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Systematic Review of Chinese Herbal Medicines for High-Altitude Pulmonary Diseases

Systematic Review of Chinese Herbal Medicines for High-Altitude Pulmonary Diseases
Photo by TeaCora Rooibos / Unsplash
Key Takeaway
Consider this review as a theoretical basis only; clinical application requires more robust evidence.

This systematic review explores the role of Chinese Herbal Medicines (CHM) in managing high-altitude hypoxia-related pulmonary diseases, including high-altitude pulmonary edema, high-altitude pulmonary hypertension, and other related conditions. The authors aim to synthesize available evidence to establish a theoretical foundation for precise prevention and management of these disorders.

The review does not report pooled effect sizes, patient populations, sample sizes, or specific interventions and comparators. As a result, the findings are qualitative in nature, focusing on the potential mechanisms and theoretical benefits of CHM rather than quantitative outcomes. The absence of meta-analytic data limits the strength of conclusions.

Key limitations include unreported adverse events, serious adverse events, and discontinuation rates, making it impossible to assess the safety profile of CHM in this context. Additionally, the review does not specify the number of included studies or their quality, which undermines the reliability of the synthesized evidence.

For clinicians, this review offers a conceptual framework but does not provide actionable clinical guidance due to the lack of concrete data on efficacy, safety, and patient outcomes. Further rigorous studies with standardized protocols and outcome measures are needed before CHM can be recommended for high-altitude pulmonary conditions.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
Tourism in high-altitude areas and high-altitude outdoor activities have seen a significant increase, and health threats centered around high-altitude pulmonary edema and high-altitude pulmonary hypertension have become increasingly prominent. Hypoxia, as the primary pathogenic trigger, initiates a cascade linking inflammatory responses, oxidative stress, and vascular dysfunction, culminating in a vicious cycle of injury. Leveraging its unique advantages of holistic regulation and multi-targeted synergistic effects, Chinese Herbal Medicines (CHM) shows promising potential in preventing and treating pulmonary injury associated with high-altitude hypoxia. Through single herbs or compound formulations, CHM targets the HIF-1α pathway, scavenges reactive oxygen species, inhibits inflammatory cytokine release, protects the vascular endothelial barrier, and reverses abnormal vascular remodelling. This systematic review examines the core mechanisms by which high-altitude hypoxia causes acute and chronic pulmonary injury, and explores the action mechanisms of CHM in their prevention and treatment, aiming to provide a theoretical basis for the precise prevention and management of high-altitude hypoxia-related pulmonary diseases.
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