Table 1.
No. | Author year | Experiment group size (EG) | Control group size (CG) | Age (median or mean and standard deviation) (year) | Is the baseline consistent? | Course of intervention (days) | Intervention group | Control group | Primary outcome evaluation scales (QOL) | Secondary outcomes |
---|---|---|---|---|---|---|---|---|---|---|
1 | He X 2016 | 79 | 81 | EG: 46.82 ± 7.19 | Yes | 21 d; 9 periods | AF (ADM+5-FU)/AC (ATM + CTX) chemotherapy and radiotherapy and Chinese herbal medicine; A: 50 mg/m2, F: 500 mg/m2; A: 60 mg/m2, C: 600 mg/m2 | Chinese herbal medicine 400 ml/d | FACT-B | 1, 5, 9 11 |
CG: 47.17 ± 8.28 | ||||||||||
| ||||||||||
2 | Yu F 2019 | 46 | 47 | EG: 52.40 ± 10.50 | Yes | 21 d; 6 periods | AD (D: docetaxel) chemotherapy and Xiaoaiping; A: 50 mg/m2, D: 75 mg/m2 | Xiaoaiping 7.2 g/d | FACT-B | 1, 5, 9 |
CG: 51.50 ± 8.60 | ||||||||||
| ||||||||||
3 | Diao H 2018 | 47 | 47 | EG: 51.68 ± 9.36 | Yes | 21 d; 6 periods | CEF (E: epirubicin) chemotherapy and Shenqi Fuzheng injection; C: 500 mg/m2, E: 100 mg/m2, F: 500 mg/m2 | Shenqi Fuzheng injection 250 ml/d | QLQ-BR53 | 1, 3 |
CG: 52.94 ± 10.14 | ||||||||||
| ||||||||||
4 | Li L 2015 | 30 | 30 | EG: 51.64 ± 10.29 | Yes | 21 d; 4 periods | TAC (T: TAX) chemotherapy and self-made Chinese herbal medicine; T: 75 mg/m2, A: 50 mg/m2, C: 500 mg/m2 | Self-made Chinese herbal medicine | KPS | 5 |
CG: 49.66 ± 8.58 | ||||||||||
| ||||||||||
5 | Liu L 2009 | 20 | 20 | EG: 61.45 ± 5.24 | Yes | 28 d; 2 periods | TP (P: DDP) chemotherapy and replenishing Qi and nourishing Yin recipe; T: 60 mg/m2, P: 60–100 mg/m2 | Replenishing Qi and nourishing Yin recipe 200 ml/d | KPS | 6, 7, 8 |
CG: 61.05 ± 4.48 | ||||||||||
| ||||||||||
6 | Tang H 2016 | 40 | 39 | EG: 47.50 ± 6.90 | Yes | 21 d; 4 periods | CEF chemotherapy and replenishing Qi and nourishing Yin recipe; C: 500 mg/m2 , E: 60 mg/m2, F: 500 mg/m2 | Replenishing Qi and nourishing Yin recipe 150 ml/d | QLQ-C30 | 1, 6, 8 |
CG: 48.10 ± 6.30 | ||||||||||
| ||||||||||
7 | Wang F 2018 | 23 | 23 | EG: 40.36 ± 1.28 | Yes | 21 d; 3 periods | TP chemotherapy and self-made nourishing Yin recipe; T: 60 mg/m2, E: 75 mg/m2 | Self-made nourishing Yin recipe 150 ml/d | KPS | 6 |
CG: 41.03 ± 1.18 | ||||||||||
| ||||||||||
8 | Wu C 2018 | 63 | 63 | EG: 44.02 ± 5.16 | Yes | 3 months | Tamoxifen citrate 20 mg/d and cantharidin capsules | Cantharidin capsules 1.5 g/d | QOL-C3 | 3, 5 |
CG: 44.16 ± 5.19 | ||||||||||
| ||||||||||
9 | Zhang Y 2016 | 52 | 52 | EG: 52.70 ± 5.60 | Yes | 6 months | Tamoxifen citrate 60 mg/d and Tiaoqi Deji Fang | Tiaoqi Deji Fang 400 ml/d | QLQ-BR53 | 2, 8 |
CG: 53.40 ± 5.10 | ||||||||||
| ||||||||||
10 | Zhang Y 2010 | 18 | 18 | EG: 57.63 ± 8.42 | Yes | 28 d; 2 periods | TD chemotherapy and replenishing Qi and nourishing blood recipe; T: 60 mg/m2, D: 60–100 mg/m2 | Replenishing Qi and nourishing blood recipe 300 ml/d | FACT-B | 5, 6, 7, 8, 10 |
CG: 56.69 ± 8.59 | ||||||||||
| ||||||||||
11 | Zhou Y 2018 | 54 | 54 | EG: 68.18 ± 3.62 | Yes | 6 months | LENM (L: letrozole; E: exemestane; N: nolvadex; M: megestrol) chemotherapy and Yi Wenyang prescription; L: 2.5 mg/d, E: 25 mg/d, T: 20 mg/d, M: 160 mg/d | Yi Wenyang prescription 400 ml/d | QLQ-BR53 | - |
CG: 57.27 ± 10.76 | ||||||||||
| ||||||||||
