Meta-Analysis of the Clinical Efficacy of Thalidomide Combined With Traditional Chinese Medicine in the Treatment of Behcet's Disease

Authors

  • Kwun Kit Hung School of Stomatology, Jinan University, Guangzhou, China Author
  • Syu Yiu Michelle Ng School of Stomatology, Jinan University, Guangzhou, China Author
  • Sai Hei Fang School of Stomatology, Jinan University, Guangzhou, China Author
  • Yan Ting Ip School of Public and Allied Health, Liverpool John Moores University, Liverpool, United Kingdom Author

DOI:

https://doi.org/10.70088/jgvw4g94

Keywords:

behcet's disease, thalidomide, efficacy of traditional Chinese medicine, meta-analysis

Abstract

To systematically evaluate the clinical efficacy of thalidomide combined with traditional Chinese medicine (TCM), compared with monotherapy (either thalidomide or TCM monotherapy), in patients with Behçet's disease, and to perform a meta‐analysis. Randomized controlled trials (RCTs) published from the inception of the databases to August 1, 2026, were systematically searched in the China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP Database, PubMed, Web of Science, and Cochrane Library. Patients in the control groups received conventional thalidomide therapy, whereas those in the treatment groups received TCM in addition to conventional thalidomide therapy. A meta-analysis was performed to comprehensively evaluate the clinical efficacy of the two treatment approaches. A total of 10 studies were included in the meta-analysis. The pooled results showed that the clinical efficacy was significantly higher in the treatment group than in the control group (OR = 4.96, 95% CI: 2.78–8.83, P < 0.00001), with a statistically significant difference. Compared with conventional thalidomide therapy alone, thalidomide combined with TCM appears to be more effective in the treatment of Behçet's disease.

References

National Health Commission of the People's Republic of China, Behçet's disease/Behçet's syndrome (2025 edition), Chinese Practical Journal of Rural Doctor, vol. 33, no. 3, 2025.

H. and Y. C. Wang, “Clinical observation of Baise Buxie Granules combined with thalidomide in the treatment of Behçet's disease,” China's Naturopathy, vol. 31, no. 20, pp. 95–98, 2023, doi: 10.19621/j.cnki.11-3555/r.2023.20.17.

D. Hu and Y. X. Lü, “Clinical observation of thalidomide in the treatment of 36 patients with Behçet's disease,” Modern Medicine & Health, vol. 27, no. 14, pp. 2169–2170, 2011.

Y. C. Ma and Q. Zhou, “Effects of Guizhi Shaoyao Zhimu Decoction combined with thunder fire moxibustion in patients with ankylosing spondylitis,” Henan Medical Research, vol. 35, no. 11, pp. 3802–3808, 202

J. X. Chen, “Traditional Chinese medicine therapies for different subtypes of lupus erythematosus,” Shanxi Market Herald, 2023.

L. L. Liu, H. W. Shao, and M. L. Gao, “Clinical observation on 23 cases of oral ulcer in Behçet's disease treated by integrated traditional Chinese and Western medicine,” Chinese Journal of Ethnomedicine and Ethnopharmacy, vol. 24, no. 21, pp. 68–70, 2015.

Z. X. Lin, Y. Q. Jiang, Y. C. Dai, L. S. Dai, Z. X. Chen, and H. Y. Sun, “Therapeutic effect of low-dose thalidomide combined with traditional Chinese medicine in the treatment of Behçet's disease,” Practical Pharmacy and Clinical Remedies, vol. 14, no. 1, pp. 57–61, 2011, doi: 10.14053/j.cnki.ppcr.2011.01.013

W. W. Chen, X. Su, and P. A. Shen, “Clinical observation of Shen's Shengdi Qinlian Tufuling Decoction combined with thalidomide in the treatment of Behçet's disease,” Shanghai Journal of Traditional Chinese Medicine, vol. 52, no. 3, pp. 34–38, 2018, doi: 10.16305/j.1007-1334.2018.03.013.

H. and Y. C. Wang, “Clinical observation of Baise Buxie Granules combined with thalidomide in the treatment of Behçet's disease,” China's Naturopathy, vol. 31, no. 20, pp. 95–98, 2023, doi: 10.19621/j.cnki.11-3555/r.2023.20.17.

D. Li, Y. Chen, Y. X. Zhao, Q. S. Wang, and S. L. Ma, “Clinical efficacy study of modified Gancao Xiexin Decoction in the treatment of Behçet's disease (BD),” Database of Chinese Sci‐Tech Periodicals · Medicine, 2024, advance online publication.

Y. L. Zhang, Q. Li, F. Z. Wang, W. G. Zhang, C. Y. Zhou, and J. J. Li, “Analysis of efficacy and safety of Xiexin Decoction combined with low-dose thalidomide in Behçet's disease patients with oral mucosal lesions,” Journal of Hunan University of Chinese Medicine, vol. 38, no. 10, pp. 1179–1183, 2018, doi: 10.3969/j.issn.1674-070X.2018.10.020.

H. R. Qu, S. J. Xi, Z. Y. Cao, and Y. W. Zheng, “Clinical observation of Yiqi Jiedu Quyu Decoction combined with thalidomide in the treatment of Behçet's disease,” Shanghai Journal of Traditional Chinese Medicine, vol. 50, no. 5, pp. 84–85, 2016, doi: 10.16305/j.1007-1334.2016.05.016.

Z. Y. Zhang, “Clinical research on treating Behçet's syndrome with self-designed Qingdai San,” Clinical Journal of Chinese Medicine, vol. 6, no. 35, pp. 121–123, 2014.

D. Shen, “Observation on therapeutic effect of total glucosides of paeony combined with thalidomide in 23 cases of Behçet's disease,” China Modern Doctor, vol. 49, no. 13, p. 36, 2011.

H. X. Ma, X. H. Liang, and X. F. Ge, “Clinical observation on thalidomide combined with traditional Chinese medicine in the treatment of Behçet's disease,” Chinese Medicine Modern Distance Education of China, vol. 18, no. 19, pp. 126–129, 2020, doi: 10.3969/j.issn.1672-2779.2020.19.050.

K. L. Liu and L. Y. Zhang, “Research progress on traditional Chinese medicine in the treatment of Behçet's disease,” CJGMCM (Guangming Journal of Chinese Medicine), vol. 38, no. 16, pp. 3256–3259, 2023, doi: 10.3969/j.issn.1003-8914.2023.16.055.

X. Y. Xu, S. M. Liang, R. Li, R. Luo, G. M. Zheng, and X. F. Pang, “Research progress in traditional Chinese medicine for systemic lupus erythematosus,” Journal of Practical Traditional Chinese Internal Medicine, 2026, advance online publication.

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Published

31 August 2026

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How to Cite

Hung, K.K. (2026) “Meta-Analysis of the Clinical Efficacy of Thalidomide Combined With Traditional Chinese Medicine in the Treatment of Behcet’s Disease”, Medicine Insights, 3(3), pp. 158–165. doi:10.70088/jgvw4g94.