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Chinese medicinal herbs for influenza

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Referencias

Shi 2004 {published data only}

Shi XX, Chen MM. Clinical effect of E Shu You glucose injection in the treatment of type B influenza in children. Zhong Guo Lin Chuang Yao Xue Za Zhi [Chinese Journal of Clinical Pharmacy] 2004;13(1):38‐40.

Xue 1999 {published data only}

Xue EB, Dong Z. Clinical observation of 519 influenza patients prevented and treated with Ganmao Jiaonang. Tianjin Zhong Yi [Tianjin Journal of Traditional Chinese Medicine] 1999;16(4):13‐4.

Du 1991 {published data only}

Du YL, Ma WM. 100 cases with influenza fever treated with Bo Hao Sanhua Yin. Hebei Zhong Yi [Hebei Journal of Traditional Chinese Medicine] 1991;13(5):6.

Hamazaki 2006 {unpublished data only}

Hamazaki K, Sawazaki S, Itomura M, Huan M, Shibahara N, Kawakita T, et al. No effect of a traditional Chinese medicine, Hochu‐ekki‐to, on antibody titer after influenza vaccination in men: A randomized, placebo‐controlled, double‐blind trial. Phytomedicine 2006;24:Epub ahead of print.

Hang 1998 {published data only}

Hang JZ. 96 children with influenza treated with Yuxingcao Koufu Ye Compound. Zhejiang Zhong Yi Za Zhi [Zhejiang Journal of Traditional Chinese Medicine] 1998;33(8):381.

Hou 2002 {published data only}

Hou YJ. Clinical observation of treating winter influenza with Traditional Chinese Medicine' Shuang Jie Tang'. Beijing Zhong Yi [Journal of Beijing University of Traditional Chinese Medicine] 2002;21(4):231‐2.

Huang 2003 {published data only}

Huang ZP. Effect analysis of Yu Xing Cao in the treatment of 46 cases with influenza. Zhongguo Xin Yi Yao [China New Medicine] 2003;2(3):63‐4.

Jiang 2003 {published data only}

Jiang M, Xiong LL, Qi ZQ, Zou JD. Clinical trial for treating wind‐heat syndrome of upper respiratory infection and influenza with Yinhua Jiedu Granule. Zhong Yao Xin Yao Yu Lin Chuang Yao Li [Traditional Chinese Drug Research & Clinical Pharmacology] 2003;14(4):270‐2.

Jin 1998 {published data only}

Jin Y. Clinical observation of treating influenza fever with Shouqi Jiedu Fa. Xinjiang Zhong Yi Yao [Xinjiang Journal of Traditional Chinese Medicine] 1998;16(1):18.

Kubo 2007 {published data only}

Kubo T, Nishimura H. Antipyretic effect of Mao‐to, a Japanese herbal medicine, for treatment of type A influenza infection in children. Phytomedicine 2007;14(2‐3):96‐101.

Li 2001 {published data only}

Li YJ. Effect analysis of treating influenza fever with Chinese medicine and Western medicine. Xian Dai Zhong Xi Yi Jie He Za Zhi [Modern Journal of Integrated Traditional Chinese and Western Medicine] 2001;10(3):214.

Li 2005 {published data only}

Li HG. Curative observation on summer severe influenza treated with Chuan Hu Ning injection plus San Shi decoction modified. Zhong Guo Zhong Yi Ji Zheng [Journal of Emergency in Traditional Chinese Medicine] 2005;14(6):543‐5.

Lindenmuth 2000 {published data only}

Lindenmuth GF, Lindenmuth EB. The efficacy of echinacea compound herbal tea preparation on the severity and duration of upper respiratory and flu symptoms: a randomized, double‐blind, placebo‐controlled study. Journal of Alternative and Complementary Medicine 2000;6(4):327‐34. [MEDLINE: 10976979]

Liu 2002 {published data only}

Liu JL, Wang XY. 80 cases of treating influenza pneumonia with Yuxingcao injection. Liaoning Zhong Yi Za Zhi [Liaoning Journal of Traditional Chinese Medicine] 2002;29:502.

Lu 2004 {published data only}

Lu ZQ. 246 cases of clinical observation on Shuanghuanglian Kou Fu Ye for cold. Shenzhen Zhong Xi Yi Jie He Za Zhi [Shenzhen Journal of Integrated Traditional Chinese and Western Medicine] 2004;14(6):368‐70.

Qu 2005 {published data only}

Qu JL, Gao X, Zhou SF, Xu SP, Yu Y. Clinical effect of Tan Re Qing injection in the treatment of upper respiratory tract infection caused by type‐A influenza. Zhong Guo Zhong Yi Ji Zheng [Journal of Emergency in Traditional Chinese Medicine] 2005;14(1):26‐7.

Wang 2001 {published data only}

Wang SY. 100 children with influenza treated with Jiang Bang Pu Bo Tang he Chai Ping Tang. Fujian Zhong Yi Yao [Fujian Journal of Traditional Chinese Medicine] 2001;32(2):49‐50.

Xu 2001 {published data only}

Xu J. Clinical observation of Da Qing Long Tang treating influenza fever. Changchun Zhong Yi Xue Yuan Xue Bao [Academic Periodical of Changchun College of Traditional Chinese Medicine] 2001;17(2):29‐30.

Yang 2000a {published data only}

Yang CX, Yan TY. Clinical research on Redu Jing treating influenza‐caused upper respiratory tract infection. Beijing Zhong Yi [Journal of Beijing University of Traditional Chinese Medicine] 2000;19(4):17.

Yang 2000b {published data only}

Yang H. 101 influenza patients treated with Chai Ge Jieji Tang Jiawei. Zhong Guo Zhong Yi Ji Zheng [Journal of Emergency in Traditional Chinese Medicine] 2000;9(3):132.

Yang 2005a {published data only}

Yang LB, Ji ZH, Wang BQ. Clinical observation of the therapeutic effect of Lianhuaqingwen capsule on 280 cases of influenza. Yi Nan Bing Za Zhi [Journal of Diffcult and Complicated Cases] 2005;4(5):276‐8.

