Review Article

The Effect of Traditional Chinese Medicine on Postviral Olfactory Dysfunction: A Systematic Review and Meta-Analysis

Table 1

Basic characteristics of the included studies.

StudySample size (T/C)Disease course (1∼3 m/4∼6 m/>6m)Olfactory function (N/P)Age year (mean ± SD)Gender
male/female
ControlInterventionMain treated acupoints and treatment frequencyCourse (weeks)Adverse events (T/C)

Pang et al. 2016 [32]30/30T: 30 (14/5/11);
C: 30 (19/5/6)
T: 13/17
C: 16/14
T: 50.2 ± 14.3
C: 47.1 ± 12.1
T: 8/22
C: 6/24
No treatmentAcupoint injectionAcupoint injection: Yingxiang (LI20). 3 times a week for 3 months. 10 times is 1 course with a treatment interval of 3∼5 days3 mTreatment success rate (UPSIT)
Pang et al. 2016 [32]25/30T: 25 (10/5/10);
C: 30 (19/5/6)
T: 10/15
C: 16/14
T: 54.2 ± 12.7
C: 47.1 ± 12.1
T: 11/14
C: 6/24
No treatmentAcupoint injectionAcupuncture:Yingxiang (LI20), Shangyingxiang (EX-HN8), BiQiu. 3 times a week for 3 months3 mTreatment success rate (UPSIT)
Ma and Feng 2020 [33]45/45T: 7–18 (11.7 ± 2.4) m;
C: 5–17 (11.5 ± 2.1) m
T: 19/26
C: 17/28
T: 41.1 ± 3.6
C: 40.8 ± 3.2
T: 24/21
C: 25/20
Olfactory training + drug therapyAcupuncture + Acupoint injection + CAcupuncture: Yingxiang (LI20), Shangyingxiang (EX-HN8), Yintang (EX-HN3). 3 times a week for 3 months.
Acupoint injection: Yingxiang (LI20). 3 times a week for 3 months. 10 times is 1 course with a treatment interval of 3∼5 days
3 mEffective rate (T&T);
QOD-P
Wang et al. 2020 [34]30/30T: 30 (9/10/11);
C: 30 (11/9/10)
T: 12/18
C: 14/16
T: 49.7 ± 2.2
C: 49.3 ± 2.3
T: 14/16
C: 10/20
Drug therapyAcupoint injection + CAcupoint injection: Tiantu (RN22). 2 times a week for 3 months.8 times is 1 course3 mEffective rate (ΔVAS)
Wang 2020 [34]30/30T: 30 (10/7/13);
C: 30 (11/9/10)
T: 14/16
C: 14/16
T: 49.8 ± 2.5
C: 49.3 ± 2.3
T: 9/21
C: 10/20
Drug therapyAcupoint injection + CAcupoint injection: Yingxiang (LI20). 2 times a week for 3 months. 8 times is 1 course3 mEffective rate (ΔVAS)
Zhang 2018 [35]33/29T: 7–22 (12.9 ± 5.6) m;
C: 6.5–21 (13.8 ± 4.5) m
T: 17/16
C: 15/14
T: 40.5 ± 8.3
C: 41.3 ± 8.9
T: 12/21
C: 10/19
Olfactory training + drug therapyAcupuncture + CAcupuncture: Yingxiang (LI20), Shangyingxiang (EX-HN8), Cuanzhu (BL2). 3 times a week for 3 months3 mEffective rate (T&T)
Wilkinson 2010 [36]15/154.3 yNoneT: 63.1 ± 6.8
C: 61.43 ± 8.72
T: 8/7
C: 8/7
Vitamin B complex (B1, B6, B12) oral 12 weeksAcupunctureAcupuncture: Fengfu (LG16), Baihui (LG20), Yingxiang (LI20), Lieque (LU7), Taiyuan (LU9), ZusanLi (ST36), TaiXi (KD3). 2 times a week for 10 weeks10 wSniffin’s Sticks TDI score
Dai et al. 2016 [37]25/25T: 25 (10/5/10);
C: 25 (15/5/6)
T: 10/15
C: 11/14
T: 54.2 ± 12.7
C: 49.1 ± 12.8
T: 11/14
C: 5/20
No treatmentAcupunctureAcupuncture: Yingxiang (LI20), Shangyingxiang (EX-HN8), BiQiu. 3 times a week for 3 months. 10 times is 1 course with a treatment interval of 3∼5 days3 mTreatment success rate (UPSIT);
UPSIT score

T, the treatment group; C, the control group; M, months; Y, years; W, week; N, anosmic; P, hyposmic. ① The intervention acupoint injection: The injection solution is 0.1∼0.2 ml lidocaine mixed with 1 ml vitamin B12. When needle feeling is generated as the needle vertically injected without blood refluxing, the needle slowly injects the solution under the skin of bilateral acupoints. The injection is 0.5 ml per side. Needle frequency is 3 times a week. 10 times is 1 course with a treatment interval of 3∼5 days. The total treatment duration is 3 months. ② Olfactory training: Patients are advised to smell five different smells of wind oil essence, vinegar, hemp oil, alcohol, and rose fragrance for 10 seconds one time and then take 10 minute rest and smell another smell. This training has lasted 2 times a day. ③ Drug therapy: cobalt tablets (once 0.5 mg, 3 times a day) + prednisone tablets (once 30–10 mg, 1 times a day) + ginkgo leaf extract tract (once 40 mg, 3 times a day).