Meta-Analysis of Combined Treatment of Integrated Traditional Chinese Medicine and Western Medicine in Treatment of Top 10 Cancers in the World

2021 ◽  
Vol 10 (06) ◽  
pp. 807-822
Author(s):  
韵怡 欧
2021 ◽  
Vol 07 ◽  
Author(s):  
Sumel Ashique ◽  
Navjot K Sandhu

: The nCOVID-19 virus has become the most threatening infections disease all over the world. From the beginning till today a large number of researches is going on to develop appropriate therapeutics that can prevent and cure this viral infection successfully. But unfortunately, modern western medicine could not find any effective drug having no toxic effects on host cell. TCM (traditional Chinese Medicine) has shown promising effect against nCOVID-19. This TCM contains natural occurring herbal decoctions which showed promising blocking of viral progression in host cell. These ayurvedic formulations containing homeopathic medicine, unani medicine and yoga to challenge the virus. The traditional medicine system is unable to cure properly but it can be a possible preventing strategy to stop this virus pandemicity. This review focuses how the ayurvedic medicines, homeopathic treatment strategies and yoga can impact to prevent the viral infection.


2020 ◽  
Vol 2020 ◽  
pp. 1-15 ◽  
Author(s):  
Qi Xing ◽  
Ling Fu ◽  
Zhichao Yu ◽  
Xueping Zhou

Objective. Integrated therapy of traditional Chinese medicine (TCM) and Western medicine (WM) has gradually been applied to the treatment of rheumatoid arthritis (RA). Recently published studies have provided a wealth of data and information about the effectiveness of combination treatments, but high-quality evidence-based meta-analysis on this issue is not available yet. This study was conducted to compare and evaluate the efficacy and safety of the integrated therapy for RA. Methods. PubMed, EMBASE, and the Cochrane Library were searched up to January 2020. Randomized controlled trials (RCTs) that compared the efficacy and safety of integrative TCM-WM with WM alone for RA were included. The outcome measures contained therapeutic effects (TEs), tender joint count (TJC), swollen joint count (SJC), duration of morning stiffness (DMS), grip strength (GS), disease activity score in 28 joints (DAS28), rheumatoid factor (RF), anti-cyclic peptide containing citrulline (anti-CCP), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and adverse events (AEs) to assess the efficacy and safety of different treatments. Results. A total of 20 RCTs with 2269 patients met the inclusion criteria. TCM used in these studies included Chinese herbal decoctions and tablets or capsules made from herbs and their extracts, while WM included disease-modifying antirheumatic drugs (DMARDs), nonsteroidal anti-inflammatory drugs (NSAIDs), and glucocorticoids (GC). Compared with patients receiving WM treatment alone, patients with integrative TCM-WM treatment showed better TEs (OR = 3.03, 95% CI [2.36, 3.88]). The integrative treatment group showed reductions in TJC (MD = −1.17, 95% CI [−2.12, −0.21]), SJC (MD = −0.87, 95% CI [−1.85, 0.10]), DMS (SMD = −0.69, 95% CI [−0.98, −0.41]), DAS28 (MD = −0.43, 95% CI [−0.57, −0.29]), RF (SMD = −0.59, 95% CI [−0.91, −0.27]), anti-CCP (SMD = −0.21, 95% CI [−0.36, −0.06]), ESR (MD = −8.36, 95% CI [−12.60, −4.12]), and CRP (MD = −6.73, 95% CI [−9.38, −4.08]), and increment in GS (SMD = 0.12, 95% CI [−0.63, 0.87]). AEs, especially gastrointestinal disorders, abnormal liver function, leukopenia, skin allergies and rashes, headaches and dizziness, and alopecia, significantly decreased (OR = 0.37, 95% CI [0.29, 0.47]) in the integrative treatment group. Conclusions. The findings of this meta-analysis indicate that integrative TCM-WM could obtain effective and safe results in the treatment of RA. Using TCM as an adjunctive therapy in RA has great prospects for further development.


