Arthritis—whether it’s osteoarthritis (OA) affecting cartilage and joints, or inflammatory forms like rheumatoid arthritis (RA)—can significantly affect quality of life. While conventional care remains foundational, Chinese herbal medicine (CHM), when used by experienced practitioners, can offer supportive, complementary benefits. Here’s what research shows and how we approach it at Centre of Health Ivanhoe.
What Does the Research Say?
1. Knee Osteoarthritis (OA): Meta-Analysis Evidence
A 2022 systematic review and meta-analysis of 56 randomized controlled trials involving 5,350 patients found that CHM—used either as a standalone treatment or alongside conventional care—significantly improved:
Pain (measured by VAS)
Functional scores (WOMAC, Lysholm, Lequesne)
Overall clinical effectiveness
Moreover, CHM was generally well tolerated and safePubMed.
2. Duhuo Jisheng Decoction (DJD) for Knee OA
DJD, a classic herbal formula, has been studied in randomized trials for knee OA. Reviews suggest it may help ease pain and improve joint function compared with placebos or standard therapiesBMJ Open.
3. Open-Label Trial in RA: Huayu-Qiangshen-Tongbi Decoction
An open-label pilot study compared CHM formula Huayu-Qiangshen-Tongbi with the standard RA treatment of methotrexate and leflunomide. Results indicated potential symptom improvement and favorable safety, though larger studies are neededFrontiers.
4. Guizhi-Shaoyao-Zhimu Decoction (GSZD) for RA
A systematic review and meta-analysis found that GSZD—a traditional formula—appears to ameliorate RA symptoms without serious adverse effectsScienceDirect.
5. Mechanistic Insights: Qingfu Juanbi Tang
A recent study on Qingfu Juanbi Tang—another CHM blend—began to map out its likely anti-arthritic mechanisms for RA, providing a scientific basis for its useScienceDirect.
Summary Table: Research Findings
| Condition | Formula / Approach | Evidence Highlights |
|---|---|---|
| Knee OA | CHM (various) | Meta-analysis shows pain & function improvement; safePubMed |
| Knee OA | Duhuo Jisheng Decoction (DJD) | Randomized trials support relief of symptomsBMJ Open |
| RA | Huayu-Qiangshen-Tongbi Decoction | Pilot study shows symptom relief with standard medsFrontiers |
| RA | Guizhi-Shaoyao-Zhimu Decoction (GSZD) | Meta-analysis shows symptom improvement; safeScienceDirect |
| RA (mechanism) | Qingfu Juanbi Tang | Demonstrated anti-arthritic mechanism pathwaysScienceDirect |
How We Work with Herbal Medicine at Centre of Health Ivanhoe
Personalised prescription: Based on your diagnosis, TCM pattern (e.g., wind-damp, qi deficiency), and overall health, we select or tailor formulas—such as DJD for osteoarthritis or GSZD/HQT for inflammatory presentations.
Evidence-informed practice: We trust formulas with clinical and mechanistic backing—like those listed above—to support pain relief, reduce stiffness, and improve mobility.
Safe integration: Every herbal plan includes a thorough review of your current medications to avoid interactions and keep treatments safe.
Measurable outcomes: We set clear, functional goals—e.g., “reduce knee pain by X points on a pain scale,” “improve walking time,” or “ease morning stiffness.”
Blended care approach: Herbal formulas are combined with acupuncture, movement advice, and patient education for holistic support.
Sample Consultation Outline
Assessment: Confirm arthritis type, symptom patterns, and suitability for CHM.
Herbal plan: Choose a formula (e.g., DJD or GSZD) or develop a customized blend, with safety checks.
Treatment structure: Begin with weekly sessions, with formula adjustments every few weeks based on your response.
Progress tracking: Reassess based on pain/function scores and patient feedback.
Collaboration: Keep your GP or rheumatologist in the loop, ensuring cohesive arthritis management.
If you’re interested in finding out what we can do for you at Center of Health Ivanhoe, book online or give us a call: Phone: (03) 9441 0088