Research Article

Are Kidney-Tonifying and Blood-Activating Medicinal Herbs Better than NSAIDs for Knee Osteoarthritis? A Systematic Review and Meta-Analysis

Table 1

Basic characteristics of the included studies.

First author, year, countrySample size (T/C)Age, mean ± SD (year)Sex (M/F)Treatment groupControl groupTreatment session (week)Outcome assessment

Teekachunhatean S, 2004, Thailand [19]200 (100/100)T: 62.66 ± 9.46
C: 62.38 ± 8.22
T: 22/78
C: 19/81
Duhuo jisheng pillsDiclofenac 25 mg/time, PO, TID4LES, VS, AE
Su ZF, 2016, China [26]59 (30/29)T: 58.9
C: 57.1
T: 8/22
C: 9/20
Kanggu zengsheng pillsCelecoxib, 200 mg/time, PO, QD4TER, WS, VS
Niu QW, 2016, China [27]210 (105/105)T: 59.88 ± 2.41
C: 58.64 ± 2.32
T: 45/60
C: 44/61
Jingwu gutong capsuleDiclofenac sodium tablet, 100 mg/time, PO, QD4KS, VS
Lv G, 2016, China [28]91 (46/45)T: 54.39 ± 5.24
C: 55.08 ± 4.5
T: 20/26
C: 21/24
Qubi tangDiacerein, 50 mg/time, PO, BID12TER, AE
Zhang GL, 2016, China [29]88 (44/44)NANACangxi tongbi tangEtodolac tablet, 400 mg/time, PO, QD5TER, VS
Bo Y, 2016, China [30]80 (40/40)T: 51.2
C: 49.8
T: 19/21
C: 17/23
Shugan zishen tangMeloxicam, 7.5 mg/time, PO, QD8TER, CCR, WS, AE
Zhang XL, 2016, China [31]286 (142/144)T: 55 ± 7
C: 56 ± 8
T: 31/105
C: 35/105
Zhuanggu guanjie pills + placeboCelecoxib, 200 mg/time, PO, QD + placebo4TER, CCR, WS, AE
Li YP, 2015, China [32]86 (45/41)T: 54.5 ± 6.2
C: 53.8 ± 6.3
T: 19/26
C: 12/29
Huoxue tongluo bushen fangMeloxicam, 7.5 mg/time, PO, QD4TER, AE
Zhu XY, 2014, China [33]70 (35/35)T: 51.79 ± 7.01
C: 48.62 ± 7.51
T: 12/21
C: 15/19
Long bie capsuleDiacerein, 50 mg/time, PO, QD4AE
Xu WL, 2014, China [34]60 (30/30)T: 55.6 ± 9.3
C: 52.5 ± 11.4
T: 11/19
C: 9/21
Long bie capsuleCelecoxib, 200 mg/time, PO, QD4WS, AE
Sun Y, 2014, China [35]100 (50/50)T: 48.25 ± 5.87
C: 49.26 ± 5.15
T: 15/35
C: 16/34
Zeng ye run jie tangMeloxicam, 7.5 mg/time, PO, QD8TER, CCR, LES, AE
Zhang JQ, 2014, China [36]71 (35/36)T: 60.45 ± 6.53
C: 62.14 ± 8.14
T: 9/26
C: 7/29
Bushen huoxue fangCelecoxib, 200 mg/time, PO, QD12TER, CCR, LYS, VS, AE
Yang HR, 2014, China [37]200 (100/100)T: 65
C: 64
NAJia wei yang he tangLoxoprofen sodium, 60 mg/time, PO, BID8KS
Zhou HJ, 2012, China [38]78 (43/35)T: 53.61 ± 6.37
C: 54.18 ± 6.13
T: 17/26
C: 14/21
Shufu Jiangu decoctionCelecoxib, 200 mg/time, PO, QD8TER, CCR, LYS, VS
Xu YS, 2013, China [39]68 (34/34)T: 59.17 ± 12.17
C: 62.72 ± 11.64
NABushen huoxue fangCelecoxib, 200 mg/time, PO, BID6WS
Lu M, 2012, China [40]240 (120/120)T: 52.93 ± 14.22
C: 54.01 ± 15.35
T: 55/65
C: 50/70
Tenghuang Jiangu tabletCelecoxib4TER, CCR, WS, AE
Sun SL, 2012, China [41]48 (24/24)T: 62.75
C: 65.75
NAQi teng tangMeloxicam, 7.5 mg/time, PO, QD4TER, LES, AE
Fan XH, 2012, China [42]152 (76//76)T: 50.6 ± 8.2
C: 49.8 ± 7.6
T: 29/47
C: 35/41
Jiawei Danggui Sini TangCelecoxib, 200 mg/time, PO, QD8TER, CCR, WS, VS
Ji MH, 2010, China [43]40 (20/20)T: 50.75 ± 2.12
