Clinical practice guidelines for the treatment of allergic rhinitis in children with traditional Chinese medicine

Lu Feng, Lili Lin, Shouchuan Wang, Xia Zhao, Qigang Dai, Lei Wang, Yan Yang, Ling Xu, Yuling Liu, Li An, Cunsi Shen, Lu Feng, Lili Lin, Shouchuan Wang, Xia Zhao, Qigang Dai, Lei Wang, Yan Yang, Ling Xu, Yuling Liu, Li An, Cunsi Shen

Abstract

Allergic rhinitis (AR) is one of the most common allergic diseases in children and it can lead to physical and mental health problems. Traditional Chinese medicine (TCM) plays an important role in understanding the phenotypes and treatment of AR. However, there are currently no normative clinical practice guidelines (CPGs) for the treatment of AR in children. The study aimed to develop an evidence-based CPG for the treatment of AR in children with TCM. Systematic literature research, expert questionnaire, and clinical evaluation after three rounds of surveys were adopted to form recommendations for treating children with AR using the Delphi method. Depending on the clinical manifestations, we finally recommended two decoctions with two Chinese patent medicines for an acute attack of AR and two decoctions for a chronic period of AR. For the acute attack of AR in children, Xinyi Qingfei decoction, Wenfei Zhiliu decoction, Xinqin granules, and Xinyi Biyan pills were suggested, whereas for the chronic period of AR, Buzhong Yiqi and Jingui Shenqi decoctions were recommended. The four external treatment methods suggested for the prevention and care of AR were body acupuncture, moxibustion, auricular point pressing, and acupoint application. The recommended levels of the suggested TCM strategies ranged from Grade B to D, indicating the weakness of the recommendations. TCM has the potential to offer new insights into phenotypes and the management of AR worldwide; however, more high-quality clinical studies are needed to improve the quality of evidence.

Keywords: allergic rhinitis; children; clinical practice guidelines; traditional Chinese medicine; 中医药; 临床指南; 儿童; 过敏性鼻炎.

© 2021 American Association for Anatomy.

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