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Published in: Trials 1/2014

Open Access 01-12-2014 | Study protocol

Traditional Chinese medicine (Shun-Qi-Tong-Xie Granule) for irritable bowel syndrome: study protocol for a randomised controlled trial

Authors: Xiao-xiang Wang, Rui-jie Luo, Bin She, Yan Chen, Jia Guo

Published in: Trials | Issue 1/2014

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Abstract

Background

Irritable bowel syndrome (IBS) is a common gastrointestinal functional disorder with no effective therapy. Traditional Chinese medicine (TCM) is one of the most common complementary therapies in China. We designed this study to evaluate the efficacy and safety of Shun-Qi-Tong-Xie Granule (SQTX Granule), a TCM treatment, in patients with IBS with diarrhea (IBS-D).

Methods/Design

A randomised, double-blinded, placebo-controlled, multi-centre, superiority clinical trial to evaluate the efficacy and safety of SQTX Granule is proposed. Eligible patients (Rome III) with IBD-S will be randomly assigned into SQTX Granule group and the placebo group. Patients will receive a 28-day treatment and a 2-month follow-up. The primary outcome measures include the scores of IBS-quality of life (IBS-QOL) rating scale and IBS-symptom severity scale (IBS-SSS) rating scale. The secondary outcome measures include the improvement of symptom scores, and the duration of abdominal pain and diarrhea.

Discussion

According to TCM theory, SQTX Granule has a regulating effect on abdominal pain, diarrhea and the syndrome of liver-spleen disharmony, which is similar to the symptoms of IBS-D. This study will provide objective evidence to evaluate the efficiency and safety of SQTX Granule in IBS-D treatment.

