{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:00:15Z","timestamp":1777950015522,"version":"3.51.4"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques (TCM-BDRT) on lung function and exercise capacity in patients with chronic obstructive pulmonary disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a comprehensive search of Chinese and English databases up to August 2025. Primary outcome measures included pulmonary function parameters (FEV1%, FVC%, PEF%, FEV1\/FVC%) and exercise endurance (6-min walk test, 6MWT). Secondary outcomes comprised Chronic Obstructive Pulmonary Disease Assessment Test (CAT) scores, blood gas variables, and incidence of adverse events. Meta-analysis was performed using Stata 17.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eleven RCTs involving 964 participants were included. The meta-analysis demonstrated that Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques significantly improved FEV1% [MD = 5.00, 95% confidence interval (2.95, 7.05)], FVC% [MD = 6.34, 95% CI (4.04, 8.63)], peak expiratory flow rate percentage [MD = 6.55, 95% CI (4.93, 8.18)], and 6-min walk distance [MD = 19.53 m, 95% CI (7.94, 31.12)]. It also reduced arterial blood carbon dioxide partial pressure [MD = \u22125.99, 95% CI (\u22128.28, \u22123.69)] and increased arterial oxygen partial pressure [MD = 11.06, 95% CI (8.84, 13.28)]. All differences were statistically significant. No significant differences were observed in improvements in FEV1\/FVC% or CAT scores. None of the included studies reported adverse events. The certainty of evidence was moderate to low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TCM-BDRT holds promise as a potential non-pharmacological intervention for enhancing lung function, exercise endurance, and gas exchange capacity in patients with COPD. This low-intensity, scalable therapeutic approach aligns with the integrated treatment paradigm of combining Traditional Chinese Medicine and Western Medicine. It may be particularly suitable for patients who are frail or have limited exercise capacity. Nevertheless, large-scale, multi-center, high-quality RCTs are warranted to validate its long-term efficacy, with a specific focus on safety profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      [\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD420251114263<\/jats:ext-link>\n                      ], identifier [CRD420251114263].\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1775201","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T05:33:18Z","timestamp":1777872798000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques on lung function and exercise endurance in COPD: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Can","family":"Wang","sequence":"first","affiliation":[{"name":"Yantai Penglai Traditional Chinese Medicine Hospital","place":["Yantai, China"]},{"name":"Affiliated Hospital of Shandong College of Traditional Chinese Medicine","place":["Yantai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingying","family":"Lu","sequence":"additional","affiliation":[{"name":"Yantai Penglai Traditional Chinese Medicine Hospital","place":["Yantai, China"]},{"name":"Affiliated Hospital of Shandong College of Traditional Chinese Medicine","place":["Yantai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinxin","family":"Liu","sequence":"additional","affiliation":[{"name":"Beijing University of Chinese Medicine","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yudong","family":"Wu","sequence":"additional","affiliation":[{"name":"Yantai Penglai Traditional Chinese Medicine Hospital","place":["Yantai, China"]},{"name":"Affiliated Hospital of Shandong College of Traditional Chinese Medicine","place":["Yantai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"B1","first-page":"170","article-title":"Association Respiratory Disease Branch Chronic Obstructive Pulmonary Disease Working Group, Chinese Medical Doctor Association Respiratory Physician Branch Chronic Obstructive Pulmonary Disease Working Committee. Guidelines for the diagnosis and treatment of chronic obstructive pulmonary disease (2021 Revised Edition).","volume":"44","year":"2021","journal-title":"Chin J Tuberculosis Respir Dis."},{"key":"B2","doi-asserted-by":"publisher","first-page":"141","DOI":"10.3969\/j.issn.1006-2483.2023.05.032","article-title":"Epidemiological characteristics and risk factors of bronchiectasis in patients with chronic obstructive pulmonary disease in Suining Area.","volume":"34","author":"Long","year":"2023","journal-title":"J Pub Health Prev Med."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1706","DOI":"10.1016\/S0140-6736(18)30841-9","article-title":"Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health (CPH)study): a national cross-sectional study.","volume":"391","author":"Wang","year":"2018","journal-title":"Lancet."},{"key":"B4","doi-asserted-by":"publisher","first-page":"3710","DOI":"10.4103\/wjtcm.wjtcm_44_20","article-title":"Guidelines for Chinese medicine rehabilitation of chronic obstructive pulmonary disease.","volume":"15","year":"2020","journal-title":"World Chin Med."},{"key":"B5","first-page":"44","article-title":"A study on the effects of traditional chinese medicine breathing-Daoyin rehabilitation techniques on improving lung function in patients with acute exacerbations of chronic obstructive pulmonary disease.","volume":"3","author":"Wang","year":"2018","journal-title":"J Clin Nurs Pract."},{"key":"B6","doi-asserted-by":"publisher","first-page":"33","DOI":"10.16306\/j.1008-861x.2021.03.007","article-title":"Efficacy evaluation of improved TCM Breathing-Daoyin Rehabilitation Techniques based on comprehensive pulmonary rehabilitation management in treating patients with COPD at stable stage in southern Xinjiang.","volume":"35","author":"Chen","year":"2021","journal-title":"J Shanghai Univ Tradit Chin Med."