Review Article

Traditional Chinese Medicine Syndromes for Essential Hypertension: A Literature Analysis of 13,272 Patients

Table 1

Characteristics of included studies.

Study IDSample (M/F)Age (years)Diagnosis standardTCM syndrome differentiation (number of patients)Region of China

Xu and Chen 2012 [13]122 (58/64)60–79Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Phlegm and blood stasis resistance winding (39), yin deficiency with yang hyperactivity (44), and idney deficiency (39)Beijing
Ferreira and Lopes 2011 [14]448 (243/205)M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (284), yin deficiency with yang hyperactivity (43), phlegm-damp retention (74), and deficiency of both yin and yang (47)Jiangsu
Wang et al.
2013 [15]
99
(50/49)
1999 WHO-ISH GMHQi stagnation and blood stasis (99)Guangdong
Lee et al.
2004 [16]
87
(48/39)
M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Ascendant hyperactivity of liver yang (32), phlegm-damp retention (27), and qi deficiency with blood stasis (28)Guangdong
Wang et al.
2013 [17]
140
(83/57)
Chinese Guidelines for the Management of Hypertension-2010 (CGMH-2010)Intense liver fire (28), yin deficiency with yang hyperactivity (39), phlegm-damp retention (45), and deficiency of both yin and yang (28)Heibei
Wang and Xiong
2012 [18]
76
(38/38)
Not reportedChinese Guidelines for the Management of Hypertension-2010 (CGMH-2010)Kidney deficiency and blood stasis (76)Fujian
Xiong et al.
2013 [19]
395
(228/167)
Hypertension diagnostic criteria (unclear)Intense liver fire (54), yin deficiency with yang hyperactivity (177), phlegm-damp retention (62), and deficiency of both yin and yang (102)Liaoning
Wang et al.
2013 [20]
120
(60/60)
29–62Hypertension diagnostic criteria (unclear)Ascendant hyperactivity of liver yang (30), yin deficiency with yang hyperactivity (30), phlegm-damp retention (30), and deficiency of both yin and yang (30)Hainan
Wang et al. 2013 [21]184
(83/101)
18–80Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (21), yin deficiency with yang hyperactivity (75), phlegm-damp retention (81), and deficiency of both yin and yang (7)Jiangsu
Chen 1993 [22]60
(30/30)
T:
C:
1999 WHO-ISH GMHDual deficiency of qi and yin (60)Guangdong
Wang et al. 2012 [23]53
(16/37)
40–801999 WHO-ISH GMHInsufficiency of spleen with overabundance of dampness (19), dual deficiency of qi and blood (20), and liver-kidney yin deficiency (14)Neimenggu
Wang et al.
2013 [24]
112 (83/29) 1999 WHO-ISH GMHIntense liver fire (19), yin deficiency with yang hyperactivity (23), phlegm-damp retention (16), and deficiency of both yin and yang (22)Jiangxi
Wang and Xiong
2012 [25]
61
(M/F not reported)
T:
C:
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Blood stasis (61)Guangdong
Chen et al. 2011 [26]259
(108/151)
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (35), yin deficiency with yang hyperactivity (89), phlegm-damp retention (88), and deficiency of both yin and yang (47)Beijing
Xu and Chen
2011 [27]
81
(53/28)
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (42), yin deficiency with yang hyperactivity (18), phlegm-damp retention (14), and deficiency of both yin and yang (7)Zhejiang
Chen et al.
2012 [28]
183
(85/98)
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Intense liver fire (28), yin deficiency with yang hyperactivity (53), phlegm-damp retention (57), and deficiency of both yin and yang (45)Jiangsu
Liu et al.
2011 [29]
89
(45/44)
M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (59), yin deficiency with yang hyperactivity (5), phlegm-damp retention (13), and deficiency of both yin and yang (12)Jiangsu
Dobos and Tao
2011 [30]
342
(213/129)
M:
F:
1999 WHO-ISH GMHIntense liver fire (51), yin deficiency with yang hyperactivity (139), phlegm-damp retention (85), and deficiency of both yin and yang (67)Guangdong
Xiong et al.
