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Da-Cheng-Qi Decoction Combined with Conventional Treatment for Treating Postsurgical Gastrointestinal Dysfunction.

Wei Jin1,2, Qingjie Li1,3, Xiaoqiong Luo1,2

  • 1Clinical Medicine College, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610072, China.

Evidence-Based Complementary and Alternative Medicine : Ecam
|September 21, 2017
PubMed
Summary

Da-Cheng-Qi Decoction (DCQD) shows promise in improving symptoms and clinical effectiveness for Postoperative gastrointestinal dysfunction (PGD). This traditional Chinese medicine may be a beneficial addition to Western Medicine treatments for PGD.

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Area of Science:

  • Gastroenterology
  • Traditional Chinese Medicine
  • Clinical Research

Background:

  • Postoperative gastrointestinal dysfunction (PGD) is a common complication following surgery.
  • Effective management of PGD is crucial for patient recovery and reducing hospital stays.
  • Current treatment options for PGD have limitations, necessitating exploration of alternative therapies.

Purpose of the Study:

  • To evaluate the clinical effectiveness of Da-Cheng-Qi Decoction (DCQD) for treating Postoperative gastrointestinal dysfunction (PGD).
  • To synthesize evidence from randomized controlled trials (RCTs) on DCQD for PGD.

Main Methods:

  • A systematic review of RCTs was conducted, searching major electronic databases up to September 2016.
  • Studies included modified DCQD or DCQD combined with Western Medicine (WM) versus WM, placebo, or blank control.
  • Data analysis followed the Cochrane Handbook, utilizing RevMan 5.3 software.

Main Results:

  • Seven RCTs with 494 participants were included, though methodological quality was generally low.
  • Most studies combined DCQD with WM, showing beneficial effects on clinical effectiveness and PGD symptoms.
  • Key outcome indicators included clinical effective rate and symptom improvements (e.g., time to gastrointestinal exhaust, defecation).

Conclusions:

  • Da-Cheng-Qi Decoction (DCQD) appears to improve PGD symptoms and enhance clinical effectiveness.
  • The findings suggest DCQD may be a valuable adjunct therapy for managing Postoperative gastrointestinal dysfunction.