Searching for “IBS”

This network meta-analysis of 28 RCTs involving 3,323 patients evaluated Chinese herbal medicine (CHM) for IBS. Jianpi-Chushi therapy showed significant improvement in adequate relief and IBS symptom severity scale (IBS-SSS). Shugan-Jianpi therapy showed the best efficacy in relieving abdominal pain and distension. Wenshen-Jianpi therapy had a better effect on avoiding adverse effects and improving stool character. GRADE evidence quality: Low.

Shen Ling Bai Zhu San is the most commonly cited classical formula for chronic diarrhea due to Spleen Qi Deficiency with Dampness. For IBS-D triggered by stress (Liver-Spleen disharmony), Tong Xie Yao Fang (痛泻要方) is the classical formula. A 2021 network meta-analysis confirmed that Jianpi-Chushi (strengthening Spleen and draining Dampness) therapy significantly improved global IBS symptoms and IBS-SSS scores.

A network meta-analysis of 28 RCTs involving 3,323 IBS patients reported that Chinese herbal medicine (CHM) may help relieve IBS clinical symptoms. However, the evidence quality was rated as low overall, and these findings are preliminary. Specific CHM strategies were reported to show improvement over conventional therapies for global symptoms, abdominal pain, and bloating respectively, but significant limitations exist. This does not establish a treatment recommendation.