Skip to main content
Top
Published in: Trials 1/2021

Open Access 01-12-2021 | Study protocol

Efficacy of modified Banxia Xiexin decoction in the management of Wei-Pi syndrome (postprandial distress syndrome): study protocol for a randomized, waitlist-controlled trial

Authors: Sai Ho Sin, Jing Wu, Yuchen Kang, Kar Hung Kevin Yip, Ngo Suet Kong, Hei Wan, Bacon Fung Leung Ng, Haiyong Chen

Published in: Trials | Issue 1/2021

Login to get access

Abstract

Background

Postprandial distress syndrome manifests as a feeling of fullness and early satiation that can significantly reduce the quality of life of the patients. In Chinese medicine (CM), the syndrome is traditionally regarded as the Wei-Pi syndrome, and Banxia Xiexin decoction (BXD) has been used in the empirical treatment of the same for a long time. The current study aims to evaluate the efficacy of modified BXD in the management of Wei-Pi syndrome.

Methods/design

A randomized, waitlist-controlled trial will be conducted. A total of 84 patients with Wei-Pi syndrome will be randomized into the BXD or waitlist control group in a ratio of 1:1. The patients in the BXD group will receive the semi-individualized BXD on the basis of the syndrome differentiation in CM, for a duration of 3 weeks and will be under follow-up for further 3 weeks after the completion of therapy. Conversely, the patients in the waitlist control group will undergo the same intervention and follow-up after a 3-week waiting period. In the current study, the primary outcome will be the variation in the scores pertaining to the global scale of the Quality of Life Questionnaire for Functional Digestive Disorders after 3 weeks. The secondary outcomes include the variations in the scores pertaining to the Hospital Anxiety and Depression Scale and the EuroQoL 5-dimension 5-level Questionnaire and the results of the liver and kidney function tests.

Discussion

This trial will assess the efficacy of modified BXD in improving the clinical symptoms and quality of life of the patients suffering from Wei-Pi syndrome.

