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Related Experiment Video

Updated: Jul 27, 2025

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Herbal medicine,

Keumji Kim1,2, Seok-Jae Ko1,2,3, Soo Ho Cho1

  • 1Department of Internal Korean Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.

Frontiers in Pharmacology
|June 5, 2023
PubMed
Summary

Banxia-xiexin tang (BXT), a Chinese herbal medicine, shows promise for functional dyspepsia (FD). BXT and combination therapy improved efficacy and safety compared to Western medicine, offering a potential alternative treatment.

Keywords:
Banxia-xiexin tangfunctional dyspepsiaherbal medicinemeta-analysissystematic review

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Area of Science:

  • Gastroenterology
  • Integrative Medicine
  • Pharmacology

Background:

  • Functional dyspepsia (FD) management faces challenges with conventional treatments.
  • Growing demand for complementary and alternative medicine (CAM) in FD.
  • Banxia-xiexin tang (BXT), a traditional Chinese herbal formula, is utilized for FD in Asia.

Approach:

  • Systematic review and meta-analysis of 57 randomized controlled trials (RCTs) involving 5,525 participants.
  • Searched 11 digital medical databases up to September 1, 2021.
  • Assessed efficacy of BXT and combination therapy (BXT plus Western medicine) for FD using TCE, motilin levels, SCL-90-R, VAS, and adverse events.

Key Points:

  • BXT monotherapy and BXT combination therapy demonstrated higher total clinical efficacy rates (TCE) than Western medicine alone.
  • Combination therapy significantly improved motilin levels and psychological symptoms (SCL-90-R) compared to Western medicine.
  • No significant difference in visual analog scale (VAS) scores for dyspepsia was found between BXT and placebo.
  • BXT and combination therapy exhibited fewer adverse events than Western medicine or placebo.

Conclusions:

  • BXT and its combination therapy represent potentially effective and safe alternative treatments for functional dyspepsia.
  • Further high-quality RCTs are needed to solidify the evidence base for BXT in FD management.