Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations

Abstract Objective This review aims to systematically evaluate the application of Jueyin disease theory in the diagnosis and treatment of gangrene within the framework of traditional Chinese medicine (TCM). Through systematic review and meta-analysis, the efficacy of commonly used TCM formulations,...

Full description

Saved in:
Bibliographic Details
Main Authors: Youzhi Zhang, Bochuan Lv, Yue Teng, Jintao Xu
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Systematic Reviews
Subjects:
Online Access:https://doi.org/10.1186/s13643-025-02854-8
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850206609964269568
author Youzhi Zhang
Bochuan Lv
Yue Teng
Jintao Xu
author_facet Youzhi Zhang
Bochuan Lv
Yue Teng
Jintao Xu
author_sort Youzhi Zhang
collection DOAJ
description Abstract Objective This review aims to systematically evaluate the application of Jueyin disease theory in the diagnosis and treatment of gangrene within the framework of traditional Chinese medicine (TCM). Through systematic review and meta-analysis, the efficacy of commonly used TCM formulations, including Wumei pill, Pulsatilla decoction, and Dang-Gui-Si-Ni decoction, is explored. Methods A systematic search of PubMed, Web of Science, and CNKI was conducted, integrating meta-analysis and systematic review. Clinical trials and case reports based on Jueyin disease theory for gangrene treatment were included. Data extraction, quality assessment, and statistical analyses were performed. Results A total of nine studies met the inclusion criteria. The meta-analysis indicated that TCM formulations significantly improved clinical outcomes, particularly in enhancing the ankle-brachial index (ABI) and maximum walking distance, with mean differences of 0.17 (95% CI, 0.11, 0.24; p < 0.01) and 293.22 (95% CI, 174.85, 411.60; p < 0.01), respectively. Sensitivity analysis and tests for publication bias confirmed the robustness and consistency of the findings. Sensitivity analysis and publication bias assessment confirmed the robustness and reliability of the results. Conclusion Jueyin disease theory and its related formulas (Wumei pill, Pulsatilla decoction, and Dang-Gui-Si-Ni decoction) demonstrate significant clinical value in traditional Chinese medicine (TCM) treatment of gangrene, effectively improving clinical symptoms and blood circulation. The findings provide scientific evidence for the modern application of Jueyin disease theory in TCM while acknowledging limitations such as small sample sizes and study heterogeneity, offering valuable insights for future research and clinical practice.
format Article
id doaj-art-04c9e7d93e7148d0ae023fd4a7f98351
institution OA Journals
issn 2046-4053
language English
publishDate 2025-04-01
publisher BMC
record_format Article
series Systematic Reviews
spelling doaj-art-04c9e7d93e7148d0ae023fd4a7f983512025-08-20T02:10:46ZengBMCSystematic Reviews2046-40532025-04-0114111610.1186/s13643-025-02854-8Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulationsYouzhi Zhang0Bochuan Lv1Yue Teng2Jintao Xu3The First Clinical Medical College, Heilongjiang University Of Chinese MedicineThe First Clinical Medical College, Heilongjiang University Of Chinese MedicineThe First Clinical Medical College, Heilongjiang University Of Chinese MedicineThe First Clinical Medical College, Heilongjiang University Of Chinese MedicineAbstract Objective This review aims to systematically evaluate the application of Jueyin disease theory in the diagnosis and treatment of gangrene within the framework of traditional Chinese medicine (TCM). Through systematic review and meta-analysis, the efficacy of commonly used TCM formulations, including Wumei pill, Pulsatilla decoction, and Dang-Gui-Si-Ni decoction, is explored. Methods A systematic search of PubMed, Web of Science, and CNKI was conducted, integrating meta-analysis and systematic review. Clinical trials and case reports based on Jueyin disease theory for gangrene treatment were included. Data extraction, quality assessment, and statistical analyses were performed. Results A total of nine studies met the inclusion criteria. The meta-analysis indicated that TCM formulations significantly improved clinical outcomes, particularly in enhancing the ankle-brachial index (ABI) and maximum walking distance, with mean differences of 0.17 (95% CI, 0.11, 0.24; p < 0.01) and 293.22 (95% CI, 174.85, 411.60; p < 0.01), respectively. Sensitivity analysis and tests for publication bias confirmed the robustness and consistency of the findings. Sensitivity analysis and publication bias assessment confirmed the robustness and reliability of the results. Conclusion Jueyin disease theory and its related formulas (Wumei pill, Pulsatilla decoction, and Dang-Gui-Si-Ni decoction) demonstrate significant clinical value in traditional Chinese medicine (TCM) treatment of gangrene, effectively improving clinical symptoms and blood circulation. The findings provide scientific evidence for the modern application of Jueyin disease theory in TCM while acknowledging limitations such as small sample sizes and study heterogeneity, offering valuable insights for future research and clinical practice.https://doi.org/10.1186/s13643-025-02854-8Jueyin diseaseGangreneTraditional Chinese medicine formulationsWumei pillPulsatilla decoctionDang-Gui-Si-Ni decoction
spellingShingle Youzhi Zhang
Bochuan Lv
Yue Teng
Jintao Xu
Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
Systematic Reviews
Jueyin disease
Gangrene
Traditional Chinese medicine formulations
Wumei pill
Pulsatilla decoction
Dang-Gui-Si-Ni decoction
title Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
title_full Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
title_fullStr Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
title_full_unstemmed Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
title_short Systematic review and meta-analysis of Jueyin disease theory in the treatment of gangrene with traditional Chinese medicine formulations
title_sort systematic review and meta analysis of jueyin disease theory in the treatment of gangrene with traditional chinese medicine formulations
topic Jueyin disease
Gangrene
Traditional Chinese medicine formulations
Wumei pill
Pulsatilla decoction
Dang-Gui-Si-Ni decoction
url https://doi.org/10.1186/s13643-025-02854-8
work_keys_str_mv AT youzhizhang systematicreviewandmetaanalysisofjueyindiseasetheoryinthetreatmentofgangrenewithtraditionalchinesemedicineformulations
AT bochuanlv systematicreviewandmetaanalysisofjueyindiseasetheoryinthetreatmentofgangrenewithtraditionalchinesemedicineformulations
AT yueteng systematicreviewandmetaanalysisofjueyindiseasetheoryinthetreatmentofgangrenewithtraditionalchinesemedicineformulations
AT jintaoxu systematicreviewandmetaanalysisofjueyindiseasetheoryinthetreatmentofgangrenewithtraditionalchinesemedicineformulations