Trial registration

ClinicalTrials.​govNCT04398888. Registered on May 21, 2020
Appendix
Available only for authorised users
Literature
1.
go back to reference Futagami S, Yamawaki H, Agawa S, Higuchi K, Ikeda G, Noda H, et al. New classification Rome IV functional dyspepsia and subtypes. Transl Gastroenterol Hepatol. 2018;3:70.CrossRef Futagami S, Yamawaki H, Agawa S, Higuchi K, Ikeda G, Noda H, et al. New classification Rome IV functional dyspepsia and subtypes. Transl Gastroenterol Hepatol. 2018;3:70.CrossRef
2.
go back to reference Mahadeva S, Ford AC. Clinical and epidemiological differences in functional dyspepsia between the East and the West. Neurogastroenterol Motil. 2016;28(2):167–74.CrossRef Mahadeva S, Ford AC. Clinical and epidemiological differences in functional dyspepsia between the East and the West. Neurogastroenterol Motil. 2016;28(2):167–74.CrossRef
3.
go back to reference Hu W, Wong WM, Lam C, Lam K, Hui W, Lai K, et al. Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population-based study. Aliment Pharmacol Ther. 2002;16(12):2081–8.CrossRef Hu W, Wong WM, Lam C, Lam K, Hui W, Lai K, et al. Anxiety but not depression determines health care-seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population-based study. Aliment Pharmacol Ther. 2002;16(12):2081–8.CrossRef
4.
go back to reference Cheng C, Hui WM, Lam SK. Psychosocial factors and perceived severity of functional dyspeptic symptoms: a psychosocial interactionist model. Psychosom Med. 2004;66(1):85–91.CrossRef Cheng C, Hui WM, Lam SK. Psychosocial factors and perceived severity of functional dyspeptic symptoms: a psychosocial interactionist model. Psychosom Med. 2004;66(1):85–91.CrossRef
5.
6.
go back to reference Lacy BE, Weiser KT, Kennedy AT, Crowell MD, Talley NJ. Functional dyspepsia: the economic impact to patients. Aliment Pharmacol Ther. 2013;38(2):170–7.CrossRef Lacy BE, Weiser KT, Kennedy AT, Crowell MD, Talley NJ. Functional dyspepsia: the economic impact to patients. Aliment Pharmacol Ther. 2013;38(2):170–7.CrossRef
7.
go back to reference Cheng S. Huangdi’s internal classic. Beijing: People’s Medical Publishing House; 2006. Cheng S. Huangdi’s internal classic. Beijing: People’s Medical Publishing House; 2006.
8.
go back to reference Zhang SS, Qin DP, Zhou Q, Ji YX, Li JX, Tang XD, et al. A clinical practice guideline for functional dyspepsia in Chinese medicine (primary care doctor version). China J Tradit Chinese Med Pharm. 2019;(8):75. Zhang SS, Qin DP, Zhou Q, Ji YX, Li JX, Tang XD, et al. A clinical practice guideline for functional dyspepsia in Chinese medicine (primary care doctor version). China J Tradit Chinese Med Pharm. 2019;(8):75.
9.
go back to reference Zhang SS, Zhao RQ. A diagnosis and treatment of functional dyspepsia: a consensus 2017. China J Tradit Chinese Med Pharm. 2017;(6):2595–8. Zhang SS, Zhao RQ. A diagnosis and treatment of functional dyspepsia: a consensus 2017. China J Tradit Chinese Med Pharm. 2017;(6):2595–8.
10.
go back to reference Chung KF, Yeung WF, Leung FCY, Yu BYM. When east meets west: understanding the traditional Chinese medicine diagnoses on insomnia by Western medicine symptomatology. Eur J Integr Med. 2018;17:129–34.CrossRef Chung KF, Yeung WF, Leung FCY, Yu BYM. When east meets west: understanding the traditional Chinese medicine diagnoses on insomnia by Western medicine symptomatology. Eur J Integr Med. 2018;17:129–34.CrossRef
11.
go back to reference Yeung WF, Chung KF, Zhang NL, Zhang SP, Yung KP, Chen PX, et al. Identification of Chinese medicine syndromes in persistent insomnia associated with major depressive disorder: a latent tree analysis. Chin Med. 2016;11(4):4.CrossRef Yeung WF, Chung KF, Zhang NL, Zhang SP, Yung KP, Chen PX, et al. Identification of Chinese medicine syndromes in persistent insomnia associated with major depressive disorder: a latent tree analysis. Chin Med. 2016;11(4):4.CrossRef
12.
go back to reference Liu F, Fan YH, Wei YL. A review on the pathology and disease mechanisms of functional dyspepsia. J China-Japan Fridenship Hospital. 2007;21(5):303–5. Liu F, Fan YH, Wei YL. A review on the pathology and disease mechanisms of functional dyspepsia. J China-Japan Fridenship Hospital. 2007;21(5):303–5.
13.
go back to reference Li YH. Banxia Xiexin decoction for Pi syndrome: an analysis of 159 cases. Beijing J Tradit Chinese Med. 1991;10(5):11. Li YH. Banxia Xiexin decoction for Pi syndrome: an analysis of 159 cases. Beijing J Tradit Chinese Med. 1991;10(5):11.
14.
go back to reference Feng H, Zang L, Zhang D-Z. Influence of Banxia Xiexin decoction on substance P in the blood serum and calcitonin gene-related peptide in the gastric antrum mucosa of patients with functional dyspepsia. J Nanjing Univ Tradit Chinese Med. 2015;31(4):310–13. Feng H, Zang L, Zhang D-Z. Influence of Banxia Xiexin decoction on substance P in the blood serum and calcitonin gene-related peptide in the gastric antrum mucosa of patients with functional dyspepsia. J Nanjing Univ Tradit Chinese Med. 2015;31(4):310–13.
15.
go back to reference He RH, Xie XL. Mosapride combined with Banxia Xiexin decoction in the treatment of functional dyspepsia and its effect on plasma motilin. J New Chinese Med. 2012;44(4):39–40. He RH, Xie XL. Mosapride combined with Banxia Xiexin decoction in the treatment of functional dyspepsia and its effect on plasma motilin. J New Chinese Med. 2012;44(4):39–40.
18.
