Review Article

Herbal Medicine for the Treatment of Obesity: An Overview of Scientific Evidence from 2007 to 2017

Table 2

Published randomized controlled trials of herbal medicines for treatment of obesity in humans from 2007 to 2017.

NumberAuthors/yearTargetsAge (years)Name of herb or formulaJadad scoreDose/durationGroupsMain outcomesWeight (kg) before treatmentWeight (kg) after treatmentAdverse events

(1)Lambert et al. (2016) [16]18–70Yellow pea fiber415 g/day, 
12 weeks
I: yellow pea fiber
C: placebo
Body weight↓
HbAlc↓
Food intake↓
Plasma glucose↓
Satiety↑, regulating gut microbiota
92.3 ± 4.191.5 ± 4.0No reports

(2)Azushima et al, (2015) [17]20–79Bofu-tsusho-san (Platycodi, Gypsum Fibrosum, talcum, Paeoniae, Scutellariae, Glycyrrhizae)27.5 g/day, 
24 weeks
I: compound
C: placebo
Body weight↓
BMI↓
HbA1c↓ BP↓
82.5 ± 16.478.3 ± 17.9Gastric irritation, constipation, elevation of serum hepatic enzyme level

(3)Zhou et al. (2014) [18]18–60Xin-ju-xiao-gao-fang (rhubarb, Coptis, semen cassia, Citrus aurantium)3170 mL/day, 
24 weeks
I: full-dose
C: low-dose
Body weight↓
BMI↓
Waist
Circumference↓
Fasting insulin↓
HOMA-IR↓
HOMA-β
91.8 ± 13.4Reduce 3.6 ± 0.5Skin rash

(4)Lenon et al. (2012) [19]18–60RCM-104 (Camellia sinensis, flos sophorae, semen cassiae)4500 mg granule extract/day, 
12 weeks
I: compound
C: placebo
Body weight↓
BMI↓
Body fat↓
Food intake↓
99.5 ± 15.198 ± 15.4Nausea, headache

(5)Ke et al. (2012) [20]25–70Linggui Zhugan Decoction (poria Macrocephalae, Radix Glycyrrhizae, Ramulus Cinnamomi, Radix Atractylodis)2Dose is unknown twice a day, 
24 weeks
I: Linggui Zhugan Decoction combined with short-term very low calorie diets
C: basic weight-reduction treatment
BMI↓, SBP↓
DBP↓, FPG↓
2hPG↓, TC↓
TG↓
99.5 ± 15.1/Fatigue, hunger, dizziness

(6)Chu et al. (2011) [21]18–70Pu’er tea34 cap/day, 12 weeksI: extract 
C: placebo
BMI↓
Waist-hip ratio↓
TC↓
TG↓
FBG↓
PG2h↓
//Diarrhea

(7)Li et al. (2010) [22]20–65Pistachio353 g/day 
12 weeks
I: pistachio 
C: pretzels
Body weight↓
BMI↓
86.1 ± 1.482.4 ± 1.6No reports

(8)Abidov et al. (2010) [23]/Xanthigen (brown marine algae fucoxanthin, pomegranate seed oil)42.4 mg/day, 16 weeksI: extract 
C: control
Body weight↓
Body liver fat content↓
92.5 ± 1.588.2 ± 1.9No adverse effects

(9)Gout et al. (2010) [24]25–45Satiereal, (Crocus sativus L. extract)1176.5 mg/day, 8 weeksI: extract 
C: placebo
Body weight↓
BMI↓
Waist circumference↓
73.2 ± 1.172.2 ± 1.2Nausea, diarrhea, reflux

(10)Datau et al. (2010) [25]30–45Nigella sativa2750 mg twice daily, 12 weeksI: extract 
C: flour
Body weight↓
SBP↓
77.1 ± 4.972.6 ± 5.4No reports

(11)Di Pierro et al. (2009) [26]25–60Green tea extract150 mg/day 
90 days
I: hypocaloric
diet + extract
C: hypocaloric diet
Body weight↓
BMI↓
96.1 ± 18.082.3 ± 15.3No reports

(12)Wang et al. (2009) [27]18–55Catechin enriched green tea2458 mg, 468 mg, 886 mg/day, 90 daysI: extract
C: Placebo
Body weight↓
Waist circumference↓
Total body fat↓
71.1 ± 11.969.9 ± 12.1No adverse events

(13)He et al. (2009) [28]18–65Oolong tea18 g/6 weeksI: extract
C: control
Body weight↓
Subcutaneous fat content↓, TC↓, TG↓
Men: 79.7 ± 6.7
Women: 70.2 ± 6.8
Women: 67.8 ± 6.7
Men: 70.2 ± 6.8
No adverse events

(14)Ngondi et al. (2009) [29]19–50West African Plant (Irvingia gabonensis)2150 mg/10 weeksI: extract
C: placebo
Body weight↓, body fat↓
Waist circumference↓
TC↓, LDL-C↓
Leptin levels↑
97.9 ± 9.185.1 ± 3.1Headache, sleep difficulty, intestinal flatulence

(15)Oben et al. (2008) [30]21–44Cissus quadrangularis, Irvingia gabonensis2Unknown/twice daily/10 weeksI: Cissus quadrangularis or Cissus quadrangularis-Irvingia gabonensis combination; C: placeboBody weight↓, body fat↓, waist size↓, FBG↓, LDL-C↓
TC↓
99.8 ± 13.588.0 ± 3.2Headache, lack of sleep, gas

(16)Roongpisuthipong et al. (2007) [31]18–75Garcinia atroviridis21.15 grams of Garcinia atroviridis/day/8 weeksI: diet + extract
C: diet
Body weight↓
BMI, ↓ triceps skin fold thickness↓
69 ± 1Reduce 2.8 ± 0.1No adverse events

(17)Kuriyan et al. (2007) [32]28–53Caralluma fimbriata31 g/60 daysI: weight loss program + extract; C: weight loss programHunger levels
Body weight↓ 
BMI↓, body fat↓ energy intake↓
79.5 ± 16.977.2 ± 8.6Abdominal distention, flatulence, constipation, gastritis

(18)Oben et al. (2007) [33]19–54Cissus quadrangularis2300, 1028 mg/8 weeksI: two-extract formulation: CQR-300, CORE; C: placeboBody weight↓
Body fat↓ glucose↓ HDL-C↑
118.6 ± 3.8113.8 ± 2.5No reports