Yang 2005b {published data only}

Yang LB, Ji ZH, Gao XD, Gu CH. Phase 2 clinical study of Lianhua Qingwen Capsule for influenza. Zhong Yao Xin Yao Yu Lin Chuang Yao Li [Traditional Chinese Drug Research & Clinical Pharmacology] 2005;16(4):290‐3.

Yao 2003 {published data only}

Yao WH, Zhou AG, Qu JH, Han X. Clinical analysis of treating influenza fever with modified Gan Lu Xiao Du Dan. Yi Xue Yan Jiu Tong Xun [Bulletin of Medical Research] 2003;32(5):64‐5.

Yu 2000 {published data only}

Yu DC, Meng XF. 98 influenza patients treated with Liugan Heji. Xian Dai Zhong Xi Yi Jie He Za Zhi [Modern Jorunal of Integrated Traditional Chinese and Western Medicine] 2000;9(8):736.

Yuan 2003 {published data only}

Yuan XH, Liu B. 120 cases of treating winter influenza with Jing Fang Yin Qiao Tang. Shi Yong Zhong Yi Nei Ke Za Zhi [Journal of Practical Traditional Chinese Internal Medicine] 2003;17(3):191.

Zeng 2004 {published data only}

Zeng QX, Hu DZ. Clinical study on Yinma mixture in treating fever of Wenre influenza. Zhongguo Zhong Xi Yi Jie He Ji Jiu Za Zhi [Chinese Journal of Integrated Traditional and Western Medicine in Intentire Critical Care] 2004;11(3):176‐8.

Zhang 2000 {published data only}

Zhang RW, Liu FL, Peng XJ, Gao GL. Treating influenza with Yiqi Qingjie Fa. Shandong Zhong Yi Za Zhi [Shandong Journal of Traditional Chinese Medicine] 2000;19(8):460‐1.

Zhang 2002 {published data only}

Zhang XM, Jiang LD, Shang XZ, Zhang YS. Comparison of therapeutic effect between Chaihu Guizhi Tang Jiawei Fang Tangji and Chaihu Guizhi Tang Jiawei Fang Keliji. Zhong Guo Zhong Yi JI Zheng [Journal of Emergency in Traditional Chinese Medicine] 2002;11(3):174‐5.

Zhang 2004 {published data only}

Zhang DN, Che SQ, Xu Y, et al. Self‐composed herbal preparation of Influenza No.1 for 960 cases of influenza. Shanxi Zhong Yi Za Zhi [Shanxi Journal of Traditional Chinese Medicine] 2004;25(8):722‐3.

Zhang 2005 {published data only}

Zhang SX, Chai JL. Gan Qing Dai Paoji for treating 60 cases of influenza. Qilu Yao Shi [Qilu Parmaceutical Affairs] 2005;24(12):751‐2.

Zhao 2006 {published data only}

Zhao DY. Clinical study on kang liu gan he ji for influenza. Zhejiang Zhong Yi Za Zhi [Zhejiang Journal of Traditional Chinese Medicine] 2006;41(6):326‐7.

Zhong 2005 {published data only}

Zhong Q, Zhou HF, Lin K, Pang ZW, Chen N, Ning DX, et al. Clinical analysis of Lu Qing granule in the treatment of influenza. Liaonng Zhong Yi Za Zhi [Liaoning Journal of Traditional Chinese Medicine] 2005;32(7):628.

References to studies awaiting assessment

Qiu 1997 {published data only}

Qiu LY. Effect of integrated traditional Chinese medicine and Western medicine in the treatment of influenza fever in spring and summer. Shi Yong Zhong Xi Yi Jie He Za Zhi [The Practical Journal of integrating Chinese with Modern Medicine] 1997;10(8):786‐7.

Song 2002 {published data only}

Song GL. Clinical effect of Shubiao Jiedu Yin in the treatment of influenza. Sichuan Zhong Yi [Journal of Sichuan Traditional Chinese Medicine] 2002;20(10):28‐9.

SRCG 1981 {published data only}

Scientific Research Collaboration Group (SRCG) for preventing and treating influenza in Yichun Area in Jiangxi Province. Effect observation of 401 influenza patients treated with Baihua Baijiang. Zhong Ji Yi Kan [Chinese Journal of Medicine] 1981;31(3):39‐40.

Ahmed 1996

Ahmed AH, Nicholson K. The efficacy of influenza vaccine. Review in Medical Microbiology 1996;7(1):23‐30.

Alderson 2004

Alderson P, Green S, Higgins JPT, editors. Cochrane Reviewers’ Handbook 4.2.2 [updated December 2003]. The Cochrane Library, Issue 1. Chichester, UK: John Wiley & Sons, Ltd, 2004.

Altman 1991

Altman D. Randomisation: essential for reducing bias. BMJ 1991;302:1481‐2.

Buda 2000

Buda A, Alves de Cunha AJL. Amantadine and rimantadine for influenza A in children and the elderly. Cochrane Database of Systematic Reviews 2000, Issue 3. [DOI: 10.1002/14651858.CD002745.pub2]

CDC 2007

CDC. Influenza: The Disease. http://www.cdc.gov/flu/about/disease.htm (Accessed March 2007)2007.

Cezanne 1997

Cezanne HH. Herbalism. http://www.drcezanne.com/herbalism.htm (Accessed 2003)1997.

Chalmers 1983

Chalmers TC, Celano P, Sacks HS, Smith H. Bias in treatment assignment in controlled clinical trials. New England Journal of Medicine 1983;309:1358‐61.

Claas 1998

Class EC, de Jong JC, van Beek R, Rimmelzwaan GF, Osterhaus AD. Human influenza virus, A/Hong Kong/156/97(H5N1) infection. Vaccine 1998;16(9‐10):977‐8.

Cohen 1960

Cohen J. A coefficient of agreement for nominal scales. Educational and Psychological Measurement 1960;20:37‐46.

Deng 1998

Deng WL. In: Shen YJ editor(s). Pharmacology of Traditional Chinese Medicine. 1st Edition. Beijing: People Health Publishing House, 1998.

Fleming 1999

Fleming D, Zambon M, Waston J. Management of influenza. National Prescribing Center1999.

