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http://dx.doi.org/10.13048/jkm.22048

Clinical Efficacy of herbal medicine for Chemo-Radiotherapy-induced oral mucositis  

SongWon Park (Dept. of Oriental Internal Medicine, Graduate School, Dongguk University)
MinJee Kim (Department of Rehabilitation Medicine of Korean Medicine, Dongguk University)
Seong-Woo Lim (Dept. of Oriental Internal Medicine, Graduate School, Dongguk University)
Publication Information
The Journal of Korean Medicine / v.43, no.4, 2022 , pp. 89-101 More about this Journal
Abstract
Objectives: The purpose of this systematic review was to evaluate the effects of herbal medicine on Chemo-Radiotherapy-induced oral mucositis. Methods: Electronic databases were used to search for studies published through 10 years until October 2022, and a randomized controlled study was conducted to evaluate efficacy of herbal medicine on chemo-radiotherapy-induced oral mucositis. Study quality was assessed using the Cochran's risk bias tool. Results: Two-hundred and three articles were initially searched, and 11 studies (head and neck cancer, breast cancer, colorectal cancer, esophageal cancer etc. undergoing radio-chemotherapy were included in analysis. The effect of herbal medicine on chemo-radiotherapy-induced oral mucositis, 9 studies reported that herbal medicine was more effective than the placebo group or conventional treatment. One study reported that the effect of the herbal compound treatment group was similar to that of the conventional herbal medicine, and one study reported that there was no difference in effect between the two herbal medicines and the group without treatment. Conclusion: This study suggests that herbal medicine effectively relieves the symptoms of chemo-radiotherapy-induced oral mucositis. However, there is limited evidence that herbal medicine may relief chemo-radiotherapy-induced oral mucositis, so further investigation is needed.
Keywords
Radiotherapy-induced oral mucositis; Chemotherapy-induced oral mucositis; Chemo-Radiotherapy-induced oral; oral mucositis; stomatitis; herbal medicine;
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1 Elad, S., Cheng, K. K. F., Lalla, R. V., Yarom, N., Hong, C., Logan, R. M., et al. (2020). Mascc/isoo clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 126(19). 4423-4431. https://doi.org/10.1002/cncr.28592   DOI
2 da Cruz Campos, M. I.Neiva Campos, C.Monteiro Aarestrup, F. & Vieira Aarestrup, B. J. (2014). Oral mucositis in cancer treatment: Natural history, prevention and treatment. Molecular and clinical oncology. 2(3). 337-340. https://doi.org/10.3892/mco.2014.253   DOI
3 Zhang, Q.-Y.Wang, F.-X.Jia, K.-K. & Kong, L.-D. (2018). Natural product interventions for chemotherapy and radiotherapy-induced side effects. Frontiers in pharmacology. 9(1253. https://doi.org/10.3389/fphar.2018.01253   DOI
4 Kim, H.-S.Choi, J.-E. & Yoo, H.-S. (2011). The effectiveness of gargling hwangryunhaedok-tang on chemotherapy-induced stomatitis. The Journal OF Korean Oriental Oncology. 16(1). 1-14. https://doi.org/10.15432/JKTO.2011.16.1.001   DOI
5 Kamide, D.Yamashita, T.Araki, K.Tomifuji, M. & Shiotani, A. (2017). Hangeshashinto (tj-14) prevents radiation-induced mucositis by suppressing cyclooxygenase-2 expression and chemotaxis of inflammatory cells. Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico. 19(11). 1329-1336. https://doi.org/10.1007/s12094-017-1672-8   DOI
6 Kono, T., Kaneko, A., Matsumoto, C., Miyagi, C., Ohbuchi, K., Mizuhara, Y., et al. (2013). Sa1755 multi-target prevention of chemotherapy-induced oral mucositis by hangeshashinto: Pge2 and cell migration in human oral keratinocytes. Gastroenterology. 144(5, Supplement 1). S-299. https://doi.org/10.1016/S0016-5085(13)61067-7   DOI
7 Kono, T., Kaneko, A., Matsumoto, C., Hibino, T., Shigenobu, T., Miyano, K., et al. (2013). Effect of hangeshashinto on wound healing in hamster 5-fluorouracil-induced oral mucositis model with increased keratinocyte migration and reduced inducible prostaglandin e2. American Society of Clinical Oncology. https://doi.org/10.1200/jco.2013.31.4_suppl.432   DOI
8 Park, J.-W.Oh, J.Ko, S.-J.Chang, M. S. & Kim, J. (2018). Effects of onchung-eum, an herbal prescription, on 5-fluorouracil-induced oral mucositis. Integrative cancer therapies. 17(4). 1285-1296. https://doi.org/10.1177/1534735418805560   DOI