12 | Zhu L 2010 | 20 | 20 | EG: 52.5 ± 8.91 | Yes | 21 d; 2 periods | AT chemotherapy and self-made different power elimination formulas; A: 60 mg/m2, T: 175 mg/m2 | Self-made different power elimination formulas 300 ml/d | KPS | 1, 5, 6, 9, 11 |
CG: 50.25 ± 12.58 | ||||||||||
| ||||||||||
13 | Dong L 2017 | 30 | 30 | EG: 51.68 ± 9.36 | Yes | 21 d; 3 periods | CED chemotherapy and nourishing spleen and kidney recipe; D: 75 mg/m2, E: 50 mg/m2, C: 500 mg/m2 | Nourishing spleen and kidney recipe 200 mg/d | KPS | 7, 8, 10 |
CG: 52.94 ± 10.14 | ||||||||||
| ||||||||||
14 | Du Y 2015 | 30 | 30 | EG: 30.00–69.00 | Yes | 28 d; 4 periods | CDF chemotherapy and modified Xiaoyao San; C: 500 mg/m2 , D: 50 mg/m2 , F: 500 mg/m2 | Modified Xiaoyao San | KPS | 8, 11 |
CG: 29.00–70.00 | ||||||||||
| ||||||||||
15 | Li G 2015 | 52 | 52 | EG: 58.5 ± 6.57 | Yes | 28 d; 6 periods | Letrozole: 2.5 g/d & lychee saponins | Lychee saponins 6 tips/d | KPS | 1, 2, 3, 5 |
CG: 57.8 ± 6.55 | ||||||||||
| ||||||||||
16 | Lu M 2016 | 45 | 45 | EG and CG: 30.00–60.00 | Yes | 21 d; 2 periods | CEF chemotherapy and Huaier granules; C: 60 mg/m2 E: 100 mg/m2 F: 60 mg/m2 | Huaier granules 60 g/d | KPS | 1, 3 |
17 | Ren K 2013 | 32 | 32 | EG and CG: 28.00–79.00 | Yes | 21 d; 6 periods | CEF chemotherapy and Kanglaite soft capsule C: 500 mg/m2 E: 75 mg/m2 F: 500 mg/m2 | Kanglaite soft capsule 10.8 g/d | KPS | 4, 9 |
18 | Song X 2016 | 50 | 50 | EG: 35.00–62.00 | Yes | 21 d; 4 periods | ACT chemotherapy and Chaihu Shugan powder; A: 60 mg/m2, C: 600 mg/m2, T: 75 mg/m2 | Chaihu Shugan powder 500 ml/d | KPS | 5, 7, 8, 10 |
CG: 36.00–65.00 | ||||||||||
| ||||||||||
19 | Xu C 2016 | 40 | 40 | EG: 49.31 ± 5.28 | Yes | 28 d; 6 periods | ACF chemotherapy and nourishing Qi and spleen decoction; A: 60 mg/m2, C: 600 mg/m2, F: 500 mg/m2 | Nourishing Qi and spleen soup 180 ml/d | KPS | 1, 5, 8 |
CG: 49.57 ± 6.35 | ||||||||||
| ||||||||||
20 | Yin H 2014 | 20 | 20 | EG: 55.56 ± 5.64 | Yes | 21 d; 3 periods | CD chemotherapy and Ruyan Xiaoji Fang; C: 600 mg/m2, D: 75 mg/m2 | Ruyan Xiaoji Fang | KPS | 1, 5, 6, 8 |
CG: 53.89 ± 5.67 | ||||||||||
| ||||||||||
21 | Zhang A 2016 | 30 | 30 | EG: 52.70 ± 11.40 | Yes | 21 d; 6 periods | ACD chemotherapy and self-made Fuzheng negative soup; A: 50 mg/m2, C: 50 mg/m2, D: 50 mg/m2 | Self-made Fuzheng negative soup | KPS | - |
CG: 52.40 ± 10.20 | ||||||||||
| ||||||||||
22 | Zhang Y 2011 | 23 | 22 | EG: 51.24 ± 7.80 | Yes | 21 d; 2 periods | CFP chemotherapy and Fuzheng Jiedu Quyu recipe; C: 500 mg/m2, F: 40 mg/m2, P: 400 mg/m2 | Fuzheng Jiedu Quyu recipe 250 ml/d | KPS | 1, 3, 5, 6, 7 |
CG: 48.29 ± 7.26 |
Notes. 1. Intervention group: A = Adriamycin; C = cyclophosphamide; D = docetaxel; E = epirubicin; F = fluorouracil; L = letrozole; M = megestrol; P = paclitaxel; T = tamoxifen. 2. Secondary outcomes: 1. white blood cell (WBC), platelet, and natural killer (NK) cell counts; 2. hormone levels, including estrogen (E2) and follicle-stimulating hormone (FSH); 3. immune function markers; 4. body mass index (BMI); 5. incidence of adverse reactions (including gastrointestinal and cardiac dysfunction and their development related to cancer); 6. tumor markers; 7. safety and tolerance; 8. traditional Chinese medicine syndrome; 9. hair loss; 10. heart function; and 11. toxic side effect.