Trial registration

Date of registration: 9 February 2014.
Appendix
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Literature
1.
go back to reference Agréus L, Svärdsudd K, Nyrén O, Tibblin G: Irritable bowel syndrome and dyspepsia in the general population: overlap and lack of stability over time. Gastroenterology. 1995, 109: 671-680. 10.1016/0016-5085(95)90373-9.CrossRefPubMed Agréus L, Svärdsudd K, Nyrén O, Tibblin G: Irritable bowel syndrome and dyspepsia in the general population: overlap and lack of stability over time. Gastroenterology. 1995, 109: 671-680. 10.1016/0016-5085(95)90373-9.CrossRefPubMed
2.
go back to reference Brandt LJ, Chey WD, Foxx-Orenstein AE, Schiller LR, Schoenfeld PS, Spiegel BM, Talley NJ, Quigley EM: An evidence-based position statement on the management of irritable bowel syndrome. Am J Gastroenterol. 2009, 104 (Supp 1): S1-S35.PubMed Brandt LJ, Chey WD, Foxx-Orenstein AE, Schiller LR, Schoenfeld PS, Spiegel BM, Talley NJ, Quigley EM: An evidence-based position statement on the management of irritable bowel syndrome. Am J Gastroenterol. 2009, 104 (Supp 1): S1-S35.PubMed
3.
go back to reference Rey E, Talley NJ: Irritable bowel syndrome: novel views on the epidemiology and potential risk factors. Dig Liver Dis. 2009, 41: 772-780. 10.1016/j.dld.2009.07.005.CrossRefPubMed Rey E, Talley NJ: Irritable bowel syndrome: novel views on the epidemiology and potential risk factors. Dig Liver Dis. 2009, 41: 772-780. 10.1016/j.dld.2009.07.005.CrossRefPubMed
4.
go back to reference Talley NJ, Zinsmeister AR, Melton LJ: Irritable bowel syndrome in a community: symptom subgroups, risk factors, and health care utilization. Am J Epidemiol. 1995, 142: 76-83.PubMed Talley NJ, Zinsmeister AR, Melton LJ: Irritable bowel syndrome in a community: symptom subgroups, risk factors, and health care utilization. Am J Epidemiol. 1995, 142: 76-83.PubMed
5.
go back to reference Thompson WG, Irvine EJ, Pare P, Ferrazzi S, Rance L: Functional gastrointestinal disorders in Canada: first population-based survey using Rome II criteria with suggestions for improving the questionnaire. Dig Dis Sci. 2002, 47: 225-235. 10.1023/A:1013208713670.CrossRefPubMed Thompson WG, Irvine EJ, Pare P, Ferrazzi S, Rance L: Functional gastrointestinal disorders in Canada: first population-based survey using Rome II criteria with suggestions for improving the questionnaire. Dig Dis Sci. 2002, 47: 225-235. 10.1023/A:1013208713670.CrossRefPubMed
6.
go back to reference McFarland LV: State-of-the-art of irritable bowel syndrome and inflammatory bowel disease research in 2008. World J Gastroenterol. 2008, 14: 2625-2629. 10.3748/wjg.14.2625.CrossRefPubMedPubMedCentral McFarland LV: State-of-the-art of irritable bowel syndrome and inflammatory bowel disease research in 2008. World J Gastroenterol. 2008, 14: 2625-2629. 10.3748/wjg.14.2625.CrossRefPubMedPubMedCentral
7.
go back to reference Labus JS, Hubbard CS, Bueller J, Ebrat B, Tillisch K, Chen M, Stains J, Dukes GE, Kelleher DL, Naliboff BD, Fanselow M, Mayer EA: Impaired emotional learning and involvement of the corticotropin-releasing factor signaling system in patients with irritable bowel syndrome. Gastroenterology. 2013, 145: 1253-1261. 10.1053/j.gastro.2013.08.016.CrossRefPubMedPubMedCentral Labus JS, Hubbard CS, Bueller J, Ebrat B, Tillisch K, Chen M, Stains J, Dukes GE, Kelleher DL, Naliboff BD, Fanselow M, Mayer EA: Impaired emotional learning and involvement of the corticotropin-releasing factor signaling system in patients with irritable bowel syndrome. Gastroenterology. 2013, 145: 1253-1261. 10.1053/j.gastro.2013.08.016.CrossRefPubMedPubMedCentral
8.
go back to reference Arebi N, Gurmany S, Bullas D, Hobson A, Stagg A, Kamm M: Review article: the psychoneuroimmunology of irritable bowel syndrome - an exploration of interactions between psychological, neurological and immunological observations. Aliment Pharmacol Ther. 2008, 28: 830-840. 10.1111/j.1365-2036.2008.03801.x.CrossRefPubMed Arebi N, Gurmany S, Bullas D, Hobson A, Stagg A, Kamm M: Review article: the psychoneuroimmunology of irritable bowel syndrome - an exploration of interactions between psychological, neurological and immunological observations. Aliment Pharmacol Ther. 2008, 28: 830-840. 10.1111/j.1365-2036.2008.03801.x.CrossRefPubMed
9.
go back to reference Elsenbruch S: Abdominal pain in irritable bowel syndrome: a review of putative psychological, neural and neuro-immune mechanisms. Brain Behav Immun. 2011, 25: 386-394. 10.1016/j.bbi.2010.11.010.CrossRefPubMed Elsenbruch S: Abdominal pain in irritable bowel syndrome: a review of putative psychological, neural and neuro-immune mechanisms. Brain Behav Immun. 2011, 25: 386-394. 10.1016/j.bbi.2010.11.010.CrossRefPubMed