9 Lang, J. Y., Feng, M., Luo, Y., Fan, Z., Jiang, Q., Bai, H., et al. (2015). The phase iii clinical study about the effect of kangfuxin solution (chinese herbal medicine compound preparation) on the radiation induced oral and upper gastrointestinal mucositis in nasopharyngeal carcinoma patients. Journal of Clinical Oncology. 33(15_suppl). 6057-6057. https://doi.org/10.1200/jco.2015.33.15_suppl.6057   DOI
10 Shah, S.Rath, H.Sharma, G.Senapati, S. N. & Mishra, E. (2020). Effectiveness of curcumin mouthwash on radiation-induced oral mucositis among head and neck cancer patients: A triple-blind, pilot randomised controlled trial. Indian J Dent Res. 31(5). 718-727. https://doi.org/10.4103/ijdr.IJDR_822_18   DOI
11 Aoyama, T., Nishikawa, K., Takiguchi, N., Tanabe, K., Imano, M., Fukushima, R., et al. (2014). Double-blind, placebo-controlled, randomized phase ii study of tj-14 (hangeshashinto) for gastric cancer chemotherapy-induced oral mucositis. Cancer Chemother Pharmacol. 73(5). 1047-1054. https://doi.org/10.1007/s00280-014-2440-x   DOI
12 Miranzadeh, S. Adib-Hajbaghery, M. Soleymanpoor, L. & Ehsani, M. (2015). Effect of adding the herb achillea millefolium on mouthwash on chemotherapy induced oral mucositis in cancer patients: A double-blind randomized controlled trial. European journal of oncology nursing : the official journal of European Oncology Nursing Society. 19(3). 207-213. https://doi.org/10.1016/j.ejon.2014.10.019   DOI
13 Hasheminasab, F. S., Hashemi, S. M., Dehghan, A., Sharififar, F., Setayesh, M., Sasanpour, P., et al. (2020). Effects of a plantago ovata-based herbal compound in prevention and treatment of oral mucositis in patients with breast cancer receiving chemotherapy: A double-blind, randomized, controlled crossover trial. Journal of integrative medicine. 18(3). 214-221. https://doi.org/10.1016/j.joim.2020.02.008   DOI
14 Luo, Y., Feng, M., Fan, Z., Zhu, X., Jin, F., Li, R., et al. (2016). Effect of kangfuxin solution on chemo/radiotherapy-induced mucositis in nasopharyngeal carcinoma patients: A multicenter, prospective randomized phase iii clinical study. Evidence-based complementary and alternative medicine : eCAM. 2016 (8692343. https://doi.org/10.1155/2016/8692343   DOI
15 Matsuda, C., Munemoto, Y., Mishima, H., Nagata, N., Oshiro, M., Kataoka, M., et al. (2015). Double-blind, placebo-controlled, randomized phase ii study of tj-14 (hangeshashinto) for infusional fluorinated-pyrimidine-based colorectal cancer chemotherapy-induced oral mucositis. Cancer Chemother Pharmacol. 76(1). 97-103. https://doi.org/10.1007/s00280-015-2767-y   DOI
16 Moriyama, S., Hinode, D., Yoshioka, M., Sogawa, Y., Nishino, T., Tangoku, A., et al. (2018). Impact of the use of kampo medicine in patients with esophageal cancer during chemotherapy:A clinical trial for oral hygiene and oral condition. J Med Invest. 65(3.4). 184-190. https://doi.org/10.2152/jmi.65.184   DOI
17 Chong, L. X. W. B.-b. X. D. Z. (2019). Sixty cases of radioactive oral mucositis treated with kouyanning mixture. HENAN TRADITIONAL CHINESE MEDICINE. 39(08). 1243-1246. https://doi.org/10.6039/j.issn.1001-0408.2017.27.09   DOI
18 Wang, C., Wang, P., Ouyang, H., Wang, J., Sun, L., Li, Y., et al. (2018). Efficacy of traditional chinese medicine in treatment and prophylaxis of radiation-induced oral mucositis in patients receiving radiotherapy: A randomized controlled trial. Integrative cancer therapies. 17(2). 444-450. https://doi.org/10.1177/1534735417725578   DOI
19 Zheng, B., Zhu, X., Liu, M., Yang, Z., Yang, L., Lang, J., et al. (2018). Randomized, double-blind, placebo-controlled trial of shuanghua baihe tablets to prevent oral mucositis in patients with nasopharyngeal cancer undergoing chemoradiation therapy. Int J Radiat Oncol Biol Phys. 100(2). 418-426. https://doi.org/10.1016/j.ijrobp.2017.10.013   DOI
20 Yan Qihui, L. H. Z. W. F. Y. D. J. (2017). Effects of kouyanqing granules on prevention and treatment of radiation-induced oral mucositis patients with head and neck cancer after radiotherapy. China pharmacy. 28(27). 3778-3781. https://doi.org/10.6039/j.issn.1001-0408.2017.27.09   DOI
21 Gong Yun, C. F.-c., Wang Shao-hua, Zhang Li, He Xu-dong (2016). Clinical observation of kouyanqing granules combined with xipayi mouth rinse in treatment of nasopharyngeal carcinoma radioactive oral mucositis. Drugs & Clinic 31(08). 1249-1252.