HamiltonBaldwin 2000

Hamilton‐Baldwin S. The flu: treatment and prevention. http://www.ncpanet.org/CONTEDU/influenza.html (Accessed 2003)2000.

Higgins 2005

Higgins JPT, Green S, editors. Application of quality assessment criteria. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005], Section 6.9. Chichester, UK: John Wiley & Sons, Ltd, 2005, issue 3.

Hou 1995

Hou JY. Contemporary Pharmacology of Traditional Chinese Medicine. 1st Edition. Tianjin: Tianjin Scientific and Technological Publishing House, 1995.

Jadad 1996

Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds JM, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trails: Is blinding necessary?. Controlled Clinical Trails 1996;17:1‐12.

Liu 2001

Liu GW. Chinese Herbal Medicine. 1st Edition. Beijing: Hua Xia Publishing House, 2001.

Moher 2001

Moher D, Schulz KF, Altman D. The CONSORT Statement: Revised Recommendations for Improving the Quality of Reports of Parallel‐Group Randomized Trials. Journal of the American Medical Association 2001;285(15):1987‐91.

Moscona 2005

Moscona A. Oseltamivir resistance ‐ disabling our influenza defenses. New England Journal of Medicine 2005;353(25):2633‐6.

Ou 1992

Ou M. Chinese‐English Manual of Commonly Used in Traditional Chinese Medicine. 1. Guangdong: Guangdong Scientific and Technological Publishing House, 1992.

Schulz 1995

Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias: dimensions of methodological quality associated with estimates of treatment effects in controlled trials. Journal of the American Medical Association 1995;273:408‐12.

Smith 2006

Smith NM, Bresee JS, Shay DK, Uyeki TM, Cox NJ, Strikas RA. Prevention and Control of Influenza ‐Recommendations of the Advisory Committee on Immunization Practices (ACIP). Recommendations and Reports (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5510a1.htm)2006.

WHO 2003

World Health Organization. Influenza. http://www.who.int/mediacentre/factsheets/fs211/en/ (Accessed 2006)2003.

WHO 2007

World Health Organization. WHO guidelines for investigation of human cases of avian influenza A(H5N1). http://www.who.int/csr/resources/publications/influenza/WHO_CDS_EPR_GIP_2006_4r1.pdf (Accessed 2007)2007.

Wiselka 1994

Wiselka M. Influenza: diagnosis, management and prophylaxis. BMJ 1994;308:1341‐5.

Xu 1998

Xu QP, Zhao L. Pharmacology of Traditional Chinese Medicine. 1st Edition. Beijing: People Health Publishing House, 1998.

Zhang 1991

Zhang EQ. The Chinese Materia Medica. 1st Edition. Shanghai: Publishing House of Shanghai College of Traditional Chinese Medicine, 1991.

Zhao 2001

Zhao EJ. Pulse Diagnosis in Chinese Medicine. 2nd Edition. Tianjin: Tianjin Scientific and Technologic Publishing House, 2001.

References to other published versions of this review

Chen 2005

Chen XY, Wu TX, Liu GJ, Wang Q, Zheng J, Wei J, et al. Chinese medicinal herbs for influenza. Cochrane Database of Systematic Reviews 2005, Issue 1. [DOI: 10.1002/14651858.CD004559.pub3]

Characteristics of studies

Characteristics of included studies [ordered by study ID]

Shi 2004

Methods

Trial design: randomised controlled parallel study
Randomisation procedure: random number generated by NDST statistical software
Blinding: no blinding

Participants

Country: China
Setting: Hangzhou, Zhejiang province
61 children patients with type‐B influenza (32 cases in therapy group, 29 cases in control group)
Diagnostic criteria: (1) sudden fever; (2) accompanied with respiratory catarrh symptoms or alimentary tract symptoms such as abdominal pain, vomiting, diarrhoea. Examination of stool sample and vomitus under microscope was negative; (3) may be accompanied with headache and myalgia; (4) physical examination found diffused congestion of pharyngeal cavity or hyperplasia of lymph follicle in the pharyngeal posterior wall; (5) over 5 people who had been in touch had similar symptoms; (6) WBC count of routine blood test was normal or decreased, neutrophil cell count was normal or lymphatic cell count was high
Baseline: gender, age, disease duration, and severity of disease were similar in the two groups (P > 0.05)
Withdrawal: not reported

Interventions

1. TCM group (trial group): E Shu You glucose injection containing 0.1 g E Shu You and 12.5 g glucose per 250 ml injection (10 mg/kg/d iv q.d.)
2. Control group: ribavirin injection (10˜15 mg/kg/d ) + vitamin C (50 mg/kg/d) + 10% glucose 500 ml: 10% normal saline 10 ml iv q.d.
Erythromycin capsule 30 ˜ 50 mg orally b.i.d. was given to both groups. Ibuprofen was given temporarily to patients with high fever
Treatment duration was 3 to 5 days

Outcomes

Recovery: temperature falls to normal within 72 hours, symptoms and physical signs had improved by more than 90%
Marked improvement: temperature falls to normal within 72 hours, symptoms and physical signs had improved by more than 70%
General improvement: temperature falls but not to normal within 72 hours, symptoms and physical signs had improved by more than 30%
No improvement: temperature does not falls or even increased within 72 hours, symptoms and physical signs had improved by less than 30%

Notes

Influenza virus B was isolated by CDC in Hangzhou city in this local epidemics

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment (selection bias)

Unclear risk

D ‐ Not used

Xue 1999

Methods

Trial design: randomised controlled parallel study
Randomisation procedure: the allocation sequence was generated by computer software
Blinding: double‐blinding

Participants

Country: China
Setting: influenza epidemic area
951 healthy participants and participants with influenza were recruited in this trial (519 cases in therapy group with 124 influenza participants, M/F 316/203; 432 in control group with 89 influenza participants M/F 263/169)
Data from healthy participants on entrance were used for analyses of the prevention study. Data from those with influenza on entrance and who subsequently developed influenza from the prevention study were used in the treatment analyses
All the participants had similar typical influenza symptoms and disease duration within 48 hours
In the treatment study: 202 participants were in the therapy group and 230 participants were in the control group
Withdrawal: not reported

