DOI QR코드

DOI QR Code

Systematic Review on Presbycusis Treated by Herbal Medicine Focusing on Kidney Deficiency

노인성 난청의 한약 치료에 대한 체계적 문헌고찰: 신허(腎虛)을 중점으로

  • Lim, Hui-yeong (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity) ;
  • Jin, Han-Sol (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity) ;
  • Ko, Woo-Shin (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity) ;
  • Yoon, Hwa-Jung (Dept. of korean Medicine Ophthalmology & Otolaryngology & Dermatology, Clinical Korean Medicine, Dong-Eui Unitversity)
  • 임희영 (동의대학교 한의과대학 안이비인후피부과학 교실) ;
  • 진한솔 (동의대학교 한의과대학 안이비인후피부과학 교실) ;
  • 고우신 (동의대학교 한의과대학 안이비인후피부과학 교실) ;
  • 윤화정 (동의대학교 한의과대학 안이비인후피부과학 교실)
  • Received : 2021.10.08
  • Accepted : 2021.11.04
  • Published : 2021.11.25

Abstract

Objectives : This study was conducted to approve the effectiveness and safety of herbal medicine on presbycusis with kidney deficiency. Methods : We searched randomized controlled trials(RCTs) on presbycusis patients diagnosed with kidney deficiency through 10 electronic databases from the start to Sep 7, 2021. Study collection and data extraction, and evaluation of risk of bias were conducted by two independent collaborator. The evaluation of the risk of bias in included RCTs was carried out by using Cochrane risk-of-bias tool. And the data synthesis was conducted by using Review Manager(RevMan, ver.5.4). Results : 1. The treatment group which used herbal medicine(HM) alone was more effective than the control group which used only western medicine(WM) on effective rate of hearing loss. 2. In 3 studies comparing the HM-WM combination treatment group with the control groups using the same WM treatment, the effective rate was statistically significantly higher in the HM-WM combination treatment group. 3. Of the 5 studies that reported adverse reactions, one study reported mild nausea and dizziness, but the difference between the HM treatment group and the WM control group was not statistically significant, and no side effects occurred in other 3 studies. 4. In studies comparing HM and WM, the HM treatment group improved hearing loss, whole blood viscosity, serum TNF-𝛼, IL-1𝛽, IL-6, and oxidative stress indicators better than the WM control group, and there was no significant difference. 5. In studies comparing the HM-WM treatment group with the WM control group, the severity of tinnitus, quality of life, and feelings of anxiety and depression were better in the treatment group than the control group. Conclusions : This study shows that the herbal medicine can improve symptoms of presbycusis with kidney deficiency.

