# Efficacy and safety of Yingxin pill for stable angina pectoris with heart blood stasis obstruction syndrome: a randomized, single-blind, positive-controlled trial

**Authors:** Chaofeng Niu, Haixia Lai, Ce Wang, Zhuoran Wu, Peiyu Zhang, Lan Wei, Wang Sun, Juwei Dong, Liyong Ma, Yujie Shi, Lijing Zhang

PMC · DOI: 10.3389/fphar.2026.1730842 · Frontiers in Pharmacology · 2026-02-17

## TL;DR

This study found that Yingxin Pill, when added to standard treatment, is as effective and safe as another traditional medicine for treating stable angina with heart blood stasis.

## Contribution

The study provides clinical evidence for the efficacy and safety of Yingxin Pill in treating stable angina with heart blood stasis syndrome.

## Key findings

- Both groups showed significant improvements in symptoms, lipid profiles, and inflammation markers.
- Yingxin Pill and Shexiang Baoxin Pill had similar effectiveness and safety profiles.
- No significant differences were found in outcomes or adverse events between the two groups.

## Abstract

To evaluate the clinical efficacy and safety of Yingxin Pill (YXP) in patients with stable angina pectoris (SAP) and heart blood stasis obstruction syndrome.

Sixty patients were randomly assigned to either the experimental group (YXP plus conventional Western medicine) or the control group (Shexiang Baoxin Pill [SBP] plus conventional Western medicine), with 30 patients in each group. Treatment lasted for 4 weeks. Outcomes included the Seattle Angina Questionnaire (SAQ), a Traditional Chinese Medicine (TCM) efficacy scale, blood lipid profiles, and inflammatory markers. The effective rate and incidence of adverse events were also compared.

After treatment, both groups showed significant improvements in SAQ scores, TCM efficacy scale scores, lipid profiles, and inflammatory markers compared to baseline (P < 0.05). There were no significant differences between the two groups in these outcomes, nor in the total effective rate or incidence of adverse events (P > 0.05).

The addition of YXP to conventional therapy can improve symptoms, reduce blood lipid and inflammation levels, and is safe for patients with SAP and heart blood stasis obstruction syndrome.

https://itmctr.ccebtcm.org.cn/, identifier ITMCTR2025000274.

## Full-text entities

- **Genes:** GPT (glutamic--pyruvic transaminase) [NCBI Gene 2875] {aka AAT1, ALT, ALT1, GPT1, SGPT}, SLC17A5 (solute carrier family 17 member 5) [NCBI Gene 26503] {aka AST, ISSD, NSD, SD, SIALIN, SIASD}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}, LPA (lipoprotein(a)) [NCBI Gene 4018] {aka AK38, APOA, LP}
- **Diseases:** heart and pulse paralysis (MESH:D010243), chest pain (MESH:D002637), blood stasis (MESH:D014647), Stroke (MESH:D020521), bleeding (MESH:D006470), heart blood stasis obstruction syndrome (MESH:D054070), colic (MESH:D003085), pain (MESH:D010146), alcohol abuse (MESH:D000437), acute coronary syndrome (MESH:D054058), Inflammatory (MESH:D007249), HL (MESH:C538324), Angina (MESH:D000787), ecchymosis (MESH:D004438), inflammatory damage (MESH:D018746), liver or kidney insufficiency (MESH:D051437), drug abuse (MESH:D019966), mental disorders (MESH:D001523), SAP (MESH:D060050), malignant tumors (MESH:D009369), TCM Syndrome (MESH:C562377), organic heart diseases (MESH:D006331), Petechiae (MESH:D011693), qi deficiency (MESH:D007153), ASCVD (MESH:D050197), chest paralysis (MESH:D013898), congenital heart disease (MESH:D006330), infections (MESH:D007239), CVD (MESH:D002318), blood coagulation (MESH:D001778), ischemic heart disease (MESH:D017202)
- **Chemicals:** water (MESH:D014867), cholesterol (MESH:D002784), ethanol (MESH:D000431), nitrates (MESH:D009566), ginsenosides (MESH:D036145), TG (MESH:D014280), cholic acid (MESH:D019826), Lipid (MESH:D008055), taurine (MESH:D013654), eugenol (MESH:D005054), creatinine (MESH:D003404), Chinese patent medicines (-), bile acids (MESH:D001647), resibufogenin (MESH:C005734), starch (MESH:D013213), hyodeoxycholic acid (MESH:C010471), nitroglycerin (MESH:D005996), bufadienolides (MESH:D002018)
- **Species:** Panax ginseng (Asiatic ginseng, species) [taxon 4054], Neolitsea cassia (species) [taxon 230708], Sus scrofa (pig, species) [taxon 9823], Sus scrofa domesticus (domestic pig, subspecies) [taxon 9825], Bufo gargarizans (Asiatic toad, species) [taxon 30331], Syzygium aromaticum (clove, species) [taxon 219868], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

32 references — full list in the complete paper: https://tomesphere.com/paper/PMC12953367/full.md

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Source: https://tomesphere.com/paper/PMC12953367