2011 [31]
562
(297/265)
M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (352), yin deficiency with yang hyperactivity (58), phlegm-damp retention (97), and deficiency of both yin and yang (55)Jiangsu
Wang and Xiong 2012 [32]398
(199/199)
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (88), yin deficiency with yang hyperactivity (196), phlegm-damp retention (89), and deficiency of both yin and yang (25)Jiangsu
Wang et al. 2013 [33]178
(81/97)
18–80Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (49), yin deficiency with yang hyperactivity (43), phlegm-damp retention (57), and deficiency of both yin and yang (29)Shanghai
Tian 2011 [34]200
(109/91)
30–75
1999 WHO-ISH GMHIntense liver fire (37), yin deficiency with yang hyperactivity (55), phlegm-damp retention (82), and deficiency of both yin and yang (26)Tianjin
Wang and Xiong 2012 [35]120
64/56
T:
C:
1999 WHO-ISH GMHIntense liver fire (37), yin deficiency with yang hyperactivity (55), phlegm-damp retention (82), and deficiency of both yin and yang (26)Hunan
Wang et al. 2012 [36]494
(264/230)
M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Ascendant hyperactivity of liver yang (313), yin deficiency with yang hyperactivity (52), deficiency of both yin and yang (83), and liver-kidney yin deficiency (46)Jiangsu
Xu and Chen 2008 [37]150
(M/F not reported)
Not reported
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (29), randomized stagnation of phlegm (53), dual deficiency of qi and yin (30), and stasis blocking channels (38)Xinjiang
Cheung 2011 [38]109
(68/41)
1999 WHO-ISH GMHIntense liver fire (19), yin deficiency with yang hyperactivity (18), phlegm-damp retention (34), and deficiency of both yin and yang (38)Fujian
Xiong et al. 2013 [39]102
(58/44)
37–851999 WHO-ISH GMHIntense liver fire (18), yin deficiency with yang hyperactivity (31), phlegm-damp retention (23), and deficiency of both yin and yang (30)Guizhou
Lu et al.
2004 [40]
40
(23/17)
Not reported
1999 WHO-ISH GMHBlood stasis (40)Guangdong
Zhao et al. 2012 [41]60
(41/19)
T:
C:
1999 WHO-ISH GMH and Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Blood stasis (60)Guangdong
Liu et al. 2009 [42]60
(36/24)
T:
C:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Phlegm-damp retention (60)Shanghai
Wang et al.
2012 [43]
82
(49/33)
60–75
1999 WHO-ISH GMHLiver-kidney yin deficiency (82)Heilongjiang
Luo et al. 2011 [44]100
(42/58)
36–81Hypertension diagnostic criteria (unclear)Ascendant hyperactivity of liver yang (12), yin deficiency with yang hyperactivity (60), phlegm-damp retention (18), and kidney deficiency (10)Guangxi
Wang et al. 2012 [45]80
(48/32)
1999 WHO-ISH GMHLiver-kidney yin deficiency (80)Guangxi
Wang et al. 2011 [46]251
(148/103)
1999 WHO-ISH GMHIntense liver fire (71), yin deficiency with yang hyperactivity (62), phlegm-damp retention (60), and deficiency of both yin and yang (58)Liaoning
Bai et al. 2005 [47]122
(71/51)
T:
C:
1999 WHO-ISH GMHAscendant hyperactivity of liver yang (35), liver-kidney yin deficiency (18), phlegm-damp retention (32), dual deficiency of qi and yin (25), and stasis blocking channels (12)Hebei
Yang et al. 2005 [48]80
(41/39)
M:
F:
1999 WHO-ISH GMHAscendant hyperactivity of liver yang (80)Henan
Xia et al. 2010 [49]40
(M/F not reported)
T:
C:
1999 WHO-ISH GMHAscendant hyperactivity of liver yang (40)Gansu
Liu et al. 2003 [50]60
(43/17)
45–73Chinese Guidelines for the Management of Hypertension-2009 (CGMH-2009)Yang hyperactivity (29), phlegm turbidity resistance (31)Zhejiang
Yin and Liu 2005 [51]36
(M/F not reported)
1999 WHO-ISH GMHPhlegm-damp retention (36)Jiangsu
Wu et al. 2010 [52]90
(41/39)
32–781999 WHO-ISH GMHAscendant hyperactivity of liver yang and blood stasis (90)Hebei
Deng 2008 [53]60
(45/15)
T:
C:
1999 WHO-ISH GMHQi deficiency with blood stasis (60)Hebei
Wu and Xu 2010 [54]60
(32/28)
Not reported1999 WHO-ISH GMHDual deficiency of qi and yin (60)Guizhou
Wang et al. 2011 [55]276
170/106
M:
F:
1999 WHO-ISH GMHWind-yang interference (22), stasis blocking channels (73), yin deficiency with yang hyperactivity (134), and phlegm turbidity resistance (47)Guangxi
Wu et al. 2010 [56]156
(79/77)
T:
C:
Hypertension diagnostic criteria (unclear)Ascendant hyperactivity of liver yang (52), yin deficiency with yang hyperactivity (53), and deficiency of both yin and yang (51)Zhejiang
