PMID- 34211566 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2021 DP - 2021 TI - The Effectiveness and Safety of Bushen Huoxue Decoction on Treating Coronary Heart Disease: A Meta-Analysis. PG - 5541228 LID - 10.1155/2021/5541228 [doi] LID - 5541228 AB - OBJECTIVE: The aim of this meta-analysis was to systematically evaluate the effectiveness and safety of the traditional Chinese medicine (TCM) formula Bushen Huoxue Decoction (BSHXD) in treating coronary heart disease (CHD). METHODS: Randomized controlled trials (RCTS) of BSHXD in treating CHD were searched until March 2020, through six electronic databases: PubMed, Cochrane Library, CNKI, WanFang, SinoMed, and VIP. This study used the Cochrane Risk Test bias tool in the Cochrane Handbook to assess the quality of the methodology. Review Manager (RevMan) 5.3 was used to analyze the results. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria were applied in the classification of evidence quality. RESULTS: Ten RCTs involving 901 patients were finally included in this meta-analysis. It revealed that the effectiveness of BSHXD in treating CHD was significantly better than that of the conventional western medicine (CWM) treatment (P < 0.00001). The effective rate of BSHXD treatment group on ECG was also significantly higher than that of CWM group (P < 0.00001). The low-density lipoprotein cholesterol was decreased in the treatment groups compared with those in the control groups (P < 0.00001). There was also a reduction in frequency and duration of angina pectoris (P < 0.00001). There were no significant differences in TC level (P=0.08), TG level (P=0.86), and HDL level (P=0.76) between the treatment and control groups. Five studies had informed adverse events, including nausea and diarrhea. CONCLUSION: Our findings laid the foundation to the use of TCM Formula BSHXD in combination with conventional western medicine for treating CHD. However, due to the limitation of the quality of the included researches, in addition to potential reporting bias, the above conclusions still need verification by higher-quality and better-designed studies. CI - Copyright (c) 2021 Lan-Chun Liu et al. FAU - Liu, Lan-Chun AU - Liu LC AUID- ORCID: 0000-0002-2093-7664 AD - Cardiovascular Department, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. AD - Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Mao, Qi-Yuan AU - Mao QY AUID- ORCID: 0000-0002-3686-2847 AD - Department of Oncology, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. AD - Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Liu, Chao AU - Liu C AUID- ORCID: 0000-0003-1806-9930 AD - Cardiovascular Department, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. AD - Beijing University of Chinese Medicine, Beijing 100029, China. FAU - Hu, Jun AU - Hu J AUID- ORCID: 0000-0002-7569-3433 AD - Cardiovascular Department, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. FAU - Duan, Lian AU - Duan L AUID- ORCID: 0000-0001-8561-5212 AD - Cardiovascular Department, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. FAU - Wang, Jie AU - Wang J AUID- ORCID: 0000-0002-2178-5148 AD - Cardiovascular Department, Guang'anmen Hospital of China Academy of Chinese Medical Sciences, Beijing, China. LA - eng PT - Journal Article PT - Review DEP - 20210609 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC8208867 COIS- All authors declare that there are no conflicts of interest. EDAT- 2021/07/03 06:00 MHDA- 2021/07/03 06:01 PMCR- 2021/06/09 CRDT- 2021/07/02 06:38 PHST- 2021/01/31 00:00 [received] PHST- 2021/05/24 00:00 [accepted] PHST- 2021/07/02 06:38 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/03 06:01 [medline] PHST- 2021/06/09 00:00 [pmc-release] AID - 10.1155/2021/5541228 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2021 Jun 9;2021:5541228. doi: 10.1155/2021/5541228. eCollection 2021.