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TCM-based extracts reduce pain in oral lichen planus by 0.86 points on VASTCM Biological Extracts May Reduce Pain in Oral Lichen Planus

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Key Takeaway
Consider TCM-based biological extracts as a potential adjunct for pain reduction in OLP, but note limited safety data.

This meta-analysis pooled data from 22 articles to evaluate the effect of traditional Chinese Medicine (TCM)-based biological extracts on pain in patients with oral lichen planus (OLP). The primary outcome was visual analog scale (VAS) scores. The analysis found a statistically significant reduction in VAS scores with TCM-based biological extracts, with a mean difference of -0.86 (95% CI: -1.36 to -0.37, P < 0.05).

The review did not report the comparator used, sample size, follow-up duration, or details on adverse events, serious adverse events, or discontinuations. The authors did not specify limitations or practice relevance. As a network meta-analysis, the results are based on pooled data from multiple trials, but the lack of reported safety and comparator information limits the applicability of these findings.

Clinicians should interpret these results cautiously given the incomplete reporting. The modest effect size suggests potential benefit, but further well-reported trials are needed to confirm efficacy and safety.

How this fits prior evidence

This meta-analysis extends prior findings on biomarkers in OLP by focusing on a therapeutic intervention. Earlier coverage highlighted EV-associated proteins and miRNAs for diagnostic accuracy, and oral microbiome dysbiosis linked to malignant transformation. The current review addresses a treatment gap, showing TCM-based extracts may reduce pain, but does not directly connect to diagnostic or prognostic markers.

Researchers looked at several studies to see how traditional Chinese medicine (TCM) based biological extracts affect patients with oral lichen planus. This condition often causes discomfort in the mouth. The analysis focused on visual analog scale scores, which are used to measure and track pain levels.

The results showed a significant reduction in these pain scores for those using the TCM extracts. Because this was a meta-analysis of 22 different articles, the findings represent an average of several studies rather than one single trial. This helps provide a broader look at how these specific treatments might perform.

While the data shows a link between these extracts and lower pain scores, it is important to remember that these results are based on pooled data from multiple sources. There were no reports regarding side effects or safety concerns in the included studies. You should talk with your doctor before starting any new treatment for oral lichen planus.

What this means for you:
TCM biological extracts showed a link to lower pain scores in patients with oral lichen planus.

Common questions

Can TCM-based extracts help with mouth pain?

The analysis of 22 articles showed that patients using these extracts had significantly lower visual analog scale scores. This suggests the treatment may be effective at reducing pain for those with oral lichen planus, though more specific details on individual cases are not available.

Is this treatment safe for oral lichen planus?

The data provided did not report any adverse events or serious side effects. However, because the results are based on pooled data from multiple studies, you should consult your healthcare provider to discuss safety and suitability for your specific needs.

What exactly was measured in this study?

The researchers focused on visual analog scale scores to measure pain. The results showed a mean difference of -0.86, which indicates a statistically significant reduction in reported pain levels for patients using the TCM-based biological extracts.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
ObjectiveOur network meta-analysis aimed to evaluate the efficacy of traditional Chinese Medicine(TCM)-based biological extracts treatment for patients with oral lichen planus (OLP).MethodsA systematic search of PubMed, Embase and Web of Science was conducted to identify randomized controlled trials evaluating the efficacy of TCM-based biological extracts in treating OLP. A network meta-analysis was then performed on the eligible trials, and the TCM-based biological extracts were ranked based on their effectiveness in OLP treatment using the Surface Under the Cumulative Ranking (SUCRA) scores.ResultsIn total, 22 articles were included in the meta-analysis. Direct comparisons showed that TCM-based biological extracts treatment significantly reduced visual analog scale (VAS) scores in OLP patients with an MD of -0.86 (95% CI: -1.36 to -0.37, P 
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