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ArticleChinese medicine2025

Effect of traditional Chinese medicine combined with conventional Western medicine for patients with severe/very severe chronic obstructive pulmonary disease: a multi-center, randomized, double-blind, controlled study.

Jiansheng Li, Yang Xie, Minghang Wang, Suyun Li, Xuefeng Yu, Nianzhi Zhang, Zhengang Zhu, Wei Zhang, Jihong Feng, Zikai Sun and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Chinese medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02270424 (A Multi-center, Randomized, Double-blind, Controlled Study to Evaluate the Effectiveness of on Severe / Very Severe COPD Patients), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT02270424 phase3unknown statusnot on this map

A Multi-center, Randomized, Double-blind, Controlled Study to Evaluate the Effectiveness of on Severe / Very Severe COPD Patients

TypeinterventionalSponsorHenan University of Traditional Chinese MedicineRan2014 to 2016Enrolled564ConditionsPulmonary Disease, Chronic ObstructiveArmsSalmeterol / fluticasone (Seretide®), Bufeijianpi granule, Bufeiyishen granule, Yiqizishen granule, Placebo Bufeijianpi granule
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

14 authors.

Jiansheng Li *Co-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, No. 156 Jin-shui East Road, Zhengzhou, 450046, Henan, People's Republic of China. li_js8@163.com.ORCID http://orcid.org/0000-0002-6485-2371
Yang Xie *Department of Respiratory Diseases, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 450000, Henan, People's Republic of China.
Minghang WangCo-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, No. 156 Jin-shui East Road, Zhengzhou, 450046, Henan, People's Republic of China.
Suyun LiCo-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, No. 156 Jin-shui East Road, Zhengzhou, 450046, Henan, People's Republic of China.
Xuefeng YuDepartment of Respiratory Diseases, The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, 110034, Liaoning, People's Republic of China.
Nianzhi ZhangDepartment of Respiratory, The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui, People's Republic of China.
Zhengang ZhuDepartment of Respiratory, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, People's Republic of China.
Wei ZhangDepartment of Respiratory, Shanghai Shuguang Hospital Affiliated with Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Jihong FengDepartment of Respiratory, The Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, People's Republic of China.
Zikai SunDepartment of Respiratory, Jiangsu Provincial Hospital of Traditional Chinese Medicine, Nanjing, People's Republic of China.
Lin LinDepartment of Respiratory, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, People's Republic of China.
Zhijia SunDepartment of Respiratory, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, People's Republic of China.
Hailong ZhangCo-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, No. 156 Jin-shui East Road, Zhengzhou, 450046, Henan, People's Republic of China.
Xueqing YuCo-construction Collaborative Innovation Center for Chinese Medicine and Respiratory Diseases by Henan & Education Ministry of P.R. China, Henan University of Chinese Medicine, No. 156 Jin-shui East Road, Zhengzhou, 450046, Henan, People's Republic of China.

Funding

National Key R&D Program of China in the project design and financial support 2023YFC3502600State Administration of Traditional Chinese Medicine of the People's Republic of China 2014BAI10B06
6 · The paper itself

Abstract

backgroundTraditional Chinese medicine (TCM) is widely used in the management of chronic obstructive pulmonary disease (COPD). This study aimed to evaluate the clinical efficacy of comprehensive therapy based on TCM patterns for patients with stable, severe to very severe COPD.

methodsA multicenter, randomised, double-blind, placebo-controlled trial was conducted. Eligible patients were randomly allocated in equal proportions to two groups: the trial group, which received TCM-based therapy with Bu-Fei Jian-Pi, and Bu-Fei Yi-Shen, and Yi-Qi Zi-Shen granules tailored to TCM syndromes, and the control group, which received a placebo resembling Chinese medicine. Both groups also received conventional Western medicine as part of their treatment. Acute exacerbations (AEs), lung function, dyspnea scores, the 6-min walking test (6MWT), and the COPD assessment test (CAT) were assessed over 12 months of treatment, with an additional 12 months of follow-up.

resultsA total of 467 patients were included in the analysis with 228 in the experimental group and 239 in the control group. The Chinese herbal granules group significantly reduced AEs (0.63 vs. 1.03 events, P = 0.002), improved mMRC scores (-0.17 points, 95% CI -0.30 to -0.03; P = 0.015), 6MWT (29.24 m, 95% CI 10.71-47.77; P = 0.002), and CAT (-3.11 points, 95% CI -4.13 to -2.09, P < 0.001), compared with the control group. No significant differences were observed between the two groups in terms of FVC (l) and FEV

conclusionComprehensive therapy based on TCM patterns demonstrated efficacy in patients with severe to very severe COPD, reducing the frequency of AEs, improving dyspnea and exercise capacity, and alleviating symptoms.

trial registrationClinicalTrials.gov, NCT02270424. Registered 17 October 2014, https://clinicaltrials.gov/study/NCT02270424?id=NCT02270424&rank=1 .

Indexed as

Chronic obstructive pulmonary diseaseClinical trialRandomised controlled trialTraditional Chinese medicine

Identifiers

PMID40394700
PMCPMC12093656

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Registered trials

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.