Evidence map›Paper›PMID 36743913›Full record

Trial reportFrontiers in endocrinology2022

The spleen-strengthening and liver-draining herbal formula treatment of non-alcoholic fatty liver disease by regulation of intestinal flora in clinical trial.

Dengcheng Hui, Lu Liu, Nisma Lena Bahaji Azami, Jingru Song, Yanping Huang, Wan Xu, Chao Wu, Dong Xie, Yulang Jiang, Yanqin Bian and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. International journal of molecular sciences · 2026
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  20. Changes in gut microbiota inFrontiers in microbiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Dengcheng HuiShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Lu LiuShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Nisma Lena Bahaji AzamiShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jingru SongDepartment of Gastroenterology, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Yanping HuangDepartment of Good Clinical Practice Office, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wan XuShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Chao WuShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Dong XieShanghai University of Traditional Chinese Medicine, Shanghai, China.
Yulang JiangShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yanqin BianArthritis Institute of Guanghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Mingyu SunShuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shanghai University of Traditional Chinese Medicine · CNShuguang Hospital · CNShanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine · CNTongren Hospital · CNZhejiang Chinese Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: As a metabolic disease, one important feature of non-alcoholic fatty liver disease (NAFLD) is the disturbance of the intestinal flora. Spleen-strengthening and liver-draining formula (SLF) is a formula formed according to the theory of "One Qi Circulation" (Qing Dynasty, 1749) of Traditional Chinese Medicine (TCM), which has shown significant therapeutic effect in patients with NAFLD in a preliminary clinical observation. In this study, we aim to explore the mechanism of SLF against NAFLD, especially its effect on glucolipid metabolism, from the perspective of intestinal flora. Methods: A prospective, randomized, controlled clinical study was designed to observe the efficacy and safety of SLF in the treatment of NAFLD. The study participants were randomly and evenly divided into control group and treatment group (SLF group). The control group made lifestyle adjustments, while the SLF group was treated with SLF on top of the control group. Both groups were participated in the study for 12 consecutive weeks. Furthermore, the feces of the two groups were collected before and after treatment. The intestinal flora of each group and healthy control (HC) were detected utilizing 16S rRNA gene sequencing. Results: Compared with the control group, the SLF group showed significant improvements in liver function, controlled attenuation parameter (CAP), and liver stiffness measurement (LSM), meanwhile, patients had significantly lower lipid and homeostasis model assessment of insulin resistance (HOMA-IR) with better security. Intestinal flora 16S rRNA gene sequencing results indicated reduced flora diversity and altered species abundance in patients with NAFLD. At the phylum level, Conclusions: SLF can improve liver function and glucolipid metabolism in patients with NAFLD and lower down liver fat content to some extent. SLF could be carried out by regulating the disturbance of intestinal flora, especially

Indexed as

Drugs, Chinese HerbalGastrointestinal MicrobiomeNon-alcoholic Fatty Liver DiseaseEubacterialesHumansRNA, Ribosomal, 16SSpleenDrugs, Chinese HerbalRNA, Ribosomal, 16Sglucolipid metabolismintestinal floranon-alcoholic fatty liver diseasespleen-strengthening and liver-draining formulatraditional Chinese medicine

Identifiers

PMID36743913
PMCPMC9892935
OpenAlexW4317402220

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.