Interventions

1. TCM group (trial group): Ganmao capsule (3.5 g, t.i.d, orally)
2. Control group: amantadine capsule (0.07 g, t.i.d, orally)
Therapy duration was 7 days for both prevention and treatment studies

Outcomes

Influenza morbidity within 7 days of treatment
Recovery: the systemic symptoms and local typical symptoms clear within 24 h to 48 h after administration
Ineffectiveness: the rest of patients other than who achieved recovery were defined as inefficacy
Patients using other drugs during the study were not included in the effectiveness statistics

Notes

Influenza virus A3 was isolated by CDC in Tianjin city in local epidemics

Risk of bias

Bias

Authors' judgement

Support for judgement

Allocation concealment (selection bias)

Low risk

A ‐ Adequate

b.i.d: twice a day
CDC: Centers for Disease Control and Prevention
h: hours
t.i.d: three times a day
q.d: once a day
M/F: male/female
NDST: New Drug Statistical Treatment
TCM: Traditional Chinese Medicine
WBC: white blood cell

Characteristics of excluded studies [ordered by study ID]

Study

Reason for exclusion

Du 1991

It was claimed to be an 'RCT". We telephone interviewed the original author and learned that it was not an RCT

Hamazaki 2006

Outcome measures were hemagglutinin titers and natural killer (NK) activity which did not match our outcome measures regulated in this review

Hang 1998

Observation duration (3 to 5 days) exceeded the criteria of observational span specified in this review

Hou 2002

It was claimed to be an 'RCT". We telephone interviewed the original author and learned that it was a quasi‐RCT of alternative allocation

Huang 2003

A quasi‐RCT. Participants were allocated according to the entry odd/even days

Jiang 2003

One TCM was compared with another TCM

Jin 1998

Complications of influenza were included in this study

Kubo 2007

The drug used was a Japanese herbal medicine

Li 2001

It was claimed to be an 'RCT". We telephone interviewed the original author and learned that it was not an RCT

Li 2005

Participants had severe influenza with complications

Lindenmuth 2000

Participants had severe influenza with complications with the common cold and influenza were not analysed separately

Liu 2002

The participants had severe influenza with pneumonia complication ‐ found by lab tests and chest radiographs

Lu 2004

Participants with common cold and influenza were included, and data for influenza were not separately reported

Qu 2005

It was claimed to be an 'RCT". We telephone interviewed the original author and learned that it was a quasi‐RCT.
Participants were allocated according to entry odd/even day

Wang 2001

Herbal medicine were compared with chemical medicine plus another Chinese patent medicine

Xu 2001

It was claimed 'RCT". We telephone interviewed the original author and learned that it was a quasi‐RCT of alternative allocation

Yang 2000a

It was claimed 'RCT". We telephone interviewed the original author and learned that it was a quasi‐RCT of alternative allocation

Yang 2000b

Herbal medicines were compared with chemical medicines plus another Chinese patented medicine

Yang 2005a

One TCM was compared with another TCM

Yang 2005b

One TCM was compared with another TCM

Yao 2003

It was claimed 'RCT". We telephone interviewed the original author and learned that it was a quasi‐RCT of alternative allocation

Yu 2000

One TCM was compared with a chemical medicine plus another TCM

Yuan 2003

It was claimed 'RCT". We telephone interviewed the original author and learned that it was not an RCT

Zeng 2004

Herbal medicines were compared with chemical medicines plus another Chinese patented medicine. The patients had complications of pneumonia, bronchitis and tonsillitis

Zhang 2000

The patients had the complication of pneumonia, found by lab tests and chest radiographs

Zhang 2002

One TCM was compared with another TCM

Zhang 2004

One TCM was compared to another TCM plus an antiviral drug

Zhang 2005

One TCM was compared with another TCM

Zhao 2006

One TCM was compared with another TCM

Zhong 2005

One herbal medicine was compared to another Chinese patented medicine

RCT: randomised controlled trial
TCM: traditional Chinese medicine

Data and analyses

Open in table viewer
Comparison 1. Day 2 recovery rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 1.1

Comparison 1 Day 2 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 1 Day 2 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 Ganmao capsule versus amantadine

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 2. Day 3 recovery rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 2.1

Comparison 2 Day 3 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 2 Day 3 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 3. Day 3 marked improvement

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 3.1

Comparison 3 Day 3 marked improvement, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 3 Day 3 marked improvement, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 4. Day 3 partial improvement

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 4.1

Comparison 4 Day 3 partial improvement, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 4 Day 3 partial improvement, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 5. Day 3 no improvement rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 5.1

Comparison 5 Day 3 no improvement rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 5 Day 3 no improvement rate, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 6. Influenza incidence

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 6.1

Comparison 6 Influenza incidence, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 6 Influenza incidence, Outcome 1 Herbal medicine versus antiviral drugs.

1.1 Ganmao capsule versus amantadine

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Open in table viewer
Comparison 7. Adverse reaction

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Adverse reaction in the gastrointestinal tract Show forest plot

1

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

Analysis 7.1

Comparison 7 Adverse reaction, Outcome 1 Adverse reaction in the gastrointestinal tract.

Comparison 7 Adverse reaction, Outcome 1 Adverse reaction in the gastrointestinal tract.

1.1 Herbal medicine versus antiviral drugs

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Comparison 1 Day 2 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 1.1

Comparison 1 Day 2 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 2 Day 3 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 2.1

Comparison 2 Day 3 recovery rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 3 Day 3 marked improvement, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 3.1

Comparison 3 Day 3 marked improvement, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 4 Day 3 partial improvement, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 4.1

Comparison 4 Day 3 partial improvement, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 5 Day 3 no improvement rate, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 5.1

Comparison 5 Day 3 no improvement rate, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 6 Influenza incidence, Outcome 1 Herbal medicine versus antiviral drugs.
Figuras y tablas -
Analysis 6.1

Comparison 6 Influenza incidence, Outcome 1 Herbal medicine versus antiviral drugs.