10.
go back to reference Barbara G, Stanghellini V: Review biomarkers in IBS: when will they replace symptoms for diagnosis and management?. Gut. 2009, 58: 1571-1575. 10.1136/gut.2008.169672.CrossRefPubMed Barbara G, Stanghellini V: Review biomarkers in IBS: when will they replace symptoms for diagnosis and management?. Gut. 2009, 58: 1571-1575. 10.1136/gut.2008.169672.CrossRefPubMed
11.
go back to reference Drossman DA: The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006, 130: 1377-1390. 10.1053/j.gastro.2006.03.008.CrossRefPubMed Drossman DA: The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006, 130: 1377-1390. 10.1053/j.gastro.2006.03.008.CrossRefPubMed
12.
go back to reference Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC: Functional bowel disorders. Gastroenterology. 2006, 130: 1480-1491. 10.1053/j.gastro.2005.11.061.CrossRefPubMed Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC: Functional bowel disorders. Gastroenterology. 2006, 130: 1480-1491. 10.1053/j.gastro.2005.11.061.CrossRefPubMed
13.
go back to reference Grundmann O, Yoon SL: Complementary and alternative medicines in irritable bowel syndrome: An integrative view. World J Gastroenterol. 2014, 20: 346-362. 10.3748/wjg.v20.i2.346.CrossRefPubMedPubMedCentral Grundmann O, Yoon SL: Complementary and alternative medicines in irritable bowel syndrome: An integrative view. World J Gastroenterol. 2014, 20: 346-362. 10.3748/wjg.v20.i2.346.CrossRefPubMedPubMedCentral
14.
go back to reference Magge SS, Wolf JL: Complementary and alternative medicine and mind-body therapies for treatment of irritable bowel syndrome in women. Womens Health (Lond Engl). 2013, 9: 557-567. 10.2217/whe.13.57.CrossRef Magge SS, Wolf JL: Complementary and alternative medicine and mind-body therapies for treatment of irritable bowel syndrome in women. Womens Health (Lond Engl). 2013, 9: 557-567. 10.2217/whe.13.57.CrossRef
15.
go back to reference Dorn SD, Kaptchuk TJ, Park JB, Nguyen LT, Canenguez K, Nam BH, Woods KB, Conboy LA, Stason WB, Lembo AJ: A meta-analysis of the placebo response in complementary and alternative medicine trials of irritable bowel syndrome. Neurogastroenterol Motil. 2007, 19: 630-637. 10.1111/j.1365-2982.2007.00937.x.CrossRefPubMed Dorn SD, Kaptchuk TJ, Park JB, Nguyen LT, Canenguez K, Nam BH, Woods KB, Conboy LA, Stason WB, Lembo AJ: A meta-analysis of the placebo response in complementary and alternative medicine trials of irritable bowel syndrome. Neurogastroenterol Motil. 2007, 19: 630-637. 10.1111/j.1365-2982.2007.00937.x.CrossRefPubMed
16.
go back to reference Rahimi R, Abdollahi M: Herbal medicines for the management of irritable bowel syndrome: a comprehensive review. World J Gastroenterol. 2012, 18: 589-600. 10.3748/wjg.v18.i7.589.CrossRefPubMedPubMedCentral Rahimi R, Abdollahi M: Herbal medicines for the management of irritable bowel syndrome: a comprehensive review. World J Gastroenterol. 2012, 18: 589-600. 10.3748/wjg.v18.i7.589.CrossRefPubMedPubMedCentral
17.
go back to reference Li Q, Yang GY, Liu JP: Syndrome differentiation in Chinese herbal medicine for irritable bowel syndrome: a literature review of randomized trials. Evid Based Complement Alternat Med. 2013, 2013: 232147-PubMedPubMedCentral Li Q, Yang GY, Liu JP: Syndrome differentiation in Chinese herbal medicine for irritable bowel syndrome: a literature review of randomized trials. Evid Based Complement Alternat Med. 2013, 2013: 232147-PubMedPubMedCentral
18.
go back to reference Commission SP: Pharmacopoeia of the People's Republic of China. 2010, Beijing: China Medical Science Press, 9 Commission SP: Pharmacopoeia of the People's Republic of China. 2010, Beijing: China Medical Science Press, 9
19.
go back to reference Vijayananthan A, Nawawi O: The importance of Good Clinical Practice guidelines and its role in clinical trials. Biomed Imaging Interv J. 2008, 4: e5-PubMedPubMedCentral Vijayananthan A, Nawawi O: The importance of Good Clinical Practice guidelines and its role in clinical trials. Biomed Imaging Interv J. 2008, 4: e5-PubMedPubMedCentral
20.
go back to reference Zhen XY: Guidelines for Clinical Research of New Chinese Medicine. 2002, Beijing: China Medical Science Press Zhen XY: Guidelines for Clinical Research of New Chinese Medicine. 2002, Beijing: China Medical Science Press
21.
go back to reference Patrick DL, Drossman DA, Frederick IO, DiCesare J, Puder KL: Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Dig Dis Sci. 1998, 43: 400-411. 10.1023/A:1018831127942.CrossRefPubMed Patrick DL, Drossman DA, Frederick IO, DiCesare J, Puder KL: Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Dig Dis Sci. 1998, 43: 400-411. 10.1023/A:1018831127942.CrossRefPubMed
