International Journal of Clinical and Experimental Medicine Research

ISSN Print: 2575-7989 Downloads: 152786 Total View: 2063367
Frequency: quarterly ISSN Online: 2575-7970 CODEN: IJCEMH
Email: ijcemr@hillpublisher.com
Article http://dx.doi.org/10.26855/ijcemr.2020.10.026

A Meta-analysis of Tianma Gouteng Decoction Combined with Qiju Dihuang Pills in the Treatment of Essential Hypertension

Xuexue Zhang 1,2, Jing Ma 2,*, Liangyu Cui 1,2, Hang Xu 2, Chengming Jia 3

1 Shaanxi University of Traditional Chinese Medicine, Shaanxi, Xian yang 712046, China.

2 Department of Traditional Chinese Medicine First Affiliated Hospital of Air Force Military Medical University, the Army Medical Center in Traditional Chinese Medicine, Shaanxi, Xi'an 710032, China.

3 Shaanxi Traditional Chinese Medicine Hospital, Shaanxi, Xi'an 710003, China.

*Corresponding author: Jing Ma

Published: December 4,2020

Abstract

Objective: A Meta-analysis was used to systematically evaluate the efficacy and safety of Tianma gouteng decoction and Qiju dihuang pills in the treat-mennt of essential hypertension (EH). Methods: Randomized controlled trials (RCTs) associated with the treatment of EH via the Tianma gouteng gecoction combined with Qiju dihuang pills were searched on VIP, CNKI, Wanfang, PubMed, Cochrane Library databases from the clinical trials published from 2012 to October 2020. After the quality evaluation of literatures, the valid data from the literatures were extracted and Meta-analysis was carried out by using Review Manger 5.4 software. Results: There were 23 Chinese articles, in-cluding 2339 EH patients. The results of a Meta-analysis showed that, com-pared with western medicine treatment, traditional Chinese medicine combined with western medicine has better clinical [OR=4.48, 95%CI(2.72, 7.37), P<0.00001], In addition, solely traditional Chinese medicine treatment in contrast to western medicine improved the total clinical effective rate [OR = 9.73,95% CI(5.90, 16.06), P<0.00001]. Conclusion: Tianma gouteng decoc-tion combined with Qiju dihuang pills have a positive effect on the treatment of EH, and also show less toxic. Yet, considering the quality limitation of the literatures included, further high-quality clinical trials are needed be carried out to validate this conclusion.

References

[1] Chinese guidelines for hypertension prevention and Treatment (The 2018 revision) [J]. Chinese Journal of Cardiovascular Medicine, 2019, 24(01): 24-56. 

[2] Thomas Unger, Claudio Borghi, Fadi Charchar, et al. (2020). International Society of Hypertension global hypertension practice guidelines, 2020, 38(6): 982-1004. 

[3] Yu C, Wang YJ, Chi XL, et al. (2019). Some similarities and differences in the definition, classification and stratification of hypertension between the 2018 European Guidelines for the Management of Arterial Hypertension and the Chinese Guidelines for the Prevention and Treatment of Hypertension [J]. Chinese Journal of Hypertension, 2019, 27(09): 811-813. 

[4] Cuspidi C, Tadic M, Grassi G, et al. (2018). Treatment of hypertension: The ESH/ESC guidelines recommendations. Pharmacol Res., 2018, 128: 315‐321. 

[5] Guo CX, Chen ZL. (2020). Discussion on the modern action mechanism and advantages of treating hypertension from the perspective of heart, liver and kidney in TCM [J]. Shanxi Journal Traditional Chinese Medicine, 2020, 41(05): 650-652+666. 

[6] Chu BQ. (2020). Observation on the effect of Tianma gouteng decoction combined with Qiju Dihuang Pills in treating hyper-tension [J]. Electronic Journal of Clinical Medical Literature, 2020, 7(01): 150-151. 

[7] Li J. (2020). Clinical observation of Qiju Dihuang Pills and Tianma gouteng decoction in the treatment of Yin deficiency and Yang Hyperactivity hypertension [J]. Health Required, 2020, (4): 80. 

[8] Zhou WH. (2019). Effect evaluation of Qiju Dihuang Pills and Tianma gouteng decoction in the treatment of Yin deficiency and Yang Hyperactivity hypertension [J]. Contemporary Medical Symposium, 2019, 17(11): 214-215. 

[9] Li GP. (2019). Effect analysis of Qiju Dihuang Pills combined with Tianma gouteng decoction in the treatment of essential hypertension [J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2019, 29(13): 42-44. 

