Evidence mapPaperPMID 41824820Full record

SynthesisMedicine2026

The efficacy of acupuncture combined with Chinese herbal medicine in the treatment of gastric ulcer: A systematic review and meta-analysis.

Yi-Fang Liang, Wen-Wen Qu, Meng-Die Zhu, Gao-Fei Liu, Xue Zheng, Qi Jiang, Yong-Li Han, Qingbo Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yi-Fang LiangSchool of Acupuncture and Moxibustion, Henan University of Chinese Medicine, Zhengzhou,China.
Wen-Wen QuSchool of Acupuncture and Moxibustion, Henan University of Chinese Medicine, Zhengzhou,China.
Meng-Die ZhuSchool of Acupuncture and Moxibustion, Henan University of Chinese Medicine, Zhengzhou,China.
Gao-Fei LiuSchool of Acupuncture and Moxibustion, Henan University of Chinese Medicine, Zhengzhou,China.
Xue ZhengAcupuncture Department, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Qi JiangAcupuncture Department, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Yong-Li HanAcupuncture Department, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.
Qingbo WangAcupuncture Department, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, China.ORCID 0009-0007-8971-8578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the efficacy of acupuncture combined with Chinese herbal medicine in the treatment of gastric ulcers (GU) through a meta-analysis.

methodsA comprehensive search was conducted in Chinese databases (CNKI, VIP, and Wanfang) and international databases (PubMed, Embase, and the Cochrane Library) to identify available randomized controlled trials (RCTs) published from the inception of each database through January 2025. The primary outcomes considered included overall efficacy rate, Helicobacter pylori (Hp) eradication rate, recurrence rate, gastrin levels, and adverse events. The quality of each included study was assessed using the Cochrane Collaboration's Risk of Bias Tool, and data were analyzed using RevMan 5.3 software.

resultsA total of 1288 articles were initially identified, of which 17 RCTs involving 1632 patients were ultimately included. The meta-analysis demonstrated that acupuncture combined with Chinese herbal medicine was superior to non-acupuncture combined with Chinese herbal medicine in terms of clinical efficacy (OR = 4.83, 95% confidence intervals [CI] = 3.36-6.93, P < .00001), Hp eradication rate (OR = 3.94, 95% CI = 2.35-6.6, P < .00001), recurrence rate (OR = 0.19, 95% CI = 0.1-0.35, P < .00001), and gastrin levels (MD = -18.39, 95% CI = -20.68 to -16.11, P < .00001). Due to the small sample size and low quality of the RCTs included, the overall certainty of the evidence is low.

conclusionCompared with the control intervention measures, acupuncture combined with traditional Chinese medicine therapy may be an effective complementary therapy for treating GU. It has shown good clinical efficacy, significantly improving the eradication rate of Hp, gastrin levels, and having a relatively low recurrence rate. No increase in adverse events has been reported, suggesting a favorable safety profile in clinical practice. However, further high-quality, large-scale studies are needed to confirm these results.

Indexed as

Acupuncture TherapyDrugs, Chinese HerbalStomach UlcerCombined Modality TherapyGastrinsHelicobacter InfectionsHelicobacter pyloriHumansRandomized Controlled Trials as TopicTreatment OutcomeDrugs, Chinese HerbalGastrinsacupunctureChinese herbal medicinegastric ulcermeta-analysis

Identifiers

PMID41824820
PMCPMC12991616

What Socratic holds

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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.