22.
go back to reference Francis CY, Morris J, Whorwell PJ: The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment Pharmacol Ther. 1997, 11: 395-402. 10.1046/j.1365-2036.1997.142318000.x.CrossRefPubMed Francis CY, Morris J, Whorwell PJ: The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment Pharmacol Ther. 1997, 11: 395-402. 10.1046/j.1365-2036.1997.142318000.x.CrossRefPubMed
23.
go back to reference Lackner JM, Jaccard J, Krasner SS, Katz LA, Gudleski GD, Blanchard EB: How does cognitive behavior therapy for irritable bowel syndrome work? A mediational analysis of a randomized clinical trial. Gastroenterology. 2007, 133: 433-444. 10.1053/j.gastro.2007.05.014.CrossRefPubMedPubMedCentral Lackner JM, Jaccard J, Krasner SS, Katz LA, Gudleski GD, Blanchard EB: How does cognitive behavior therapy for irritable bowel syndrome work? A mediational analysis of a randomized clinical trial. Gastroenterology. 2007, 133: 433-444. 10.1053/j.gastro.2007.05.014.CrossRefPubMedPubMedCentral
24.
go back to reference Gulewitsch MD, Enck P, Schwille-Kiuntke J, Weimer K, Schlarb AA: Mental strain and chronic stress among university students with symptoms of irritable bowel syndrome. Gastroenterol Res Pract. 2013, 2013: 206574-CrossRefPubMedPubMedCentral Gulewitsch MD, Enck P, Schwille-Kiuntke J, Weimer K, Schlarb AA: Mental strain and chronic stress among university students with symptoms of irritable bowel syndrome. Gastroenterol Res Pract. 2013, 2013: 206574-CrossRefPubMedPubMedCentral
25.
go back to reference Drossman DA, Chang L, Bellamy N, Gallo-Torres HE, Lembo A, Mearin F, Norton NJ, Whorwell P: Severity in irritable bowel syndrome: a Rome Foundation Working Team report. Am J Gastroenterol. 2011, 106: 1749-1760. 10.1038/ajg.2011.201.CrossRefPubMed Drossman DA, Chang L, Bellamy N, Gallo-Torres HE, Lembo A, Mearin F, Norton NJ, Whorwell P: Severity in irritable bowel syndrome: a Rome Foundation Working Team report. Am J Gastroenterol. 2011, 106: 1749-1760. 10.1038/ajg.2011.201.CrossRefPubMed
26.
go back to reference Jerndal P, Ringström G, Agerforz P, Karpefors M, Akkermans LM, Bayati A, Simrén M: Gastrointestinal-specific anxiety: an important factor for severity of GI symptoms and quality of life in IBS. Neurogastroenterol Motil. 2010, 22: 646-e179. 10.1111/j.1365-2982.2010.01493.x.CrossRefPubMed Jerndal P, Ringström G, Agerforz P, Karpefors M, Akkermans LM, Bayati A, Simrén M: Gastrointestinal-specific anxiety: an important factor for severity of GI symptoms and quality of life in IBS. Neurogastroenterol Motil. 2010, 22: 646-e179. 10.1111/j.1365-2982.2010.01493.x.CrossRefPubMed
27.
go back to reference Bensoussan A, Talley NJ, Hing M, Menzies R, Guo A, Ngu M: Treatment of irritable bowel syndrome with Chinese herbal medicine: a randomized controlled trial. JAMA. 1998, 280: 1585-1589. 10.1001/jama.280.18.1585.CrossRefPubMed Bensoussan A, Talley NJ, Hing M, Menzies R, Guo A, Ngu M: Treatment of irritable bowel syndrome with Chinese herbal medicine: a randomized controlled trial. JAMA. 1998, 280: 1585-1589. 10.1001/jama.280.18.1585.CrossRefPubMed
28.
go back to reference Ma YX, Liu X, Liu CZ, Wang LP, Guo G, Du DQ, Wang ZL, Ma H, Qi P, Li ZF, Guo YP, Yi HQ, Gao SZ: Randomized clinical trial: the clinical effects of herb-partitioned moxibustion in patients with diarrhoea-predominant irritable bowel syndrome. Evid Based Complement Alternat Med. 2013, 2013: 605460-PubMedPubMedCentral Ma YX, Liu X, Liu CZ, Wang LP, Guo G, Du DQ, Wang ZL, Ma H, Qi P, Li ZF, Guo YP, Yi HQ, Gao SZ: Randomized clinical trial: the clinical effects of herb-partitioned moxibustion in patients with diarrhoea-predominant irritable bowel syndrome. Evid Based Complement Alternat Med. 2013, 2013: 605460-PubMedPubMedCentral
29.
go back to reference Merat S, Khalili S, Mostajabi P, Ghorbani A, Ansari R, Malekzadeh R: The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome. Dig Dis Sci. 2010, 55: 1385-1390. 10.1007/s10620-009-0854-9.CrossRefPubMed Merat S, Khalili S, Mostajabi P, Ghorbani A, Ansari R, Malekzadeh R: The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome. Dig Dis Sci. 2010, 55: 1385-1390. 10.1007/s10620-009-0854-9.CrossRefPubMed
Metadata
Title
Traditional Chinese medicine (Shun-Qi-Tong-Xie Granule) for irritable bowel syndrome: study protocol for a randomised controlled trial
Authors
Xiao-xiang Wang
Rui-jie Luo
Bin She
Yan Chen
Jia Guo
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Trials / Issue 1/2014
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-15-273

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