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Published in: Archives of Gynecology and Obstetrics 4/2017

01-10-2017 | Review

Wenjing decoction (herbal medicine) for the treatment of primary dysmenorrhea: a systematic review and meta-analysis

Authors: Li Gao, Chunhua Jia, Heng Zhang, Cuilan Ma

Published in: Archives of Gynecology and Obstetrics | Issue 4/2017

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Abstract

Purpose

Wenjing decoction is a well-accepted traditional Chinese medicine for the treatment of primary dysmenorrhea in East Asia, but its clinical effectiveness and risk have not been adequately assessed. In this paper, we conducted a systematic review and meta-analysis to evaluate the efficacy of Wenjing decoction for the treatment of primary dysmenorrhea.

Methods

Eight databases were used in our research: the Cochrane Library, the Web of Science, PubMed, EMBASE, the Chinese Biomedical Literature Database (CBM), the Chinese National Knowledge Infrastructure (CNKI), the Chinese Scientific Journal Database, and the Wan-fang Database. The following search terms were used: (Wenjing decoction OR Wenjing formula OR Wenjing tang) AND (primary dysmenorrhea OR dysmenorrhea OR painful menstruation) AND (randomized controlled trial). No language limitation was used.

Results

A total of 18 studies, including 1736 patients, were included in the meta-analysis. Wenjing decoction was shown to be significantly better than nonsteroidal anti-inflammatory drugs for the improvement of primary dysmenorrhea according to the clinical effective rate (RR 1.41, 95% CI 1.24–1.61), the visual analogue scale (MD −1.77, 95% CI −2.69 to −0.84), and the pain scale for dysmenorrhea (MD −1.81, 95% CI −2.41 to −1.22).

