Review Article

Clinical Effects and Safety of Zhi Sou San for Cough: A Meta-Analysis of Randomized Trials

Table 1

Baseline characteristics of the included trials.

AuthorYearCountryCough inducing diseaseSample size (I/C)Intervention groupControl groupAge (years)
(I/C)
Cough duration
(I/C)
Intervention durationOutcome measurements

Dong [12]2014ChinaPostsurgical cough52/53ZSSGentamicin + α-chymotrypsin32–65NR3 d
Cai [13]2013ChinaPIC36/36MZSSKetotifen or ambroxol6–15/7–19NR5 d
Cai [14]2011ChinaPIC30/30MZSSMeptin + ketotifen + azithromycin18–60/21–5521–55 d/22–54 d7 d
Cao [15]2011ChinaPIC30/27ZSSCephalexin + compound guaiacol potassium oral solution3–8/4–1015 d–1 y/10 d–10 m7 d
Jin [16]2016ChinaPIC40/40MZSSPentoxyverine + loratadine10 d
Ju [17]2010ChinaPIC56/56MZSSChlorphenamine maleate15 d① + ②
Kan [18]2010ChinaPIC30/30MZSSDextromethorphan + chlorphenamine maleate10 d
Kan [19]2011ChinaPIC33/32MZSSRoxithromycin id2–10/2–104 wk–3 m/4 wk–3 m14 d
Li [20]2013ChinaPIC30/30MZSSAsmeton d7 d① + ③
Liang [21]2014ChinaPIC84/84MZSSPentoxyverineNR① + ③
Liu and Qiu [22]2012ChinaPIC38/40MZSSPentoxyverine + chlorphenamine maleate19–53/18–553–8 wkNR① + ③
Liu [23]2014ChinaPIC68/64MZSSKetotifen + carbetapentane citrate10 d
Lu [24]2012ChinaPIC43/43MZSSKetotifen + meptin + azithromycin7 d
Qiu [25]2012ChinaPIC28/28MZSSChlorphenamine maleate + cartussin22–55/20–6019–49 d/23–46 d15 d
Qiu [26]2011ChinaPIC82/78MZSSDextromethorphan + loratadine7 d① + ③
Qiu [27]2012ChinaPIC35/30MZSSCompound pholcodine syrup + asmeton + azithromycin14–65/15–65NR3 d
Sun [28]2011ChinaPIC58/52MZSSChlorpheniramine maleate + methyl bromide19–57/20–5814–40 d/16–41 d7 d
Tao [29]2011ChinaPIC30/30MZSSPseudoephedrine hydrochloride sustained release capsules7 d① + ②
Zhu [30]2010ChinaPIC62/30MZSSAzithromycin2 m–13/5 m–132–4 d/1–5 d3 wk
Chen [31]2004ChinaLaryngeal cough39/39MZSSRoxithromycin id + Zhikelu5–87/7–825 d–2 y/3 d–1.5 y5 d
Fang [32]2014ChinaLaryngeal cough43/43MZSSSetastine + carbetapentane citrate + new bromide40/413–12 wk/3–12 wk14 d
Hu [33]2013ChinaLaryngeal cough59/54MZSSBudesonide34–63/32–643–8 wk/3–7.3 wk7 d① + ⑤
Huang [34]2013ChinaLaryngeal cough60/60MZSSCefuroxime axetil + phenergan syrup16–64/17–657 d–3 m/7 d–3 m10 d① + ③ + ⑤
Liu [35]2004ChinaLaryngeal cough72/38MZSSAmoxicillin or cefradine + phenergan cough syrup4 d
Gong [36]2007ChinaCVA40/40MZSSKetotifen + doxofylline + salbutamol aerosol2–36 m/2–30 m28 d① + ④
Lu [37]2007ChinaCVA35/34MZSSTerbutaline + cetirizine9.6/9.21.3 m/1.4 m14 d
Liu [35]2012ChinaCVA28/25MZSSShah Mette Lo fluticasone propionate14 d① + ②
Qu [38]2006ChinaCVA30/30MZSSTerbutaline30 d① + ④
Tao [39]2014ChinaCVA55/55MZSSMontelukast sodium + budesonide aerosol2–11/2.5–123–33 m/4–36 m4 wk
Wang [40]2011ChinaCVA60/60MZSSConventional treatment for cough2–9/2.5–10NR10 d
Yu et al. [41]2016ChinaCVA52/52MZSSShah Mette Lo fluticasone powder30 d① + ② + ④
Zhang [42]2009ChinaCVA30/30MZSSCeftazidime + dexamethasone2–66NR14 d① + ②
Shao [43]2004ChinaCough60/48MZSSCefradine14–66/12–62NR14 d
Cai [44]2011ChinaChronic cough24/24MZSSConventional treatment for cough26–70/20–658–36 wk/10–42 wk14 d
Dai et al. [45]2015ChinaChronic cough26/26MZSSDesloratadine + ambroxol14 d
Huang [46]2014ChinaChronic cough45/45MZSSChlorphenamine + aminophylline + ambroxol24–758 wk–2 y14 d① + ③
Qiao [47]2016ChinaChronic cough40/40MZSSCefuroxime axetil + ambroxol + dextromethorphan y1 m① + ③
Tao [48]2013ChinaChronic cough40/40MZSSAzithromycin + ambroxol20–76NR7 d
Wang and Guo [49]2016ChinaChronic cough50/50MZSSChlorpheniramine maleate + salbutamol + methyl bromideNR7 d
Yang [50]2015ChinaChronic cough47/47MZSSAsmeton7 d① + ③
Ye [51]2009ChinaChronic cough30/30MZSSAsmeton19–46NR7 d
Zhang [52]2016ChinaChronic cough44/44MZSSAmbroxolNR14 d① + ⑤
Dang and Yang [53]2008ChinaAllergic cough38/38MZSSKetotifen + aminophylline2–12/2–121–6.6 m/1–5.9 m7 d
Zhang [54]2014ChinaAllergic cough25/25MZSSTerbutaline4 wk① + ③
Hu [55]2015ChinaAcute cough60/60ZSSAsmeton14 d
Huang [56]2011ChinaAcute cough80/40MZSSAmoxicillin19–35/20–340.5–7 d/0.5–6.5 d3 d

y, year; m, month; wk, week; d, day; NR: not reported. Note. ① The total effective rate, ② cough symptom score, ③ the adverse reactions, ④ the pulmonary function test results, and ⑤ the recurrence rate.