Review Article

Tong Xie Yao Fang: A Classic Chinese Medicine Prescription with Potential for the Treatment of Ulcerative Colitis

Table 2

Overview of clinical studies of TXYF.

Study drugNumber of UC patientsExperiment methodObservation of efficacyResult

TXYF [93]100TXYF and bifidobacterium tablets were taken orally twice a day in treatment and control group for 4 weeks.Clinical efficacyThe response in the treatment group is higher than control group ().

TXYF and SJZT [94]60TXYF in combination with SJZT was taken orally twice a day in treatment group and mesalazine four times a day in control group for 8 weeks.Clinical and symptom effectThe effective clinical and efficacy of symptoms rate was higher in treatment group than control group ().

TXYF [91]80SAPA was taken orally three times a day in control group; amount was reduced after remission. Oral TXYF was taken twice a day in treatment group on the basis of control group drug halved. The course of treatment was 3 months.Incidence of adverse reactions and level of C-reactive proteinThe CRP level of treatment group was lower than the control group (), and there were fewer adverse events in treatment group ().

TXYF and THXWT [95]80Oral TXYF in combination with THXWT decoction twice a day in treatment group and SAPA three times a day in control group for 30 days; both groups were followed up for 1 year.Clinical and electronic colonoscopy efficacy and recurrence rateThe clinical and colonoscopy efficacy rate in treatment group is higher than control group (). Recurrence rate under endoscopy in treatment group is lower than control group ().

TXYF [96]68TXYF twice per day in treatment group, mesalazine 3 times a day in control group for 8 weeks.Clinical efficacyThe effective rate was higher in treatment group than control group ().

TXYF [97]80SAPA four times a day and prednisone 3 times a day in control group, oral TXYF in combination with SLBZS twice a day in treatment group. The total course of treatment was 4 weeks.Clinical and electronic colonoscopy efficacyThe clinical and electronic colonoscopy efficacy is superior in treatment group than control group ().

TXYF [98]82Mesalazine four times a day in control group, TXYF is orally given to the treatment group twice a day on the basis of control group, the total course of treatment was 16 weeks.Clinical efficacy rate and incidence of adverse reactionsThe clinical efficacy rate is higher in treatment group than control (); there is no significant difference in the incidence of adverse reaction ().

TXYF [99]56Mesalazine anal suppository 3 times a day in control group. Oral TXYF twice a day in the treatment group on the basis of control group. The course of treatment was 60 days.Clinical efficacy rate and interleukin level in serumThe effective rate is higher in treatment group than control group (), the level of IL-10 in treatment group is higher than control group, and the lever of IL-17 is lower ().

TXYF [100]80SAPA three times a day in control group, TXYF is orally given to the treatment group on the basis of control group, the total course of treatment was 8 weeks.Clinical efficacy rate, DAI, ESR, and CRPThe clinical effective rate was higher in treatment group than control group (). The levels of DAI, ESR, and CRP improved significantly compared with the control group ().

TXYF [101]90SAPA 3 times a day and bifidobacterium triplex capsule 2 times a day in control group. TXYF is orally given to the treatment group on the basis of control group, the total course of treatment was 8 weeks.Clinical efficacy rate and serological markers of inflammationThe effective rate was higher in treatment group than control group (); the levels of IL-1, IL-8, and TNF-α in the treatment group were significantly lower than control group ().

TXYF: Tong Xie Yao Fang; THXWT: Tao Hong Si Wu decoction; SLZBS: Shen Ling Bai Zhu powder; DAI: disease activity index; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein; UC; ulcerative colitis; IL-1: interleukin-1; IL-8: interleukin-8; IL-10: interleukin-10; IL-17: interleukin-17; SASP: salicylazosulfapyridine; SJZT: Sijunzi decoction; and TNF-α: tumor necrosis factor-α.