Clinical Efficacy and Safety of Chinese Herbal Medicine Combined with Western Medicine in the Treatment of Chronic Heart Failure: A Systematic Review and Meta-Analysis

• Chinese herbal medicine combined with Western medicine significantly improves clinical efficacy and left ventricular ejection fraction in chronic heart failure patients. • The combination therapy reduces NT-proBNP levels and increases 6-minute walk distance, indicating better cardiac function and exercise tolerance. • No significant increase in adverse events was observed, suggesting the combination is safe. • The findings support the integration of Chinese herbal medicine into conventional heart failure management, but high-quality trials are needed.