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Investigating the Effect of Herbal Medicine Nasal Irrigation on Treatment of Chronic Rhinitis and Sinusitis

Phase 2
Conditions
Nasal Disease
Interventions
Device: Taiwan Scientific" noninvasive blood pressure meter TS-0411
Device: Meridian Energy Analysis Device(MEAD)
Procedure: bacteria culture
Procedure: nasopharyngoscopic examination
Combination Product: TCM nasal irrigation
Registration Number
NCT04046393
Lead Sponsor
Chang Gung Memorial Hospital
Brief Summary

This study investigate the nasal irrigation with Traditional herbal medicine extract-saline isotonic solution in the treatment of chronic rhinitis and sinusitis. Half of participants will receive Traditional herbal medicine extract-saline isotonic solution nasal irrigation, while the other half will receive saline alone nasal irrigation.

Detailed Description

In the program, the investigators plan to investigate a clinical triad to research the outcomes of nasal irrigation with Traditional herbal medicine extract-saline isotonic solution for treatment of chronic rhinitis and sinusitis. The aims of this study are listed below:

Aim 1: evaluating the outcomes and quality of life of nasal irrigation with Traditional herbal medicine extract-saline isotonic solution to treat enrolled patients with chronic rhinitis or sinusitis. The investigators use modern devices to evaluate the autonomic nerve, meridian energy and pulse. The questionnaires of quality of life and symptoms will be recorded. Nasal irrigation with saline alone will be conducted during the clinical triad to compare the effectiveness and quality of life with Traditional herbal medicine extract.

Aim 2: analyzing the changes of bacteria culture in nasal discharge collected during the clinical triad before and after nasal irrigation for investigating the microenvironment of Traditional herbal medicine extract-saline isotonic solution.

According to the research, the investigators will realize the improvement of using Traditional herbal medicine extract-saline isotonic solution for nasal irrigation to treat sino-nasal diseases, by investigating the changes of quality of life and microenvironment of nasal cavity. The nasopharyngoscopic examination, autonomic nerve, meridian energy and pulse were record to compare the effectiveness of Traditional herbal medicine extract-saline isotonic solution with nasal irrigation with saline alone.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
250
Inclusion Criteria
  1. Diagnostic criteria for chronic rhinitis and sinusitis male and female volunteers.
  2. Stop using oral and topical steroid and anti-histamine treatments >2 weeks prior to enrollment.
  3. >20 years of age.
Exclusion Criteria
  1. Allergy to herbal medicine.
  2. Presence of a sinus tumor.
  3. Significant immune dysfunction.
  4. Pregnancy and breast-feeding women.
  5. Undergone nasal surgery <1 week prior to enrollment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Traditional Chinese Medicine(TCM) groupMeridian Energy Analysis Device(MEAD)nasal irrigation with Traditional herbal medicine(licorice) extract-saline isotonic solution
Traditional Chinese Medicine(TCM) groupTaiwan Scientific" noninvasive blood pressure meter TS-0411nasal irrigation with Traditional herbal medicine(licorice) extract-saline isotonic solution
Saline control groupbacteria culturenasal irrigation with saline isotonic solution
Saline control groupnasopharyngoscopic examinationnasal irrigation with saline isotonic solution
Traditional Chinese Medicine(TCM) groupnasopharyngoscopic examinationnasal irrigation with Traditional herbal medicine(licorice) extract-saline isotonic solution
Saline control groupTaiwan Scientific" noninvasive blood pressure meter TS-0411nasal irrigation with saline isotonic solution
Traditional Chinese Medicine(TCM) groupbacteria culturenasal irrigation with Traditional herbal medicine(licorice) extract-saline isotonic solution
Traditional Chinese Medicine(TCM) groupTCM nasal irrigationnasal irrigation with Traditional herbal medicine(licorice) extract-saline isotonic solution
Saline control groupMeridian Energy Analysis Device(MEAD)nasal irrigation with saline isotonic solution
Primary Outcome Measures
NameTimeMethod
WHOQOL-brief score (Taiwan version)one month

consisting of 28 items, each scored from 1 to 5; total score recorded as the sum of all items change from baseline: the questionnaires of quality of life

Secondary Outcome Measures
NameTimeMethod
22-item Sino-Nasal Outcome Test score (SNOT-22)one month

consisting of 22 items, each scored from 0 to 5; total score recorded as the sum of all items, 0 to 110 change from baseline: the questionnaires of chronic sinusitis severity

Posttreatment culture negativityone month

negative" means if no bacterial pathogen is identified on posttreatment culture but at least one has been present on pretreatment culture

Nasopharyngoscopic examination changeone month

consisting of 3 items, each scored from 0 to 2; total score recorded as the sum of both side all items, 0 to 12 change from baseline

Total symptom score(TSS)one month

consisting of 4 items, each scored from 0 to 3; total score recorded as the sum of all items, 0 to 12 change from baseline: the questionnaires of chronic rhinitis severity

Autonomic nerve (HRV)one month

Low frequency (ms2), High frequency (ms2), LF/HF(indicate autonomic function) change from baseline

Meridian energyone month

Yang energy and Yin energy change from baseline

Trial Locations

Locations (1)

Chang Gung Memorial Hospital

🇨🇳

Chiayi City, Taiwan

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