To systematically evaluate the clinical efficacy of qi-benefiting and blood-activating therapy in the treatment of recurrent angina pectoris after percutaneous coronary intervention(PCI) for coronary heart disease.Methods:CNKI,CSPD,CCD,CBM,PubMed,and Web of Science were searched for randomized controlled trials(RCTs) on qi-benefiting and blood-activating therapy in the treatment of recurrent angina pectoris after PCI for coronary heart disease from database inception to December 2021.The Cochrane risk-of-bias tool and the modified Jadad scale were used to evaluate the quality of the included studies.Meta-analysis was performed using RevMan 5.3 and Stata16.0 software.Results:Twenty RCTs were included,with 1 412 patients involved.The results of Meta-analysis showed that compared with western medicine alone,qi-benefiting and blood-activating therapy combined with western medicine could significantly improve the clinical total effective rate(OR=3.60,95%CI 2.14 to 6.04,P<0.000 01),efficacy on angina pectoris(OR=4.25,95%CI 2.79 to 6.45,P<0.000 01),traditional Chinese medicine(TCM) syndrome efficacy(OR=4.38,95%CI 2.97 to 6.45,P<0.000 01),and ECG efficacy(OR=2.47,95%CI 1.56 to 3.90,P=0.000 1),and reduce the number of angina attacks(MD=-0.39,95%CI -0.75 to -0.02,P=0.04),total cholesterol(MD=-0.35,95%CI -0.55 to -0.15,P=0.000 6),low-density lipoprotein cholesterin(MD=-0.37,95%CI -0.53 to -0.21,P<0.000 01),high-sensitivity C-reactive protein(MD=-1.41,95%CI -2.05 to -0.76,P<0.000 1),and left ventricular ejection fraction(LVEF)(OR=1.47,95%CI 0.54 to 2.40,P=0.002).However,the improvement of TCM syndrome score(MD=-2.43,95%CI -5.83 to 0.96,P=0.16) and angina attack duration(MD=-0.44,95%CI -1.18 to 0.30,P=0.24) showed no significant difference compared with the control group.Conclusion:The qi-benefiting and blood-activating therapy can further improve the clinical efficacy of patients with recurrent angina pectoris after PCI for coronary heart disease with good safety.