Research Article

Evaluation of the Therapeutic Effect of Traditional Chinese Medicine on Osteoarthritis: A Systematic Review and Meta-Analysis

Table 2

Intervention characteristics of included studies.

Study ID (name, year)InterventionDuration/follow-upOutcome measures
Trial groupControl group

OATCMWang Zhenhua, 2018TCM-1,150 ml, bid + COI, 13 ml, qw + DSESRC, 1tablet, qd2 weeks/1 yearTER, VAS, TNF- α, IL-6, MMP-3, BMP-7, SSTCM, and RR
Kuang Yao, 2018TCM-2,150 ml, bid + AcGSC, 0.5 g, tid4 weeks/6 monthsTER, VAS, WOMAC, SS, and RR
Wen Yangyang, 2019TCM-3, bid + TCMTCC1, 200 mg,qd + TCMT4 weeks/NRTER, VAS, WOMAC, IL-1, TGF-β, MMP-3, and SOD
Cui Hongfang, 2018TCM-4,150 mg, bid + CDSSRT, 75 mg, qd3 months/NRTER, MMP-3, IL-6, and SSTCM
Zheng Tao, 2019TCM-5,250 ml,bidCC1, 100 mg, bid1 month/NRTER, VAS, and WOMAC
Yuan Fang, 2018TCM-6,200 ml, bidGSC, 0.5 g, tid3 months/3 monthsTER, VAS, WOMAC, SSTCM, ESR, and CRP
Li Zhimin, 2018TCM-7,250 ml, bid + CDRC + CC1, 1 tablet, bid8 weeks/NRTER, Lequesne, VAS, WOMAC, IL-1, TNF-α, IL-6, and MMP-3
Li Linzhong, 2014TCM-8, qd + CCC2, 100 mg, bid6 months/NRTER, WOMAC, and IL-6
Li Ping, 2019TCM-9,150 ml, bid + routine treatmentCC1, 0.2 g, qd + routine treatment4 weeks/NRTER, WOMAC, TNF-α, IL-1, and SS
Liu Sheng, 2019TCM-10,150 ml, bidGSC, 0.5 g, bid4 weeks/6 monthsTER, VAS, WOMAC, MMP-3, RR, and SS

EUTCMYu Ming, 2018TCMI-1,30 min, qd + CAD + routine treatment2 weeks/NRTER, VAS, WOMAC, IL-1, TNF-α, Lysholm, and TGF-β
Li Meng, 2017TCMI, 30 min, qd + CAD12 months/NRVAS, IL-1, TNF-α, TGF-β, and Lysholm
Lei Shoubin, 2014TCMI-2,30 min, bid + CSH, 20 mg, qw5 weeks/NRTER, WOMAC, IL-1, and TNF-α
Zeng Jiaofei, 2014TCMI-3,30 min, bidSH, 2.5 ml, qw4 weeks, 5 weeks/NRTER, VAS, IL-1, TNF-α, and Lysholm
He Junlei, 2016TCMI-4,30 min, qd + CMLFET + MT8 weeks/NRTER, VAS, and WOMAC
Chen Xi, 2015TCMI-5,20 min, qd + TCMTGC, 0.628 g, tid, po14 days/NRTER, IL-1, MMP-3, Lequesne, and SOD
Zhou Gang, 2018FWP-1,20-30 min, bid + FPR, bidBW, 20–30 min, bid, ext + DDO, 2g, bid2 weeks/NRTER, TNF-α, WOMAC, and SS
Ding Liming, 2016FWP-2,10 min, bid + ADAD2 weeks/NRMMP-3, VAS, and Lysholm
Zhang Yanzhen, 2018FWP-3, 20 min, qdDDO, 0.9 g, tid, ext2 weeks/NRTER, WOMAC, Lequesne, and SSTCM
Zhang Zhi, 2018FWP-4,30 min, bid + IHNDW, 30 min, bid, ext + IHN2 weeks/NRTER, MMP-3, VAS, and Lysholm
Chen Hongmei, 2017FWP-5, biw + CESWT, biw8 weeks/NRTER, IL-6, TNF-α, VAS, and Lysholm
Zhang Hui, 2016FWP-6,30 min, bidGL, 30 min, bid, ext2 weeks/NRTER, WOMAC, VAS, and SSTCM
Liu Lin, 2018FWP-7,30 min, qd + CGS, 0.314 mg, tid,po15 days/NRTER, CRP, ESR, SOD, and SSTCM
Cui Shuping, 2016FWP-8,30-60 min, bid + SH, qw, ia + QZP, extLST, 60 mg, tid, po + SH,qw,ia3 weeks/NRTER, CRP, ESR, and VAS
Wang Tao, 2017FWP-9, qd + GHC, 0.75 g, bid, poNSRC, 0.5 g,qd + GHC, 0.75 g, bid2 weeks/NRTER, TNF-α, IL-1, and TGF-β
Liu Enxiong, 2016EAP-1, 10 min, tid + CGHC, 750 mg, bid, po42 days/NRTER, IL-1, TNF-α, VAS, and Lequesne
Liu Gui, 2017EAP-2,20 min, tid + CGS, 0.628 g, tid, po12 weeks/NRTER, MMP-3, IL-1, and TNF-α
Liu Yongyu, 2014SO, qd, ext + CSH, qw, ia35 days/NRSS, IL-1, IL-6, TNF-α, WOMAC, and Lysholm
Guo Wenhui, 2018EAP-3,30 min, qd + COI, 15 ml, qw4 weeks/NRTER, CRP, ESR, IL-1, TNF-α
Wang Yuan, 2018EAP-4,8h,bid + XC, 1.5 mg, tid, poGS, 0.628 mg,tid,po2 weeks/NRTER, SOD, WOMAC, VAS, and Lequesne

