Table 1. Characteristics of Studies of Herbal Medicine for Allergic Disease with Dysbiosis

Disease Herbal Medicine Experimental Subjects Groups Usage and Dosage Microbiota Modulation Results Ref.
Atopic Dermatitis (AD) Gwakhyangjeonggisan (GJS) 52 aged 19–60 years with AD -GJS treatment group(n=27)-Placebo treatment group(n=25) thrice daily, 8 weeks slightly increased gut microbiome diversity.no significant difference in gut microbiota at the phylum level 1. SCORAD, EASI, DLQI ↓ (but no significant difference between GJS and placebo group)2. IgE↑3. EQ-5D-5L↑NDI-K scores↓4. no significant change in indoxyl sulfate , pheylacetylglutamine compared to placebo group Mi Mi Ko15) (2024)
HuangLianJieDu Decoction, replaced GF(Gardenia Fructus) with DC(Dictamni Cortex) . (MHLJDD) DNCB or MC903 -induced mice -Normal group-AD model group-Dexamethasone group-MHLJDD group-Three MHLJDD-F groups MHLJDD 1.48 g/㎏MHLJDD-F-L (0.26 g/㎏)MHLJDD-F-M (0.52 g/㎏)MHLJDD-F-H (1.04 g/㎏)Once daily, 2 weeks Alistipes, Ruminococcaceae UCG-014,Lachnospiraceae NK4A136↓Bacteroides, Akkermansia,Parabacteroides, Enterococcus↑ <ear>1. ear dermatitis score↓(MHLJDD-F-M**,H**)scratching behaviors↓(MHLJDD* , MHLJDD-F-M*)2. epidermal thickness, mast cells↓(MHLJDD**, MHLJDD-F-M,H**)3. IgE, TNF-α ↓(MHLJDD-F-M,H**)4. FLG, LOR ↑(MHLJDD-F*)<dorsal skin>1. EASI↓(MHLJDD*,MHLJDD-F-M*,H**) scratching behaviors↓(MHLJDD-F-L,*M**,H**)2. IgE, TNF-α ↓(MHLJDD**, MHLJDD-F-L,*M**,H**),histamine↓(All**)3. epidermal thickness, mast cells↓(All**)4. FLG, LOR ↑(All**) Lan Wang17) (2022)
Sihocheonggan-Tang (SHCGT) DNCB-induced mice -Sham group-AD group-SHCGT group SHCGT 625 ㎎/㎏,Intragastric administration,Once daily, 2 weeks 17 species showed significant recovery in SHCGT group.(M. schaedleri*, AB606259**↓) 1. ADI↓***, skin thickness↓*, WBC↓*, neutrophil↓*2. IL-4↓*, IL-10↓**, IFN-γ↓*TNF-α↓Treg cell↑3. villous atrophy↓claudin-5*, occluding**, ZO-1**↑4. SCFA : butyrate, isobutyrate*, propionate**, valerate*↑, Jaemoo Chun23) (2021)
Allergic Rhinitis (AR) Mahuang Fuzi Xixin Decoction (MFXD) OVA-induced AR rats -Normal group-AR model group-MFXD group-loratadine group-sodium butyrate group 7.6 g/㎏, oral administration, once daily, 2 weeks At the phylum level,Firmicutes, Bacteroidetes, Actinobacteria↑Proteobacteria, Cyanobacteria↓At the genus level,Anaerotruncus**, Butyricicoccus*,Lachnospiraceae**, and Ruminococcaceae**↑Bacteroides**, Bifidobacterium**, Enterococcus**, Erysipelotrichaceae*↓Lactobacillus group,Butyricicoccus pullicaecorum↑Bacteroides fragilis group, Enterococcus spp.↓ 1. nasal mucosa recoveredNasal symptom scores↓**IgE and histamine↓**2. SCFA: Acetic, propionic, butyric acids↑**ZO-1 ↑3. IL-10↑* IL-17↓**ratio of Th17/Treg cells↓IL-1β and IL-23 in lung tissues ↓** Xiao Liang24) (2020)
Xiao-Qing-Long-Decoction (XQLD) 53 diagnosed AR patients who had not received prior pharmacologic treatment for AR →33 completed the whole study. 150 ml of the decoction two times daily, 10 weeks Bacteroides↑Firmicutes↓Dialister, Roseburia, Bacteroides (OTU_22), and Bacteroides (OTU_2040)↑Prevotella_9↓ 1. TNSS, RQLQ ↓*2. IL-2,4, IFN-γ, TNF-α↑* (decreased at 6 month)3. PPAR signaling pathway, peroxisome, citrate cycle↑ Libing Zhu16) (2021)
