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©The Author(s) 2026.
World J Gastroenterol. Jan 7, 2026; 32(1): 114558
Published online Jan 7, 2026. doi: 10.3748/wjg.v32.i1.114558
Table 2 Clinical trials of Huangqin decoction in ulcerative colitis treatment
Treatments
Dosage of Huangqin
Number of patients in control/intervention
Results (overall response rate), %
Adverse events/number of patients
Ref.
Control groups
Intervention group
Huangqin decoctionControl group: Oral administration of sulfasalazine 3 g/day. Intervention group: Oral Huangqin decoction (huangqin 20 g, baishao 15 g, gancao 15 g, dazao 30 g). Treatment time: 2 months20 g32/3278.1381.25Not reported[123]
Control group: Oral sulfasalazine 3 g/day. Intervention group: Oral Huangqin decoction (huangqin 20 g, baishao 15 g, dazao 30 g, gancao 15 g). Treatment time: 2 months20 g32/3187.5090.32Not reported[124]
Control group: Oral sulfasalazine 9 tablets/day (dose reduced to 4.5 tablets/day after 2 weeks). Intervention group: Oral modified Huangqin decoction (huangqin 8 g, baishao 6 g, zhigancao 4 g, dazao 8 pieces, adjusted according to symptoms). Treatment time: 1 month8 g68/6841.1897.06Control group: Leukopenia/3, headache and nausea/3, arthritis/1. Intervention group: 0[125]
Control group: Oral sulfasalazine 4 g/d. Intervention group: Oral Huangqin decoction granules (huangqin 20 g, baishao 10 g, gancao 6 g, dazao 10 g). Treatment time: 2 months20 g68/687086.7Not reported[126]
Control group: Antibiotics, corticosteroids, immunosuppressants, etc. Intervention group: Oral Huangqin decoction (huangqin 15 g, huanglian 10 g, zhizi 10 g, huangbo 10 g). Treatment time: 30 days15 g50/5068.0090.00Not reported[127]
Group 1: Oral administration of 4 g/day sulfasalazine + 9 tablets/day berberine. Group 2: Retention enema with Chinese patent medicine named Jiechangning. Group 3: Oral modified Huangqin decoction (huangqin 12 g, shaoyao 9 g, zhigancao 6 g, dazao 10 pieces, adjusted according to symptoms). Group 4: Groups 2 plus 3 regimens. Treatment time: 2 months12 g20/20/20/20Group 1: 65. Group 2: 75. Group 4: 9570Not reported[128]
Huangqin decoction plus western medicineControl group: Oral mesalazine 4 g/day + peifeikang capsules 1.26 g/day. Intervention group: Oral Peifeikang capsules 1.26 g/day + Huangqin decoction (huangqin 20 g, baishao 15 g, gancao 15 g, dazao 15 g, adjusted according to symptoms). Treatment time: 2 months20 g35/3565.785.7Control group: Mild nausea and vomiting/2. Intervention group: 0 [129]
Control group: Oral sulfasalazine 4 g/day. Intervention group: Control group treatment + Huangqin decoction granules orally (dazao 10 g, huangqin 2 0 g, gancao 6 g, baishao 10 g). Treatment time: Not stated20 g56/5669.692.9Control group: Arthritis/1, leukopenia/3, headache and nausea/3. Intervention group: 0[130]
Control group: Oral mesalazine enteric-coated tablets 3 g/day. Intervention group: Control group treatment + Huangqin decoction granules orally (huangqin 20 g, baishao 10 g, gancao 6 g, dazao 10 g). Treatment time: 2 months20 g34/3476.591.2Not reported[131]
Control group: Oral administration of 9 g/day sulfasalazine enteric-coated tablets. Intervention group: Control group treatment + Huangqin decoction orally (huangqin 30 g, baishao 20 g, gancao 20 g, dazao 20 g). Treatment time: 1 month30 g37/3760.5383.78Control group: Nausea/4, fatigue/3, dizziness/1. Intervention group: Nausea/1, fatigue/1[11]
Control group: Oral mesalazine granules 3 g/day. Intervention group: Control group treatment + Huangqin decoction granules orally (huangqin 20 g, baishao 10 g, gancao 6 g, dazao 10 g). Treatment time: 2 months20 g63/6380.9596.83Not reported[132]
Control group: Oral mesalazine 3 g/day. Intervention group: Control group treatment + Huangqin decoction orally (huangqin 25 g, baishao 20 g, dazao 30 g, gancao 12 g, adjusted according to symptoms). Treatment time: 3 months25 g39/3958.9782.05Control group: Nausea and vomiting/2, fatigue/1, dizziness/3, mild skin itching/2. Intervention group: Nausea and vomiting/1, dizziness/1[133]
Control group: Mesalazine sustained-release granules 4 g/day orally. Intervention group: Control group treatment plus modified Huangqin decoction administered orally (huangqin 20 g, baishao 15 g, gancao 15 g, dazao 15 g, adjusted according to symptoms). Treatment time: 2 months20 g41/4168.2990.24Not reported[134]
Control group: Oral mesalazine granules 4 g/day. Intervention group: Control group treatment + modified Huangqin decoction orally (huangqin 20 g, baishao 15 g, gancao 15 g, dazao 15 g, adjusted according to symptoms). Treatment time: 2 months20 g58/5877.5991.38Not reported[135]
Control group: Oral mesalazine enteric-coated tablets 1.5 g/day. Intervention group: Control group treatment + Huangqin decoction enema (huangqin 9 g, shaoyao 6 g, dazao 12 g, zhigancao 6 g). Treatment time: 30 days9 g40/4072.5095.00Control group: Nausea and vomiting/2, dizziness/1, rash/2. Intervention group: Dizziness/1, rash/1[136]
Control group: Oral mesalazine enteric-coated tablets 4 g/day. Intervention group: Control group treatment + Huangqin decoction orally (huangqin 12 g, baishao 15 g, baizhu 15 g, yiyiren 15 g, mudanpi 10 g, diyu 10 g, qinpi 10 g, baiji 6 g, zhigancao 6 g). Treatment time: 2 months12 g40/4075.0092.50Not reported[137]
Control group: Bifidobacterium quadruple live bacteria tablets 4.5 g + mesalazine enteric-coated tablets 4 g/day orally. Intervention group: Control group treatment + Huangqin decoction enema (dazao 12 pieces, huangqin 9 g, zhigancao 6 g, shaoyao 6 g). Treatment time: 1 month9 g47/4876.6091.67Control group: Nausea/1, vomiting/1, abdominal distension/1. Intervention group: Nausea/2, abdominal distension/2[138]


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