Comparison 7 Adverse reaction, Outcome 1 Adverse reaction in the gastrointestinal tract.
Figuras y tablas -
Analysis 7.1

Comparison 7 Adverse reaction, Outcome 1 Adverse reaction in the gastrointestinal tract.

Table 1. TCM definitions

TCM term

Definition

Qi

In the theory of TCM, "qi" is considered as a life force or energy in every body. "Qi" must be kept balanced and flow freely to keep organs working well. When "qi" is blocked in certain part of the body, the organs involved get sick and people can have a pain there. Therefore, as expressed below, constrained "gan qi"should be released to make"qi" flow freely so that liver can work well and"qi"be regulated to flow freely so that pain is relieved. And also, when "qi"of lung is not balanced, such as being lost by ascending out, people may cough and "qi" must be put down to maintain adequate amount of "qi" in lung

Wind‐cold type cold

If it manifests itself in more severe chilliness, slight fever, a tongue with thin and white fur then it belongs to the exterior syndrome caused by wind and cold, and should be treated with strong perspiration drugs pungent in taste and warm in property, to dispel the wind and cold

Wind‐heat type cold

If its manifestations are more severe fever, milder chilliness, a tongue with thin and yellow fur, then it belongs to the exterior syndrome caused by wind and heat

Figuras y tablas -
Table 1. TCM definitions
Table 2. Medicinal herbs for influenza

Latin name

Common name

Properties, tastes

Function

Herba Schizonepetae

Schizonepeta

Pungent, slightly warm

1. Expel wind, release the symptoms. 2. Promote the formation of eruption. 3. Stop bleeding and ablate boils. 4. Restrains and kills bacteria. 5. Tranquilliser, analgesic. 6. Anti‐inflammation, anti allergy

Radix Ledebouriellae

Ledebouriella root

Pungent, slightly warm

1. Expel wind and relieve the symptoms. 2. Expel wind, dampness and alleviates pain. 3. Antipyretic, antiinflammatory, analgesic. 4. Relieve spasms. 5. Stops diarrhoea

Radix Bupleuri

Bupleurum root

Pungent, bitter and slightly cold

1. Reduce and disperse fever. 2. Relax constrained "gan qi" and alleviate mental depression. 3. Improve immune function. 4. Regulate the flow of "qi" to relieve pain. 5. Tranquillises the mind, stop coughing. 6. Anti‐inflammatory, anti‐influenza, anti‐mycobacterium, tuberculosis. 7. Reduce plasma cholesterol. 8. Strengthen body immunity

Radix Peucedani

Peucedanum root

Bitter, sour and slightly cold

1. Descend "qi" and expel phlegm. 2. Disperse wind heat. 3. Dilate coronary artery. 4. Inhibit influenza virus. 5. Relieve pain, tranquilliser

Radix Platycodi

Platycodon root

Bitter, sour, medium

1. Promote the dispersing function of the lungs, relieve sore throat. 2. Expel phlegm and evacuate pus. 3. Relieve cough. 4. Anti‐inflammatory. 5. Tranquilliser, relieve pain and reduce fever. 6. Inhibit gastric juice secretion, anti‐gastric ulcer. 7. Reduce blood sugar. 8. Reduce blood lipid

Rhizoma Zingiberis Recens

Fresh ginger

Pungent, slightly warm

1. Induce diaphoresis and relieve the symptoms. 2. Warm the mid section of the abdomen and alleviate vomiting. 3. Warm the lungs to arrest cough. 4. Reduce the poisonous effect of other herbs

Fructus Forsythiae

Forsythia fruit

Bitter, slightly cold

1. Clear away pathogenic fever from the body. 2. Treat boils and resolve masses. 3. Control influenza virus. 4. Resist bacteria. 5. Reduce diuresis. 6. Resist hepatic injury. 7. Relieve vomiting

Radix Isatidis

Isatis root

Bitter, cold

1. Clear away heat and toxic material. 2. Remove pathogenic heat from blood and relieve sore throat. 3. Resist virus. 4. Resist bacteria

Radix Puerariae

Pueraria root

Sweet, pungent and cool

1. Reduce fever. 2. Stimulate the rash of measles to appear on surface of skin. 3. Control diarrhoea. 4. Relieve spasms. 5. Invigorate vital function and promote the production of body fluid. 6. Reduce blood pressure. 7. Relieve coronary heart disease and angina pectoris. 8. Improve cerebral circulation

Folium Mori

Mulberry leaf

Bitter, sweet and cold

1. Expel wind and clear heat from the lungs. 2. Clear the liver and the eyes. 3. Remove heat from blood to arrest bleeding. 4. Restrain and kill bacteria. 5. Lower blood pressure, reduce blood lipid

Flos Chrysanthemi

Chrysanthemum

Pungent, sweet, bitter and slightly cold

1. Disperse wind and clear heat. 2. Clear away liver heat and brighten the eyes. 3. Restrain and kill bacteria, anti‐inflammation. 4. Increase volume of blood flow of coronary artery. 5. Increase oxygen consumption of heart. 6. Reduce blood pressure

Fructus Arctii

Chrysanthemum

Pungent, bitter, and cold

1. Disperse wind heat. 2. Reduce fever and relieve swelling. 3. Benefit the throat. 4. Stimulate rashes to appear on surface of skin

Figuras y tablas -
Table 2. Medicinal herbs for influenza
Table 3. Interpretation of the results in every study

Study ID

Interventions

Recovery

Marked improvement

Partial improvement

No improvement

defervescence

Symptoms clearance

Adverse reaction

Interpretation

Xue 1999

Ganmao capsule versus amantadine

RR 5.17, 95% CI 3.82 to 6.99

Data not available

Data not available

Data not available

Data not available

Data not available

Adverse reaction in alimentary tract was mentioned in control group but data was not available

Ganmao Capsule can improve recovery better than amantadine with statistical difference at the end of two days of treatment

Shi 2004

E Shu You versus ribavirine

RR 2.18, 95% CI 0.87 to 5.43

RR 1.02, 95% CI 0.45 to 2.29

RR 0.91, 95% CI 0.36 to 2.27

RR 0.40, 95% CI 0.14 to 1.17

Data not available

Data not available

RR 0.58, 95% CI 0.09 to 3.73

There were no significant differences between E Shu You and ribavirine in the effectiveness and adverse reactions for treating influenza