22 Blakaj, A.Bonomi, M.Gamez, M. E. & Blakaj, D. M. (2019). Oral mucositis in head and neck cancer: Evidence-based management and review of clinical trial data. Oral oncology. 95(29-34. https://doi.org/10.1016/j.oraloncology.2019.05.013   DOI
23 Park M-H, P., J-S (2013). Difference of oral mucositis in hospitalized cancer patients receiving chemotherapy. Asian Oncol Nurs. 13(2). 76-84.   DOI
24 Jiang, X.-W., Zhang, Y., Zhu, Y.-L., Zhang, H., Lu, K., Li, F.-F., et al. (2013). Effects of berberine gelatin on recurrent aphthous stomatitis: A randomized, placebo-controlled, double-blind trial in a chinese cohort. Oral surgery, oral medicine, oral pathology and oral radiology. 115(2). 212-217. https://doi.org/10.1016/j.oooo.2012.09.009   DOI
25 Lalla, R.Sonis, S. & Peterson, D. (2008). Management of oral mucositis in patients who have cancer. Dent Clin North Am. 52(1). https://doi.org/10.1016/j.cden.2007.10.002   DOI
26 Christophe, L.Marc, A. & Jean-Luc, C. (2006). Oral mucositis induced by anticancer treatments: Physiopathology and treatments. Therapeutics and clinical risk management. 2(2). 159. https://doi.org/10.2147/tcrm.2006.2.2.159   DOI
27 Elsabbagh, H. H.Moussa, E.Mahmoud, S. A. & Elsaka, R. O. (2021). The effectiveness of melatonin in reducing pain resulting from radiation induced oral mucositis: A randomized clinical trial. Alexandria Dental Journal. 46(1). 1-5. https://doi.org/10.1111/odi.13265   DOI
28 Lin Z, Chen J, Han S. The Efficacy of Heat-Clearing (Qingre) and Detoxifying (Jiedu) Traditional Chinese Medicine Gargle for Chemotherapy-Induced Oral Mucositis: A Systematic Review and Meta-Analysis (2021). Frontiers in Pharmacology. 12. https://doi.org/10.3389/fphar.2021.627628   DOI
29 Xie Y, Fang X, Hua H, Zhou P. Efficacy and Safety of Chinese Patent Medicine for the Prevention and Treatment of Radiotherapy and Chemotherapy-Induced Oral Mucositis: A Systematic Review and Meta-Analysis. (2022). Frontiers in Pharmacology. 13. https://doi.org/10.3389/fphar.2022.812085   DOI
30 Huang J, Kan J, Fan T, Quan Q, Li X, Jiang Q, et al. Efficacy of the Nourishing Yin and Clearing Heat Therapy Based on Traditional Chinese Medicine in the Prevention and Treatment of Radiotherapy-Induced Oral Mucositis in Nasopharyngeal Carcinomas: A Systematic Review and Meta-Analysis of Thirty Randomized Controlled Trials. (2022) Evidence-Based Complementary and Alternative Medicine. 2022: 4436361. https://doi.org/10.1155/2022/4436361   DOI
31 Nabil, W. N. N., Lim, R. J., Chan, S. Y., Lai, N. M., Liew, A. C. I. (2018). A systematic review on Chinese herbal treatment for radiotherapy-induced xerostomia in head and neck cancer patients. Complementary therapies in clinical practice, 30, 6-13. https://doi.org/10.1016/j.ctcp.2017.10.004   DOI