Fan and Liu 2010 [57]395
(203/192)
30–80Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Qi deficiency with blood stasis (65), intense liver fire (91), yin deficiency with yang hyperactivity (63), phlegm-damp retention (57), deficiency of both yin and yang (39), and dual deficiency of qi and blood (18)Beijing
Zhu et al. 2009 [58]54
(30/24)
1999 WHO-ISH GMHKidney yang deficiency (24), kidney yin deficiency (30)Yunnan
Liu et al. 2009 [59]140
(68/72)
34–79Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (16), yin deficiency with yang hyperactivity (52), phlegm-damp retention (41), and deficiency of both yin and yang (31)Guangxi
He et al. 2013 [60]230
(65/165)
43–741999 WHO-ISH GMHIntense liver fire (28), ascendant hyperactivity of liver yang (148), and liver-kidney yin deficiency (54)Guangdong
Tang et al. 2012 [61]100
(37/63)
1999 WHO-ISH GMHIntense liver fire (19), yin deficiency with yang hyperactivity (29), deficiency of both yin and yang (20), and liver-kidney yin deficiency (32)Shanghai
Gong et al. 2010 [62]120
(60/60)
T:
C:
1999 WHO-ISH GMHIntense liver fire (30), yin deficiency with yang hyperactivity (30), phlegm-damp retention (30), and deficiency of both yin and yang (30)Shandong
Zhang et al. 2005 [63]60
(32/28)
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Intense liver fire (8), yin deficiency with yang hyperactivity (28), phlegm-damp retention (14), and deficiency of both yin and yang (10)Guangxi
Liu et al. 2009 [64]200
(105/95)
M:
F:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (51), yin deficiency with yang hyperactivity (49), phlegm-damp retention (50), and deficiency of both yin and yang (50)Guangxi
Wang 2012 [65]200
(103/94)
1999 WHO-ISH GMHIntense liver fire (96), yin deficiency with yang hyperactivity (46), phlegm-damp retention (18), and deficiency of both yin and yang (37)Shanxi
Yao and Huang 2007 [66]47
(22/25)
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Intense liver fire (12), yin deficiency with yang hyperactivity (11), phlegm-damp retention (12), and deficiency of both yin and yang (12)Tianjin
Guo et al. 2002 [67]120
(62/58)
T:
C:
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Intense liver fire (30), yin deficiency with yang hyperactivity (30), phlegm-damp retention (30), and deficiency of both yin and yang (30)Anhui
Zhang et al. 2011 [68]320
(135/185)
2007 WHO-ISH GMHIntense liver fire (36), yin deficiency with yang hyperactivity (101), phlegm-damp retention (125), and deficiency of both yin and yang (58)Jiangsu
Liao et al. 2010 [69]23
(14/9)
T:
C:
1999 WHO-ISH GMHBlood stasis (23)Fujian
Xiong 2010 [70]70
(37/33)
Hypertension diagnostic criteria (unclear)Intense liver fire (13), yin deficiency with yang hyperactivity (21), phlegm-damp retention (25), and deficiency of both yin and yang (11)Heilongjiang
Jiang et al. 2012 [71]86
(50/36)
36–81Hypertension diagnostic criteria (unclear)Yin deficiency with yang hyperactivity (86)Guangdong
Huang and Wei 2012 [72]260
(119/141)
Chinese Guidelines for the Management of Hypertension-2010 (CGMH-2010)Intense liver fire (56), yin deficiency with yang hyperactivity (77), phlegm-damp retention (73), and deficiency of both yin and yang (54)Beijing
Lu 2004 [73]138
(97/41)
1999 WHO-ISH GMHIntense liver fire (16), yin deficiency with yang hyperactivity (43), phlegm-damp retention (45), and deficiency of both yin and yang (34)Fujian
Sun and Wang 2005 [74]703
(382/321)
50–79Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Yin deficiency with yang hyperactivity (215), phlegm-damp retention (83), deficiency of both yin and yang (91), ascendant hyperactivity of liver yang (135), liver-kidney yin deficiency (92), yang deficiency (11), qi deficiency (14), dual deficiency of qi and yin (14), blood stasis (11), qi deficiency with blood stasis (3), internal harassment of phlegm-heat (22), internal harassment of phlegm-heat and blood stasis (3), liver-kidney yin deficiency and blood stasis (2), internal harassment of phlegm-heat and qi deficiency (1), deficiency of both yin and yang and internal harassment of phlegm-heat (1), liver-kidney yin deficiency and phlegm-damp retention (1), yin deficiency with yang hyperactivity and blood stasis (1), ascendant hyperactivity of liver yang and internal harassment of phlegm-heat (1), ascendant hyperactivity of liver yang and blood stasis (1), and deficiency of both yin and yang and phlegm-damp retention (1)Guangdong