[10] Huang XL, Qu ZQ, Li Y. (2018). Clinical effect analysis of Qiju Dihuang Pills combined with Tianma gouteng decoction in the treatment of essential hypertension [J]. Clinical Research and Practice, 2018, 3(24):100-101. 

[11] He GJ. (2018). Clinical research of Tianma gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Modern Tradition Chinese Medicine, 2018, 38(04): 19-21. 

[12] Li Y, Qian DM, Li G. (2017). Clinical research of Qiju Dihuang Pills and Tianma gouteng decoction in the treatment of Yin deficiency and Yang Hyperactivity hypertension [J]. Asia-Pacific Traditional Medicine, 2017, 13(08): 158-159. 

[13] Yi H. (2019). Effect analysis of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Cardiovascula Disease Journal of Integrated Traditional Chinese and Western Medicine, 2019, 7(30): 149+170. 

[14] Yang SL. (2019). Observation of clinical effect of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Yin Shi Bao Jian, 2019, 6(48): 81-82. 

[15] Wu M. (2019). Observation of clinical effect of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Jian Kang Zhi You, 2019, (18): 12-13. 

[16] Song SG. (2019). Effect research of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Cardiovascula Disease Journal of Integrated Traditional Chinese and Western Medicine, 2019, 7(30): 165. 

[17] Lu FL. (2019). Clinical research of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of Yin defi-ciency and Yang Hyperactivity hypertension [J]. World Journal of Complex Medicine, 2019, 5(05): 26-28. 

[18] Zheng ZB. (2018). Observation of effect of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Chinese Community Doctors, 2018, 34(14): 98-99. 

[19] Li YM. (2018). Effect analysis of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Health Guide, 2018, (7): 244. 

[20] He XY. (2018). Observation of clinical effect of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. World Latest Medicine Information, 2018, 18(02): 131+134. 

[21] Guo YJ. (2018). Effect analysis of Qiju Dihuang Pills combined with Tianma gouteng decoction in the treatment of essential hypertension [J]. Psychological Doctor, 2018, 24(29): 58-59.

[22] Chen XP. (2018). Effect analysis of Qiju Dihuang Pills combined with Tianma gouteng decoction in the treatment of essential hypertension [J]. Yin Shi Bao Jian, 2018, 5(22): 68-69. 

[23] Xia RJ. (2017). Effect research of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Clinical Medicine Research and Practice, 2017, 2(29): 109-110. 

[24] Weng CX. (2017). Effect analysis of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Health Guide, 2017, (45): 278. 

[25] Shen J. (2017). Clinical research of Tianma Gouteng decoction combined with Qiju Dihuang Pills in the treatment of Yin defi-ciency and Yang Hyperactivity hypertension [J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2017, 27(14): 80-81. 

[26] Han S. (2016). Clinical analysis of Tianma gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Cardiovascula Disease Journal of Integrated Traditional Chinese and Western Medicine, 2016, 4(28): 153. 

[27] Jiang LL. (2012). Observation of clinical effect of Qiju Dihuang Pills combined with Tianma gouteng decoction in the treatment of essential hypertension [J]. Guide of China Medicine, 2012, 10(27): 271-272. 

[28] Gao HQ, Wang Y, Wang JH, et al. (2012). Clinical analysis of Tianma gouteng decoction combined with Qiju Dihuang Pills in the treatment of essential hypertension [J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2012, 21(02): 129-130. 

[29] Pu JC. (2012). Observation of clinical effect of Tianma Gouteng decoction in the treatment of hyperaction of liver Yang hyper-tension[J]. Chinese Archives of Traditional Chinese Medicine, 2012, 30(01): 215-216. 

[30] Han NX, Yan YJ, Miao HW, et al. (2020). Advances in clinical and mechanism research of g Tianma Gouteng decoction in the treatment of essential hypertension [J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2020, 29(07): 795-798. 

[31] Cao XQ, Liu K, Lei ZH, et al. (2020). Effect of Qiju Dihuang Pills on renal function in aged patients with early renal damage due to hypertension [J]. Chinese Journal of Experimental Traditional Medicine Formulte, 2020, 26(10): 75-81.

How to cite this paper

A Meta-analysis of Tianma Gouteng Decoction Combined with Qiju Dihuang Pills in the Treatment of Essential Hypertension

How to cite this paper: Xuexue Zhang, Jing Ma, Liangyu Cui, Hang Xu, Chengming Jia. (2020) A Meta-analysis of Tianma Gouteng Decoction Combined with Qiju Dihuang Pills in the Treatment of Essential Hypertension. International Journal of Clinical and Experimental Medicine Research, 4(4), 278-286.

DOI: http://dx.doi.org/10.26855/ijcemr.2020.10.026