Conclusions

The results supported the clinical use of Wenjing decoction for the treatment of primary dysmenorrhea. However, the quality of the evidence for this finding was low due to a high risk of bias in the included studies. Therefore, well-designed randomized controlled trials are still needed to further evaluate the efficacy of Wenjing decoction for the treatment of primary dysmenorrhea.
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Literature
1.
go back to reference Osayande AS, Mehulic S (2014) Diagnosis and initial management of dysmenorrhea. Am Fam Physician 89(5):341–346PubMed Osayande AS, Mehulic S (2014) Diagnosis and initial management of dysmenorrhea. Am Fam Physician 89(5):341–346PubMed
2.
go back to reference Kural M, Noor NN, Pandit D, Joshi T, Patil A (2014) Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Fam Med Prim Care 4(3):426–431 Kural M, Noor NN, Pandit D, Joshi T, Patil A (2014) Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Fam Med Prim Care 4(3):426–431
3.
go back to reference Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, Hanay F (2009) Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet 279(4):527–532CrossRefPubMed Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, Hanay F (2009) Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet 279(4):527–532CrossRefPubMed
4.
go back to reference Aksoy AN, Laloglu E, Ozkaya AL, Yilmaz EP (2017) Serum heme oxygenase-1 levels in patients with primary dysmenorrhea. Arch Gynecol Obstet 295(4):929–934CrossRefPubMed Aksoy AN, Laloglu E, Ozkaya AL, Yilmaz EP (2017) Serum heme oxygenase-1 levels in patients with primary dysmenorrhea. Arch Gynecol Obstet 295(4):929–934CrossRefPubMed
5.
go back to reference Celik H, Gurates B, Parmaksiz C, Polat A, Hanay F, Kavak B, Yavuz A, Artas ZD (2009) Severity of pain and circadian changes in uterine artery blood flow in primary dysmenorrhea. Arch Gynecol Obstet 280(4):589–592CrossRefPubMed Celik H, Gurates B, Parmaksiz C, Polat A, Hanay F, Kavak B, Yavuz A, Artas ZD (2009) Severity of pain and circadian changes in uterine artery blood flow in primary dysmenorrhea. Arch Gynecol Obstet 280(4):589–592CrossRefPubMed
6.
go back to reference Akerlund M (1993) The role of oxytocin and vasopressin in the initiation of preterm and term labour as well as primary dysmenorrhoea. Regul Pept 45(1–2):187–191CrossRefPubMed Akerlund M (1993) The role of oxytocin and vasopressin in the initiation of preterm and term labour as well as primary dysmenorrhoea. Regul Pept 45(1–2):187–191CrossRefPubMed
7.
go back to reference Chantler I, Mitchell D, Fuller A (2009) Diclofenac potassium attenuates dysmenorrhea and restores exercise performance in women with primary dysmenorrhea. J Pain 10(2):191–200CrossRefPubMed Chantler I, Mitchell D, Fuller A (2009) Diclofenac potassium attenuates dysmenorrhea and restores exercise performance in women with primary dysmenorrhea. J Pain 10(2):191–200CrossRefPubMed
8.
go back to reference Hee L, Kettner LO, Vejtorp M (2013) Continuous use of oral contraceptives: an overview of effects and side-effects. Acta Obstet Gynecol Scand 92(2):125–136CrossRefPubMed Hee L, Kettner LO, Vejtorp M (2013) Continuous use of oral contraceptives: an overview of effects and side-effects. Acta Obstet Gynecol Scand 92(2):125–136CrossRefPubMed
9.
go back to reference Sostres C, Gargallo CJ, Arroyo MT, Lanas A (2010) Adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs, aspirin and coxibs) on upper gastrointestinal tract. Best Pract Res Clin Gastroenterol 24(2):121–132CrossRefPubMed Sostres C, Gargallo CJ, Arroyo MT, Lanas A (2010) Adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs, aspirin and coxibs) on upper gastrointestinal tract. Best Pract Res Clin Gastroenterol 24(2):121–132CrossRefPubMed
10.
go back to reference Kalvandi R, Alimohammadi S, Pashmakian Z, Rajabi M (2014) The effects of medicinal plants of melissa officinalis and salvia officinalis on primary dysmenorrhea. Sci J Hamadan Univ Med Sci 21(2):105–111 Kalvandi R, Alimohammadi S, Pashmakian Z, Rajabi M (2014) The effects of medicinal plants of melissa officinalis and salvia officinalis on primary dysmenorrhea. Sci J Hamadan Univ Med Sci 21(2):105–111
11.
go back to reference Ghodsi Z, Asltoghiri M (2014) The effect of fennel on pain quality, symptoms, and menstrual duration in primary dysmenorrhea. J Pediatr Adolesc Gynecol 27(5):283–286CrossRefPubMed Ghodsi Z, Asltoghiri M (2014) The effect of fennel on pain quality, symptoms, and menstrual duration in primary dysmenorrhea. J Pediatr Adolesc Gynecol 27(5):283–286CrossRefPubMed
12.
go back to reference Ojewole JA (2005) Antinociceptive, anti-inflammatory and antidiabetic effects of Bryophyllum pinnatum (Crassulaceae) leaf aqueous extract. J Ethnopharmacol 99(1):13–19CrossRefPubMed Ojewole JA (2005) Antinociceptive, anti-inflammatory and antidiabetic effects of Bryophyllum pinnatum (Crassulaceae) leaf aqueous extract. J Ethnopharmacol 99(1):13–19CrossRefPubMed
13.
