Effectiveness and Safety of Shaoyao Gancao Decoction With Addition on the Sleep-related Leg Cramps: A Randomized, Double-Blinded, Placebo-Controlled Trial
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The change in the Visual Analogue Scale (VAS) of painfulness
研究概览
简要总结
A randomized, double-blinded, placebo-controlled clinical trial using a Chinese Medicine formula in treating Sleep-related Leg Cramps. Subjects will be randomized into a treatment group or placebo group for 4 weeks, and then post-treatment visit at week 6 and week 8.
详细描述
The sleep-related leg cramps (SRLC), also called nocturnal leg cramps (NLC), is a sleep-related limb movement disorder in which painful contractions of the calf or foot muscles occur during sleep, thereby interrupting the patient's rest. It can happen at any ages, but is particularly prevalent among the elderly.
In Chinese medicine, leg cramps, first mentioned in the book of "Huangdi Neijing" (The Yellow Emperor's Cannon of Internal Classic), is characterized by muscular spasm and contracture of a limb resulting in difficulty in relaxation and movement. SRLC is an impediment disease caused by the invasion of wind-cold damp pathogens in the muscles and sinews, together with the dual deficiency of qi and blood that fails to nourish the muscles and sinews, leading to painful contraction of muscles.
Currently, no treatments have been proven both safe and effective for SRLC. Passive stretching and deep tissue massage, which are patient-controlled maneuvers on relieving muscle tension, are usually recommended despite limited proof of effectiveness.
Shaoyao Gancao Decoction was first introduced in the book of "Shang Han Lun" (Treatise on Cold Attack) written by the venerated Physician Zhang Zhongjing in the Eastern Han dynasty. It consists of two herbs, i.e., Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma Praeparata Cum Melle, and has the therapeutic functions of moderating painful spasms and alleviating pain. It is commonly used in Chinese medicine practice for treating abdominal pain, lack of strength in walking, spasms of the calf muscles, and restless leg syndrome. Modern pharmacological studies showed that Shaoyao Gancao Decoction possesses anti-inflammatory, analgesic and antispasmodic effects. It has been shown that the use of Shaoyao Gancao Decoction could inhibit mechanical and thermal hyperalgesia in rats with chronic compressive injury.
In 2009, a prospective observational pilot study was conducted to evaluate the effectiveness and safety of modified Shaoyao Gancao Decoction on 30 eligible subjects with SRLC in a cohort study and the result is positive.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 60 or above of both genders;
- •Complain of muscular spasm and contracture of the lower limb with difficulty in relaxation and movement at night;
- •Meet the diagnostic criteria of The International Classification of Sleep Disorders (3rd Edition) for SRLC [2];
- •Meet the syndrome differentiation of the blood stasis or blood deficiency in Traditional Chinese Medicine.
- •Regular SRLC occurs at least once per week on average within past month;
- •Numeric Pain Rating Scale (NPRS) ≥ 5; and
- •Willing to provide written informed consent.
排除标准
- •Known mental disorder or neurologic disorder;
- •Known serious organic disease including severe cardiovascular disease, post-stroke depression, cancer and dementia,;
- •Currently on anticoagulants, antiplatelet medications, hypnotics, anxiolytics, positive inotropic drugs, corticosteroids and estrogenic and testosterone which may interfere with the study medications.
- •Impaired hematological profile and liver / renal function exceeds the upper limit of the reference value by 2 times;
- •Known allergic to Chinese medicines; and
- •Any contraindications for taking Chinese medicines in the opinion of the investigators;
- •Known history of lower limb surgery;
- •Known pregnant or breast-feeding.
研究组 & 干预措施
Shaoyao Gancao Decoction with Addition
11g of Shaoyao Gancao Decoction with Addition granules twice daily for 4 weeks
干预措施: Shaoyao Gancao Decoction with Addition (Drug)
Placebo
11g of placebo granules twice daily for 4 weeks
干预措施: Placebo (Other)
结局指标
主要结局
The change in the Visual Analogue Scale (VAS) of painfulness
时间窗: week 4
The VAS is a unidimensional measure of pain intensity which will be self assessed by subjects daily, with the scale of 0 (no pain) to 10 (worst imaginable pain).
次要结局
- The change in the Visual Analogue Scale (VAS) of painfulness(week 8)
- The change in frequency of SRLC(week 8)
- The change in the Pittsburg Sleep Quality Index (PSQI)(week 8)
- The score of Patient Global Impression of Change (PGIC)(week 8)
- The change in total duration of SRLC per week(week 8)
- The change in the Short Form 36 Health Survey Questionnaire (SF-36) score(week 8)
研究者
Prof. Lin Zhixiu
Professor
Chinese University of Hong Kong