C: 51.02 ± 1.54
T: 9/11
C: 9/11
Buahen huoxue tongluo fangCelecoxib4LES, KS
Yu CG, 2009, China [44]200 (100/100)T: NA; 44/46
C: NA; 52/48
T: 44/46
C: 52/48
Bushen huayu tangFenbid capsule 200 mg/time, PO, QD4TER, LES
Yang B, 2009, China [45]60 (30/30)NANABushen huoxue medicinalCelecoxib, 200 mg/time, PO, QD4TER, CCR
Guo YJ, 2010, China [46]160 (82/78)T: 63.93
C: 61.83
T: 34/48
C: 32/46
Quyu Tongbi decoctionDiclofenac tablet, 75 mg/time, PO, BID2TER
Huang BQ, 2009, China [47]60 (32/28)T: 50.2 ± 87
C: 51.1 ± 10.2
T: 6/26
C: 11/17
Bushen zhuanggu fangMeloxicam, 15 mg/time, PO, QD5TER, CCR, AE
Wu JX, 2009, China [48]40 (21/19)T: 56.5
C: 57.3
T: 4/17
C: 3/16
Duhuo jisheng decoctionCelecoxib4LES, KS
Zhao L, 2008, China [49]50 (25/25)T: 63.09 ± 7.65
C: 62.65 ± 10.8
T: 2/20
C: 4/19
Bushen huoxue medicinalCelecoxib4VS
Li M, 2007, China [50]120 (60/60)T: 57.6
C: 55.2
T: 28/32
C: 27/33
Gu shu tangFenbid capsule, 300 mg/time, PO, BID4TER, CCR
Ye JX, 2005, China [51]152 (80/72)T: 59.2 ± 17.6
C: 57.5 ± 15.3
T: 35/45
C: 31/41
Guanjietong tabletIbuprofen capsule, 300 mg/time, PO, QD4TER, CCR
Li YM, 2005, China [52]60 (30/30)T: 58.4
C: 57.2
NABushen huoxue jianxi fangDiclofenac tablet, 50 mg/time, PO, BID4TER, AE
Wang PM, 2005, China [53]40 (20/20)T: 59.85 ± 10.29
C: 60.1 ± 9.5
NAXining fangDiclofenac tablet, 75 mg/time, PO, QD4WS, VS, AE
Li ZW, 2010, China [54]96 (48/48)T: 52.4 ± 7.6
C: 53.2 ± 8.5
T: 25/23
C: 22/26
Bushen huayu tangDiclofenac sodium tablet, 75 mg/time, PO, BID8TER, WS
Wang HD, 2017, China [55]48 (24/24)T: 56.2 ± 8.6
C: 55.7 ± 8.9
T: 14/10
C: 15/9
Bushen huoxue tangLoxoprofen sodium, 60 mg/time, PO, TID12TER
Chen N, 2017, China [56]90 (45/45)T: 45.51
C: 45.19
T: 6/39
C: 6/39
Bushen qiangjin capsuleCelecoxib, 200 mg/time, PO, QD4VS, WS, LES, TER, AE
Zheng T, 2019, China [57]100 (50/50)T: 63.26 ± 4.72
C: 63.12 ± 4.93
T: 27/23
C: 24/26
Bushen huoxue fangCelecoxib, 100 mg/time, PO, BID4VS, WS, TER, AE
Li MX, 2017, China [58]60 (30/30)T: 57.33 ± 1.59
C: 60.07 ± 1.61
NABushen huoxue fangDiacerein, 50 mg/time, PO, QD4TER
Wang Z, 2017, China [59]144 (72/72)NANABushen huoxue tongluo fangCelecoxib, 100 mg/time, PO, QD12TER, VS, LYS
Yuan JJ, 2017, China [60]70 (35/35)T: 48.30 ± 5.60
C: 41.20 ± 4.80
T: 18/17
C: 15/20
Bushen huoxue tangCelecoxib, 200 mg/time, PO, QD12VS, KS
Pan JK, 2017, China [61]80 (40/40)T: 64.53 ± 6.47
C: 64.55 ± 5.57
T: 6/34
C: 5/35
Longbie capsuleCelecoxib, 200 mg/time, PO, QD4TER, VS, LES, AE
Xing QJ, 2018, China [62]137 (69/68)T: 51.0 ± 8.0
C: 53.0 ± 9.0
T: 31/38
C: 32/36
Yiqi huayu bushen fangMeloxicam, 7.5 mg/time, PO, QD6TER, VS, WS, AE

Note: TER: total effective rate; CCR: clinical control rate; WS: WOMAC scale; LES: Lequence score; KS: KSS score; LYS: Lysholm score; VS: VAS scale; AE: gastrointestinal adverse reactions; NA: not available; T/C: treatment group/control group; M/F: male/female; SD: standard deviation.