Review Article

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

Table 5

The commonly used Chinese herbal medicine and acupoints in the combined Chinese herbal medicine and traditional needle acupuncture treatment 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   
()

No. of studies that examined the TCM patternN = 12N = 6N = 7
No. of studies that provided TCM treatment principle N = 5N = 4N = 3
Most frequently used TCM treatment principle (N, % of studies that provided TCM treatment principle)Nourish heart and spleen  
(3, 60.0%)
Nourish yin and suppress fire   
(4, 100.0%)
Soothe liver and purge fire   
(2, 66.7%)
Individual Chinese herbsb
 Danggui (Radix A. sinensis) 75.0%33.3%71.4%
 Chaihu (Radix Bupleuri) 25.0%33.3%85.7%
 Gancao (Radix Glycyrrhizae) 41.7%33.3%42.9%
 Suanzaoren (Semen Z. spinosae) 100.0%83.3%/
 Huangqin (Radix Scutellariae) / 66.7%85.7%
 Baishao (Radix P. alba) / 66.7%28.6%
 Fushen (Poria cum Radix Pini) 33.3%/28.6%
 Shengdihuang (Radix Rehmanniae) / 33.3%57.1%
 Yejiaoteng (Caulis P. multiflori) 41.7%50.0% /
 Fuling (Poria) 50.0%33.3%/
 Hehuanhua (Flos Albiziae) 50.0%33.3%/
 Honey-toasted Gancao (Radix Glycyrrhizae) 33.3%33.3%/
 Baizhu (Rhizoma A. macrocephalae) 83.3%//
 Huangqi (Radix Astragali) 75.0%//
 Yuanzhi (Radix Polygalae) 66.7%//
 Muxiang (Radix Aucklandiae) 58.3%//
 Longyanrou (Arillus Longan) 50.0%//
 Dazao (Fructus Jujibae) 41.7%//
 Renshen (Radix Ginseng) 33.3%//
 Wuweizi (Fructus S. Chinensis) 33.3%//
 Baiziren (Semen Platycladi) 25.0%//
 Chuanxiong (Rhizoma Chuanxiong ) 25.0%//
 Dangshen (Radix Codonopsis) 25.0%//
 Ginger (Rhizoma Z. recens) 25.0%//
 Huanglian (Rhizoma Coptidis) /83.3%/
 Egg yolk (Vitellus Galli) /50.0%/
 Ejiao (Colla C. asini) /50.0%/
 Zhizi (Fructus Gardeniae) //100.0%
 Cheqianzi (Semen Plantaginis) //71.4%
 Longgu (Fossilia Ossis Mastodi) //71.4%
 Muli (Concha Ostreae) //71.4%
 Longdancao (Radix Gentianae) //57.1%
 Mutong (Caulis C. armandii) //57.1%
 Zexie (Rhizoma Alismatis) //57.1%
 Hehuanpi (Cortex Albizziae) //42.9%
 Yujin (Radix Curcumae) //42.9%
 Danpi (Cortex Moutan) //28.6%
Acupointsb
 Shenmen (HT7)100.0%100.0%100.0%
 Sanyinjiao (SP6)83.3%50.0%71.4%
 Neiguan (PC6)58.3%50.0%57.1%
 Sishencong (EX-HN1)41.7%33.3%71.4%
 Baihui (GV20)33.3%50.0%42.9%
 Zusanli (ST36)58.3%33.3%28.6%
 Taichong (LR3)/66.7%71.4%
 Hegu (Ll4)/33.3%57.1%
 Xinshu (BL15)75.0% //
 Pishu (BL20)66.7%//
 Taixi (Kl13)/66.7%/
 Daling (PC7)/50.0%/
 Shenshu (BL23)/33.3%/
 Taiyuan (LU9)/33.3%/
 Zhaohai (Kl6)/33.3%/
 Anmian (EX-HN22)//28.6%
 Fengchi (GB20)//28.6%
 Ganshu (BL18)//28.6%
 Houxi (SI3)//28.6%
 Shenmai (BL62)//28.6%

aOther TCM patterns are not listed because studies are too few to give reliable information.
bIndividual Chinese herbs and acupoints used in at least 50% of the studies on a particular TCM pattern are bolded.