Research Article

TCM-Based Therapy as a Rescue Therapy for Re-Eradication of Helicobacter pylori Infection: A Systematic Review and Meta-Analysis

Table 1

Baseline characteristics.

StudyStudy periodTotal cases (E/C)Age (E/C)Male-female (E/C)Accompanying diseasesRegimenDuration (d) (E/C)Previous treatment regimensAdverse effects (E/C)OutcomesITT eradication rates (%) (E/C)PP eradication rates (%) (E/C)
Experimental groupControl group

Yao et al. [14]2017.11–2019.0196/9151.3 ± 9.7/50.5 ± 10.936-60/37-54Chronic gastritis; peptic ulcerControl + Jinghua Weikang capsule 160 mg, tidEsomeprazole 20 mg + amoxicillin 1.0 g/furazolidone 0.1 g + CLA 0.5 g + BPC 220 mg, bid14/14CLA triple therapy2/3①②④NA83.90/71.30
Chen et al. [15]2013.01–2017.1250/5036.8 ± 8.2/37.2 ± 7.823-27/20-30Chronic gastritisControl + Jianpi Qingyou decoction 200 mL, bidCBD 0.2 g + rabeprazole 10 mg + CLA 0.5 g + amoxicillin 1.0 g, bid14/14PPI triple therapyNA①④NA93.80/73.50
Liu [16]2015.03–2016.0350/5032.1 ± 16.5/35.6 ± 15.432-18/35-15Chronic gastritis; peptic ulcerControl + Sijunzi formula 100 mL, bid+Bismuth quadruple therapy7/14Bismuth quadruple therapy, 14 dNA94.00/78.00NA
Zhang et al. [17]2015.01–2016.0465/6541.9 ± 11.0/44.9 ± 10.835-30/31-34NABerberine 0.3 g, tid + esomeprazole 20 mg + CBD 220 mg, bid;Esomeprazole 20 mg + CBD 220 mg + tetracycline 750 mg + FZD 0.1 g bid14/14CLA + amoxicillin + PPI + bismuth, 14 d6/4①②④76.90/81.5084.70/86.90
Jiang et al. [18]2014.01–2015.1091/9149.6 ± 13.2/48.5 ± 11.643-48/51-40Peptic ulcer; chronic gastritisControl + Qi’e decoction 1#, bidEsomeprazole 20 mg + FZD 0.1 g, bid; LVFX 0.5 g, qd; Bacillus subtilis enterococcus capsule 0.5 g, tid14/14Standard triple therapy or bismuth quadruple therapy9/13①②④86.80/73.6089.80/78.80
Cheng et al. [19]2013.01–2014.1290/8948.0 ± 13.0/49.0 ± 12.037-53/36-53NAControl + Jinghua Weikang capsules 240 mg, bidBPC 220 mg + pantoprazole 40 mg + amoxicillin 1.0 g + FZD 0.1 g, bid10/10NA3/4①②74.40/82.0076.10/85.90
Shang et al. [20]2011.01–2013.0465/6537.8 ± 3.3/37.3 ± 3.241–24/39–65Peptic ulcer; duodenal ulcer; gastric ulcerControl + Chinese herbs 200 mL, bidCLA 0.5 g + rabeprazole 20 mg + metronidazole 0.4 g, bidNACLA + rabeprazole + amoxicillinNA86.15/69.23NA
Li [21]2011.01–2012.0465/6537.8 ± 3.3/37.3 ± 3.241-24/39-26Duodenal ulcer; peptic ulcer; gastric ulcerControl + Chinese herbs 300 mL, bidAmoxicillin 0.5 g + LVFX 0.2 g, bid; rabeprazole 20 mg, qdNACLA + rabeprazole + metronidazoleNA①②86.15/69.23NA
