Effects of modified Wendan Decoction combined with acupuncture on inflammatory factors and immune function in urticaria patients

IF 2.1 4区 医学 Q3 DERMATOLOGY Archives of Dermatological Research Pub Date : 2025-04-11 DOI:10.1007/s00403-025-04210-1
Zan Tian, Jianlong Dong, Yanjun Wang
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Abstract

This study aimed to explore the effects of modified Wendan Decoction combined with acupuncture on serum inflammatory markers and immune function in patients suffering from urticaria. A total of 150 urticaria patients admitted to our hospital were randomly assigned to two groups: the observation group (n = 75) and the control group (n = 75). The control group received levocetirizine tablets, while the observation group was treated with modified Wendan Decoction along with acupuncture. Following treatment, the observation group demonstrated a higher clinical efficacy compared to the control group, with a statistically significant difference (P < 0.05). Both groups experienced reductions in symptom scores, including erythema, burning sensation, pruritus, wheals, fever accompanied by epigastric pain, nausea and vomiting, fatigue, and poor appetite. However, the observation group showed significantly lower symptom scores than the control group (P < 0.05). Additionally, levels of IL-4, IL-10, IL-25, IL-33, and IFN-γ decreased in both groups after treatment, but the observation group exhibited lower levels than the control group, again with a statistically significant difference (P < 0.05). The recurrence rate was notably lower in the observation group compared to the control group (P < 0.05). The combination of modified Wendan Decoction and acupuncture effectively reduces serum inflammatory markers and enhances immune function in patients with urticaria. This treatment demonstrates significant clinical effectiveness and holds potential for broader application in clinical settings.

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温胆汤加味配合针刺对荨麻疹患者炎症因子及免疫功能的影响
本研究旨在探讨温胆汤加味配合针刺对荨麻疹患者血清炎症指标及免疫功能的影响。将我院收治的150例荨麻疹患者随机分为两组:观察组(n = 75)和对照组(n = 75)。对照组患者给予左西替利嗪片治疗,观察组患者给予温胆汤加减配合针刺治疗。治疗后,观察组临床疗效高于对照组,差异有统计学意义(P < 0.05)。两组的症状评分均有所降低,包括红斑、烧灼感、瘙痒、皮疹、伴有胃脘痛的发热、恶心呕吐、疲劳和食欲不振。观察组患者的症状评分明显低于对照组(P < 0.05)。治疗后两组患者IL-4、IL-10、IL-25、IL-33、IFN-γ水平均下降,但观察组低于对照组,差异有统计学意义(P < 0.05)。观察组复发率明显低于对照组(P < 0.05)。温胆汤加味配合针刺可有效降低荨麻疹患者血清炎症标志物,增强免疫功能。这种治疗显示出显著的临床效果,并具有在临床环境中广泛应用的潜力。
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来源期刊
CiteScore
4.10
自引率
3.30%
发文量
30
审稿时长
4-8 weeks
期刊介绍: Archives of Dermatological Research is a highly rated international journal that publishes original contributions in the field of experimental dermatology, including papers on biochemistry, morphology and immunology of the skin. The journal is among the few not related to dermatological associations or belonging to respective societies which guarantees complete independence. This English-language journal also offers a platform for review articles in areas of interest for dermatologists and for publication of innovative clinical trials.
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