Evidence map›Paper›PMID 36517857›Full record

ArticleChinese medicine2022

Chaihu-Guizhi-Ganjiang Decoction is more efficacious in treating irritable bowel syndrome than Dicetel according to metabolomics analysis.

Mingming Li, Jiawei Zhu, Xuan Liu, Zhiying Dong, Jigui Tang, Cian Zhang, Jianpeng Jiao, Jiani Chen, Fenghao Yin, Shi Qiu and 7 more

Open access · goldAbstract read
In one paragraph

Article in Chinese medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Mingming Li *School of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Jiawei Zhu *School of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Xuan Liu *Department of Traditional Chinese Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Zhiying DongSchool of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Jigui TangDepartment of Traditional Chinese Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Cian ZhangDepartment of Traditional Chinese Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Jianpeng JiaoDepartment of Traditional Chinese Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Jiani ChenDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Fenghao YinDepartment of Pharmacy, 905 Hospital of People's Liberation Army Navy, Shanghai, 200050, China.
Shi QiuTraditional Chinese Medicine Resource and Technology Center, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Feng ZhangDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Shouhong GaoDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Zhipeng WangDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Xia TaoDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.
Xiaoqiang YueDepartment of Traditional Chinese Medicine, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China. yuexiaoqiang@163.com.
Lianna SunSchool of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China. sssnmr@163.com.
Wansheng ChenSchool of Pharmacy, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China. chenwansheng@smmu.edu.cn.ORCID http://orcid.org/0000-0002-0025-1315
Second Military Medical University · CNShanghai University of Traditional Chinese Medicine · CNPeople's Liberation Army 411 Hospital · CNShanghai University · CN

Funding

Clinical Medical Technology Incubation Project of Shanghai Changzheng Hospital YLJS2021A-03Jin-Zi-Ta Talent projects of Shanghai Changzheng Hospital, China YQ672National Key R&D Program of China Grant No. 2019YFC1711100National Natural Science Foundation of China Grant No. 81804008National Natural Science Foundation of China Grant No. 81830109Project of Bethune Exploration: the capacity establishment of pharmaceutical research Grant No. B-19-H-20200622Shanghai Municipal Health Commission 20214Y0319
6 · The paper itself

Abstract

backgroundChaihu-Guizhi-Ganjiang Decoction (CGGD) is a traditional Chinese medicine (TCM) prescription used to treat viral influenza. There is evidence that CGGD can be used to treat irritable bowel syndrome (IBS) but the potential mechanism of action and metabolites produced upon CGGD treatment remains elusive.

methodsPatients with IBS were treated with pinaverium bromide (Dicetel™) and then CGGD after a washout period of 1 week. Both treatments lasted for 30 days. The efficacy and changes of metabolites in plasma after the two treatments were compared. Plasma samples were acquired before and after each treatment, and untargeted metabolics analysis was performed.

resultsEfficacy was measured according to the Rome IV criteria and TCM theory. Our results indicated that CGGD showed significantly better efficacy than Dicetel in the treatment of IBS utilizing each criterion. CGGD exerted greater effects on plasma metabolism than Dicetel. Dicetel treatment led to increased tryptophan metabolism (increased levels of 5-Hydroxyindoleacetaldehyde) and increased protein metabolism (increased levels of L-arginine). CGGD treatment significantly (p < 0.05) increased carnitine metabolism, with elevated levels of L-carnitine and acylcarnitine in plasma. Such changes in these metabolites could exert effects against IBS by improving gastrointestinal motility and suppressing pain, depression, and inflammation.

conclusionsCGGD appeared to be more efficacious than Dicetel for treating patients with IBS. The findings provide a sound support for the underlying biomolecular mechanism of CGGD in the prevention and treatment of IBS.

Indexed as

CarnitineChaihu-Guizhi-Ganjiang DecoctionDicetelIrritable bowel syndromeMetabolomics analysis

Identifiers

PMID36517857
PMCPMC9749322
OpenAlexW4311364169

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.