DOI QR코드

DOI QR Code

Analysis of Randomized Controlled Trial Study of Korean Herbal Medicine Treatment for Acne

여드름 한약 치료의 무작위 대조군 임상연구에 관한 분석

  • Lee, Ma-Eum (Chung Sung Mi Korean Medicine Clinic) ;
  • Kwon, Kang (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Pusan National University Hospital) ;
  • Jee, Seon-Young (Dep. of Oriental Ophthalmology and Otolaryngology and Dermatology, Daegu Hanny University) ;
  • Hwangbo, Min (Dep. of Oriental Ophthalmology and Otolaryngology and Dermatology, Daegu Hanny University) ;
  • Kim, Chul-Yun (Saengki Korean Medicine Clinic Pusan Seomyeon Branch) ;
  • Seo, Hyung-Sik (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Pusan National University Hospital)
  • 이마음 (정성미 한의원) ;
  • 권강 (부산대학교한방병원 한방안이비인후피부과) ;
  • 지선영 (대구한의대 부속 포항한방병원 한방안이비인후피부과) ;
  • 황보민 (대구한의대 부속 대구한방병원 한방안이비인후피부과) ;
  • 김철윤 (생기한의원 부산 서면점) ;
  • 서형식 (부산대학교한방병원 한방안이비인후피부과)
  • Received : 2022.09.27
  • Accepted : 2022.11.09
  • Published : 2022.11.25

Abstract

Objectives : The review was conducted to validate the effectiveness of herbal medicines on acne. Methods : Randomized controlled trials(RCTs) reporting the effects of herbal medicine treatment on acne were searched through seven electronic databases from the time of application of the material to October 2021. Cochrane Collaboration's Risk of Bias was used to assess the risk of bias. Analysis was performed using Review Manager 5.4 and R 4.1.0 Meta, Metafor program. Results : 34 RCTs was selected and meta-analysis was performed with 30 studies. The inflammatory lesion count of the herbal medicine(MD=0.29, 95% CI:-0.59-0.01, p<0.01, I2=80%) and the non inflammatory lesion count of herbal medicine(MD=-0.30, 95% CI:-0.70-0.10, p<0.01, I2=78%) were seen. The score of IGA(RR=1.43, 95% CI:0.90-2.27, p<0.91, I2=0%), VISIA(MD=0.36, 95% CI:0.21-0.51, p=0.07, I2=40%), effective rate(RR=1.23, 95% CI:1.05-1.44, p<0.01, I2=98%), DLQI(MD : 0.59, 95% CI:0.14-1.04, p=0.07, I2=63%) and recurrence rate(RR=0.36, 95% CI:0.23-0.58, p=0.73, I2=0%) were seen. The effective rate of herbal medicine were statistically higher that of the control group(WM)(RR=1.19, 95% CI:1.04-1.37, p<0.01, I2=97%). As a result of dividing the treatment groups into OHM, EHM, and OEHM, the EHM group(RR=1.17, 95% CI:0.79-1.72, p<0.01, I2=99%) showed the most statistically significant effect. The overall risk of bias of the included studies was some concerns. No serious adverse effects were observed. Conclusions : This review found the effectiveness of herbal medicine for acne.