go back to reference Eisenhardt S, Fleckenstein J (2016) Traditional Chinese medicine valuably augments therapeutic options in the treatment of climacteric syndrome. Arch Gynecol Obstet 294(1):193–200CrossRefPubMed Eisenhardt S, Fleckenstein J (2016) Traditional Chinese medicine valuably augments therapeutic options in the treatment of climacteric syndrome. Arch Gynecol Obstet 294(1):193–200CrossRefPubMed
14.
go back to reference Chen HY, Lin YH, Su IH, Chen YC, Yang SH, Chen JL (2014) Investigation on Chinese herbal medicine for primary dysmenorrhea: Implication from a nationwide prescription database in Taiwan. Complement Ther Med 22(1):116–125CrossRefPubMed Chen HY, Lin YH, Su IH, Chen YC, Yang SH, Chen JL (2014) Investigation on Chinese herbal medicine for primary dysmenorrhea: Implication from a nationwide prescription database in Taiwan. Complement Ther Med 22(1):116–125CrossRefPubMed
15.
go back to reference Yeh LL, Liu JY, Lin KS, Liu YS, Chiou JM, Liang KY, Tsai TF, Wang LH, Chen CT, Huang CY (2016) A randomised placebo-controlled trial of a traditional Chinese herbal formula in the treatment of primary dysmenorrhoea. PLoS One 2(8):e719CrossRef Yeh LL, Liu JY, Lin KS, Liu YS, Chiou JM, Liang KY, Tsai TF, Wang LH, Chen CT, Huang CY (2016) A randomised placebo-controlled trial of a traditional Chinese herbal formula in the treatment of primary dysmenorrhoea. PLoS One 2(8):e719CrossRef
16.
go back to reference Qian Y, Xia XR, Ochin H, Huang C, Gao C, Gao L, Cui YG, Liu JY, Meng Y (2016) Therapeutic effect of acupuncture on the outcomes of in vitro fertilization: a systematic review and meta-analysis. Arch Gynecol Obstet 295(3):543–558CrossRefPubMed Qian Y, Xia XR, Ochin H, Huang C, Gao C, Gao L, Cui YG, Liu JY, Meng Y (2016) Therapeutic effect of acupuncture on the outcomes of in vitro fertilization: a systematic review and meta-analysis. Arch Gynecol Obstet 295(3):543–558CrossRefPubMed
17.
go back to reference Lee HW, Jun JH, Kil K-J, Ko B-S, Lee CH, Lee MS (2016) Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas 85:19–26CrossRefPubMed Lee HW, Jun JH, Kil K-J, Ko B-S, Lee CH, Lee MS (2016) Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Maturitas 85:19–26CrossRefPubMed
18.
go back to reference Zhu X, Proctor M, Bensoussan A, Wu E, Smith C (2008) Chinese herbal medicine for primary dysmenorrhea. Cochrane Database Syst Rev 2:CD005288 Zhu X, Proctor M, Bensoussan A, Wu E, Smith C (2008) Chinese herbal medicine for primary dysmenorrhea. Cochrane Database Syst Rev 2:CD005288
19.
go back to reference Lee H, Choi TY, Myung CS, Lee JA, Lee MS (2016) Herbal medicine (Shaofu Zhuyu decoction) for treating primary dysmenorrhea: a systematic review of randomized clinical trials. Maturitas 86:64–73CrossRefPubMed Lee H, Choi TY, Myung CS, Lee JA, Lee MS (2016) Herbal medicine (Shaofu Zhuyu decoction) for treating primary dysmenorrhea: a systematic review of randomized clinical trials. Maturitas 86:64–73CrossRefPubMed
20.
go back to reference Wu CL, Hung CR, Chang FY, Lin LC, Pau KY, Wang PS (2002) Effects of evodiamine on gastrointestinal motility in male rats. Eur J Pharmacol 457(2–3):169CrossRefPubMed Wu CL, Hung CR, Chang FY, Lin LC, Pau KY, Wang PS (2002) Effects of evodiamine on gastrointestinal motility in male rats. Eur J Pharmacol 457(2–3):169CrossRefPubMed
21.
go back to reference Su S, Hua Y, Duan J, Zhou W, Shang E, Tang Y (2010) Inhibitory effects of active fraction and its main components of Shaofu Zhuyu decoction on uterus contraction. Am J Chin Med 38(4):777–787CrossRefPubMed Su S, Hua Y, Duan J, Zhou W, Shang E, Tang Y (2010) Inhibitory effects of active fraction and its main components of Shaofu Zhuyu decoction on uterus contraction. Am J Chin Med 38(4):777–787CrossRefPubMed
22.
go back to reference Sun L, Liu L, Zong S, Wang Z, Zhou J, Xu Z, Ding G, Xiao W, Kou J (2016) Traditional Chinese medicine Guizhi Fuling capsule used for therapy of dysmenorrhea via attenuating uterus contraction. J Ethnopharmacol 191:273–279CrossRefPubMed Sun L, Liu L, Zong S, Wang Z, Zhou J, Xu Z, Ding G, Xiao W, Kou J (2016) Traditional Chinese medicine Guizhi Fuling capsule used for therapy of dysmenorrhea via attenuating uterus contraction. J Ethnopharmacol 191:273–279CrossRefPubMed
23.
go back to reference Hsu CS, Yang JK, Yang LL (2003) Effect of a dysmenorrhea Chinese medicinal prescription on uterus contractility in vitro. Phytother Res 17(7):778CrossRefPubMed Hsu CS, Yang JK, Yang LL (2003) Effect of a dysmenorrhea Chinese medicinal prescription on uterus contractility in vitro. Phytother Res 17(7):778CrossRefPubMed
24.
go back to reference Chen H, Luo Q (2014) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. China Health Care Nutr 5:3405–3406 Chen H, Luo Q (2014) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. China Health Care Nutr 5:3405–3406
25.
go back to reference Chen X (2016) Efficacy observation on treating 60 cases of primary dysmenorrhea with modified Wenjing decoction. For All Health 06:51–52 Chen X (2016) Efficacy observation on treating 60 cases of primary dysmenorrhea with modified Wenjing decoction. For All Health 06:51–52