},{"key":"B7","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1097\/CNQ.0000000000000335","article-title":"Chronic obstructive pulmonary disease: diagnosis and GOLD classification.","volume":"44","author":"Virani","year":"2021","journal-title":"Crit Care Nursing Q."},{"key":"B8","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[M].","author":"Higgins","year":"2011"},{"key":"B9","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s11726-015-0882-2","article-title":"Effect of TCM Breathing-Daoyin Rehabilitation Techniques on the quality of life in patients with chronic obstructive pulmonary disease.","volume":"13","author":"Chen","year":"2015","journal-title":"J Acupunct Tuina Sci."},{"key":"B10","first-page":"414","article-title":"Study on Traditional Chinese medicine breathing-daoyin rehabilitation techniques improving lung function of COPD patients.","volume":"34","author":"Hu","year":"2016","journal-title":"Chin Arch Tradit Chin Med."},{"key":"B11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.16254\/j.cnki.53-1120\/r.2018.10.009","article-title":"Effect of respiratory rehabilitation training combined with rehabilitation techniques on pulmonary function and motor function in patients with COPD.","volume":"39","author":"Ji","year":"2018","journal-title":"Yunnan J Tradit Chin Med Materia Med."},{"key":"B12","doi-asserted-by":"publisher","first-page":"123","DOI":"10.13729\/j.issn.1671-7813.Z20212177","article-title":"Effects of traditional chinese medicine lung rehabilitation training combined with respiratory daoyin on pulmonary function and quality of life in elderly patients with stable chronic obstructive pulmonary Disease.","volume":"37","author":"Dong","year":"2023","journal-title":"J Pract Tradit Chin Internal Med."},{"key":"B13","first-page":"110","article-title":"The effect of traditional Chinese medicine breathing-daoyin rehabilitation techniques on lung function in patients with stable COPD.","volume":"27","author":"Lian","year":"2019","journal-title":"Clin Res."},{"key":"B14","first-page":"00157","article-title":"Study on the effect of traditional chinese medicine breathing-daoyin rehabilitation techniques in improving lung function in patients with acute exacerbations of chronic obstructive pulmonary disease [J\/OL].","volume":"1","author":"Wang","year":"2018","journal-title":"Chin Sci Technol J Database."},{"key":"B15","doi-asserted-by":"publisher","first-page":"182","DOI":"10.13457\/j.cnki.jncm.2021.05.048","article-title":"Effect of respiratory rehabilitation training combined with traditional Chinese medicine respiratory daoyin rehabilitation techniques on lung function and motor function in patients with chronic obstructive pulmonary disease.","volume":"53","author":"Ma","year":"2021","journal-title":"J N Chin Med."},{"key":"B16","doi-asserted-by":"publisher","first-page":"345","DOI":"10.19790\/j.cnki.JCM.2024.10.04","article-title":"Influence of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques combined with inspiratory muscle training on patients with stable chronic obstructive pulmonary disease.","volume":"22","author":"Wang","year":"2024","journal-title":"J Community Med."},{"key":"B17","doi-asserted-by":"publisher","first-page":"88","DOI":"10.3969\/j.issn.1007-614x.2020.14.053","article-title":"Analysis of the effect of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques on pulmonary function of patients with chronic obstructive pulmonary disease in stable stage.","volume":"36","author":"Yin","year":"2020","journal-title":"Chin Commun Doctors."},{"key":"B18","volume-title":"Preliminary Evaluation of the Therapeutic Effect of traditional chinese medicine breathing-daoyin rehabilitation techniques on Patients with Chronic Obstructive Pulmonary Disease in the Stable Phase.","author":"Zhang","year":"2013"},{"key":"B19","volume-title":"Preliminary Study on the Application of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques in the Stable Phase of Chronic Obstructive Pulmonary Disease.","author":"Zhang","year":"2012"},{"key":"B20","first-page":"6723","article-title":"Mechanism of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques in the treatment of chronic obstructive pulmonary disease based on metabonomics.","volume":"39","author":"Zhou","year":"2024","journal-title":"CJTCMP."},{"key":"B21","volume-title":"A Study on the Effects of Traditional Chinese Medicine Breathing-Daoyin Rehabilitation Techniques Based on the 317 Protection Method on Pulmonary Rehabilitation in Patients with Stable COPD.","author":"Xu","year":"2020"},{"key":"B22","volume-title":"A Study on the Guiding Principles of Guiding Exercises in the Huangdi Neijing.","author":"Sun","year":"2023"},{"key":"B23","doi-asserted-by":"publisher","first-page":"e70024","DOI":"10.1111\/jebm.70024","article-title":"Clinical application guideline of combination with traditional chinese medicine and western medicine in the prevention and treatment of Chronic Obstructive Pulmonary Disease (2024).","volume":"18","author":"Wu","year":"2025","journal-title":"J Evid Based Med."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.13422\/j.cnki.syfjx.20251823","article-title":"Discussion on etiology, pathogenesis, syndrome differentiation and treatment rules of chronic obstructive pulmonary disease in traditional Chinese Medicine[J\/OL].","volume":"1","author":"Yang","year":"2025","journal-title":"Chin J Exp Trad Med Formul."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1775201\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T05:33:27Z","timestamp":1777872807000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1775201\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":24,"alternative-id":["10.3389\/fmed.2026.1775201"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1775201","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,4]]},"article-number":"1775201"}}