Evidence supporting the use of: Botanical (unspecified)
For the health condition: Angina

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Various botanicals have historically been used to support or treat angina, particularly in traditional systems of medicine such as Traditional Chinese Medicine (TCM), Ayurveda, and European herbalism. Plants like hawthorn (Crataegus spp.), garlic (Allium sativum), and motherwort (Leonurus cardiaca) have longstanding traditional uses for cardiovascular complaints, including symptoms resembling angina pectoris (chest pain due to reduced blood flow to the heart). For example, hawthorn has been used for centuries in Europe as a cardiac tonic, and TCM employs herbs such as Dan Shen (Salvia miltiorrhiza) for "chest impediment" syndromes, often considered analogous to angina.

However, while traditional use is well documented, scientific validation for botanicals specifically treating angina is limited. Most clinical studies are small, have methodological weaknesses, or focus on surrogate cardiovascular endpoints rather than angina itself. Hawthorn, for instance, shows some evidence of improving cardiac function and symptoms in heart failure, but robust trials in angina patients are lacking. Some extracts of Dan Shen have demonstrated potential benefits in symptom relief and improved exercise tolerance in angina patients in small trials, but these results have not been widely replicated or confirmed in large-scale studies.

Overall, while botanical use for angina is deeply rooted in tradition, the scientific evidence supporting their efficacy remains limited and generally not strong enough to recommend as primary therapy. They may be considered as adjuncts in some contexts, but should not replace evidence-based medical treatments for angina.

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