Keywords

References

  1. Suh DH. Pharmacologic Treatment of Acne. J Korean Med Assoc. 2020;53(7):623-9. https://doi.org/10.5124/jkma.2010.53.7.623
  2. Cho HJ, Jeong IC. The Actual Condition and Knowledge of Acne among Adults of Busan Area. The International Society of Health and Beauty. 2008;2(1):53-74.
  3. Healthcare Bigdata Hub. 2021[cited 2021 Oct 1]. Available from:URL:http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do
  4. Kim WS, Cho SK, Kim MB, Park JH, Sung MK, Cho HR, et al. Effect of Chungan-tang and Acupuncture on Acne Patients. J Korean Med Ophthalmol Otolaryngol Dermatol. 2015;28(4):122-9. https://doi.org/10.6114/jkood.2015.28.4.122
  5. Cho EC, Kim KS. A Review on Acne Treatment in Korean Medicine by Analyzing Case Studies with Herbal Medicine Treatment. J Korean Med Ophthalmol Otolaryngol Dermatol. 2018;31(4):65-82.
  6. Choi KH, Seo HS. The Effects of Jeondo-san on Anti-Inflammation and Anti- Propionibacterium Acnes. J Korean Med Ophthalmol Otolaryngol Dermatol. 2007;20(2):89-101.
  7. Hong SH. The Clinical Study on the Effect of Jeondo-san(Diandao-san) on Acnes. J Korean Oriental Med. 2005;26(3):74-9.
  8. Yun YH, Kim TY, Choi IH. Topical Photodynamic Therapy with Triptophan and Riboflavin for the Treatment of Acne Vulgaris. J Korean Med Ophthalmol Otolaryngol Dermatol. 2012;25(4):89-98. https://doi.org/10.6114/jkood.2012.25.4.089
  9. Lee DJ. Case Study on Treating Acne Scar Using Hani-Maehwa Laser. J Korean Med Ophthalmol Otolaryngol Dermatol. 2016;29(2):106-11.
  10. Go NG, Ha JH, Lee YH, Choi HM. Clinical Reports on Atrophic Acne Scar Treatment with Sae-ssack Therapy. J Korean Med Ophthalmol Otolaryngol Dermatol 2017;30(1):126-35.
  11. Baek SC, Hong MS, Jegal H, Jin YH, Joo TM, Lee SJ, et al. A Clinical Report on the Atrophic Acne Scar with Subcision. J Korean Med Ophthalmol Otolaryngol Dermatol 2012;25(4):80-8. https://doi.org/10.6114/jkood.2012.25.4.080
  12. Higgins JPT, Altman DG, Gotzsche PC, Juniet P, Moher D, Oxman AD et al. The Cochrane Collaboration's Tool for Assessing Risk of Bias in Randomised Trials. BMJ. 2011;343:1-9.
  13. Kim JH. Easy and Convenient Meta-analysis : Easy for Beginners, Varied for Experienced. 2nd rev. ed. Seoul:Book&Edu. 2020:180-93.
  14. Cochrane Handbook for Systematic Reviews Interventions Version 5.1.0. 2011[cited 2011 MAR]. Available from:URL: http://www.cochranehandbook.org.
  15. Kim BH, Kim KI, Lee JH, Kim KS. Inhibitory effects of Cheonsangbangpoong-tang on both Inflammatory Acne Lesion and Facial Heat in Patients with Acne Vulgaris: A Double-blinded Randomized Controlled Trial. Complementary Therapies in Medicine. 2019;44:110-5. https://doi.org/10.1016/j.ctim.2019.03.018
  16. Kim KS, Kim YB. Anti-inflammatory Effect of Keigai-rengyo-to Extract and Acupuncture in Male Patients with Acne Vulgaris: A Randomized Controlled Pilot Tiral. Alternative and Complementary Medicine. 2012;18(5):501-8. https://doi.org/10.1089/acm.2011.0218
  17. Ma X, Zhu SL, Zhou GM. Clinical Observation on Treatment of Female Delayed Acne Vulgaris with Qingre Cuochuang Table. CHITWM. 2004;24(2):115-7.
  18. Patel G, Sorake R, Pai N. A Randomized Single Blind Placebo Controlled Clinical Study to Evaluate Efficacy of Amalaki (Emblica Officinalis) Extract Capsule on Acne Vulgaris along with Its Anti-Oxidant Property. International Journal of Pharmaceutical Sciences and Research. 2021;12(7):3832-8.
