Efficacy of Woxuan Needling and Xiangsha Liujunzi Decoction in Helicobacter pylori-positive chronic gastritis

ISRCTN ISRCTN52976333
DOI https://doi.org/10.1186/ISRCTN52976333
Sponsor Jiangxi Province Hospital of Integrated Chinese and Western Medicine
Funder Jiangxi Province Hospital of Integrated Chinese and Western Medicine
Submission date
28/07/2026
Registration date
14/08/2026
Last edited
12/08/2026
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
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 Yiting Du
Principal investigator, Public, Scientific

No. 1399 Diezihu Avenue, Honggutan District
Nanchang
330003
China

Phone +86 (0)15180482118
Email du_yiting@126.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlActive
AssignmentParallel
PurposeTreatment
Scientific titleEfficacy of Woxuan needling and Xiangsha Liujunzi decoction on traditional Chinese medicine syndromes and gastric biomarkers in Helicobacter pylori-positive chronic gastritis
Study objectives
Ethics approval(s)

Approved 26/04/2021, Ethics Committee of Jiangxi Province Hospital of Integrated Chinese and Western Medicine (No. 1399 Diezihu Avenue, Honggutan District, Nanchang, 330003, China; +86 (0)791-86391701; nc2yhlb@163.com), ref: No. Yanlunwenpi [003]

Health condition(s) or problem(s) studiedChronic non-atrophic gastritis in patients with Helicobacter pylori infection
InterventionParticipants are divided into an observation group and a control group using a random number table according to the order of enrolment.

The control group receives basic drug treatment combined with Xiangsha Liujunzi decoction, whereas the observation group receives Woxuan needling in addition to the control treatment.

The conventional Western medicine treatment plan is based on the Chinese Chronic Gastritis Diagnosis and Treatment Guide, which includes standard quadruple therapy. The specific medications are as follows: amoxicillin capsules (1 g) orally twice daily; furazolidone tablets (0.1 g) orally twice daily; 240 mg of bismuth potassium citrate (calculated as bismuth oxide) orally twice daily; and omeprazole enteric-coated capsules (20 mg) orally twice daily. These drugs are taken for 14 days.

As a routine basic treatment, Xiangsha Liujunzi decoction is used. The prescription is as follows: 12 g of Dangshen, 12 g of Fuling, 12 g of Baizhu, 12 g of Chenpi, 12 g of Fabanxia, 6 g of Zhigancao, 8 g of Muxiang and 8 g of A. villosum (Houxia). One dose per day is decocted twice, yielding approximately 250 ml of juice, taken twice daily in the morning and evening. Treatment is administered continuously for 6 days, followed by a 1-day rest interval, for a total treatment duration of 2 months.

On the basis of the treatment protocol of the control group, Woxuan needling is applied. The following acupoints are selected: Xinmen (right), Zusanli (right), Taichong (left), and Taibai (left). After skin disinfection, a 0.20 × 40 mm filiform needle is inserted. According to the acupuncture order of Woxuan needling, the following sequence is used: right heart door, right Zusanli, left Taichong, and left Taibai, quickly penetrating the skin in turn. During acupuncture, the needle tips at the right heart door and right Zusanli are directed downwards towards the distal end of the limb, whereas those at the left Taibai and left Taichong are directed upwards. After deqi, the right heart door and right Zusanli are gently twisted 5 times, and the left Taibai and left Taichong are twisted 10 times. The needles are retained for 30 minutes, during which the patients are required to close their eyes, breathe gently, keep their limbs warm, and remain comfortable. The procedure is performed three times a week for a total of 2 months.

The general data of patients, TCM symptom scores, pepsinogen I (PGI), GAS, gastroscopy scores and gastrointestinal symptom rating scale (GSRS) scores are collected before treatment and 3 months after treatment. The evaluators who assess the indices receive standardised training before evaluation, and the grouping of participants is not disclosed to them.
Intervention typeMixed
Primary outcome measure(s)
  1. Chronic non-atrophic gastritis symptoms measured using TCM symptom scores at baseline and 3 months
  2. Serum pepsinogen I (PGI) level measured using serum testing at baseline and 3 months
  3. Gastrin (GAS) level measured using serum testing at baseline and 3 months
  4. Gastroscopy score measured using gastric mucosal erythema features (3 points = extensive fusion; 2 points = dense spots or continuous linear blood; 1 point = scattered or intermittent linear congestion; 0 points = normal gastric mucosa) at baseline and 3 months
  5. Gastrointestinal symptom severity measured using the Gastrointestinal Symptom Rating Scale (GSRS) at baseline and 3 months
Key secondary outcome measure(s)
Completion date01/01/2023

Eligibility

Participant type(s)
Age groupMixed
Lower age limit18 Years
Upper age limit70 Years
SexAll
Target sample size at registration150
Total final enrolment120
Key inclusion criteria1. Aged >18 years
2. Diagnosis consistent with the above diagnostic criteria for chronic non-atrophic gastritis
3. H. pylori positive
Key exclusion criteria1. Suspected or diagnosed malignant lesions combined with severe dysplasia of gastric mucosa
2. Combined with haematological diseases or abnormal coagulation function
3. Needle phobia
4. Lactating or pregnant women
5. Complicated with severe primary diseases of the brain, heart, liver, kidney or other major organs or a history of mental illness
6. Combined with malignant tumour
7. Allergic to TCM ingredients used in this study
Date of first enrolment01/01/2022
Date of final enrolment01/09/2022

Locations

Countries of recruitment

  • China

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo

Editorial Notes

31/07/2026: Trial's existence confirmed by Ethics Committee of Jiangxi Province Hospital of Integrated Chinese and Western Medicine.