Table 1. Summary of the Randomized Controlled Trials

First author (Year) Sample size Follow up Intervention Control Period Outcomes Results Adverse Events
Male/Female
Mean age
Liu22) (2021) 80 none A:BBCT 100㎖ bid po (n=40) B:Betahistine mesylate tablets 6㎎ tid po (n=40) 4 weeks 1. Total effective rate (symptoms)2. DHI score 1. A>B (p<0.05)A: 37/40 B: 29/402. A<B (p<0.05)A: 9.71±1.64B: 31.32±2.69 NR
A: 18/22 B: 20/20
A: 42.7±8.6B: 40.6±7.4
Qiao23) (2020) 78 3 months A:BBCT 100㎖ bid po + Epley maneuver (n=41) B:Epley maneuver (n=37) 2 weeks 1. Total effective rate (symptoms)2. TCM syn. score3. DHI score4. Recurrence rate 1. A>B (p>0.05)A: 39/41 B: 34/372. A<B (p<0.01)A: 5B: 7.53. A<B (p<0.01)A: 24.76±7.03B: 37.98±8.154. A<B (p<0.05)A: 1/39 B: 6/34 NR
28/50
41.24 ± 8.19
Zhang24)(2020) 77 none A:BBCT 200㎖ bid po (n=39) B:escitalopram oxalate tablet 5㎎ QD (n=38) 2 weeks 1. Total effective rate (DHI)2. DHI score 1. A>B (p<0.05)A: 38/39 B: 28/382. A<B (p<0.05)A: 7.01±3.88B: 15.99±5.11 NR
A: 22/17 B: 22/16
A: 53.48±16.42B: 52.45±15.36
Luo25) (2019) 70 3 months A:BBCT 200㎖ bid po + Epley maneuver (n=35) B:Epley maneuver (n=35) 2 weeks 1. Total effective rate (symptoms)2. DHI score3. TG, TC level4. LDL, ApoA1 level 1. A>B (p<0.05)A: 32/35 B: 24/352. A<B (p<0.05)A: 3.99±1.40B: 6.92±1.723. A<B (p<0.05)A: 1.53±0.71, 3.20±1.02B: 1.98±1.01, 4.35±1.304. A>B (p<0.05)A: 2.55±0.10, 1.77±0.28B: 2.03±0.47, 1.46±0.19 NR
A: 15/20 B: 14/21
A: 46.89±4.04B: 47.23±4.36
Lin26) (2019) 60 none A:BBCT dose NR bid po (n=30) B:Betahistine mesylate tablets 6㎎ tid po (n=30) 2 weeks 1. Total effective rate (symptoms)2. DHI score3. VAS score4. TCM syn. score 1. A>B (p<0.05)A: 27/30 B: 23/302. A<B (p<0.05)A: 13.40±3.607B: 24.33±5.9213. A<B (p<0.05)A: 2.97±1.377B: 4.43±1.8704. A<B (p<0.05)A: 6.13±4.696B: 10.50±6.653 none
A: 11/19 B: 8/22
A: 50.30±9.083B: 50.13±9.997
Zhang27)(2019) 60 none A:BBCT 100㎖ bid po (n=30) B:Betahistine mesylate tablets 6㎎ tid po (n=30) 2 weeks 1. Total effective rate (symptoms)2. DHI score3. VAS score4. TCM syn. score 1. A>B (p<0.05)A: 28/30 B: 22/302. A<B (p<0.05)A: 17B: 263. A<B (p<0.05)A: 2B: 44. A<B (p<0.05)A: 4.80±2.72B: 10.43±2.80 none
A: 10/20 B: 13/17
A: 66.70±8.00B: 65.77±8.88
Wu28) (2017) 30 none A:BBCT dose NR bid po + Epley maneuver (n=15) B:Epley maneuver (n=15) 3 months 1. Total effective rate (symptoms)2. TG, TC level3. LDL, ApoA1 level 1. A>B (p<0.05)A: 14/15 B: 9/152. A<B (p<0.05)A: 1.57±0.7, 3.33±1.2B: 1.93±1.6, 4.09±1.33. A>B (p<0.05)A: 2.54±0.1, 1.64±0.2B: 2.37±0.3, 1.42±0.1 NR
A: 9/6 B: 8/7
A: 58.13±3.1B: 60.02±3.5
Lei29) (2016) 53 3 months A:BBCT 200㎖ bid po + Epley maneuver (n=23) B:Epley maneuver (n=30) 2 weeks 1. Total effective rate (symptoms)2. TG, TC, LDL level3. ApoA1 level 1. A>B (p<0.05)A: 22/23 B: 25/302. A<B (p<0.05)A: 1.53±0.89, 3.76±0.54, 2.35±0.17B: 1.96±1.13, 4.01±0.72, 2.41±0.233. A>B (p<0.05)A: 1.54±0.12B: 1.41±0.13 NR
A: 9/14 B: 11/19
A: 46.52±11.37B: 49.31±10.52
Liang30) (2016) 86 3 months A:BBCT dose NR tid po + CRP (n=45) B:CRP(n=41) 1 month 1. Total effective rate (symptoms)2. Recurrence rate 1. A>B (p<0.05)A: 43/45 B: 34/412. A<B (p<0.05)A: 2.2%B: 14.6% NR
A: 19/26 B: 18/23
A: 53.9±18.7B: 54.6±19.7
Wang31) (2015) 180 6 months A:BBCT 100㎖ tid po + Epley maneuver (n=60) B:Epley maneuver (n=60) C:BBCT 100㎖ tid po (n=60) 1 week 1. Total effective rate (symptoms) 1. A>B or C (p<0.05)A: 58/60 B: 50/60 C: 53/60 NR
A: 30/30 B: 28/32 C: 25/35
A: 43.5B: 45.7C: 42.1
Zhu32) (2010) 62 3 months A:BBCT 100㎖ tid po(n=31) B:Betahistine 6㎎ tid po(n=31) 1 week 1. Total effective rate (symptoms)2. Recurrence rate 1. A>B (p<0.05)A: 29/31 B: 23/312. A<B (p<0.05)A: 1/29 B: 6/23 NR
A: 16/15 B: 18/23
A: 46.2B: 45.6
He33)(2010) 65 none A:BBCT 100㎖ bid po + Epley maneuver (n=35) B:Epley maneuver (n=30) 1 week 1. Total effective rate (symptoms)2. Recovery period 1. A>B (p>0.05)A: 32/35 B: 27/302. A<B (p<0.05)A: 7.76±2.79B: 10.55±3.24 NR
A: 11/24 B: 10/20
A: 48.15±2.36B: 50.28±3.12
ApoA1: Apolipoprotein A1, BBCT: Banhabaeckchulchunma-tang, CRP: canalith repositioning procedure, DHI: Dizziness Handicap Inventory
LDL: Low density lipoprotein, NR: Not reported, syn.: syndrome, TCM: Traditional Chinese Medicine, TC: Total cholesterol, TG: Triglyceride
VAS: Visual analog scale, qd : quaque die, bid: bis in die, tid: ter in die, po: Per os