Wen YD, Lu F, Zhao YP, Wang P, Yang Q, Li JX, Li HZ, Chi LL, Zhou ZH, Tang YP, Xu JK, Zhao Y, Tang XD. Epigastric pain syndrome: What can traditional Chinese medicine do? A randomized controlled trial of Biling Weitong Granules. World J Gastroenterol 2020; 26(28): 4170-4181 [PMID: 32821078 DOI: 10.3748/wjg.v26.i28.4170]
Corresponding Author of This Article
Xu-Dong Tang, MD, PhD, Chief Doctor, Professor, Department of Gastroenterology, Xiyuan Hospital of China Academy of Chinese Medical Sciences, No. 1 Xiyuancaochang, Haidian District, Beijing 100091, China. txdly@sina.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jul 28, 2020; 26(28): 4170-4181 Published online Jul 28, 2020. doi: 10.3748/wjg.v26.i28.4170
Table 1 Baseline characteristics of study population in a full analysis set
Placebo group, n = 120
BLWT group, n = 118
P value
Sex, n
0.8656
Male/female
45/75
43/75
Age in yr, mean ± SD
37.78 ± 13.96
37.95 ± 13.38
0.9256
Body height in cm,
mean ± SD
166.69 ± 7.98
165.46 ± 7.33
0.214
Body weight in kg,
mean ± SD
62.93 ± 13.05
61.22 ± 11.06
0.2765
Education background, n (%)
0.9256
Illiteracy
1 (0.83)
1 (0.85)
Primary school
5 (4.17)
4 (3.39)
Middle school
19 (15.83)
25 (21.19)
High school
19 (15.83)
18 (15.25)
Junior college
16 (13.33)
14 (11.86)
College
16 (13.33)
19 (16.1)
Higher than college
44 (36.67)
37 (31.36)
Table 2 Baseline disease conditions in two groups, mean ± SD
Placebo group, n = 120
BLWTG group, n = 118
P value
Total epigastric pain score
4.63 ± 0.73
4.61 ± 0.72
0.8748
VAS score of the severity of epigastric pain
6.17 ± 1.14
6.25 ± 1.2
0.6257
Frequency of epigastric pain, d/wk
4.14 ± 1.73
4.08 ± 1.67
0.7964
Total FD clinical score
28.18 ± 9.02
29.07 ± 9.33
0.458
FDDQL score
58.91 ± 13.78
57.15 ± 15.35
0.3518
Table 3 Analysis of clinical response for epigastric pain in a full analysis set, n (%)
Placebo group, n = 120
BLWTG group, n = 118
P value
Total
< 0.0001
Responsive
34 (28.33)
101 (85.59)
Not responsive
86 (71.67)
17 (14.41)
Baseline VAS score, 4 ≤ VAS < 7
Responsive
27( 30.34)
77 (88.51)
< 0.0001
Not responsive
62 (69.66)
10 (11.49)
Baseline VAS score, 7 ≤ VAS ≤ 10
Responsive
7 (22.58)
24 (77.42)
< 0.0001
Not responsive
24 (77.42)
7 (22.58)
Table 4 Rate of abdominal pain resolution in two groups, n (%)
Placebo group, n = 120
BLWTG group, n = 118
P value
Resolution rate
< 0.0001
Resolved
18 (15)
82 (69.49)
Not resolved
102 (85)
36 (30.51)
Table 5 Total epigastric pain score (mean ± SD) in functional dyspepsia patients in a full analysis set
Placebo group, n = 120
BLWTG group, n = 118
P value
Baseline
4.63 ± 0.73
4.61 ± 0.72
0.8748
Week 1
4.43 ± 1.17
4.03 ± 1.28
0.0125
Week 2
3.65 ± 1.63
3.2 ± 1.59
0.0335
Week 3
3.67 ± 1.42
2.81 ± 1.46
< 0.0001
Week 4
3.45 ± 1.48
2.38 ± 1.7
< 0.0001
Week 5
3.23 ± 1.75
1.84 ± 1.71
< 0.0001
Week 6
3.19 ± 1.56
1.32 ± 1.5
< 0.0001
Table 6 Total functional dyspepsia clinical score (mean ± SD) in two groups in a full analysis set
Placebo group, n = 120
BLWTG group, n = 118
P value
Baseline
28.18 ± 9.02
29.07 ± 9.33
0.458
Week 2
23.8 ± 9.15
20.53 ± 9.77
0.0085
Week 4
20.69 ± 9.96
14.12 ± 8.45
< 0.0001
Week 6
20.52 ± 9.31
7.76 ± 6.67
< 0.0001
Table 7 Functional Digestive Disorders Quality of Life Questionnaire total score and scores of different dimensions (6-wk baseline) (mean ± SD) in a full analysis set
Placebo group, n = 120
BLWTG group, n = 118
P value
Total score
3.93 ± 14.78
20.14 ± 15.7
< 0.0001
Daily activities
4.72 ± 18.61
19.58 ± 19.16
< 0.0001
Anxiety
6.42 ± 22.51
25.24 ± 21.49
< 0.0001
Diet
11.77 ± 74.07
20.51 ± 20.59
0.2498
Sleep
1.06 ± 18.34
19.1 ± 20.27
< 0.0001
Discomfort
4.86 ± 17.34
21.46 ± 18.15
< 0.0001
Coping with disease
0.45 ± 17.28
15.13 ± 18.72
< 0.0001
Control of disease
6.45 ± 23.65
23.62 ± 25.25
< 0.0001
Stress
7.03 ± 23.5
18.77 ± 22.52
0.0003
Table 8 Use of Talcid tablets during the observation period in a full analysis set
Placebo group
BLWTG group
P value
Use rate, n (%)
Number of users
29 (24.37)
9 (7.63)
0.0003
Number of non-users
90 (75.63)
109 (92.37)
Citation: Wen YD, Lu F, Zhao YP, Wang P, Yang Q, Li JX, Li HZ, Chi LL, Zhou ZH, Tang YP, Xu JK, Zhao Y, Tang XD. Epigastric pain syndrome: What can traditional Chinese medicine do? A randomized controlled trial of Biling Weitong Granules. World J Gastroenterol 2020; 26(28): 4170-4181