Evidence map›Paper›PMID 41357899›Full record

ArticleFrontiers in pharmacology2025

Integrated effects of Kampo treatment on gastrointestinal symptoms and stress in patients with functional dyspepsia: a preliminary prospective observational study.

Lian Liang, Hongyang Li, Hirokazu Doi, Yaxuan Jiang, Satoshi Tashiro, Jiying Sun, Akihiro Kawahara, Shiro Oka, Masanori Ito, Keiko Ogawa-Ochiai

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Intervention WithFood science & nutrition · 2026
    Article
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

10 authors.

Lian Liang *Department of Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
Hongyang Li *Department of Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
Hirokazu DoiDepartment of Information and Management Systems, Nagaoka University of Technology, Niigata, Japan.
Yaxuan JiangDepartment of Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
Satoshi TashiroDepartment of Cellular Biology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Jiying SunDepartment of Cellular Biology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Akihiro KawaharaDepartment of Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
Shiro OkaDepartment of Gastroenterology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Masanori ItoDepartment of General Internal Medicine, Hiroshima University Hospital, Hiroshima, Japan.
Keiko Ogawa-OchiaiDepartment of Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This preliminary, single-center prospective observational study aimed to investigate the effects of Kampo treatment on improving gastrointestinal symptoms and reducing stress levels in patients with Functional Dyspepsia (FD). Methods: Adult patients diagnosed with FD were included and their background characteristics were collected using a Fundamental State Questionnaire. The Gastrointestinal Symptom Rating Scale (GSRS) was used to assess gastrointestinal symptom improvement, and the Profile of Mood States Second Edition-Adult Short Form (POMS-2A) was used to evaluate stress relief both before and after treatment. Paired t-tests were used to compare the GSRS and POMS-2A scores before and after treatment. One-way ANOVA was applied to explore whether there were differences in efficacy among the three Kampo formulas, while Multiple linear regression was used to analyze the associations between patient characteristics and treatment outcomes. Results: Forty-one patients with FD were included, and thirty-three were included in the final analysis (N = 41, n = 33 analyzed). Following an average of 52 days of Kampo treatment (bukuryoin, heiisan, rikkunshito), there was a significant improvement in gastrointestinal symptoms, such as hunger, pain, constipation, and gastrectasia, as well as overall symptoms. Additionally, there was a significant decrease in negative mood components (anger and depression) and total mood disturbance. Marital status, smoking habits and sleep quality may serve as significant factors influencing the outcomes of Kampo treatment. Conclusion: In this exploratory and preliminary study, following Kampo treatment (bukuryoin, heiisan, rikkunshito), the trend of improvements in gastrointestinal symptoms and stress levels were observed in patients with FD. Additionally, marital status, smoking habits and sleep quality may serve as significant factors influencing treatment outcomes.

Indexed as

dyspepsiafunctional dyspepsiaKampoKampo formulasstresstraditional Japanese medicine

Identifiers

PMID41357899
PMCPMC12678293

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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.