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Efficacy of Kouyanqing Granule in treatment of children with recurrent aphthous ulcer (fire excess from yin deficiency syndrome): a randomized,controlled,multi-center clinical trial
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DOI   10.11656/j.issn.1672-1519.2021.02.10
Key Words   Kouyanqing Granule;children;recurrent aphthous ulcer;traditional Chinese medicine;randomized controlled trial
Author NameAffiliationE-mail
MA Rong Pediatric Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
LI Xinmin Pediatric Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
CAI Yuedong Guangzhou Baiyunshan Heji Huangpu Traditional Chinese Medicine Co., Ltd., Guangzhou 510515, China 497540317@qq.com 
WANG Mingyue Pediatric Department, The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China  
PEI Zhuying Pediatric Department, Yuncheng Center Hospital, Yuncheng 044000, China  
ZHANG Wei Pediatric Department, Nanyang Traditional Chinese Medicine Hospital, Nanyang 473060, China  
LI Guotang Stomatology Department, Zhoukou Hospital of Traditional Chinese Medicine, Zhoukou 466000, China  
MA Sifeng Pediatric Department, Daqing Hospital of Traditional Chinese Medicine, Daqing 163001, China  
HONG Lijun Pediatric Department, Mudanjiang Hospital of Traditional Chinese Medicine, Mudanjiang 157000, China  
ZHOU Hongxia Pediatric Department, Yuncheng Maternal and Child Health Hospital, Yuncheng 044000, China  
ZHANG Xiaoyan Guangzhou Baiyunshan Heji Huangpu Traditional Chinese Medicine Co., Ltd., Guangzhou 510515, China  
LIN Juan Guangzhou Baiyunshan Heji Huangpu Traditional Chinese Medicine Co., Ltd., Guangzhou 510515, China  
WU Ge Pediatric Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
XU Yaqian Pediatric Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
Abstract
    [Objective] To evaluate the efficacy of Kouyanqing Granules in the treatment of children with recurrent aphthous ulcer (fire excess from yin deficiency syndrome),in shortening the course,reducing recurrence and relieving pain,and observe the safety of clinical application. [Methods] A randomized,double-blind,placebo-controlled,multi-center clinical study was used. The trial intended to include 144 patients,who were randomly divided into treatment group and control group according to 1:1 ratio. The treatment group was given Kouyanqing Granules and the control group with kouyanqing Granules placebo for 14 days. [Results] A total of 144 patients were assigned to this study. During the experiment,6 patients in the test group and 4 patients in the placebo group were not included in the FAS due to dropping out,out of visit window and violation of inclusion and exclusion criteria. The median ulcer healing time was 12 days in the treatment group and 14 days in the placebo group (P<0.05). The recurrence rate was 42.11% in the treatment group and 76.47% in the placebo group (P<0.05). From the 5th day to the 14th day,the differences between the pain VAS score of the treatment group and the placebo group were statistically significant (P<0.05). And the effective rate of traditional Chinese medicine syndromes was 100% and 51.39% (P>0.05). In this trial,there were 1 case (1.45%) of adverse events in the treatment group and 3 cases (4.35%) in the control group (P>0.05). [Conclusion] Kouyanqing Granules in the treatment of children with recurrent aphthous ulcer (fire excess from yin deficiency syndrome) can shorten the course clearly,reduce recurrence,relieve pain and improve traditional Chinese medicine syndromes,and the security is good.

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