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Original Article | Open Access

Efficacy and safety of Lutai Danshen Baishao granules for treating female melasma: A randomized, double-blind, placebo-controlled trial

Meiyu LyuaYi YangbJinlian LiuaWenting FeicMin FudYunting HongeHongguo RongfChun WangaLinyuan WanggJianjun Zhanga()
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China
Technology Research and Development Center, Kang'ao (Tianjin) Health Management Centre, Tianjin 300011, China
Department of Bioengineering, Beijing Polytechnic, Beijing 100176, China
The Centre for Translational Biology, Research Institute of McGill University Health Centre, Montréal H4A 3J1, Canada
Department of Public Health, The Third Central Hospital of Tianjin, Tianjin 300170, China
Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China
School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 102488, China

Peer review under responsibility of Beijing University of Chinese Medicine.

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Abstract

Objective

To investigate the potential efficacy and safety of Lutai Danshen Baishao granules (LDBG) for treating female melasma associated with kidney deficiency and blood stasis patterns.

Methods

A randomized, double-blind, placebo-controlled trial was conducted at the Third Central Hospital of Tianjin, China from March to December 2023. A total of 110 female patients with melasma linked to kidney deficiency and blood stasis were enrolled and treated with either LDBG or a placebo twice daily for 60 days. Efficacy was assessed through measures such as the total melasma area, reduced melasma area, reduction rate of melasma area, melasma color score, Melasma Area and Severity Index (MASI) score, and traditional Chinese medicine (TCM) symptom score scale. Safety assessments included routine blood and biochemical tests.

Results

Participants in both groups were aged 52–63 years, with no significant differences. After the 2-month intervention, the total melasma area decreased in both groups; however, a greater reduction was observed in the test group [462.50 mm2 (12.81%) vs. 100.00 mm2 (3.11%), P <.001]. Moreover, LDBG treatment significantly reduced the MASI and melasma color scores in the test group (P <.05). The total TCM symptom evaluation score significantly decreased (test group:6.00 vs. placebo group:7.00, P =.001), with significant relief in symptoms such as improvement in dark lips, nails, and waist soreness in the test group, compared with that in the placebo group (P <.05). Within-group comparisons revealed that TCM syndrome was significantly alleviated in the test group (P <.05).

Conclusion

LDBG intervention shows promising effectiveness in reducing female melasma and alleviating TCM syndromes.

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Journal of Traditional Chinese Medical Sciences
Pages 71-78
Cite this article:
Lyu M, Yang Y, Liu J, et al. Efficacy and safety of Lutai Danshen Baishao granules for treating female melasma: A randomized, double-blind, placebo-controlled trial. Journal of Traditional Chinese Medical Sciences, 2025, 12(1): 71-78. https://doi.org/10.1016/j.jtcms.2024.12.003
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