Author(s):  
Ruiping FAN

LANGUAGE NOTE | Document text in Chinese; abstract also in English.本文試圖綜合本期各篇文章的主要觀點,依據“目的”、“體驗”和“價值”三條線索來對傳統中醫和現代西醫做一初步的評價。由於醫學的內在目的在於防治疾病、維護健康,而不是追求真理、認識世界,因而中醫與西醫都可以發揮作用,現代化研究與傳統式探索也可以並行不諱,只要有助於醫學的目的即可。此外,西方醫學從傳統走向現代的過程,乃是從重視病人的親身感受轉向注重病理解剖事實的過程,而中醫學體系提供了一種不同的臨床現象學。最後,醫學是負荷看價值和意識形態的人類活動,應當超越當前的技術烏托邦傾向,成為良好生活方式的一個和諧部分。The contemporary world is characteristic of science-fetishism and technological utopia. Every social issue is explored in the name of science, and all difficult problems are to be resolved by renovated technologies. This is even more so in modern China than in the West. The people attempt to modernize their lives in all respects. For many of them, everything old needs to be weighed on a modern scientific scale and anything unscientific must be rejected. This constitutes the context in which traditional Chinese medicine is generally evaluated. This essay argues that this context is misleading. It intends to reevaluate traditional Chinese versus modern Western medicine in consideration of the internal aim of medicine, patients, experiences, and ideologies and values.There has been a long-standing debate in China in this century regarding whether or not traditional Chinese medicine is a science. Both sides of the debate, ironically, agree that if traditional Chinese medicine is not a science, it should be abandoned. However, this debate is non-sensical. Medicine as medicine, whether it is a traditional medicine or a modern medicine, is not a science. Medicine is not a science because its internal aim differs from the aim of science. While the internal aim of science can be identified as pursuing truth and knowing the world, the internal aim of medicine consists in maintaining health as well as treating and preventing diseases. Undoubtedly, modern Western medicine is scientific. Its theories and practices are based upon typical modern sciences such as physics, chemistry and biology. But medicine as medicine does not have to be scientific. Given the internal aim of medicine, as long as a practice or method contributes to the treatment of disease or the promotion of health, it is legitimate. The existence of varieties of non-scientific alternative medicine and faith medicine in the US where modern science and technology are most advanced, is a good example of this. To put it in a famous Chinese saying, "whether it is a white cat or a black cat, as long as it catchesthe mouse, it is a good cat."No one can deny the tremendous achievements that modern scientific medicine has made in fighting diseases. However, focused on a technologized anatomico-pathologic view of the body and diseases, contemporary medicine discounts the significance of patient complaints and it is naturally easy to lose sight of the non-technological aspects of medical practice, especially the experience of the sick person. Traditional Chinese medical theory and practice provide a heuristic alternative. By viewing the essence of illness as symptom-complex rather than anatomico-pathological lesion, by identifying imbalanced climate and emotional factors rather than disease entities as the sources of illnesses, by using ordinary contacts rather than complicated lab and mechanical investigations as medical examining tools, by focusing on the experience of being sick rather than on pathological anatomy, by following balancing rather than curing as the treatment principle, and by emphasizing prevention rather than treatment, traditionalChinese medicine offers a systematic medical phenomenological system in which a patient’s life experience and intuitive knowledge of the body is the center of clinical practice.Finally, medical theory and practice are value-laden. "Our ideologies and expectations concerning the world move us to select certain states as illnesses because of our judgment as to what is dysfunctional or a deformity and to select certain causal sequences,etiological patterns, as being of interest to us because they are bound to groups of phenomena we identify as illnesses" (Engelhardt). Our ideologies and expectations also move us to select certain modes of medicine and therapeutic methods as most useful and promising because of our judgments about the appropriateness and efficacy of practical instruments. Accordingly, practicing and accepting medicine is part of a way of life. As people accept different value systems and life expectations, they must be careful about what medicine and technology they want to accept and develop. We must reflect on the contemporary ideology of technological utopia that intends to resolve all problems by newly developed complicated technologies. Not all conflicts and tensions of life can be resolved by technologies. What is worse, the overwhelmingly powerful incentive to develop high tech medicine in the third-world countries would drain on their scarce health care resources, which would significantly harm most people in those countries.DOWNLOAD HISTORY | This article has been downloaded 15 times in Digital Commons before migrating into this platform.


