Review Article

Chinese Herbal Medicine for Myelosuppression Induced by Chemotherapy or Radiotherapy: A Systematic Review of Randomized Controlled Trials

Table 1

Details of the included studies.

Author, yearStudy types Participants Sample size (T/C)Intervention Outcome Baseline treatmentDetail content of CHMLost to follow-up

Zhuang et al., 2009 [32] Randomized, double-blindBreast/nasopharyngeal/colon/lung55/50Extract of CHM versus placebo PLT, RBC, and Hb Chemotherapy or radiotherapyG. lucidum extract, C. pilosula extract, A. sinensis extract, and citronellol powder were mixed into a capsule16 incomplete, 7 giving up, 1 and poor compliance

Zhuang et al.,
2012 [33]
Randomized, double-blindBreast cancer 31/27Extract of CHM versus placebo PLT, RBC, and Hb Chemotherapy or radiotherapyA.sinensis extract, C. pilosula extract, G. tsugae extract, rose geranium power were mixed into a capsule. Liquid extracts were obtained following extraction with boiling water for 1 h. The extracts were freeze-dried6 therapeutic regimen changed, 1 erythra, and 1 intolerance in capsules taste

Chen and Shen,
2012 [37]
RandomizedColon/rectal cancer 60/60CHM plus chemotherapy versus chemotherapy WBC, PLT, RBC, and Hb ChemotherapyQisheng Mixture (Astragalus, angelica, Cimicifuga rhizome, and Rhizoma Polygoni Cuspidati)  
decocted with water into 300 mL
Not described

Xu et al.,
2001 [39]
RandomizedLung/breast/gastric/intestinal cancer55/57CHM plus chemotherapy versus chemotherapy WBC ChemotherapyShuanghuang Shengbai Granule 
(Astragalus, polygonatum, Glossy privet fruit, Radix trichosanthis, Rhizoma Drynariae, etc.)  
processed into granules, 15 g per pack
Not described

Li et al.,
2012 [38]
Randomized, double-blindRefractory acute leukemia118/117CHM plus chemotherapy versus chemotherapy WBC, PLT, and Hb ChemotherapyCompound Zhebei granules.
The preparation method was unknown
Not described

Shi et al.,
2007 [34]
RandomizedNeuroblastoma tumors, nephroblastoma, and hepatoblastoma30/30CHM plus chemotherapy versus chemotherapy WBC, PLT, and Hb Chemotherapy(1) Millet sprout, rice sprout, Qu Jian, Alpinia katsumadai, Costas, Amomum villosum.  
(2) Fresh reed rhizome, fresh couchgrass root, Rehmanniae, Cortex Moutan, Agrimony, Platycladus orientalis carbon, and Clematis root  
decocted with water twice
Not described

Chu,
2007 [35]
RandomizedLung/breast/gastric/colorectal/esophageal/pancreatic36/36CHM plus chemotherapy versus chemotherapy WBC, PLT, and Hb ChemotherapyBushen Shengxue recipe 
(Radix rehmanniae, Astragalus root, Angelica, and Radix Polygoni Multiflori)  
decocted with water
Not described

Liu,
2013 [36]
RandomizedLung/breast/stomach/prostate28/28CHM plus chemotherapy versus chemotherapy WBC ChemotherapyLicorice root, deerhorn glue, Radix Rehmanniae Preparata, Fructus Psoraleae, Himalayan teasel root, Poria, Atractylodes, Radix Pseudostellariae, Angelica, and Astragalus sunburn 
decocted with water three times into 300 ml
Not described