Keywords

References

  1. Gates GA. Mills JH. Presbycusis. Lancet. 2005;366:1111-20. https://doi.org/10.1016/S0140-6736(05)67423-5
  2. Lemke U, Scherpiet S. Oral communication in individuals with hearing impairment-considerations regarding attentional, cognitive and social resources. Frontiers in Psychology. 2013;6:998. https://doi.org/10.3389/fpsyg.2015.00998
  3. Saito H, Nishiwaki Y, Michikawa T, Kikuchi Y, Mizutari K, Takebayashi T, et al. Hearing handicap predicts the development of depressive symptoms after 3 years in older community-dwelling Japanese. Journal of the American Geriatrics Society. 2010;58(1):93-7. https://doi.org/10.1111/j.1532-5415.2009.02615.x
  4. Lin FR, Yaffe K, Xia J, Xue QL, Harris TB, Purchase-Helzner E, Satterfield S, et al. Hearing loss and cognitive decline in older adults. JAMA Internal Medicine. 2013;173(4):293-9. https://doi.org/10.1001/jamainternmed.2013.1868
  5. Statistics Korea. 2021[cited 2021 SEP 19]. Available from: URL: http://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=403253
  6. Korean statistical information service. 2019[cited 2019 DEC 18]. Available from: URL: https://kosis.kr/statisticsList/statisticsListIndex.do?parentId=F.1&vwcd=MT_ZTITLE&menuId=M_01_01#content-group
  7. Wang J, Puel JL. Presbycusis: An Update on Cochlear Mechanisms and Therapies. J Clin Med. 2020;9(1):218. https://doi.org/10.3390/jcm9010218
  8. Jea HK, Min YE, Oh YJ, Kang JH. Therapeutic Effects of Korean Medical Treatment Combined with Threshold Sound Conditioning on Presbycusis: A Case Report. J Korean Med Ophthalmol Otolaryngol Dermatol. 2021;34(3):102-11. https://doi.org/10.6114/JKOOD.2021.34.3.102
  9. Zhang YP, FAN YF, Curative Observation on Modified Bushen Tongqiao Decoction in the Treatment for Presbycusis. Western Journal of Traditional Chinese Medicine. 2019;9:66-8.
  10. Zhang N. Clinical research on presbycusis by Tonifying the Kidney, Promoting Blood Circulation and Clearing Orifice. Liaoning University of Traditional Chinese Medicine. 2018;5-28.
  11. Shi WH. Observation on Curative Effect of Combination of Traditional Chinese and Western Medicine in Treating Senile Deafness. Guangming Journal of Chinese Medicine. 2015;6:1286,1287.
  12. Luo Y, Ma YZ, Liu WJ, Tan CM, Xing Y, Xu M. Effect of Erlongzuoci Pill on Serum TNF-α, IL-1β and IL-6 in Aged Patients with Kidney Deafness. Progress in Modern Biomedicine. 2015;25:4930-3.
  13. Huang ST, Gai JQ, Qia L. Clinical Study on Bushen Tianjing Fang in Senile Deafness and Tinnitus of Kidney Essence Deficiency Syndrome. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2021;5:82-5.
  14. Yang X. Observation of Yishen Zhihong Granules on Improving Clinical Curative Effect of Senile Deafness. Liaoning University of Traditional Chinese Medicine. 2013;4-21.
  15. Li L, Li WH, Wu GH. Clinical Observation on the Therapeutic Effect of Gushen Peiyuan Fang in Treating 35 Patients of Presbycusis. Journal of Liaoning University of Traditional Chinese Medicine. 2012;7:111,112. https://doi.org/10.4103/wjtcm.wjtcm_86_20
  16. Chai F, Li YW. Study on Cong'er Pills in Improving High-frequency Hearing Threshold of Senile Deafness with Kidney Deficiency. Chinese Journal of Information on TCM. 2000;1:47.
  17. Zhong P. Reinforce the Kidney and Activate Blood Circulation Treatment of Presbycusis and Effect on the Quality of Life. Chengdu University of Tranditional Chinese Medicine. 2011;5-49.
  18. Whang WY. The Clinical Research of Huoxuefancongtang for The Treatment of Presbycusis. Shandong University of Traditional Chinese Medicine. 2016;2-30.
  19. Dong HL. Toniyfing the Kidney and Promoting Blood Circulation in Treating Senile Deafness: Clinical Study. Shandong University of Traditional Chinese Medicine. 2012;2-35.
  20. Wu YC. Influence of Ginkgo Biloba Extract combined with Erlong Zuoci Pills treatment on hemorheology of patients with kidney deficiency type presbycusis. China Modern Medicine. 2017;11:104-6.
  21. Wang TJ, Ding HF, Ma J, Luo ZH. Investigation on the degree of hearing loss in senile deafness and TCM syndrome differentiation and treatment. Chinese Journal of Gerontology. 2011;15:2840-2.
  22. Heo J. Donguibogam. Ministry of Health & Welfare. 2013:3290-762.
  23. Song BB, Anderson DJ, Schacht J. Protection from gentamicin ototoxicity by iron chelators in guinea pig in vivo. J Pharmacol Exp Ther. 1997;282:369-77.
  24. Kim SH, Yeo SG. Presbycusis. Hanyang Medical Reviews. 2015;35(2):78-83. https://doi.org/10.7599/hmr.2015.35.2.78
  25. Korea Centers for Disease Control and Prevention. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2) 2015[cited 2015 Feb 02]. Available from: http://knhanes.cdc.go.kr/.
  26. Shin SY, Lee YS, Park JH, Kwon TG, Seo SI, Kwon YG. Comparison of Immunomodualtory Effects of Water-extracted Ginseng Radix, Pilose Asia-bell, Astragali Radix, Astractylodes Rhizoma alba and Dioscoreae Rhizoma. Journal of Physiology & Pathology in Korean Medicine. 2004;18(4):1140-6.
  27. Park YC, Lee GY, Baek LM, Son HY, Kook YB, Lee SD. Pharmacological Action and Toxicity of Rehmannia glutinosa. The Korean Journal of Oriental Medical Prescription. 2011;19(1):145-60.
  28. Shin DC, Kim GC, Song SY, Kim HJ, Yang JC, Kim BA. Antioxidant and Antiaging Activities of Complex Supercritical Fluid Extracts from Dendropanax morbifera, Corni fructus and Lycii Fructus. Kor J Herbology. 2013;28(6):95-100. https://doi.org/10.6116/KJH.2013.28.6.95
  29. Park YC, Lee SD, Heo Y, Kim HS, Lee IS. Effects of Ligusticum Chuanxiang on blood circulation and oxidative stress. Kor J Oriental Preventive Medical Society. 2002;6(2):86-94.
  30. Yang YE, Lee MJ, Jeong HJ, Lee HS, Kim H, Na ST, et al. Screening of Antioxidative, Anti-atherosclerotic Effect of Alisma Rhizome Extracts. The Journal of Internal Korean Medicine. 2008;29(4):988-99.
  31. Jo HJ, Won JH, Moon G, Moon SJ, Ryu GW, Ryu BH. Studies on the NO Production and Expression Induction Effect of NOS Gene by Salviae Radix. J Korean Oriental Med. 2000;21(3);20-30.