  19. Ito K, Masaki S, Hamada M, Tokunaga T, Kokuba H, Tashiro K, et al. Efficacy and Safety of the Traditional Japanese Medicine Keigairengyoto in the Treatment of Acne Vulgaris. Dermatology Research and Practice. 2018. Article ID 4127303, 7 pages https://doi.org/10.1155/2018/4127303.
  20. Liu L. Study on the Clinical Effect of Self-made Chinese Medicine on Acne. Electronic Journal of Clinical Medical Literature. 2020;46(7):153,154.
  21. Liu L,Zhang J. Clinical Observation on Chinese Herbal Medicine for Acne of Dampness-heat Type. J of New Chinese Medicine. 2020;52(2):107-9. https://doi.org/10.1186/s13020-020-00365-3
  22. Yang L, Cao Y, Jiang X, Qu JH. Improvement Offacial Skin Properties in Acne Patients with Damp-heat Type by Qingre Chushih Decoction. Beijing Journal of Traditional Chinese Medicine. 2019;38(4):325-8.
  23. P.H Lu, C.H. Hsu. Does Supplementation with Green Tea Extract Improve Acne in Post-adolescent Women? A Randomized, Double-blind, and Placebo-controlled Clinical trial. Complementary Therapies in Medicine. 2016;25:159-63. https://doi.org/10.1016/j.ctim.2016.03.004
  24. Cui T. The Effect of Traditional Chinese Medicine Combined with Isotretinoin Soft Capsule in the Treatment of Acne Conglobata. Systems Medicine. 2021;6(6):101-103.
  25. Liu D. Jiedu X. Soup for Treatment of Acne Vulgaris. China &Foreign Medical Treatment. 2015;27:150,151.
  26. Yuan H, Tian J. Therapeutic Effect of "Xiaochangyin" for Acne. J of Liaoning University of TCM. 2009;11(7):97,98.
  27. Zhu P. Clinical Study on Effect of Combination Therapy of Xiao cuo Decoction and Vitamin Capsules in Treating Acne Vulgaris. Chinese Archives of Traditional Chinese Medicine. 2004;22(9):1717,1718.
  28. Zhang Z, Lin Q, Xu L. Clinical Study on Traditional Chinese Medicine Qingfeiyin Granules Combined with Clonpicillin Gel in the Treatment of Acne Vulgaris. China &Foreign Medical Treatment. 2013;35:118-20.
  29. Patrida L, Nanticha K, Montree U. A Comparative Study on the Effectiveness of Herbal Extracts vs 2.5% Benzoyl Peroxide in the Treatment of Mild to Moderate Acne Vulgaris. J Cosmet Dermatol. 2019;18:1767-75. https://doi.org/10.1111/jocd.12962
  30. Neti W, Preeyawass P, Swanya Y, Wongnapa N, Francois G, Churanya O, et al. Antiacne and Antiblotch Activities of a Formulated Combination of Aloe Barbadensis Leaf Powder, Garcinia Mangostana Peel Extract, and Camellia Sinensis Leaf Extract.Clinical, Cosmetic and Investigational Dermatology. 2019;12:383-91. https://doi.org/10.2147/CCID.S200564
  31. Yousra S, Baqir SN, Ghazala HR, Muhammed U, Barkat AS, Muhammad A, et al. Anti-acne Activity of Casuarina Equisetifolia Bark Extract: A Randomized Clinical Trial. Bangladesh J Pharmacol. 2014;9:337-41.
  32. Kulwipapat J, Montree U, Silada K, Salinee R, Nanticha K, Mingkwan R. Efficacy and Safety of a Novel Water-soluble Herbal Patch for Acne Vulgaris Treatment: A Randomized, Assessor-blinds Controlled, Intra-individual Split-face Comparative Study. Dermatologic Therapy. 2021;34:e14925.
  33. Samaneh S, Arman Z, Mohammad HF, Amin I, Fatemeh H, Fariba N, Roja R. The Effect of A Hydrogel Made by Nigella Sativa L. on Acne Vulgaris: A Randomized Double-blind Clinical Trial. Phytotherapy Research. 2020;34:3052-62. https://doi.org/10.1002/ptr.6739
  34. Yang JH, Hwang EJ, Moon JY, Yoon JY, KIm JW, Choi SJ, et al. Clinical Efficacy of Herbal Extracts in Treatment of Mild to Moderate Acne Vulgaris: An 8-week, Double-blinded, Randomized, Controlled Trial. Journal of Dermatological Treatment. 2021;32(3):297-301. https://doi.org/10.1080/09546634.2019.1657792