go back to reference Chassany O, Marquis P, Scherrer B, Read NW, Finger T, Bergmann JF, et al. Validation of a specific quality of life questionnaire for functional digestive disorders. Gut. 1999;44(4):527–33.CrossRef Chassany O, Marquis P, Scherrer B, Read NW, Finger T, Bergmann JF, et al. Validation of a specific quality of life questionnaire for functional digestive disorders. Gut. 1999;44(4):527–33.CrossRef
19.
go back to reference Feng-Bin L, Yong-Xing J, Yu-Hang W, Zheng-Kun H, Xin-Lin C. Translation and psychometric evaluation of the Chinese version of functional digestive disorders quality of life questionnaire. Dig Dis Sci. 2014;59(2):390–420.CrossRef Feng-Bin L, Yong-Xing J, Yu-Hang W, Zheng-Kun H, Xin-Lin C. Translation and psychometric evaluation of the Chinese version of functional digestive disorders quality of life questionnaire. Dig Dis Sci. 2014;59(2):390–420.CrossRef
20.
go back to reference Hou ZK, Mi H, Liu FB, Chen ZQ, Chen XL, Wu YH, et al. Interpreting the Chinese version of quality of life questionnaire for functional digestive disorders. J Gastroenterol Hepatol. 2018;33(4):869–77.CrossRef Hou ZK, Mi H, Liu FB, Chen ZQ, Chen XL, Wu YH, et al. Interpreting the Chinese version of quality of life questionnaire for functional digestive disorders. J Gastroenterol Hepatol. 2018;33(4):869–77.CrossRef
21.
go back to reference Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69–77.CrossRef Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52(2):69–77.CrossRef
22.
go back to reference Leung CM, Wing YK, Kwong PK, Lo A, Shum K. Validation of the Chinese-Cantonese version of the hospital anxiety and depression scale and comparison with the Hamilton Rating Scale of Depression. Acta Psychiatr Scand. 1999;100(6):456–61.CrossRef Leung CM, Wing YK, Kwong PK, Lo A, Shum K. Validation of the Chinese-Cantonese version of the hospital anxiety and depression scale and comparison with the Hamilton Rating Scale of Depression. Acta Psychiatr Scand. 1999;100(6):456–61.CrossRef
23.
go back to reference Mahadeva S, Wee HL, Goh KL, Thumboo J. The EQ-5D (Euroqol) is a valid generic instrument for measuring quality of life in patients with dyspepsia. BMC Gastroenterol. 2009;9:20.CrossRef Mahadeva S, Wee HL, Goh KL, Thumboo J. The EQ-5D (Euroqol) is a valid generic instrument for measuring quality of life in patients with dyspepsia. BMC Gastroenterol. 2009;9:20.CrossRef
24.
go back to reference Shetty AJ, Balaraju G, Shetty S, Pai CG. Quality of life in dyspepsia and its subgroups using EQ-5D (EuroQol) questionnaire. Saudi J Gastroenterol. 2017;23(2):112–6.PubMedPubMedCentral Shetty AJ, Balaraju G, Shetty S, Pai CG. Quality of life in dyspepsia and its subgroups using EQ-5D (EuroQol) questionnaire. Saudi J Gastroenterol. 2017;23(2):112–6.PubMedPubMedCentral
26.
go back to reference Chen XX, Lin WL, Yeung WF, Song TH, Lao LX, Zhang YB, et al. Quality and safety control of tumor-shrinking decoction (TSD): a Chinese herbal preparation for the treatment of uterine fibroids. Biotechnol Appl Biochem. 2017;64(1):126–33.CrossRef Chen XX, Lin WL, Yeung WF, Song TH, Lao LX, Zhang YB, et al. Quality and safety control of tumor-shrinking decoction (TSD): a Chinese herbal preparation for the treatment of uterine fibroids. Biotechnol Appl Biochem. 2017;64(1):126–33.CrossRef
27.
go back to reference Song J, Yang L, Su S, Piao MY, Li BL, Yu Y, et al. Agreement of gastroenterologists in traditional Chinese medical differential diagnosis of functional dyspepsia compared with traditional Chinese medical practitioners: a prospective, multicenter study. J Dig Dis. 2020;21(7):399–405.CrossRef Song J, Yang L, Su S, Piao MY, Li BL, Yu Y, et al. Agreement of gastroenterologists in traditional Chinese medical differential diagnosis of functional dyspepsia compared with traditional Chinese medical practitioners: a prospective, multicenter study. J Dig Dis. 2020;21(7):399–405.CrossRef
28.
go back to reference Chu MHK, Wu IXY, Ho RST, Wong CHL, Zhang AL, Zhang Y, et al. Chinese herbal medicine for functional dyspepsia: systematic review of systematic reviews. Ther Adv Gastroenterol. 2018;11:1756284818785573.CrossRef Chu MHK, Wu IXY, Ho RST, Wong CHL, Zhang AL, Zhang Y, et al. Chinese herbal medicine for functional dyspepsia: systematic review of systematic reviews. Ther Adv Gastroenterol. 2018;11:1756284818785573.CrossRef
29.
go back to reference Moayyedi PM, Lacy BE, Andrews CN, Enns RA, Howden CW, Vakil N. ACG and CAG Clinical Guideline: management of dyspepsia. Am J Gastroenterol. 2017;112(7):988–1013.CrossRef Moayyedi PM, Lacy BE, Andrews CN, Enns RA, Howden CW, Vakil N. ACG and CAG Clinical Guideline: management of dyspepsia. Am J Gastroenterol. 2017;112(7):988–1013.CrossRef
30.
go back to reference Zhang X, Tian R, Zhao C, Tang X, Lu A, Bian Z. Placebo design in WHO-registered trials of Chinese herbal medicine need improvements. BMC Complement Altern Med. 2019;19(1):299.CrossRef Zhang X, Tian R, Zhao C, Tang X, Lu A, Bian Z. Placebo design in WHO-registered trials of Chinese herbal medicine need improvements. BMC Complement Altern Med. 2019;19(1):299.CrossRef
Metadata
Title
Efficacy of modified Banxia Xiexin decoction in the management of Wei-Pi syndrome (postprandial distress syndrome): study protocol for a randomized, waitlist-controlled trial
Authors
Sai Ho Sin
Jing Wu
Yuchen Kang
Kar Hung Kevin Yip
Ngo Suet Kong
Hei Wan
Bacon Fung Leung Ng
Haiyong Chen
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Trials / Issue 1/2021
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-021-05078-y

Other articles of this Issue 1/2021

Trials 1/2021 Go to the issue