Figuras y tablas -
Table 3. Interpretation of the results in every study
Table 4. The composition of preparations of TCMs

Study ID

TCMs preparation

English TCM name

Pinyin TCM name

Yao 2003

Modified Ganlu Xiaodu Dan

Blackberrykiky Rhizome 10 g, Drug Sweetlad Rhizome 10 g, Sichuan Fritillaria bulb 10 g, Scutellaria Root 10 g, Villous Amomum Fruit 6 , Virgate Wormwood Herb 30 g, Weeping Forsythia Capsule 10 g, Peppermint 10 g, Bentong 10 g, Liuyisan 15 g, Fortune Eupatorium Herb 10 g, Indigowoad Root 30 g, Indigowoad Leaf 30 g

Shegan 10 g, Changpu 10 g, Chuanbei 10 g, Huangqin 10 g, Sharen 6 , Yinchen 30 g, Lianqiao 10 g, Bohe 10 g, Bentong 10 g, Liuyisan 15 g, Peiian 10 g, Banlangen 30 g, Daqingye 30 g

Yuan 2003

Jiang Fang Yin Qiao Tang

Fineleaf Schizonepeta Herb 10 g, Divaricate Saposhinikovia Root 10 g, Honeysuckle Flower 15 g, Weeping Forsythiae capsule 15 g, Incised Notopterygium Rhizome 10 g, Red Thorowax Root 15 g, Platycodon Root 10 g, Whiteflower Hogfennel Root 10 g, Peppermint 5 g, Kudzuvine Root 10 g, Indigowoad Leaf 15 g, Fresh Liquorate Root 5 g

Jingjie 10 g, Fangfeng 10 g, Yinhua 15 g, Lianqiao 15 g, Qianghuo 10 g, Chaihu 15 g, Jiegeng 10 g, Qianhu 10 g, Bohe 5g, Gegen 10 g, Daqingye 15 g, Shenggancao 15 g

Jiang 1981

Baihua Baijiang Chongji

Whiteflower Patrinia Herb

Baijiangcao

Xue 1999

Ganmao Capsule

Japanese Honeysuckle stem, Baical Skullcap Root, Platycodon Root, Bitter Apricot Seed, Fineleaf Schizonepeta Herb, Divaricate Saposhicicovia Root, Fresh Liquoric Root

Rendongteng, Huangqi, Jiegeng, Xingren, Jingjie, Fangfeng, Shenggancao

Wang 2001

Modified Qiang Bang Pu Bo Tang he Chai Pin Tang

Incised Notopterygium Rhyzome, Great Burdock Achene, Mongolian Dandelion Herb, Peppermint, Red Thorowax Root, Baical Skullcap Root, Pinellia Tuber, Tangerine Peel, Swordlike Atractylodes Rhizome, Officinal Magnolia Bark

Qianghuo, Niubangzi, Pugongying, Bohe, Chaihu, Huangqin, Banxia, Chenpi, Cangshu, Houpu

Wang 2001

Qing Kai Ling

Cholic acid, Nacre, Hyodeoxycholic acid, Cape Jasmine Fruit, Buffalo Horn, Indigowoad Root, Baical Skullcap Root, Honeysuckle flower

Danshuan, Zhenzhumu, Zhu Quyang Dansuan, Zhizi, Shuiniujiao, Banlangen, Huangqingan, Jinyinhua

Yu 2000

Liugan Heji

Fineleaf Schizonepeta Herb 10 g, Divaricate Saposhinikovia Root 10 g, Honeysuckle Flower 15 g, Weeping Forsythiae capsule 15 g, Incised Notopterygium Rhizome 10 g, Red Thorowax Root 15 g, Platycodon Root 10 g, Whiteflower Hogfennel Root 10 g, Peppermint 5g, Kudzuvine Root 10 g, Indigowoad Leaf 15 g, Fresh Liquorate Root 5g

Jinyinhua 15 g, Lianqiao15 g, Banlangen 20 g, Daqingye 20 g, Jingjie 10 g, Fangfeng 10 g, Sangye 10 g, Shigao 30 g, Huangqin 12g, Jiegeng 10 g, Xingren 10 g, Gancao 10 g

Yu 2000

Fufang Daqingye

Indigowoad leaf, Honeysuckle Flower, Incised Notopterygium Rhizome, Bistort Rhizome, Rhubarb

Daqingye, Jinyinhua, Qianghuo, Quanshen, Dahuang

Du 1991

Bo Hao Sanhua Yin

Peppermint 10 g, Sweet Wormwood Herb 10 g, Honeysuckle Flower 10 g, Chrysanthemum 10 g, Common Goldenod Herb 10 g, Cassia Twig 2 g

Bohe 10 g, Qinghao 10 g, Yinhua 10 g, Juhua 10 g, Yizhihuanghua 10 g, Guizhi 2 g

Yang 2000b

Chai Ge Jieji Tang Jiawei

Red Thorowax Root 10 g, Kudzuvine Root 30 g, Incised Notopterygium Rhizome 30 g, Platycodon Root 12 g, Crude Gypsum 30 g, Baical Skullcap Root 12g, White Paeony Root 10 g, Dahurian Angelica Root 12g, Weeping Forsythia Capsule 30 g, Divaricate Saposhnikovia Root 10 g, Tangerine Peel 10 g, Liquoric Root 10 g, Fresh Ginger 6 g , Chinese Date 10 g

Chaihu 10 g, Gegen 30 g, Qianghuo 30 g, Jiegeng 12 g, Shengshigao 30, Huangqin 12g, Baishao 10 g, Baizhi 12g, Lianqiao 30 g, Fangfeng 10 g, Chenpi 10 g, Gancao 10 g, Shengjiang 6 , Dazao 10 g

Zhang 2002

Chaihu Guizhi Tang Jiawei Fang

Red Thorowax Root, Pinellia Tuber, Cassia Twig, Baical Skullcap Root, Ginseng, Peony Root, Chinese Date, Fresh Ginger, Liquoric Root