  35. Gao TT, Yan ZY. To Observe the Clinical Effect of Chinese Herbal Medicine Liquid Topical Treatment of Acne Vulgaris. Chinese Journal of Aesthetic Medicine. 2015;24(14):73-5.
  36. Nie WM, Tang XL, Zhang QW, Kang XR. Mixture of Root of Subprostrate Sophora Treats the Clinical Observation of Analeptic. Guide of China Medicine. 2009;7(1):14-6.
  37. Zeng X, Liu WL, Zhao T. Effects of Chinese Medical Facial Mask Comprehensive Therapy in Treating Acne Vulgaris. CHITWM. 2012;32(5):624-7.
  38. Zhang TB, Bai YP, Yang HY, Liu JL, Cao RQ, Wu ZH, et al. Efficacy of Modified Qufeng Runmian Powder(加減祛風潤面散) on Acne Vulgaris with Syndromes of Dampness and Blood Stasis: A Multicenter, Randomized, Double-Blind, PlaceboControlled Clinical Trial. Chin J Integr Med. 2020;26(7):490-6. https://doi.org/10.1007/s11655-020-3214-4
  39. Chang XD, Dai S, Ye ZZ, Song QH. Treatment of Facial Acne Vulgaris by Chinese Medicine Combined Western Medicine. CJITWM. 2017;37(2):160-4.
  40. Qin XL, Yang F, Chen ZY. Effect of Chinese Medicinal Liniment Pourmask Combining with Isotretinoin in Treatment of Moderate and Severe Acne. Chinese Journal of Aesthetic Medicine. 2009;18(3):353-5.
  41. Shi P. Chinese Herbal Mask for Facial Inflammatory Acne Vulgaris. Liaoning Journal of Traditional Chinese Medicine. 2003;30(4):320.
  42. Lalla JK, Nandedkar SY, Paranjape MH, Talreja NB. Clinical Trials of Ayurvedic Formulations in the Treatment of Acne Vulgaris. Journal of Ethnopharmacology. 2001;78:99-102. https://doi.org/10.1016/S0378-8741(01)00323-3
  43. Lv MX. Observation and Analysis of Compound Traditional Chinese Medicine Decoction Combined with Traditional Chinese Medicine Mask Topical to Treat Acne Vulgaris. Chinese Journal of Aesthetic Medicine. 2016;25(3):72-5.
  44. Gui Y, Yuan Q. Clinical Observation on Yinqiao Powder Combined with Chinese Herbal Medicine External Washing in the Treatment of Acne. CJGMCM. 2017;32(16):2371-2372.
  45. Zhang ZB. Clinical Efficacy of Traditional Chinese Medicine in Treating Acne. Guide of China Medicine. 2015;13(10):230,231.
  46. Qu Y, Lang N, Yao C, Huang Y. A Randomized Controlled Clinical Trial of Traditional Chinese Medicine Combined with Internal and External Treatment of Acne. Chinese Journal of Basic Medicine in Traditional Chinese Medicine. 2015;21(2):198,199.
  47. Xin L. Study on the Effect of Combination of External Application and Oral Administration of Traditional Chinese Medicine in the Treatment of Acne Vulgaris. ChinaPracMed. 2008;22(3):120,121.
  48. Xuan GW, Fan RQ, Yin YZ, Chi FH, Huang YZ, Chen DC, et al. A Multicenter Randomized Controlled Study of Traditional Chinese Medicine Xiaozuoling in the Treatment of Acne. Journal of Guangzhou University of Traditional Chinese Medicine. 1995;12(3):6-8.
  49. Wang Y, Li A, Li C, Cui Y. Automatic Acne Classification using VISIA®. ICCCV. 2021:13-5.
  50. Sylvie VS, Frederic B. Skin Hydration: A Review on Its Molecular Mechanisms. Journal of Cosmetic Dermatology. 2007;6:75-82. https://doi.org/10.1111/j.1473-2165.2007.00300.x
  51. Jo SJ, Jee SY, Hwangbo M, Kim CY, Kwon K. Efficacy of Herbal Medicines for the Treatment of Burns : A Systematic Review and Meta-analysis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2021;34(4):90-116.
  52. Kim IR, Kim HC, Kuk YB, Park SJ, Park YK, Park JH, et al. Galenical Pharmacy. 4th rev. ed. Seoul:Yeongrim-sa. 2020:10-8.
  53. Lee JY, Son HJ. Trends in the Efficacy and Safety of Ingredients in Acne Skin Treatments. Asian J Beauty Cosmetol. 2018;16(3):449-63. https://doi.org/10.20402/ajbc.2017.0199