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In this study, dry eye disease (leukoaraiosis) is used as a model disease, and the methodological system for evaluating the clinical efficacy of Chinese medicine for dry eye disease is constructed with the core of "subgrouping dynamic and static parallel group design", so as to carry out a real-world demonstration study of dry eye disease as a dominant disease in Chinese medicine treatment. The purpose of this study is to demonstrate the selection of individualized clinical interventions and the superiority of dynamic diagnosis and treatment using dry eye as a disease model. The study provides a clinical example of a subgroup-based dynamic and static parallel group design for TCM clinical research on "disease-based integrated treatment". Based on the conclusions of the efficacy evaluation study, investigators will provide real-world clinical data of dry eye syndrome for the artificial intelligence prediction of the integrated platform of individualized clinical evaluation and evidence support of Chinese medicine with multi-source data integration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chinese Medicine External Treatment Group | Active Comparator |
| |
| Chinese Medicine Internal Treatment Group (Oral Herbal Medicine) | Experimental |
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| Western medicine treatment group | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fumigation with Chinese medicine | Combination Product | Eye fumigation with the Eyesight Eye Therapy,10 minutes once daily for 6 weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Chinese Medical Evidence Scale | The TCM evidence scale converts symptoms and signs into TCM evidence, and assigns 1, 2, and 3 points according to three levels of severity, with reference to the "Guiding Principles for Clinical Research on New Drugs of Traditional Chinese Medicine" and the "International TCM Clinical Practice Guidelines for Stemmed Eyes (2021-12-14)". If the points of TCM evidence are higher or unchanged after the intervention, it means that the intervention measures are ineffective or inefficient, and that patients' clinical symptoms do not improve significantly or their conditions worsen after the treatment. If the TCM syndrome score increases or remains unchanged after the intervention compared with that before treatment, it means that the intervention is ineffective or inefficient, and the patient's clinical symptoms do not improve or worsen after treatment. | From enrollment to end of 6-week treatment |
| Ocular Surface Disease Index | By evaluating the points before and after the intervention treatment, if the points are lower than before the treatment, it suggests that the intervention treatment is effective, on the contrary, it indicates that the intervention is ineffective or ineffective, and the clinical symptoms of the patients do not improve significantly or worsen after the treatment. | From enrollment to end of 6-week treatment |
| Fluorescein Breakup Time | Efficacy was evaluated by the values tested before and after the intervention | From enrollment to end of 6-week treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Schirmer â… test | Efficacy was evaluated by the values tested before and after the intervention | From enrollment to end of 6-week treatment |
| Height of the River of Tears | Efficacy was evaluated by the values tested before and after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lu | Contact | 18908178510 | luxuejing@cdutcm.edu.cn |
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| Oral herbal medicine | Drug | Patients were identified into the appropriate group according to the individual evidence profile, and the herbal formula under the corresponding evidence profile was taken orally as one dose of 150 ml of water twice a day for 6 weeks. |
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| Modern Western Medicine | Drug | Referring to the Chinese Expert Consensus on Dry Eye: Treatment (2020), this course of treatment totaled 6 weeks. |
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| From enrollment to end of 6-week treatment |
| fluorescent staining of the cornea | See the Chinese Expert Consensus on Dry Eye: Expert Consensus on Definition and Classification (2020): the cornea was divided into 4 quadrants on average, and each quadrant was scored from 0 to 3 according to the staining of sodium fluorescein, with a score of 0: no staining; 1: 1-30 punctate staining; 2: >30 punctate staining but staining not fused; and 3: fusion of the corneal punctate staining with the appearance of filaments and ulcers, etc. The final tally scores for each quadrant were summed. The efficacy was evaluated by tallying the scores detected before and after the intervention. | From enrollment to end of 6-week treatment |
| Classification of blepharoplasty deficiency | The efficacy was evaluated by scoring the blepharoplasty area values detected before and after the intervention. According to the Chinese Expert Consensus on Meibomian Gland Dysfunction (2023), investigators graded the results as follows: score 0: no meibomian gland deficiency; score 1: meibomian gland deficiency ratio <1/3; score 2: meibomian gland deficiency ratio 1/3-2/3; and score 3: meibomian gland deficiency ratio >2/3. | From enrollment to end of 6-week treatment |
| ID | Term |
|---|---|
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D005651 | Fumigation |
| D008517 | Phytotherapy |
| ID | Term |
|---|---|
| D003140 | Communicable Disease Control |
| D015980 | Public Health Practice |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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