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Zhou L, Chen P, Liu L, Zhang Y, Liu X, Wu Y, Jiang L, Cheng D, Huang W, Pettigrew JC, Yi D. Systematic Review and Meta-Analysis of Traditional Chinese Medicine in the Treatment of Migraines. THE AMERICAN JOURNAL OF CHINESE MEDICINE 2013; 41:1011-25. [DOI: 10.1142/s0192415x13500687] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Migraine is a chronic disorder characterized by recurrent moderate to severe headaches often in association with a number of autonomic nervous system symptoms. It is a common disease and incidence has increased yearly. Chinese medical treatments are popularly used in Asian countries, although they vary in effectiveness. In this study, we applied a systematic review method and combined meta-regression with meta-subgroup analysis to explore heterogeneity of clinical therapeutic efficacy upon meta-analysis of randomized controlled Chinese medical treatments for migraine. We also aimed to provide a more effective Chinese prescription and to advance the knowledge in evaluating validity of preventing or alleviating migraine symptoms with Chinese medical treatments. Twenty randomized migraine control trails, including 2246 patients, were collected from online databases: PubMed, MEDLINE, EMBASE, CENTRAL of Cochrane Library, CBM, integrated version of CMCI/CMCC, TCM online, CDFD, and CMFD from January 2000 to December 2011. The results showed that the major factors influencing therapeutic efficacy were either the specific medicine form of or its prescription type (p < 0.05). The use of TCM decoctions, especially those that condition the viscera, treat from the perspective of "wind", and target the Shaoyang gateway, could be the best migraine treatment in clinical TCM practice (RR > 1.30).
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Affiliation(s)
- Liang Zhou
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Pinyi Chen
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Ling Liu
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Yanqi Zhang
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Xiaoyu Liu
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Yazhou Wu
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
| | - Lei Jiang
- Department of Rehabilitation and Physiotherapy, Xinqiao Hospital, Third Military Medical University, Chongqing 400038, China
| | - Dixiang Cheng
- Soft College, Chongqing University of Posts and Telecommunications, Chongqing 400065, China
| | - Wenquan Huang
- Department of Rehabilitation and Physiotherapy, Xinqiao Hospital, Third Military Medical University, Chongqing 400038, China
| | - Julia Christine Pettigrew
- Department of Biological Sciences and Department of Asian Language and Literature, University of Washington, School of Arts and Sciences, Snohomish, WA 98290, USA
| | - Dong Yi
- Department of Health Statistics, College of Preventive Medicine, Third Military Medical University, Chongqing 400038, China
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