Evidence map›Paper›PMID 27462269›Full record

ReviewFrontiers in pharmacology2016

Synergistic Effects of Chinese Herbal Medicine: A Comprehensive Review of Methodology and Current Research.

Xian Zhou, Sai Wang Seto, Dennis Chang, Hosen Kiat, Valentina Razmovski-Naumovski, Kelvin Chan, Alan Bensoussan

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 210 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
210citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

210 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Herbal medicine,Frontiers in pharmacology · 2023
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Anisodus tanguticus in Cancer Research: A Review of Traditional Use, Phytochemistry, Extraction Methods, and Preclinical Antitumor Evidence.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  8. Therapeutic Potential ofInternational journal of molecular sciences · 2026
    Article
  9. International journal of molecular sciences · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Neuroprotective Effect of the Combined Extract ofInternational journal of molecular sciences · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

150 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xian ZhouSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney University Penrith, NSW, Australia.
Sai Wang SetoSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney University Penrith, NSW, Australia.
Dennis ChangSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney University Penrith, NSW, Australia.
Hosen KiatFaculty of Medicine, University of New South WalesSydney, NSW, Australia; School of Medicine, Western Sydney UniversityCampbelltown, NSW, Australia; Faculty of Medicine and Health Sciences, Macquarie UniversitySydney, NSW, Australia.
Valentina Razmovski-NaumovskiSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney UniversityPenrith, NSW, Australia; Faculty of Medicine, University of New South WalesSydney, NSW, Australia.
Kelvin ChanSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney UniversityPenrith, NSW, Australia; School of Pharmacy and Biomolecular Sciences, Liverpool John Moores UniversityLiverpoor, UK; Faculty of Science, TCM Division, University of TechnologySydney, NSW, Australia.
Alan BensoussanSchool of Science and Health, National Institute of Complementary Medicine, Western Sydney University Penrith, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditional Chinese medicine (TCM) is an important part of primary health care in Asian countries that has utilized complex herbal formulations (consisting 2 or more medicinal herbs) for treating diseases over thousands of years. There seems to be a general assumption that the synergistic therapeutic effects of Chinese herbal medicine (CHM) derive from the complex interactions between the multiple bioactive components within the herbs and/or herbal formulations. However, evidence to support these synergistic effects remains weak and controversial due to several reasons, including the very complex nature of CHM, misconceptions about synergy and methodological challenges to study design. In this review, we clarify the definition of synergy, identify common errors in synergy research and describe current methodological approaches to test for synergistic interaction. We discuss the strengths and weaknesses of these models in the context of CHM and summarize the current status of synergy research in CHM. Despite the availability of some scientific data to support the synergistic effects of multi-herbal and/or herb-drug combinations, the level of evidence remains low, and the clinical relevancy of most of these findings is undetermined. There remain significant challenges in the development of suitable methods for synergistic studies of complex herbal combinations.

Indexed as

Chinese herbal medicinecombination indexinteractionisobologramsynergysystem biology

Identifiers

PMID27462269
PMCPMC4940614

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.