Review Article

“The Therapy of Elimination First” for Early Acute Mastitis: A Systematic Review and Meta-Analysis

Table 2

Treatments used in the included studies.

StudyInterventionsSuppliers of the TCMTherapeutic principle of the TCMMain outcomesEvaluation methods
Experimental groupControl group

Liu and Ge, 2009Self-made mammary abscess eliminating carbuncle decoctionPenicillinThe Third Affiliated Hospital of Luohe Medical CollegeHeat-clearing and detoxifying, eliminating carbuncle, and resolving massesCurative rate, pain relief time, mass reduction time, and cure timeClinical symptoms and physical sign, mass integral
Chen and Xiao, 2011GuaLouNiuBang decoctionCefadroxil or ceftriaxoneXiamen traditional Chinese Medicine Hospital of Fujian ProvinceRelieving the depressed liver, heat-clearing, and resolving massesTotal effective rate, blood routineThe integral of clinical symptom and physical sign
Zhang, 2006HuaHong eliminating carbuncle powderPenicillin + ampicillinShandong Zouping hospital of Traditional Chinese MedicineClots absorption and dredging collaterals, eliminating carbuncle, and resolving massesTotal effective rate, blood routineClinical symptoms and physical sign, mass integral
Wang and Yin, 2004Self-made detoxification and resolving masses decoctionPenicillin + ampicillinBinzhou institution hospitalHeat-clearing and detoxifying, soothing liver, and regulating stomachTotal effective rate, blood routineClinical symptoms and physical sign, mass integral
Wang and Liu, 2014Self-made mammary abscess formula 1CefoxitinTianjin Hospital of Integrated Traditional Chinese and Western MedicineHeat-clearing and detoxifying, soothing liver, and lactogenesisTotal effective rate, blood routineClinical symptoms and physical sign, mass integral
Yang, 2009Soothing liver and lactogenesis decoctionCefuroximeShanghai Hospital of Traditional Chinese MedicineSoothing liver and clearing stomach, lactogenesis, and resolving massesTotal effective rate, blood routine, duration of treatment, and lactation situationClinical symptoms and physical sign, mass integral
Liang and Lou, 2015YangHe decoctionPenicillinZhejiang General Hospital, Zhejiang University of Traditional Chinese MedicineWarming Yang, and dredging collaterals, and resolving hard lumpTotal effective rate, curative rate, WBC, neutrophils percentage, and CRPLou’s assessment quantitative integral tables of the
curative effect for breast carbuncle
Liu, 2009Disinfectant soupCefoperazone sulbactamBeijing Electrical HospitalHeat-clearing and detoxifying, lactogenesis, and eliminating carbuncleTotal effective rate, OR, and NNTClinical symptoms and physical sign, mass integral
Tang, 2009ZhiDanxiaoru decoctionCefotaximeHebei Huailai Hospital of Traditional Chinese MedicineEliminating heat, purging fire, cooling blood, and detumescenceTotal effective rate, curative rate, recurrence rate, cure, and effective time required for treatmentClinical symptoms and physical sign, mass integral
Hu, 2012Modified herbal decoctionPenicillinZhejiang Yongkang Maternity and Child Care HospitalHeat-clearing and detoxifying, resolving masses, and dredging collateralsTotal effective rate, recovery time for temperature, and pain relief timeClinical symptoms and physical sign, mass integral
Fan, 2010Self-made PuXia decoctionPenicillinThe Second People’s Hospital of KunshanHeat-clearing and detoxifying, detumescence, and resolving massesTotal effective rateClinical symptoms and physical sign, mass integral
Lin and Wang, 2007Single Taraxacum decoctionCephradineQingdao Central HospitalHeat-clearing and detoxifying, antiphlogistic, and clots absorptionTotal effective rate, average effective timeClinical symptoms and physical sign, mass integral
Hou and Lv, 2015GuaLouNiuBang decoctionCefazolin pentahydrateChongqing Hospital of Traditional Chinese MedicineDetumescence and lactogenesis, soothing liver, and clearing stomachTotal effective rateClinical symptoms and physical sign, mass integral
Mao, 1998YangHe decoctionCephradineZhejiang Hangzhou Gongshu Hospital of Integrated Traditional Chinese and Western MedicineWarming Yang and dredging collateralsTotal effective rateMass integral
Cai and Shen, 2016GuaLouNiuBang decoctionPenicillinMinhang Branch of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineHeat-clearing and detoxifying, lactogenesis, and resolving massesTotal effective rate, fever clearance time, pain relief time, and resolving mass timeClinical symptoms and physical sign, mass integral
Qu et al., 2016Self-made lactogenesis and resolving masses decoctionPenicillinZhejiang Lishui hospital of Traditional Chinese MedicineHeat-clearing and detoxifying, resolving masses, and Eliminating carbuncleTotal effective rateClinical symptoms and physical sign, mass integral

WBC: white blood cell; CRP: C-reactive protein; OR: odds ratio; NNT: number needed to treat.