Asthma recuperating lung decoction (RLD) OVA-induced Asthma Model -Normal group-Asthma model group-Dexamethasone group-Two RLD treated groups(Tb, Tc) 1. Tb: 3.6 g/㎏, oral administration, once daily, 2 weeks2. Tc: 7.26 g/㎏, oral administration, once daily, 2 weeks 1. RLD(vs Dex): Adlercreutzia, Escherichia↑2. Tb: higher PrevotellaVs Tc: higher Aggregatibacter,Akkermansia, Enterococcus, Proteus / lower Lactobacillus and Bifidobacterium(no statistically significant dose-dependent effect was found) 1. asthma symptom↓2. lung function:central airway resistance↓,airway hyperresponsivence↓(Tb**,Tc*))3. eosinophils in BALF↓(Tb***,Tc***)serum IgE levels↓(Tb**,Tc**)4. lung tissue damage↓ KONG Yan Hua18) (2016)
Pentaherbs formula (PHF) OVA-induced allergic asthma mice -Normal group-Asthma group-Two PHF treated groups(PHF14,PHF8)-Dexamethasone group PHF (9.2 ㎎) in 0.2 ml H2O,oral administration,14 days(PHF14) or 8 days(PHF8) Bacteroidetes, Saccharibacteria ↑Firmicutes↓ 1. IgE↓*Airway Hyperresponsiveness↓(PHF14)Airway wall recovered.2. eosinophils, neutrophils↓(PHF14*)IL-4*, IL-33*, IL-31↓Th1/Th2 ratio↑3. SCFAs: acetate, butyrate*↑Propionate, isobutyrate↓4. Treg cells↑ Miranda Sin-Man Tsang22) (2018)
You-Gui-Wan (YGW) Der-p induced allergic asthma mice -Control group-Asthma group-Dexamethasone group-Two YGW treated groups 1. 0.2g/㎏ YGW2. 0.5g/㎏ YGWOral administration, daily, 27 days 1.Eubacterium, Blautia, Ruminiclostridium, Lachnospiraceae_NK4A136_group were relatively enriched.2. ratio of Firmicutes to Bacteroidetes↓ 1. Penh value, IgE ↓2. Serum metabolite: significantly reverse the increased level of 7 metabolites (acetylcarnitine, tryptophan, norleucine, isoleucine, betaine, methionine, valine) Wei-Hsiang Hsu19) (2021)
ShaoyaoGancao Tang (SGT) OVA-induced asthma rats OVA-none rats -OVA-none groups treated with physiologic saline, dexamethasone, 3 SGT.-Asthma groups Treated with physiologic saline, dexamethasone, 3 SGT. 2.5g/㎏ SGT(LSGT)5.0g/㎏ SGT(MSGT)10.0g/㎏ SGT(HSGT)Intragastric administration, Once daily, 4 weeks Ethanoligenens, Harryflintia,Ruminococcus_2, Alistipes↓Family_XIII_AD3011_group,Ruminococcaceae UCG-005,Candidatus_Saccharimonas↑Ratio of Firmicutes/Bacteroidetes↑ 1. IgE↓(MSGT**, HSTT**)2. airway remodeling improved.GC hyperplasia↓(MSGT**,HSTT**)Change in colon tissue↓(MSGT **, HGST**)3. IL-4↓ IFN-γ↑ Th1/Th2 ratio in lung and colon↑(HSGT*)4. carbohydrate metabolism↑ Rui He22) (2023)
Pingchuan formula(PC) OVA-induced asthma mice -Normal group-Asthma group-Dexamethasone group-Three PC treated group(LPC,MPC,HPC) 200㎎/㎏ PC(LPC)400㎎/㎏ PC(MPC)800㎎/㎏ PC(HPC)Intragastric administration, Once daily, 1 week Akkermansia↑Ruminococcaceae, Lachnospiraceae↓ 1. lung tissues were recovered.2. MPC : IL-4**, IL-6*, eotaxin*↓ IL-18***↑3. MPC: acacetin, abscisic acid ↑ Fei Liu21) (2023)
SCORAD: Scoring Atopic Dermatitis, EASI: Eczema Area and Severity Index, DLQI: Dermatology Life Quality Index, EQ-5D-5L: EuroQol 5 dimension 5 level Questionnaire, NDI-K: Nepean Dyspepsia Index-Korean version, MHLJDD-F: active fraction of MHLJDD, FLG: filaggrin, LOR: loricrin, ADI: Atopic Dermatitis Index, WBC: white blood cell, ZO-1: zonula occludens-1, TNSS: Total Nasal Symptom Score, RQLQ: Rhinoconjunctivitis Quality of Life Questionnaire, PPAR: Peroxisome proliferator-activated receptor, BALF: bronchoalveolar lavage fluid, Penh: enhanced pause, GC: globlet cell, *: p<0.05, **: p<0.01, ***: p<0.001