Chinese herbal medicine shows evident efficacy in treating coronary heart disease patients with anxiety or depression, notably improving symptoms of angina pectoris.
Method: The study was conducted through a systematic approach, wherein literature search was performed based on certain screening studies. Information was extracted by two researchers who independently assessed the quality of the articles. These articles covered numerous studies concerning the active ingredients of Chinese herbal medicine utilized for treating coronary heart disease accompanied by anxiety or depression. The analysis of this data was performed through network pharmacology.
According to 32 chosen studies, Chinese herbal medicine was found to be markedly beneficial in treating anxiety or depression in patients who also had coronary heart disease. This was true in comparison to blank control groups, and the efficacy of Chinese herbal medicine appeared not to be inferior to that of Western medicine. Chinese herbal medicine also significantly enhanced angina stability. Observations after usage of Chinese herbal medicine demonstrated similar trends in terms of angina frequency and electrocardiogram analysis. From the network pharmacology viewpoint, a set of certain compounds were found to possess the greatest correlation to the pathological targets of coronary heart disease, anxiety, and depression. Anti-damage or apoptosis, anti-inflammation, oxidative stress reduction, and maintaining neurotransmitter homeostasis were believed to be the principal functional mechanisms.