26.
go back to reference Feng J (2012) Clinical observation on treating 30 cases of primary dysmenorrhea with the Wenjing decoction. Hunan J Tradit Chin Med 28(5):53–54 Feng J (2012) Clinical observation on treating 30 cases of primary dysmenorrhea with the Wenjing decoction. Hunan J Tradit Chin Med 28(5):53–54
27.
go back to reference Gao Q (2014) Efficacy observation on treating primary dysmenorrhea with modified Wenjing decoction. Med Forum 23:3127–3128 Gao Q (2014) Efficacy observation on treating primary dysmenorrhea with modified Wenjing decoction. Med Forum 23:3127–3128
28.
go back to reference Jiang Y (2015) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. Strait Pharm J 27(5):215–216 Jiang Y (2015) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. Strait Pharm J 27(5):215–216
29.
go back to reference Lei Y, Yu X (2013) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. China Health Care Nutr 23(2):970–971 Lei Y, Yu X (2013) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. China Health Care Nutr 23(2):970–971
30.
go back to reference Liu Y, Wang J, Zhao J, Li H (2015) Clinical efficacy observation on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Heilongjiang J Tradit Chin Med 3:46–47 Liu Y, Wang J, Zhao J, Li H (2015) Clinical efficacy observation on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Heilongjiang J Tradit Chin Med 3:46–47
31.
go back to reference Lu Y (2015) Clinical observation on treating primary dysmenorrhea with Wenjing decoction. Diet Health 2(15):170–171 Lu Y (2015) Clinical observation on treating primary dysmenorrhea with Wenjing decoction. Diet Health 2(15):170–171
32.
go back to reference Mei H (2014) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with Wenjing decoction. Guangxi J Tradit Chin Med 37(4):26–27 Mei H (2014) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with Wenjing decoction. Guangxi J Tradit Chin Med 37(4):26–27
33.
go back to reference Tang Z, Liu Y (2015) Clinical observation on treating 80 cases of primary dysmenorrhea with the Wenjing decoction. Clin J Chin Med 31:95–97 Tang Z, Liu Y (2015) Clinical observation on treating 80 cases of primary dysmenorrhea with the Wenjing decoction. Clin J Chin Med 31:95–97
34.
go back to reference Wang N (2016) Clinical analysis on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. China Health Stand Manag 07:137–138 Wang N (2016) Clinical analysis on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. China Health Stand Manag 07:137–138
35.
go back to reference Wu Q (2015) 51 cases of treating primary dysmenorrhea with Wenjing decoction. China’s Naturop 23(11):31–32 Wu Q (2015) 51 cases of treating primary dysmenorrhea with Wenjing decoction. China’s Naturop 23(11):31–32
36.
go back to reference Zeng G, Min G, Liu X (2015) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. J New Chin Med 47(3):171–172 Zeng G, Min G, Liu X (2015) Clinical observation on treating primary dysmenorrhea with modified Wenjing decoction. J New Chin Med 47(3):171–172
37.
go back to reference Zhang J, Li Y (2015) Clinical observation on treating 140 cases of primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Gansu Sci Technol 12:96–97 Zhang J, Li Y (2015) Clinical observation on treating 140 cases of primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Gansu Sci Technol 12:96–97
38.
go back to reference Zhang T (2014) Clinical efficacy observation on treating primary dysmenorrhea with Wenjing decoction in Synopsis of Golden Chamber. Nei Mongol J Tradit Chin Med 26:34–35 Zhang T (2014) Clinical efficacy observation on treating primary dysmenorrhea with Wenjing decoction in Synopsis of Golden Chamber. Nei Mongol J Tradit Chin Med 26:34–35
39.
go back to reference Zhao S (2014) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. China Health Care Nutr 24(03):1704 Zhao S (2014) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. China Health Care Nutr 24(03):1704
40.
go back to reference Zhao W, Wan Q, Yang Y (2016) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with Wenjing decoction. Compr Med 15:97 Zhao W, Wan Q, Yang Y (2016) Clinical observation on treating primary dysmenorrhea of congealing cold and blood stasis with Wenjing decoction. Compr Med 15:97
41.
go back to reference Zheng Y, Zhao H, Zhou Z (2008) Clinical observation on treating 42 cases of primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Contemp Med 11:63–64 Zheng Y, Zhao H, Zhou Z (2008) Clinical observation on treating 42 cases of primary dysmenorrhea of congealing cold and blood stasis with modified Wenjing decoction. Contemp Med 11:63–64
Metadata
Title
Wenjing decoction (herbal medicine) for the treatment of primary dysmenorrhea: a systematic review and meta-analysis
Authors
Li Gao
Chunhua Jia
Heng Zhang
Cuilan Ma
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 4/2017
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-017-4485-7

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