Review Article

Prescription of Chinese Herbal Medicine and Selection of Acupoints in Pattern-Based Traditional Chinese Medicine Treatment for Insomnia: A Systematic Review

Table 2

The commonly used Chinese herbal medicine for insomnia in subjects diagnosed with different TCM patternsa.

Deficiency of both the heart and spleen    ()Hyperactivity of fire due to yin deficiency   
()
Liver-qi stagnation transforming into fire   
()
Heart-kidney noninteraction   
()
Internal disturbance of phlegm  heat   
()
Qi deficiency of the heart and gallbladder   
()
Heart deficiency with timidity   
()

Number of studies that examined the TCM patternN = 64N = 53N = 43N = 13N = 34N = 20N = 15
Commonly used Chinese herbal formula (N, % of studies that examined the TCM pattern)Modified Gui Pi Tang
(19, 29.7%)
Huang Lian E Jiao Tang
(5, 9.4%)
Modified Long Dan Xie Gan Tang (6, 14.0%); Dan Zhi Xiao Yao San (6, 14.0%)No formula was most frequently usedModified Wen Dan Tang
(10, 29.4%)
Modified An Shen Ding Zhi Wan
(7, 35.0%)
No formula was most frequently used
Number of studies that provided TCM treatment principle N = 11N = 9N = 8N = 1N = 6N = 5N = 1
Most commonly used treatment principle (N, % of studies that provided TCM treatment principle)Nourish heart and spleen (5, 45.5%)Nourish yin and suppress fire   
(5, 55.6%)
Soothe liver and purge fire   
(4, 50.0%)
Nourish yin, clear fire, and coordinate heart  and kidney   
(1, 100.0%)
Clear heat and resolve phlegm   
(5, 83.3%)
Tonify qi and settle fright   
(5, 100.0%)
Tonify qi and settle fright (1, 100.0%)
Number of studies that provided the composition of herbal formulaN = 54N = 43N = 39N = 11N = 29N = 16N = 13
Composition of herbal formula (% of studies that provided the formula’s composition)b
 Suanzaoren (Semen Z. spinosae) 75.9%58.1%48.7%45.5%58.6%68.8%69.2%
 Fuling (Poria) 40.7% 34.9%33.3%27.3%75.9%62.5%23.1%
 Yejiaoteng (Caulis P. multiflori)33.3% 46.5%41.0%/41.4%37.5%61.5%
 Gancao (Radix Glycyrrhizae)27.8% 39.5%51.3%/44.8%37.5%30.8%
 Baishao (Radix P. alba)24.1% 39.5%46.2%27.3%20.7%/23.1%
 Fushen (Poria cum Radix Pini)33.3% 25.6%23.1%//50.0%38.5%
 Hehuanpi (Cortex Albizziae)22.2% 34.9%30.8%/27.6%/46.2%
 Yuanzhi (Radix Polygalae) 53.7% 23.3%//41.4%62.5%38.5%
 Wuweizi (Fructus S. Chinensis) 24.1% 27.9%/27.3%//38.5%
 Baiziren (Semen Platycladi) 20.4% //27.3%//23.1%
 Shengdihuang (Radix Rehmanniae) / 48.8%30.8%27.3%///
 Danggui (Radix A. sinensis) 63.0% /51.3%////
 Dangshen (Radix Codonopsis) 51.9% ////43.8% /
 Baizhu (Rhizoma A. acrocephalae) 38.9% /20.5%////
 Honey-toasted Gancao (Radix Glycyrrhizae) 29.6% ////25.0%/
 Dazao (Fructus Jujibae) 24.1% //27.3%///
 Huanglian (Rhizoma Coptidis) / 41.9% //51.7%//
 Zhimu (Rhizoma Anemarrhenae) / 30.2%///31.3%/
 Chaihu (Radix Bupleuri) / /64.1%///23.1%
 Zhizi (Fructus Gardeniae) //53.8%/27.6%//
 Zexie (Rhizoma Alismatis) //23.1%27.3%///
 Zhenzhumu (Concha Margaritifera) //23.1%///46.2%
 Shichangpu (Rhizoma A. Tatarinowii) /////56.3%46.2%
 Longchi (Dens Draconis) /////50.0%30.8%
 Huangqi (Radix Astragali) 50.0%//////
 Ginger (Rhizoma Zingiberis) 20.4%//////
 Longyanrou (Arillus Longan) 31.5%//////
 Muxiang (Radix Aucklandiae) 31.5%//////
 Huangbo (Cortex Phellodendri) /20.9%/////
 Ejiao (Colla C asini) /41.9%/////
 Longdancao (Radix Gentianae) //35.9%////
 Yujin (Radix Curcumae) //33.3%////
 Danpi (Cortex Moutan) //23.1%////
 Huangqin (Radix Scutellariae) //28.2%////
 Shudihuang (Radix Rehmanniae Praeparata) ///27.3%///
 Dannanxing (Rhizome Arisaematis) ////27.6%//
 Chenpi (Pericarpium C. Reticulatae) ////44.8%//
 Zhuru (Caulis Bambusae in Taeniam) ////58.6%//
 Zhishi (Fructus A. immaturus) ////41.4%//
 Lime-water processed banxia (Rhizoma Pinelliae Preparatum) ////44.8%//
 Renshen (Radix Ginseng) /////25.0%/
 Hupo (Succinum) /////37.5%/
 Chuanxiong (Rhizoma Chuanxiong) /////25.0%/
 Longgu (Fossilia Ossis Mastodi) //////23.1%

aOnly those TCM patterns with more than 5 studies are presented.
bIndividual Chinese herbs used in at least 50% of the studies on a particular TCM pattern are bolded.