Review Article

Efficacy and Safety of “Bushen Huoxue Therapy”-Based Combined Chinese and Western Medicine Treatment for Diabetic Kidney Disease: an Updated Meta-Analysis of 2105 Patients

Table 1

Basic characteristics of included RCTs.

StudyType of ExperimentSample sizeRandom methodInterventionsPeriod of treatmentOutcomesAdverse reactions
C/ECEC/E

Bao [12]RCT45/45LotteryNN + Bushen Huoxue granules12 weeks①②③④⑥⑦0/0
Cao and Shao [13]RCT90/90LotteryNN + Bushen Huoxue decoction12 weeks①②③④⑥
Chen and Lu [14]RCT50/50LotteryNN + Baoshentongluo decoction8 weeks①②④⑥
Cui et al. [15]RCT43/44TRDNN + Baoshentongluo decoction12 weeks①③④⑤⑥⑦0/0
Deng et al. [16]RCT30/30NN + Jiangtanghuoxue decoction12 weeks①②③⑤⑥
Guo and Ma [17]RCT35/35TRDNN + Bushen Huoxue decoction12 weeks①②③④⑥
He [18]RCT35/37NN + Yiqihuoxuebushen decoction12 weeks
Li [19]RCT50/50LotteryNN + Bushen Huoxuexingyu decoction4—8 weeks
Li [20]RCT39/39TRDNN + Bushen Huoxue decoction8 weeks①⑤
Liao [21]RCT57/57NN + Bushen Huoxue decoction8weeks①②④
Liu et al. [22]RCT45/45LotteryNN + Bushentongluoxingyu decoction12 weeks①⑦8/2
Liu [23]RCT45/45LotteryNN + Yiqihuoxuebushen decoction8–12 weeks①②④⑤⑦0/0
Tu [24]RCT45/45TRDNN + Yishenxiaoke decoction12 weeks①③④⑥⑦1/1
Wang [25]RCT30/30NN + Bushen Huoxue decoction8 weeks①②④
Wang and He [26]RCT30/30TRDNN + Bushen Huoxuexiezhuo decoction4weeks①③⑤⑥
Wang [27]RCT48/48TRDNN + Jinguishenqi pills combined with Taohongsiwu decoction8weeks①②④⑦0/0
Yun et al. [28]RCT100/100LotteryNN + Baoshentongluo decoction8 weeks①③⑤⑥⑦9/15
Zhang and Zhi [29]RCT40/40NN + Jiangtanghuoxue decoction4weeks①②③④⑥
Zhang [30]RCT30/30TRDNN + Xinshenkang capsules24 weeks
Zhang [31]RCT25/25NN + Bushen Huoxue decoction12 weeks①⑤
Zhang et al. [32]RCT32/30NN + Bushen Huoxue decoction8 weeks①②③⑤⑥
Huang [33]RCT36/36TRDNN + Bushen Huoxue decoction12 weeks①②③④⑤⑥⑦1/2
Li and Ren [34]RCT72/72TRDNN + Bushen Huoxue decoction8 weeks②③④

TRD: table of random digit; N: conventional Western medicine for DKD, including blood glucose control, blood pressure lowering, lipid regulation, and other conventional treatments; E: experimental group; C: control group; -: not mentioned; ① total effective rate; ② glucose-related indexes (including at least one of FBG and HbA1c); ③ Crea; ④ 24h UTP; ⑤ UAER; ⑥ BUN; and ⑦ adverse effects. Details of group E interventions are as follows: Bushen Huoxue decoction/granules [12, 13, 17, 20, 21, 25, 3134] is a herbal preparation with very clear Bushen Huoxue effects only. In addition, Baoshentongluo decoction [14, 15, 28], Yishenxiaoke decoction [24], Jiangtanghuoxue decoction [16, 29], Yiqihuoxuebushen decoction [18, 23], Bushentongluoxingyu decoction [19, 22], Bushen Huoxuexiezhuo decoction [26], Jinguishenqi pills combined with Taohongsiwu decoction [27], and Xinshenkang capsules [30] all have Bushen Huoxue as the main effect Chinese herbal formulas, and these interventions and specific medications are clearly described in the corresponding original texts.