Research Article

Adjuvant Treatment with Xiaoqinglong Formula for Bronchial Asthma in Acute Attack: A Systematic Review of Randomized Controlled Trials

Table 1

Characteristics of included studies.

AuthoryearNumber (T/C)Gender (M/F)Age (T/C)RandomizationInterventionTreatment duration (d)Outcomes
T/CCT in both group

Cheng201132/3540/2749.95 ± 14/46.24 ± 15.4RNTO-XQLD (300 ml/d) + CT/CTBudesonide powder (400∼800 μg/d)14CER; FEV1

Cheng201124/2423/2554.3 ± 6.4/55.6 ± 5.7RNTM-XQLD (1dose/d) + CT/CTBudesonide aerosol (200–800 mg/d)14CER; FEV1; PEF

Fang201556/5666/4655.1 ± 10.4/54.8 ± 10.2RNTM-XQLD (400 ml/d) + CT/CTBudesonide aerosol (1600 μg/d)14CER, SS

Guo201750/5046/5441.61 ± 3.10/41.06 ± 3.09RNTM-XQLD (2dose/d) + CT/CTBudesonide formoterol powder (160 μg/d)14CER; FEV1; PEF

Guo201830/30Unclear18–65UnclearM-XQLD(400 ml/d) + CT/CTBudesonide formoterol powder (160 μg/4.5 μg)14FVC; PEF; Ig E

Huang200832/3237/2742.6 ± 6.13/44.32 ± 6.18UnclearM-XQLD (400 ml/d) + CT/CTBecotide aerosol (500 μg/d)10CER; FEV1; PEF; IgE; EOS

Huang201644/4455/3340.5 ± 10.2/39.8 ± 9.8UnclearO-XQLD (1dose/d)  + CT/CTBronchodilator agent + glucocorticoid14CER; EOS

Huang201722/2231/1341.24 ± 1.23/41.21 ± 1.26UnclearXQLG (3 bags/d) + CT/CTSalmeterol fluticasone powder (2 dose/d)7FEV1; PEF; FVC

Huang201239/3933/4539.8 ± 9.8/40.6 ± 10.3UnclearO-XQLD (1dose/d) + CT/CTBronchodilator agent + glucocorticoid14CER; EOS

Jiang201626/2629/2318–65RNTXQLG (3bags/d) + CT/CTSalmeterol fluticasone inhalant (100-500 μg/d)7CER; FEV1; PEF; FVC

Jiang201540/4022/5842.34 ± 4.21/44.34 ± 4.68RNTM-XQLD (100 ml/d) + CT/CT80 mg prednisone + 5 mg ventolin (2-3 dose/d)7CER; FEV1; EOS

Li201845/4543/4744.6 ± 8.7/43.6 ± 9.6UnclearM-XQLD (2 dose/d) + CT/CTAminophylline + glucocorticoid + antibiotics14CER; IgE; EOS

Li201966/6671/6118–65RNTXQLG (3 bags/d) + CT/CTBudesonide aerosol (2-3 dose/d)7CER; FEV1; PEF; FVC;

Lin201840/4043/3740.58/40.49RNTO-XQLD (1 dose/d) + CT/CTSalmeterol fluticasone inhalant (100-500 μg/d)7CER; EOS

Lin200323/2023/2041/40RNTM-XQLD (1 dose/d) + CT/CTReceptor agonists, glucocorticoids, and antibiotics14CER; FEV1; FVC; Ig E

Liu201736/3639/3329.16 ± 4.21/29.06 ± 4.35RNTM-XQLD (400 ml/d) + CT/CTBronchodilator agent + glucocorticoid14CER; EOS

Liu2016100/100136/5426.2 ± 3.5/25.9 ± 4.5UnclearO-XQLD (200 ml/d) + CT/CTBronchodilator agent + glucocorticoid7CER; FEV1;

Liu201830/3031/2950 ± 2.1/50 ± 2.5UnclearM-XQLD (100 ml/d) + CT/CT10 mg montelukast + 80 μg budesonide aerosol (2 dose/d)14CER; AR

Liu201438/3842/3447.9 ± 4.9UnclearXQLM (60 ml/d) + CT/CTSalbutamol aerosol (0.4 mg/d)14CER; FEV1; FVC;

Lu201735/3443/269.16 ± 2.85/9.47 ± 2.41RNTXQLG (2 dose/d) + CT/CT100 μg fluticasone propionate + 50 μg salmeterol (1 dose/d)7CER; Ig E

Luo201130/3027/3340.1 ± 10.2/44.0 ± 10.2RNTO-XQLD (1 dose/d) + CT/CTBronchodilator Agent + glucocorticoid10CER; EOS

Shi200940/4046/3445.3 ± 11.3/43.2 ± 11.6Admission timeM-XQLD (unclear) + CT/CTTheophylline + long-acting beta agonists + glucocorticoids10CER; IgE; EOS

Sui201442/4241/4366.3 ± 10.46/66.26 ± 10.58RNTM-XQLD (300 ml/d) + CT/CTSalbutamol aerosol (0.4 mg/d)14CER; SS

Wan201422/2221/2367.62 ± 4.79/42.9 ± 9.73UnclearM-XQLD (1 dose/d) + CT/CTBronchodilator agent + theophylline + glucocorticoid7CER; IgE; EOS

Wen201640/4045/3526.2 ± 3.5/25.9 ± 4.5UnclearO-XQLD (100 ml/d) + CT/CTBronchodilator agent + glucocorticoid7CER; FEV1;

Wu201850/4863/359.37 ± 1.25/8.95 ± 1.31UnclearO-XQLD (1dose/d) + CT/CTBudesonide aerosol (400 μg/d)14CER; SS

Xu201950/5044/5652.21 ± 2.11/52.26 ± 2.15UnclearM-XQLD (1dose/d) + CT/CTSalmeterol fluticasone inhalant (100–500 μg/d)7CER; EOS; PEF; FEV1

Xu201141/3755/2342.13 ± 8.14/41.13 ± 7.32UnclearO-XQLD (unclear) + CT/CTDrugs of relieving cough and subsiding wheeze14CER; EOS; FEV1

Zhang200533/3037/263 months to 14 years oldUnclearM-XQLD (1 dose/d) + CT/CTHydrocortisone succinate: 10 mg/(kg d) (3 doses/d)14CER; FEV1; PEF; EOS; IgE

Zhang201720/2024/1643.5 ± 9.7/44.6 ± 10.8Admission timeO-XQLD (300 ml/d) + CT/CTMontelukas (10 mg/d)10CER; FEV1

Zheng201232/3229/3545.3 ± 8.7/42.9 ± 9.1Admission timeO-XQLD (300 ml/d) + CT/CTSalmeterol fluticasone inhalant + salbutamol7CER; FEV1; PEF; EOS

Zhou201352/5339/6641.95 ± 8.3/40.31 ± 6.9UnclearM-XQLD9unclear) + CT/CTBronchodilator agent + glucocorticoid14CER; EOS

Zhou201850/5053/4741.7 ± 14.17/42.82 ± 13.58Odd even numberO-XQLD (1 dose/d) + CT/CTBudesonide nasal spraying agent (200 μg/d)14CER; FEV1; PEF; IgE; EOS

AR: adverse reactions; C: control group; CER: clinical efficiency rate; CT: conventional treatment; d: days; M-XQLD: modified xiaoqinglong decoction; O-XQLD: original xiaoqinglong decoction; RNT: random number table; SS: symptom scores; T: treatment group; XQL: xiaoqinglong; XQLG: xiaoqinglong granules; XQLM: xiaoqnglong mixture.