. 2009;15(2):141-4. https://doi.org/10.1007/s11655-009-0145-5
  31. Lin YK, See LC, Huang YH, Chang YC, Tsou TC, Leu YL, et al. Comparison of Refined and Crude Indigo Naturalis Ointment in Treating Psoriasis: Randomized, Observer-Blind, Controlled, Intrapatient Trial. ARCH Dermatol. 2012;148(3):397-400. https://doi.org/10.1001/archdermatol.2011.1091
  32. Cohen J. Statistical power for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates. 1988.
  33. Begg C B, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50(4):1088-101. https://doi.org/10.2307/2533446
  34. Nickoloff BJ. The Immunologic and genetic basis of psoriasis. Arch Dermatol. 1998;135:1104-10.
  35. Kim NK, Hwang CY, Lim GS. The oriental and occidental bibliographic study of psoriasis. J Orient Med Surge Ophthalmol Otrolaryngol. 1999;12(1):154-78.
  36. Park OS, Kim YB. One case report of Expoliative Dermatitis due to Psoriasis. J Orient Med Surge Ophthalmol Otrolaryngol. 2004;17(3):131-7.
  37. Weinstein GD, White GM. An apporach to the treatment of medorate to severe psoriasis with rotational therapy. J Am Acad Dermatol. 1993;28(3):454-9. https://doi.org/10.1016/0190-9622(93)70067-4
  38. KIDA Textbook Editing Broad. Dermatology. 5th ed. Seoul;Ryo Moon Gak. 2008;241-51.
  39. Gupta MA, Gupta AK. Quality of life of psoriasis patients. J Eur Acad Dermatol Venereol. 2000;14:241-2. https://doi.org/10.1046/j.1468-3083.2000.00134.x
  40. Han JM, Yoon HJ, Ko WS. Literature review of the Korean medicinal approaches to immunohistochemical research on psoriasis. J Korean Med Ophthalmol Otrolaryngol Dermatol. 2014;27(4):87-100. https://doi.org/10.6114/jkood.2014.27.4.087
  41. Lee KH, Rho SS. Research of experimental kamidangkwieumja in psoriasis. J Orient Med Surge Ophthalmol Otrolaryngol. 1999;12(1):113-42.
  42. Hong SH. Reviewing research on Korean medical treatment of psoriasis. J Korean Med Ophthalmol Otrolaryngol Dermatol. 2013;26(4):26-42. https://doi.org/10.6114/jkood.2013.26.4.026