Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial

Objective: To evaluate the effects of dried ginger rhizome (DGR; Zingiber officinalis (WILLD.) ROSC.), prepared as a membrane, in minor recurrent aphthous stomatitis (miRAS) treatment and explore its mechanism of action by detecting changes in levels of epidermal growth factor (EGF) and tumor necros...

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Main Authors: Qian Du, Shenglou Ni, Lin Guo, Wenjie Song, Kun Zhao, Ni Liu, Xinrong Wang, Xun Ma, Yanling Fu, Quanming Tan
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Journal of Traditional Chinese Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095754818300310
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author Qian Du
Shenglou Ni
Lin Guo
Wenjie Song
Kun Zhao
Ni Liu
Xinrong Wang
Xun Ma
Yanling Fu
Quanming Tan
author_facet Qian Du
Shenglou Ni
Lin Guo
Wenjie Song
Kun Zhao
Ni Liu
Xinrong Wang
Xun Ma
Yanling Fu
Quanming Tan
author_sort Qian Du
collection DOAJ
description Objective: To evaluate the effects of dried ginger rhizome (DGR; Zingiber officinalis (WILLD.) ROSC.), prepared as a membrane, in minor recurrent aphthous stomatitis (miRAS) treatment and explore its mechanism of action by detecting changes in levels of epidermal growth factor (EGF) and tumor necrosis factor (TNF)-α in saliva. Methods: Fifty-nine miRAS patients were enrolled in this study. The number of participants in the dried ginger rhizome membrane (DGRM) group was 30, and 29 were in the placebo membrane (PM) group. Sixty sealed envelopes containing either type of membrane were coded randomly. Investigators and participants were blinded to group assignments. A visual analog scale (VAS) was used for pain, follow-up information for healing time, and enzyme-linked immunosorbent assays to measure the concentrations of EGF and TNF-α. Results: In terms of VAS, there was a significant difference between pre- and post-DGRM treatment (P < .001), but not so for the PM group (P > .05). A significant difference was observed in the healing time between the two groups (6.08 (2.712) vs. 8.04 (2.142) days). The mean healing time in the DGRM group was shorter than that in the PM group (P < .05). In both groups, the salivary EGF concentration decreased significantly after treatment (P < .05), but the mean level in the DGRM group was significantly lower than that in the PM group (P < .05). The mean TNF-α level in both groups was increased significantly after treatment (P < .05), but patients who used DGRMs had a significantly lower level than that in the PM group (P < .05). Conclusion: The present study provides evidence that DGRMs are effective treatment for RAS. Dried ginger rhizome has obvious effects on pain relief, shortening of healing time, reducing the EGF level in saliva, and has an inhibitory effect on TNF-α release.
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spelling doaj.art-b3937fbf07fc4d3981858d24319cefd92023-09-02T10:53:44ZengElsevierJournal of Traditional Chinese Medical Sciences2095-75482018-01-0151586310.1016/j.jtcms.2018.02.004Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trialQian Du0Shenglou Ni1Lin Guo2Wenjie Song3Kun Zhao4Ni Liu5Xinrong Wang6Xun Ma7Yanling Fu8Quanming Tan9Beijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaBeijing University of Chinese Medicine, Beijing 100029, ChinaSingapore Thong Chai Medical Institution, Thong Chai Building 169874, SingaporeObjective: To evaluate the effects of dried ginger rhizome (DGR; Zingiber officinalis (WILLD.) ROSC.), prepared as a membrane, in minor recurrent aphthous stomatitis (miRAS) treatment and explore its mechanism of action by detecting changes in levels of epidermal growth factor (EGF) and tumor necrosis factor (TNF)-α in saliva. Methods: Fifty-nine miRAS patients were enrolled in this study. The number of participants in the dried ginger rhizome membrane (DGRM) group was 30, and 29 were in the placebo membrane (PM) group. Sixty sealed envelopes containing either type of membrane were coded randomly. Investigators and participants were blinded to group assignments. A visual analog scale (VAS) was used for pain, follow-up information for healing time, and enzyme-linked immunosorbent assays to measure the concentrations of EGF and TNF-α. Results: In terms of VAS, there was a significant difference between pre- and post-DGRM treatment (P < .001), but not so for the PM group (P > .05). A significant difference was observed in the healing time between the two groups (6.08 (2.712) vs. 8.04 (2.142) days). The mean healing time in the DGRM group was shorter than that in the PM group (P < .05). In both groups, the salivary EGF concentration decreased significantly after treatment (P < .05), but the mean level in the DGRM group was significantly lower than that in the PM group (P < .05). The mean TNF-α level in both groups was increased significantly after treatment (P < .05), but patients who used DGRMs had a significantly lower level than that in the PM group (P < .05). Conclusion: The present study provides evidence that DGRMs are effective treatment for RAS. Dried ginger rhizome has obvious effects on pain relief, shortening of healing time, reducing the EGF level in saliva, and has an inhibitory effect on TNF-α release.http://www.sciencedirect.com/science/article/pii/S2095754818300310Dried ginger rhizome membraneRecurrent aphthous stomatitisEpidermal growth factorTumor necrosis factor-α
spellingShingle Qian Du
Shenglou Ni
Lin Guo
Wenjie Song
Kun Zhao
Ni Liu
Xinrong Wang
Xun Ma
Yanling Fu
Quanming Tan
Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
Journal of Traditional Chinese Medical Sciences
Dried ginger rhizome membrane
Recurrent aphthous stomatitis
Epidermal growth factor
Tumor necrosis factor-α
title Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
title_full Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
title_fullStr Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
title_full_unstemmed Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
title_short Effects of Zingiber officinalis (WILLD.) ROSC. Membranes on minor recurrent aphthous stomatitis: a randomized pragmatic trial
title_sort effects of zingiber officinalis willd rosc membranes on minor recurrent aphthous stomatitis a randomized pragmatic trial
topic Dried ginger rhizome membrane
Recurrent aphthous stomatitis
Epidermal growth factor
Tumor necrosis factor-α
url http://www.sciencedirect.com/science/article/pii/S2095754818300310
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