Chaihu, Banxia, Guizhi, Huangqin, Renshen, Shaoyao, Dazao, Shengjiang, Gancao

Hou 2002

Shuang Jie Tang

Crude Gypsum 30 g, Common Anemarrhena Rhizome 10 g, Honeysuckle Flower 30 g, Weeping Forsythia Capsule 10 g, Fineleaf Schizonepeta Herb 6 , Peppermint 6 , Antelope Horn Powder 0.3g, Red Thorowax Root 10 g, Great Burdock Achene 10 g, Mulberry Twig 10 g, Reed Rhizome 60g, Fresh Liquoric Root 6

Shengshigao 30 g, Zhimu 10 g, Jinyinhua 30 g, Lianqiao 10 g, Jingjiehui 6 , Bohe 6 , Lingyangjiaofen 0.3g, Chaihu 10 g, Niubangzi 10 g, Sangzhi 10 g, Lumaogen 60g, Shenggancao 6

Xu 2001

Da Qing Long Tang

Grilled Ephedra Herb 10 g, Cassia Twig 10 g, Gypsum 30 g, Apricot Seed 12 g, Grilled Liquoric Root, 3 pieces of Ginger, 10 Chinese Dates

Zhimahuang 10 g, Guizhi 10 g, Shigao 30 g, Xingren 12 g, Zhigancao 6 , 3 pieces of Shengjiang, 10 Dazao

Shi 2004

E Shu You

Zedoary

Zedoary

Ezhu

Hamazaki 2006

Bu Zhong Yi Qi Tang

Membranous Milkvetch Root / Mongolian Milkcetch Root, Gingseng, Liquoric Root, Largehead Atractylodes Rhizome, Chinese Angelica, Tangerine Peel, Chinese Thorowax Root /Red Thorowax Root, Largetrifoliolious Bugbane Rhizome

Huangqi, Renshen, Gancao, Baizhu, Danggui, Chenpi, Shengma, Chaihu

Hang 1998

Yuxingcao Koufu Ye

Heartleaf Houttuynia Herb, Baical Skullcap Root, Indigowoad Root, Weeping Forsythiae Capsule, Honeysuckle Flower

Yuxingcao, Huangqin, Banlangen, Lianqiao, Jinyinhua

Huang 2003, Liu 2002

Yuxingcao injection

Extract from Heartleaf Houttuynia Herb for injection

Yuxingcao

Jiang 2003

Yinhua Jiedu Granule

Honeysuckle Flower, Sweet Wormwood Herb, Fineleaf Schizonepeta Herb, Peppermint, Wild Chrysanthemum

Jinyinhua, Qinghao, Jingjie, Bohe, Yejuhua

Jin 1998

Shouqi Jiedu Decoction

Chinese Thorowax Root /Red Thorowax Root 15g, Honeysuckle Flower 15g, Cyrtomium Rhizome 15g, Sweet Wormwood Herb 10 g, Baical Skullcap Root 10 g, Baical Skullcap Root 20 g, Gypsum 30 g, Reed Rhizome 30 g, Raw Liquoric Root 6 g

Chaihu 15g, Yinhua 15g, Guanzhong 15g, Qinghao 10g, Huangqin 10g, Daqingye 20g, Shengshigao 30g, Lugan 30, Shenggancao 6g

Li 2005

Chuan Hu Ning injection

Extract from Common Andrographis Herb for injection

Chuanxinlian

Li 2005

San Shi decoction

Raw Gypsum, Gypsum Calcite, Talc Talcum, Ricepaperplant Pith, Apricot Seed, Lalang Grass Rhizome, Honeysuckle Flower, Weeping Forsythiae Capsule, Lotus Leaf, Indigowoad Root, Liquoric Root

Shengshigao, Hanshuishi, Huashi, Tongcao, Xingren, Maogen, Jinyinhua, Lianqiao, Heye, Banlangen, Gancao

Lu 2004

Shuanghuanglian Kou Fu Ye

Honeysuckle Flower, Baical Skullcap Root, Weeping Forsythiae Capsule

Jinyinhua, Huangqin, Lianqiao

Qu 2005

Tan Re Qing injection

Baical Skullcap Root, Bear Gall Powder, Antelope Horn, Honeysuckle Flower, Weeping Forsythiae Capsule

Huangqin, Xiongdanfen, Shanyangjiao, Yinhua, Lianqiao

Yang 2000a

Redu Jing Kou Fu Ye

Membranous Milkvetch Root , Natural Indigo, Redroot Gromwell Root, Root Bark of Peony Tree, Baical Skullcap Root, Zedoary, Chinese Angelica, Peach Seed

Huangqi, Qingdai, Zhicao, Danpi, Huangqin, Eshu, Danggui, Taoren

Yang 2005a, Yang 2005b

Lianhuaqingwen capsule

Weeping Forsythiae Capsule, Honeysuckle Flower, Ephedra Herb, Male Fern Rhizome, Indigowoad Root, Gypsum, Peppermint, Wrinkled Gianthyssop Herb, Rhodiola quadrifida, Heartleaf Houttuynia Herb, Rhubarb, Bitter Apricot Seed, Liquoric Root

Lianqiao, Jinyinhua, Zhimahuang, Mianmaguanzhong, Banlangen, Shigao, Bohenao, Guanghuoxiang, Hongjingtian, Yuxingcao, Dahuang,Chaokuxingren, Gancao

Zeng 2004

Yinma mixture

Honeysuckle Flower 15 g, Ephedra Herb 10 g, Weeping Forsythiae Capsule 15 g, Bitter Apricot Seed 10 g, Platycodon Root 10 g, Great Burdock Achene 15 g, Peppermint 12 g, Cicada Slough 15 g, Baical Skullcap Root 12 g, Raw Gypsum 80 g, Cape Jasmine Fruit 15 g, Chinese Wolfberry Root‐bark 15 g, Red Thorowax Root 15 g, Liquoric Root 6 g, Indigowoad Leaf 20 g

