A study on the application of hufu copper bian scraping combined with acupoint application in patients with community-acquired pneumonia of phlegm-heat obstructing the lung syndrome-a randomized controlled study

ISRCTN ISRCTN35737468
DOI https://doi.org/10.1186/ISRCTN35737468
Hebei Provincial Health Commission Project Number 20250957
Sponsor Affiliated Hospital of Hebei University of Engineering
Funder Health Commission of Hebei Province
Submission date
06/11/2026
Registration date
10/11/2026
Last edited
09/11/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Xiaoli Wang
Principal investigator

No. 81 Congtai Road, Congtai District
Handan
056002
China

Phone +86 03103962030
Email Wangxiaoli_16@163.com
Dr Pengfei Wang
Public

No. 81 Congtai Road, Congtai District
Handan
056002
China

Phone +86 03103962030
Email pengfei3_4t@outlook.com
Dr Yan Zhao
Scientific

No. 81 Congtai Road, Congtai District
Handan
056002
China

Phone +86 03103962030
Email Zhaoyan_11@21cn.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlActive
AssignmentParallel
PurposeTreatment
Scientific titleA study of phlegm-heat obstructing the lung syndrome
Study objectives
Ethics approval(s)

Approved 10/12/2023, Affiliated Hospital of Hebei University of Engineering (No. 81 Congtai Road, Congtai District, Handan City, 056002, China; +86-0310 3130866; hbgdfy2000@163.com), ref: 2026 [K]038

Health condition(s) or problem(s) studiedCommunity-acquired pneumonia (CAP), specifically non-severe CAP in adults with the traditional Chinese medicine syndrome of phlegm-heat obstructing the lung.
InterventionRandomization was performed using a random number table as follows:
1. All patients were numbered according to the order of inclusion
2. Starting from any row and column of the random number table, random numbers equal to the sample size were copied in a predetermined direction (e.g., left to right, top to bottom)
3. Patients were divided directly according to the parity of the random number: odd numbers into the experimental group, even numbers into the control group
4. If the number of patients in each group was unequal, random numbers were continued to be drawn for the excess subjects in the same way until the numbers in both groups were equal

For allocation concealment:
1. The grouping sequence and allocation scheme were generated by designated researchers using a random number table
2. Personnel who were aware of the group information no longer participated in the recruitment and allocation of subsequent subjects
3. The generated random allocation table was entrusted to independent personnel not involved in this trial, and sealed, opaque envelopes were used one by one during actual allocation to ensure concealment of the allocation scheme

Control arm: Conventional Western medicine: levofloxacin sodium chloride injection 100 mL by intravenous infusion once daily (adjusted according to drug susceptibility results when available); ambroxol hydrochloride sodium chloride injection 100 mL by intravenous infusion twice daily. Treatment duration: 12 consecutive days.

Study arm: Same conventional Western medicine as the control arm, plus:
Hufu copper bian scraping: scraping along the Heart Meridian of Hand-Shaoyin, Lung Meridian of Hand-Taiyin, Large Intestine Meridian of Hand-Yangming, Sanjiao Meridian of Hand-Shaoyang, Du Meridian, and Bladder Meridian of Foot-Taiyang, and the Four Opening Points (Dazhui, Dazhu, Gaohuangshu, Shentang). Each session lasted approximately 30 minutes, once every 3 days, with 2 sessions constituting one course, over 12 days.

Herbal acupoint application: a paste made from roasted Ephedra sinica 9 g, raw Rheum palmatum 9 g, Perilla frutescens 9 g, Sinapis alba 6 g, and Mentha haplocalyx 3 g, ground into fine powder and mixed with honey, applied to Danzhong (CV17), bilateral Feishu (BL13), and bilateral Fenglong (ST40). Applied once daily for 2–4 hours each time, over 12 days.

Both groups received continuous treatment for 12 days.

The outcomes involve the Clinical Pulmonary Infection Score (CPIS) measured using CPIS, a 6-item score with a total range of 0–12 points (body temperature, blood white cell count, tracheal secretions, oxygenation index, chest X-ray infiltration, and tracheal aspirate/sputum culture); higher scores indicate more severe pulmonary infection.
Intervention typeProcedure/Surgery
Primary outcome measure(s)
  1. Pulmonary infection measured using the Clinical Pulmonary Infection Score (CPIS) at admission (baseline) and after 12 consecutive days of treatment
Key secondary outcome measure(s)
Completion date10/01/2025

Eligibility

Participant type(s)
Age groupMixed
Lower age limit18 Years
Upper age limit70 Years
SexAll
Target sample size at registration101
Total final enrolment101
Key inclusion criteria1. Adults diagnosed with non-severe community-acquired pneumonia (CAP) according to the Chinese Guidelines for the Diagnosis and Treatment of Adult CAP (2016 edition)
2. Meeting the traditional Chinese medicine diagnostic criteria for CAP of phlegm-heat obstructing the lung syndrome according to the Chinese Medicine Guidelines for CAP (2018 revised edition)
3. Aged 18–70 years
4. Voluntary participation with signed informed consent
Key exclusion criteriaKey exclusion criteria:
1. Pregnant or lactating women
2. Patients with severe hepatic or renal insufficiency
3. Patients with diabetes mellitus, severe skin diseases, or severe cardiovascular and cerebrovascular diseases
4. Patients with mental illness or inability to cooperate with the study
5. Patients with allergy to Chinese herbal medicine or acupoint application

Dropout/exclusion criteria:
1. Severe adverse reactions or complications preventing continuation of the study
2. Incomplete clinical data due to failure to strictly follow the study protocol for medication and examinations
3. Voluntary withdrawal from the study
Date of first enrolment01/01/2024
Date of final enrolment30/12/2024

Locations

Countries of recruitment

  • China

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo

Editorial Notes

06/11/2026: Study’s existence confirmed by the Hebei University of Engineering Affiliated Medical Ethics Committee, China.