Abstract

Background: Complementary and alternative medicines are increasingly used for the treatment of asthma worldwide. A five-herb herbal formula (CUF) has been found to be effective and safe in an animal model of asthma and in a preliminary clinical study. Objective: The objective of this study was to evaluate the safety and efficacy of CUF in children suffering from asthma. Design: A randomized, double blind, and placebo-controlled, parallel study. Interventions: Subjects received CUF or placebo for 6 months. Efficacy variables included changes in forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), Paediatric Asthma Quality of Life Questionnaire (PAQLQ), and steroidal consumption. Results: A total of 100 asthmatic children were enrolled and assigned to two treatment groups. The first group received CUF 6 capsules (3 g/day) and the second group received placebo. There was a statistically significant difference in mean spirometric indexes in CUF group at baseline and follow-up visits. In the CUF group, the activity domain showed significant improvement (p = 0.045). FEV% was significantly improved in the CUF group (p strated. It improved the pulmonary functions of the children, namely, FEV1 and FVC. However, further research on a larger scale is warranted.

Highlights

  • Asthma is a common chronic disease in childhood and its prevalence is increasing worldwide [1,2]

  • The only significant difference between the two groups was in the body weight, which was heavier in the CUF group

  • Patients usually have reduced forced expiratory volume in one second as well as reduced airflow. This randomized double blinded placebo controlled trial compared the effects of 6 months of treatment with the encapsulated herbal mixture CUF on lung function, asthma control, Paediatric Asthma Quality of Life Questionnaire (PAQLQ), and cough related health status

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Summary

Introduction

Asthma is a common chronic disease in childhood and its prevalence is increasing worldwide [1,2]. Childhood asthma accounts for a significant number for hospitalizations, school absenteeism as well as interference in other daily activities [4]. It has been associated with poor school performance, low self-image of patients, and disruption of family life [5,6]. FEV% was significantly improved in the CUF group (p < 0.05) compared with the Placebo group. The requirement for steroids decreased after treatment in both groups, and no significant difference was noted between the two study groups. Conclusion: A beneficial role for CUF therapy in pediatric asthma is demonstrated It improved the pulmonary functions of the children, namely, FEV1 and FVC.

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