Key result
Huangqin Qingre Chubi capsule links to improved gouty arthritis self-perception, completely mediated by NLR.
Why the study?
To evaluate the effect of Huangqin Qingre Chubi capsule on self-perception of patients with gouty arthritis and explore its potential action path.
Does Huangqin Qingre Chubi capsule improve self-perception of patients with gouty arthritis?
Case-Control (n=150)
Does Huangqin Qingre Chubi capsule improve self-perception of patients with gouty arthritis?
p-value: p=< .05
Huangqin Qingre Chubi capsule improves self-perception in patients with gouty arthritis, an effect completely mediated by improvements in the neutrophil to lymphocyte ratio.
Hypothesis-generating for Huangqin Qingre Chubi capsule in gouty arthritis; randomized trials needed to confirm NLR mediation and clinical effects.
This study aimed to evaluate the effect of Huangqin Qingre Chubi capsule (HQC) on self-perception of patients (SPP) with gouty arthritis (GA) and explore its potential action path. Using a nested case-control design, 150 eligible GA patients were matched into neutrophil to lymphocyte ratio (NLR) improved group and NLR unimproved group based on the presence or absence of NLR improvement. Stratified analysis, association rule, binary logistics regression model and mediating effect analysis were used to evaluate the protective effect of HQC on SPP. At baseline, patients in the NLR improved group demonstrated significantly higher scores in the SPP subscales of physical functioning (PF), bodily pain (BP), general health, vitality (VT), role emotional (RE), and health transition compared to those in the NLR unimproved group (P < .001). And they exhibited significantly lower scores on the Visual Analog Scale (VAS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) (P < .01). HQC significantly improved SPP (including PF, role physical, BP, VT, RE, mental health, VAS, SAS, and SDS) in GA patients (P < .05). Stratified analyses and binary logistics regression showed that HQC had a significant protective effect on the SPP. Association rules showed that there was a co-occurrence pattern between HQC and improvement of SPP. Mediation analysis showed that NLR showed a complete mediating effect in the path of HQC improving PF (P < .001), SDS (P < .001), Syndrome of Dampness-Heat Quantitative Score (SDH) (P < .001) and Syndrome of Blood Stasis Quantitative Score (SBS) (P < .001). HQC is related to the improvement of SPP, inflammatory biomarkers and traditional Chinese medicine syndromes in GA patients, and it plays a protective effect on SPP through NLR.
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Chen et al. (2026) conducted a case-control in Gouty arthritis (n=150). Huangqin Qingre Chubi capsule (HQC) vs. Absence of neutrophil to lymphocyte ratio (NLR) improvement was evaluated on Self-perception of patients (SPP) (p=< .05). Huangqin Qingre Chubi capsule significantly improved self-perception of patients with gouty arthritis (P<0.05), with neutrophil to lymphocyte ratio showing a complete mediating effect (P<0.001).
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