Xiang et al. 2012 [75]125
(75/50)
55–72Hypertension diagnostic criteria (unclear)Kidney deficiency and blood stasis (15), internal stirring of liver wind (68), qi deficiency with blood stasis (21), and intermingled phlegm and blood stasis (21)Guangdong
Zhu 2009 [76]97
(41/56)
37–79Hypertension diagnostic criteria (unclear)Ascendant hyperactivity of liver yang (13), yin deficiency with yang hyperactivity (59), liver-kidney yin deficiency (16), and deficiency of both yin and yang (21)Shandong
Xu and Wang 2009 [77]80
(49/31)
40–831999 WHO-ISH GMHIntense liver fire (18), yin deficiency with yang hyperactivity (17), phlegm-damp retention (35), and deficiency of both yin and yang (10)Xinjiang
Lin and Kang 2012 [78]69
(37/32)
T:
C:
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Liver-kidney yin deficiency (69)Zhejiang
Feng et al. 2013 [79]60
(60 M)
Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Ascendant hyperactivity of liver yang (60)Fujian
Yu and Xing 2010 [80]168
(108/60)
T:
C:
1999 WHO-ISH GMHIntense liver fire (54), yin deficiency with yang hyperactivity (45), phlegm-damp retention (36), and deficiency of both yin and yang (33)Beijing
Qiu et al. 2011 [81]170
(122/48)
Chinese Guidelines for the Management of Hypertension-2004
(CGMH-2004)
Intense liver fire (43), yin deficiency with yang hyperactivity (40), phlegm-damp retention (38), and deficiency of both yin and yang (49)Beijing
Wu and Xu 2012 [82]149
(74/75)
Hypertension diagnostic criteria (unclear)Intense liver fire (48), yin deficiency with yang hyperactivity (32), phlegm-damp retention (49), and deficiency of both yin and yang (20)Hubei
Fang et al. 2007 [83]220
(128/92)
34–731999 WHO-ISH GMHIntense liver fire (98), yin deficiency with yang hyperactivity (79), phlegm-damp retention (19), and deficiency of both yin and yang (24)Gansu
Fang et al. 2003 [84]229
(113/116)
>35Hypertension diagnostic criteria (unclear)Liver-kidney yin deficiency (60), yin deficiency with yang hyperactivity (73), phlegm-damp retention (85), and deficiency of both yin and yang (11)Hangzhou
Peng and Shi 2010 [85]122
(57/65)
1999 WHO-ISH GMHQi deficiency with blood stasis (26), intense liver fire (23), yin deficiency with yang hyperactivity (26), phlegm-damp retention (25), and deficiency of both yin and yang (22)Anhui
Yang et al. 2004 [86]151
(110/41)
Not reportedHypertension diagnostic criteria (unclear)Ascendant hyperactivity of liver yang (151)Shandong
Shi et al. 2013 [87]60
(29/31)
Clinical research guiding principles of new medicine of Chinese traditional medicine Phlegm-damp retention (60)Zhejiang
Han 2004 [88]377
(182/195)
20–60Chinese Guidelines for the Management of Hypertension-2005 (CGMH-2005)Intense liver fire (108), yin deficiency with yang hyperactivity (70), phlegm-damp retention (154), and deficiency of both yin and yang (45)Anhui
Shen et al. 2008 [89]79
(40/39)
T:
C:
Clinical research guiding principles of new medicine of Chinese traditional medicinePhlegm and blood stasis resistance winding and ascendant hyperactivity of liver yang (79)Guangzhou
Shen et al. 2005 [90]290
(120/170)
Chinese Guidelines for the Management of Hypertension-2004 (CGMH-2004)Intense liver fire (34), yin deficiency with yang hyperactivity (99), phlegm-damp retention (114), and deficiency of both yin and yang (43)Jiangsu
Liu et al. 2009 [91]240
(120/120)
18–65Hypertension diagnostic criteria (unclear)Intense liver fire (240)Anhui
Lu et al. 2011 [92]80
(56/24)
T:
C:
1999 WHO-ISH GMHBlood stasis (80)Guangxi
Guo et al. 2006 [93]60
(30/30)
Not reportedChinese Guidelines for the Management of Hypertension-2010 (CGMH-2010)Yin deficiency with yang hyperactivity (60)Fujian
Zhang et al. 2012 [94]140
(83/57)
56±10Chinese Guidelines for the Management of Hypertension-2010 (CGMH-2010)Ascendant hyperactivity of liver yang (28), yin deficiency with yang hyperactivity (39), phlegm-damp retention (45), and deficiency of both yin and yang (28)Hebei
Dong et al. 2010 [95]166
(106/60)
63–82Hypertension diagnostic criteria (unclear)Kidney yin deficiency and wind-phlegm (166)Sichuan