E1 ReplicatedPreliminaryPEM unclearRCTPeer-reviewedMachine draft
Effects of Qiye Shen'an Pian Combined with Glutamate and Vitamin B1 on Fatigue State, Immune Function and Quality of Life in Patients with Chronic Fatigue Syndrome.
Liu, Jun, Liao, Junfeng, Lin, Fan et al. · Alternative therapies in health and medicine · 2024
Quick Summary
Researchers tested whether a traditional Chinese herbal supplement (Qiye Shen'an Pian) combined with glutathione and vitamin B1 could help ME/CFS patients feel less tired and improve their immune system. Over 8 weeks, patients receiving the herbal supplement along with the standard treatment showed greater improvements in fatigue levels, immune markers, and overall quality of life compared to those receiving only the standard treatment.
Why It Matters
ME/CFS patients have limited evidence-based treatment options and often experience impaired immune function and oxidative stress. This study suggests a potential therapeutic approach combining traditional medicine with micronutrient support to address multiple pathophysiological features of the disease, offering hope for symptom management strategies.
Observed Findings
- Patients receiving combined Qiye Shen'an Pian, glutathione, and vitamin B1 showed greater reduction in CD8+ levels compared to standard treatment alone (P < 0.05).
- Both groups improved on FS-14 fatigue and SPHERE quality-of-life scores, with the combination group showing significantly greater reduction (P < 0.05).
- Superoxide dismutase levels increased and lipid peroxide levels decreased more markedly in the Qiye Shen'an group, indicating improved antioxidant capacity (P < 0.05).
- CD4+ levels and CD4+/CD8+ ratio increased in both groups, with greater improvements in the combination therapy group (P < 0.05).
Inferred Conclusions
- Qiye Shen'an Pian enhances the therapeutic effects of glutathione and vitamin B1 on immune function restoration in CFS patients.
- The herbal supplement improves antioxidant defense mechanisms, which may contribute to reduced fatigue symptoms and better quality of life.
- Combination therapy addressing both immune dysfunction and oxidative stress represents a promising multimodal treatment strategy for CFS.
Remaining Questions
- Do symptom and immune improvements persist beyond the 8-week treatment period, and what is the optimal duration of therapy?
- Which active compounds in Qiye Shen'an Pian drive the observed benefits, and how do they mechanistically enhance glutathione and B1 efficacy?
What This Study Does Not Prove
This study does not prove that Qiye Shen'an Pian is a cure or that improvements will persist long-term, as follow-up beyond 8 weeks is not reported. The study cannot establish causation definitively because it lacks information on blinding, placebo controls, and does not demonstrate that immune changes directly cause symptom improvement rather than both resulting from a third factor. Results in a Chinese population may not generalize to other ethnic or geographic groups.
Tags
Symptom:Fatigue
Biomarker:CytokinesBlood Biomarker
Method Flag:PEM Not DefinedWeak Case DefinitionSmall Sample
Metadata
- PMID
- 38702173
- Review status
- Machine draft
- Evidence level
- Replicated human evidence from multiple independent studies
- Last updated
- 8 April 2026
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
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