Review Article

Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review

Table 4

Effective rate and Hamilton Depression Rating Scale (HAMD) score of combined pattern-based Chinese herbal medicine treatment and antidepressants for depression.

Chinese herbal formula Type of cases Mean effective rate in % (range, SD, 95% CI)Mean HAMD change score (range, 95% CI)

Liver qi depression
 Xiaoyao decoction/pill ( = 9)Depression ( = 6); poststroke depression ( = 3)86.0 (70.0–94.3, 85.1–87.0)19.1 (11.4–23.2, 18.4–19.9)
 Banxia Houpu decoction ( = 1)Depression ( = 1)97.2 (NA)16.0 (NA)
 Kaiyu Quhuo decoction ( = 1)Depression ( = 1)100 (NA)NR
 All ( = 11)88.3 (70.0–100.0, 87.4–89.2)17.8 (11.4–23.2, 17.5–18.2)
Liver depression and spleen deficiency
 Xiaoyao decoction/pill ( = 8)Depression ( = 8)86.0 (66.7–95.1, 84.6–87.4)21.5 (20.4–23.0, 21.3–21.7)
 Self-invented formula ( = 1)Depression ( = 1)91.7 (NA)NR
 Kuaiwei Shugan pill ( = 1)Depression ( = 1)NR12.2 (NA)
 All ( = 10)86.8 (66.7–95.1, 85.6–88.0)20.1 (12.2–23.0, 19.6–20.5)
Dual deficiency of the heart and spleen
 Guipi decoction ( = 1)Depression comorbid diabetes ( = 1) 92.1 (NA)NR
 Ningcao Wangyou decoction ( = 2)Depression ( = 2)53.8 (NA)a16.8 (NA)a
 Ganmai Dazao decoction plus  Suanzaoren decoction ( = 1)Poststroke depression ( = 1)100.0 (NA)6.0 (NA)
 All ( = 4)77.0 (53.8–100.0, 68.7–85.2)11.4 (6.0–16.8, 9.5–13.3)
Liver depression and qi stagnation
 Chaihu Shugan decoction ( = 3) Depression ( = 2); poststroke depression ( = 1)80.0 (NA)a15.0 (8.9–21.1, 12.8–17.1)
 Xiaoyao decoction/pill ( = 2) Depression ( = 2)NRNR
 All ( = 5)80.0 (NA)15.0 (8.9–21.1, 12.8–17.1)
All studies ( = 24)b86.3 (53.8–100.0, 85.5–87.2)17.7 (6.0–22.6, 17.4–18.0)

Only one study presented the data; bfive studies studied more than one TCM pattern; NA: not applicable; NR: not reported.