Myasthenia gravis (MG) is a chronic autoimmune disease characterized by impaired transmission at the neuromuscular junction. Conventional clinical treatments show unsatisfactory efficacy and severe adverse reactions, while traditional Chinese medicine (TCM) presents unique advantages in its management. From the perspective of integrated traditional Chinese and Western medicine, this paper investigates the effects of Qishen Dihuang Granules on patients with MG based on modern understandings of the pathogenesis of MG and TCM theories. The pharmacological mechanisms and theoretical basis of the granules are elaborated from four aspects: regulating immune function, protecting the structure and function of the neuromuscular junction, improving TCM syndromes and clinical symptoms, and enhancing efficacy while reducing toxicity. The results show that Qishen Dihuang Granules can effectively correct immune imbalance, alleviate damage to the neuromuscular junction, improve clinical symptoms and TCM syndromes, assist in enhancing therapeutic effects and reducing drug toxicity. It demonstrates favorable clinical application value and provides an important theoretical basis for the integrated treatment of MG with traditional Chinese and Western medicine.
Liang R, Li S, Wu J, et al., 2026, Analysis on Etiology, Mechanism and Treatment of Myasthenia Gravis Based on the Theory of “Middle Qi as Axis”. Jiangsu Journal of Traditional Chinese Medicine, 58(02): 59–62.
Li S, He Y, Chang Y, et al., 2026, Evaluation on the Effect of Shenrong Qiangli Powder Combined with Tacrolimus Capsules in the Treatment of Myasthenia Gravis. Liaoning Journal of Traditional Chinese Medicine, 53(01): 115–118.
Lan H, Nie Z, 2026, Experience of Chen Kejin in Treating Myasthenia Gravis. Hubei Journal of Traditional Chinese Medicine, 48(01): 30–33.
Shen Y, Ye Q, Wang D, et al., 2026, Experience of National Master of Traditional Chinese Medicine Wang Xinlu in Treating Myasthenia Gravis Based on Blood Turbidity Theory. Shandong Journal of Traditional Chinese Medicine, 45(01): 68–71 + 87.
Wang J, Huang L, Huang L, et al., 2025, Visualization Analysis of Traditional Chinese Medicine in Treatment of Myasthenia Gravis Based on CiteSpace. Clinical Journal of Chinese Medicine, 17(36): 60–66.
Meng X, 2025, Clinical Study of Buzhong YiQi Decoction Combined with Neostigmine in Treatment of Myasthenia Gravis. Practical Journal of Traditional Chinese Medicine, 41(11): 2234–2236.
Xia C, Liu J, Xiang Y, et al., 2025, Analysis on Medication Rules of Li Genghe in Treating Myasthenia Gravis. Chinese Traditional Patent Medicine, 47(11): 3829–3834.
Wei J, Zhang Z, Liu R, et al., 2025, Randomized Controlled Trial of Jianpi Bushen YiQi Formula as Adjuvant Treatment of Spleen-Kidney Deficiency Type Myasthenia Gravis. Journal of Traditional Chinese Medicine, 66(22): 2353–2359.
Zhu H, Huang Y, 2025, One Case of Integrated Traditional Chinese and Western Medicine in Treating MuSK Antibody-Positive Myasthenia Gravis. Shanxi Journal of Traditional Chinese Medicine, 41(11): 40 + 61.
Zhang H, 2025, Summary of Clinical Experience and Academic Origin of Professor Zhang Jingsheng in Treating Myasthenia Gravis, thesis, Liaoning University of Traditional Chinese Medicine.