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Review
. 2024 Sep 17;4(10):711-720.
doi: 10.1016/j.jacasi.2024.07.012. eCollection 2024 Oct.

Translational Research and Clinical Application of Traditional Chinese Medicine in Cardiovascular Diseases

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Review

Translational Research and Clinical Application of Traditional Chinese Medicine in Cardiovascular Diseases

Iokfai Cheang et al. JACC Asia. .

Abstract

Luobing theory is based on the principles of traditional Chinese medicine (TCM) and focuses on the regulation of blood circulation. The translation of Luobing theory into clinical practice has shown promising results in the treatment of cardiovascular diseases (CVDs). Studies have reported the benefits of using Luobing theory in the treatment of metabolic syndrome, atherosclerosis, arrhythmia, and heart failure. This review article provides an overview of the evidence-based application of TCM Luobing theory in the treatment of CVDs. It also highlights the challenges and opportunities of translating TCM into clinical practice and provides valuable insights for future CVD research.

Keywords: Qiliqiangxin capsule; Tongxinluo capsule; cardiovascular continuum; cardiovascular disease; traditional Chinese medicine.

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Conflict of interest statement

This work was supported by the State Key Laboratory for Innovation and Transformation of Luobing Theory, the General Program of National Natural Science Foundation of China (82370389, 81970339, Dr Li; 82200425, Dr Gao), the National High Technology Research and Development Program of China (2017YFC1700505, Dr Li), the Excellent Young Scientists Fund of Jiangsu (BK20231538, Dr Gao), and the Qing Lan Project of Jiangsu (Dr Gao). Dr Li is an Associate Fellow at the Collaborative Innovation Center for Cardiovascular Disease Translational Medicine. Drs Zhu and Cheang are post-doctorate Follows at Nanjing Medical University. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

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Graphical abstract
Central Illustration
Central Illustration
Progression and Interventions With Traditional Chinese Medicine of Cardiovascular Diseases The graphic outlines the progression from risk factors to heart failure in cardiovascular diseases (CVDs) and the intervention points of traditional Chinese medicines (TCM). Downward arrows represent progression of CVD, and yellow circles indicate disease stages based on TCM. The TCMs used include Jinlida (JLD), Tongxinluo (TXL), Shensongyangxin (SSYX), and Qiliqiangxin (QLQX) target-specific stages to mitigate disease progression, marked in brown square. Light blue squares represent the evidence-based trial conducted in the recent years include: FOCUS (Interventional study of Jinlida treatment for abnormal glucose metabolism in metabolic syndrome), TXL-CAP (A randomized, double-blind, placebo parallel controlled, multi-center clinical study of Tongxinluo capsule in the treatment of acute coronary syndrome with atherosclerotic plaque), CTS-AMI (China Tongxinluo Study for Myocardial Protection in Patients With Acute Myocardial Infarction), SS-AFRF (Shensongyangxin Capsule Regulates Persistent Atrial Fibrillation After Radiofrequency Catheter Ablation), and QUEST (Qiliqiangxin in Heart Failure: Assessment of Reduction in Mortality).

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