Wang et al. [22]2014.01–2015.0140/4042.3 ± 12.2/44.8 ± 12.017-21/20-17NAChinese herbs 150 mL, bid for 28 days + amoxicillin 1 g bid + LVFX 0.5 g qd + rabeprazole 20 mg bid for 10 days;Amoxicillin 1 g bid + LVFX 0.5 g qd + CBD 150 mg tid for 10 days; rabeprazole 20 mg bid for 18 days28/18Standard triple therapyNA①④NA73.68/51.35
Liu and Liu [23]NA60/6046.3 ± 11.4/46.8 ± 12.221-39/22-38NAControl + Binlang Sixiao tablet 2.4 g, bidRabeprazole 10 mg + CBD 240 mg + amoxicillin 1.0 g + FZD 0.1 g, bid14/10NA7/13①②③④88.33/80.0091.38/87.27
Xia [24]2011.06–2013.0628/2839.6 ± 5.3/38.2 ± 4.720-8/19-9NAJinghua Weikang capsule 160 mg, tid for 4 weeks + moxifloxacin 0.4 g qd + amoxicillin 0.5 g + rabeprazole 10 mg bidCLA 0.5 g + amoxicillin 0.5 g + rabeprazole 10 mg, bid14/14NA0/0①②④92.80/71.40NA
Pan et al. [25]2011.04–2013.0449/4843.1 ± 12.7/43.9 ± 14.428-21/25-23Chronic gastritis; peptic ulcerJiawei Zuojin pill + sequential therapy of esomeprazole 20 mg + amoxicillin 1.0 g + FZD 0.1 g, bidEsomeprazole 20 mg + CBD 0.3 g + amoxicillin 1.0 g + FZD 0.1 g, bid10/10NA2/8①②④91.80/77.1093.80/82.20
Pan et al. [26]2011.01–2013.0148/4743.4 ± 12.1/44.3 ± 12.429-19/26-21Chronic gastritis; peptic ulcerZuojin pill + esomeprazole 20 mg + amoxicillin 1.0 g + FZD 0.1 g, bidEsomeprazole 20 mg + CBD 0.3 g + amoxicillin 1.0 g + FZD 0.1 g, bid10/10NA2/8①②④81.30/80.9084.80/86.40
Ji et al. [27]2008.03–2010.1158/4042.3 ± 8.3/40.5 ± 10.137–21/26–14Chronic gastritis; gastric ulcer; duodenal ulcerControl + Changzhong capsule 5#, tidOmeprazole 20 mg + amoxicillin 1.0 g, bid + LVFX 0.5 g, qd20/7Standard triple therapy7/13①②③93.00/85.0095.00/89.00
Liu [28]NA60/6046.5 ± 11.7/46.3 ± 11.421-49/22-38NAControl + Chinese herbs 200 mL, bidEsomeprazole 20 mg + BPC 0.6 g + amoxicillin 1.0 g + FZD 0.1 g, bid14/7NA7/13①②③④88.33/80.0091.38/87.27
Tan et al. [29]2010.08–2012.0433/29NANAGastric ulcer; duodenal ulcer; chronic gastritisJinghua Weikang capsule 160 mg, tid + rabeprazole 10 mg + LVFX 0.2 g + FZD 0.1 g, bidRabeprazole 10 mg + amoxicillin 1.0 g + moxifloxacin 0.4 g, bid + BPC 1.3 g, tid7/7Standard triple therapy3/2①②④NA75.90/66.70
Zhang et al. [30]2006.05–2007.1132/3042.5 ± 10.8/41.5 ± 11.317-15/14-16Duodenal, gastric and peptic ulcer; chronic gastritisJianwei Qingyou decoction + omeprazole 20 mg + amoxicillin 1.0 g + CLA 0.5 g, bidOmeprazole 20 mg + amoxicillin 1.0 g + CLA 0.5 g + BPC 220 mg, bid7/7Standard triple therapyNA90.60/66.6793.50/71.40
Cha et al. [31]2005.02–2005.1232/3042.5 ± 10.8/41.5 ± 11.317-15/14-16Chronic gastritis; peptic ulcerJianwei granule 10 g, tid + omeprazole 20 mg + amoxicillin 1.0 g + CLA 0.5 g, bidOmeprazole 20 mg + amoxicillin 1.0 g + CLA 0.5 g + BPC 220 mg, bid7/7Standard triple therapyNA90.60/66.6793.50/71.40