Yinhua 15 g, Mahuang 10 g, Lianqiao 15 g, Xingren 10 g, Jugeng 10 g, Niubangzi 15 g, Bohe 12 g, Chantui 15 g, Huangqin 12 g, Shengshigao 80 g, Zhizi 15 g, Digupi 15 g, Chaihu 15 g, Gancao 6 g, Daqingye 20 g

Zhang 2000, Zhang 2004

Yiqi Qingjie Fa (Influenza No. 1)

Manyflower Solomonseal Rhizome, Fragrant Solomonseal Rhizome, Pinellia Tuber,Red Thorowax Root, Common Hongfennel Root, Platycodon Root, Great Burdock Achene, Baical Skullcap Root, Raw Liquoric Root, Indigowoad Root, Honeysuckle Flower, Figwort Root

Huangjing, Yuzhu, Banxia, Chaihu, Qianhu, Jugeng, Niubangzi, Huangqin, Shenggancao, Banlangen, Jinyinhua, Xuanshen

Zhang 2005

Gan Qing Dai Paoji

Capsule, Raw Gypsum, Baical Skullcap Root, Figwort Root, Red Thorowax Root, Large leaf Gentian Root, Platycodon Root, Apricot Seed, Thunberg Fritillary Bulb, Common Coltsfoot Flower, Indigowoad Root, Cicada Slough, Peppermint, Liquoric Root

Jinyinhua, Lianqiao, Shengshigao, Huangqin, Xuanshen, Chaihu, Qinghao, Qinjiao, Jugeng, Xingren, Zhemubei, Kuandonghua, Banlangen, Chanyi, Bohe, Gancao

Zhao 2006

kang liu gan he ji

Peppermint 9 g, Golden Thread 9 g, Weeping Forsythiae Capsule 10 g, Fine leaf Schizonepeta Herb 10 g, Sweet Wormwood Herb 10 g, Indigowoad Root 10 g, Indigowoad Leaf 10 g, Red Thorowax Root 10 g, Baical Skullcap Root 10 g, Membranous Milkvetch Root 15 g, Ephedra Herb 6 g, Ovientvine 12 g, Heartleaf Houttuynia Herb 30 g

Bohe 9 g, Huanglian 9 g, Lianqiao 10 g, Jingjie 10 g, Qinghao 10 g, Banlangen 10 g, Daqingye 10 g, Chaihu 10 g, Huangqin 10 g, Huangqi 15 g, Mahuang 6 g, Qingfengteng 12 g, Yuxingcao 30 g

Zhong 2005

Lu Qing granule

Antelope Horn Powder, Gypsum, Common Anemarrhena Rhizome, Reed Rhizome, Indigowoad Root, Red Paeony Root, Rhubarb, Forbes Notopterygium Rhizome, Sweet Wormwood Herb, Honeysuckle Flower, Weeping Forsythiae Capsule, Chinese Mosla Herb, Indigowoad Leaf

Lingyangjiaofen, Shigao, Zhimu, Lugen, Banlangen, Chishao, Dahuang, Qianghuo, Qinghao, Jinyinhua, Lianqiao, Xiangru, Daqingye

Qiu 1997

Mixture of Xiao Chaihu decoction, Zhizi Gu decoction and Biyu Shan

Red Thorowax Root 10 g, Fermented Soya Beans 10 g, Pinellia Rhizome 10 g, Silkworm Feculae 10 g, Baical Skullcap Root 10 g, Raw Cape Jasmine Fruit 10 g, Jasper Powder 10 g, Danshen Root 10 g, 5 Chinese Dates

Chaihu 10 g, Dougu 10 g, Fabanxia 10 g, Chansha 10 g, Huangqin 10 g, Shengshanzhi 10 g, Biyusan 10 g, Dangshen 10 g, 5 Dazhao

Song 2002

Shubiao Jiedu Yin

Indigowoad Root 30 g, Honeysuckle Flower 30 g, Vietnamese Sophora Root 15 g, Kudzuvine Root 15 g, Thunberg Fritillary Bulb 15 g, Incised Notopterygium Rhizome 10 g, Baical Skullcap Root 9 g, Great Burdock Achene 12 g, Cyrtomium Rhizome 12 g, Peppermint Leaf 6 g, Platycodon Root 8 g, Weeping Forsythiae Capsule 20 g

Banlangen 30 g, Erhua 30 g, Shandougen 15 g, Gegen 15 g, Zhebeimu 15 g,Qianghuo 10 g, Huangqin 9 g, Niubangzi 12 g, Guanzhong 12 g, Boheye 6 g, Jugeng 8 g, Lianqiao 20 g

Li 2001

Zhongyi Fang Ji

Raw Gypsum 30 g, Common Anemarrhena Rhizome 15 g, Red Thorowax Root 12 g, Baical Skullcap Root 9 g, Cape Jasmine Fruit 12 g, Fine leaf Schizonepeta Herb 15 g, Peppermint 6 g, Raw Liquoric Root 6 g

Shengshigao 30 g, Zhimu 15 g, Chaihu 12 g, Huangqin 9 g, Zhizi 12 g, Jingjie 15 g, Bohe 6 g, Shenggancao 6 g

Figuras y tablas -
Table 4. The composition of preparations of TCMs
Comparison 1. Day 2 recovery rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Ganmao capsule versus amantadine

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 1. Day 2 recovery rate
Comparison 2. Day 3 recovery rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 2. Day 3 recovery rate
Comparison 3. Day 3 marked improvement

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 3. Day 3 marked improvement
Comparison 4. Day 3 partial improvement

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 4. Day 3 partial improvement
Comparison 5. Day 3 no improvement rate

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 E Shu You versus ribavirin

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 5. Day 3 no improvement rate
Comparison 6. Influenza incidence

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Herbal medicine versus antiviral drugs Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Ganmao capsule versus amantadine

1

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 6. Influenza incidence
Comparison 7. Adverse reaction

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Adverse reaction in the gastrointestinal tract Show forest plot

1

Odds Ratio (M‐H, Fixed, 95% CI)

Totals not selected

1.1 Herbal medicine versus antiviral drugs

1

Odds Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

Figuras y tablas -
Comparison 7. Adverse reaction