Medicine ◽  
2021 ◽  
Vol 100 (7) ◽  
pp. e24799
Author(s):  
Yue-tong Wang ◽  
Rong-qiang Zhang ◽  
Shu-fei Wang ◽  
Xian-cheng Li ◽  
Nan Zhang ◽  
...  

2020 ◽  
Author(s):  
Danlei Song ◽  
Taobi Huang ◽  
Yongjian Wei ◽  
Yuyue Chen ◽  
Yuping Wang ◽  
...  

Abstract Background: Corona Virus Disease 2019 (COVID-19) is highly infectious and spreads rapidly across the world. Some patients occurred liver damage for unexplained reasons. Our study aims to explore whether Traditional Chinese Medicine (TCM) causes severe abnormal liver function compared to that of Western Medicine during the treatment process of COVID-19.Methods: We selected eligible studies with strict inclusion and exclusion criteria after systematically searching 7 databases up to May 30, 2020. Then, the study quality was assessed by the Cochrane risk of bias tool. Finally, we conducted a meta and subgroup analysis in the random-effects model to calculate risk ratio (RR) and 95% confidence intervals (95% CI) to evaluate the risk changes after adding TCM and the influence factor to RR. Results: A total of 2648 articles were searched, and 3 randomized controlled studies were included. Our results indicated that the occurrence of abnormal liver function had no statistical difference in the group added with TCM from Western Medicine groups. (RR=0.55[0.16,1,85], I2=58%, P=0.09>0.05). We also found that the high heterogeneity existed in two subgroups of common cases and all typecases, and it was statistically significant (I2=76.3%, P=0.04 <0.05), which means the clinical type of COVID-19 may be the source of heterogeneity.Conclusion: Our research showed that adding TCM wouldn’ t damage the COVID-19 patients’ liver function. On the contrary, it may reduce the risk.


Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Li Chao ◽  
Lu Na ◽  
Li Bin ◽  
Zheng Botao ◽  
Li Shuaijie

AbstractBackgroundThe aim of this study was to evaluate the neuroprotective effect of surgery combined with traditional Chinese medicine(TCM)in the treatment of glaucoma by meta-analysis based on clinical controlled trial.MethodsAll the prospective randomized controlled trialsof surgery combined with TCM in the treatment of glaucoma were searched in the databases of Medline (1960-2015.1), CENTRAL (the Cochrane central register of controlled trials 1989-2015.1, EMBASE (1980∼2015.1) and CNKI (1979-2015.1). Two reviewers independently assessed the quality of the included studies, extracted the relevant data and performed a cross-check. The pooled relative risk (RR) or standard mean difference (SMD) of surgery combined with TCM versus western medicine or surgery alone were calculated as the effect size by meta-analysis method. All the data was analyzed by stata11.0 software (http://www.stata.com; Stata Corporation, College Station, TX).ResultsFinally, eleven clinical controlledtrails with 843 subjects were included in this meta-analysis. The pooled results indicated that the surgery combined with TCM treatment procedure can significant improve the vision recovery rate compared to control group (RR=1.22, 95% CI:1.06∼1.40, P=0.005); And after treatment, the visual field in combined group was significantly improved compared to control group (SMD=0.26∼95% CI:0.09∼0.43, P=0.003).ConclusionSurgery combined with TCM can improve the vision recovery rate and the visual fieldin the treatment of glaucoma compared to surgery or western medicine alone.


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