Evidence map›Paper›PMID 41501914›Full record

ReviewChinese medicine2026

The scientific basis of synergy in traditional Chinese medicine: physicochemical, pharmacokinetic, and pharmacodynamic perspectives.

Xi Wang, Xiaoying Shi, Zhexing Xi, Zhitong Zhang, Zichen Luo, Jin Wang, Jinjun Shan

Abstract readReview
In one paragraph

Review in Chinese medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

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

  1. Pooled it
  2. Exosome-like nanoparticles derived fromInternational journal of pharmaceutics: X · 2026
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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.

Xi Wang *Jiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Xiaoying Shi *Jiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Zhexing XiJiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Zhitong ZhangJiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Zichen LuoJiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China. luozc@njucm.edu.cn.
Jin WangJiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China. jessejin@njcum.edu.cn.
Jinjun ShanJiangsu Key Laboratory of Children's Health and Chinese Medicine, State Key Laboratory On Technologies for Chinese Medicine Pharmaceutical Process Control and Intelligent Manufacture, Nanjing University of Chinese Medicine, Nanjing, 210023, China. jshan@njucm.edu.cn.

Funding

Jiangsu Qing Lan Project, the Major Research Plan of Natural Science Foundation of the Higher Education Institutions of Jiangsu Province 24KJA360004Nanjing University of Chinese Medicine Unveil Major Project JBGS202401the Key Research Project of Jiangsu Provincial Academy of Chinese Medicine Schools LPZD2025012the National Natural Science Foundation of China 82474206
6 · The paper itself

Abstract

Traditional Chinese medicine, with millennia of history, demonstrates significant therapeutic efficacy against diverse diseases. A key characteristic of traditional Chinese medicine lies in the use of compound formulas-multi-herb concoctions that enhance efficacy and mitigate toxicity. The synergy within these formulas arises fundamentally from interactions among multiple active components. Recently, growing experimental studies have aimed to elucidate the scientific principles underlying synergy in traditional Chinese medicine. By reviewing literature over the past 30 years, this review summarizes that traditional Chinese medicine synergy manifests primarily through three key mechanisms: physicochemical interactions, pharmacokinetic processes, and pharmacodynamic effects. Furthermore, it provides an overview of methodological advances for studying these mechanisms, including HPLC fingerprinting, network pharmacology, and metabolomics, among others. Finally, it highlights current research limitations as well as challenges in traditional Chinese medicine modernization. This review systematically synthesizes current knowledge on traditional Chinese medicine synergy to establish a foundation for compatibility research and promote evidence-based clinical application.

Indexed as

PharmacodynamicsPharmacokineticsPhase statePhysicochemistrySupramolecular assemblySynergyTargetTraditional Chinese medicine

Identifiers

PMID41501914
PMCPMC12781651

What OpenQuestion holds

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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.