ACUChen Juan, 2017WAC, qd + CSH, injection, qw4 weeks/NRTER, VAS, Lysholm, and TNF-α
Deng Jingming, 2015WAC, tiwISRC, po, bid4 weeks/NRTER, VAS, and Lysholm
Ding Minghui, 2009WAC, qdB2 weeks/NRTER and WOMAC
Guo Qian, 2019WAC, qdB3 weeks/NRWOMAC, IL-1, TNF-α, IGF-1, FGF-2, and TGF-β
Li Jianwu, 2008WAC, qdXGC, po, bid4 weeks/NRTER and VAS
Li Jiangming, 2016WAC + PCBRoutine Treatment3 months/NRWOMAC
Liang Chao, 2016WAC, qdGHT, po, tid4 weeks/NRTER
Lin Ruyi, 2019WAC, qdDSC, po, bid4 weeks/NRWOMAC, OPG, MMP-3, FGF-2, VEGF, and Ang I
Liu Jin, 2014ACU + DSTC, tid, poFSRT, po, qd2 weeks/NRTER, WOMAC, IL-1, and TNF-α
Luo Falan, 2018ACU, qd + CCC1, po, qd8 weeks/NRTER, IGF-1, RANKL, BGP, and OPG
Wang Lina, 2018WAC, qd + CCC1, po, qd4 weeks/NRTER, WOMAC, IL-1, TNF-α, and IL-6
Wang Xiaoling, 2017WAC, qdCC1, 200 mg,po3 weeks/NRWOMAC
Xu Chen, 2018WAC + APP, qdSH, qw or GHT, po, bid4 weeks/3 monthsTER, CRP, ESR, and RR
Xu Yahong, 2016WAC + C, qdUSW, qd1 month/NRTER, VAS, WOMAC, Lysholm, IL-1, TNF-α, BGP, and OPG

AD, arthroscopic debridement; ACU, acupuncture; APP, auricular point pressing; Ang I, angiopoietin I; BW, boiled water; B, blank; bid, twice a day; BGP, Bone gla protein; BMP-7, bone morphogenetic protein-7; C, treatment of the control group; CC1, velecoxib capsule; CC2, Celebrex capsule; CRP, C-reactive protein; DW, distilled water; DDO, diclofenac diethylamine ointment; DRC, Divinegar Ruiyin capsule; DSESRC, diclofenac sodium enteric sustained release capsule; DSC, diclofenac sodium capsule; DSSRT, diclofenac sodium sustained release tablets; DSTC, dragon and soft-shelled turtle capsule; ext, external use; EUTCM, external use of traditional Chinese medicines; ESWT, extracorporeal shock wave therapy; EAP, external application prescription; ESR, erythrocyte sedimentation rate; FSRT, futalin sustained release tablets; FWP, fumigation and washing prescription; FGF-2, fibroblast growth factor-2; GC, glucosamine capsule; GL, Guyouling liniment; GS, glucosamine sulfate; GSC, glucosamine sulfate capsule; GHC, glucosamine hydrochloride capsule; GHT, glucosamine hydrochloride tablets; IL, interleukin; IGF-1, insulin-like growth factor 1; IHN, internal heat needle; ISRC, ibuprofen sustained release capsule; ia, intra-articular injection; LST, Loxoprofen sodium tablets; MLFET, middle- and low-frequency electric therapy apparatus; MT, mobilization technique; MMP, matrix metalloproteinase; NSRC, naproxen sustained release capsule; NR, no report.; OATCM, oral administration of traditional Chinese medicines; OI, ozone injection; OPG, osteoprotegerin; po, oral administration; QZP, Qizhu Zhanjin Powders; qd, once a day; qw, once a week; RANKL, receptor activator of nuclear factor-κ B ligand; RR: recurrence rate; SH, sodium hyaluronate; SO, Shangbai ointment; SSTCM, syndrome score of traditional Chinese medicine; SOD, superoxide dismutase; SH, sodium hyaluronate; SS, swelling score; tid, three times a day; TCM, traditional Chinese medicine; TER, total effective rate; TNF-α, tumor necrosis factor-α; TGF-β, transforming growth factor-β; TCMI, traditional Chinese medicine iontophoresis; traditional Chinese medicine treatment; USW, ultrashort wave; VAS, visual analogue scale; VEGF, vascular endothelial growth factor; WAC, warm acupuncture; WOMAC, Western Ontario and McMaster University osteoarthritis index; XC, Xinfeng capsule; XGC, Xianling Gubao capsule.