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Liqi Huatan Huoxue formula is a traditional Chinese medicine (TCM) multi-herbal formulation used primarily for the treatment of cardiovascular and respiratory diseases, including chronic obstructive pulmonary disease (COPD), atherosclerosis, and coronary microvascular disease. The formula combines three TCM principles—Liqi (regulating Qi), Huatan (resolving phlegm), and Huoxue (invigorating blood circulation)—and typically contains herbs such as Astragali Radix, Salviae Miltiorrhizae Radix, Quinquefolium Panax, Cocos Wolf Poria, Atractylodis Rhizoma, Rosea Rhodiola for Yiqi; Wallichii Ligusticum, Notoginseng Radix, Paeoniae Rubra Radix for promoting blood circulation; and Kirilowii Maxim Trichosanthes, Pinelliae Rhizama for resolving phlegm[3]. Mechanistically, the formula exerts anti-inflammatory effects by suppressing PI3K/AKT and NF-κB signaling pathways in lung tissue[1], downregulating inflammatory mediators such as IL-6 and TNF-α[1], reducing matrix metallopeptidase 9 activity[1], improving endothelial function in vascular diseases[2], and modulating immune responses. It has shown efficacy superior to prednisone in animal models of COPD by preserving alveolar structure and improving pulmonary function[1]. In cardiovascular contexts such as coronary microvascular disease or atherosclerosis it improves blood flow parameters like TIMI grading and reduces markers of inflammation including hs-CRP and TNF-α[2][3].
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