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      Meta-Analysis of the Effects of Xingnaojing Injection on Consciousness Disturbance

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          Abstract

          Xingnaojing (XNJ) is commonly extracted from Angongniuhuang, a classic Chinese emergency prescription, and widely used in the treatment of nervous system disorders including consciousness disturbance in China.

          To evaluate the beneficial and adverse effects of XNJ injection, on consciousness disturbance.

          Seven major electronic databases were searched to retrieve randomized controlled trials designed to evaluate the clinical efficacy of XNJ alone or combined with Western medicine in treating consciousness disturbance caused by conditions such as high fever, poisoning, and stroke. The methodological quality of the included studies was assessed using criteria from the Cochrane Handbook for Systematic Review of Interventions, and analyzed using the RevMan 5.3.0 software.

          Seventeen randomized controlled trials on XNJ were included in this study and the trials generally showed low methodological quality. The results revealed that XNJ alone or in combination with other medicines and adjuvant methods had a positive effect on patients with fever-, poisoning-, and stroke-induced coma.

          XNJ effectively treated consciousness disturbances that were caused by high fever, poisoning, or stroke.

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          Author and article information

          Journal
          Medicine (Baltimore)
          Medicine (Baltimore)
          MEDI
          Medicine
          Wolters Kluwer Health
          0025-7974
          1536-5964
          February 2016
          18 February 2016
          : 95
          : 7
          : e2875
          Affiliations
          From the Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing (LW, YG, XR, BN, LZ, HS); Key office of Encephalopathy TCM Research (LW, HZ, YG, LZ, Ying Gao), State Administration of Traditional Chinese Medicine, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine; Guang’anmen Hospital (YX, YL), Chinese Academy of Chinese Medical Sciences, Beijing; and Shandong University of Traditional Chinese Medicine (JL), Jinan, China.
          Author notes
          Correspondence: Yonghong Gao, Donghzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China (e-mail: gaoyh7088@ 123456sina.com ).
          Article
          02875
          10.1097/MD.0000000000002875
          4998655
          26886655
          a5c5eadb-083f-42f2-b908-21f7bc93a7cd
          Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

          This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/4.0

          History
          : 29 September 2015
          : 27 January 2016
          : 28 January 2016
          Categories
          3800
          Research Article
          Systematic Review and Meta-Analysis
          Custom metadata
          TRUE

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