Research Article

Oral Chinese Herbal Medicine as Prophylactic Treatment for Episodic Migraine in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 1

Characteristics of included studies.

Author (year)No. of participants randomized (I: C)Duration of migraine (years)Age of participants (years)Gender (male/female)Treatment duration, follow-up duration (days)Dosage (mg) and frequency of flunarizineFormula names (form)Ingredients of formulas

Cai (2018) [69]49: 49NSI: 36.95 ± 7.140
C: 37.08 ± 6.82
38/6030, NF10, qnDang Gui Si Ni Tang (decoction)Bai Shao, Gui Zhi, Dang Gui, Tong Cao, Gan Cao, Xi Xin, and Da Zao

Cai et al. (2017) [61]32: 28I: 6.50 ± 5.36
C: 6.30 ± 5.24
I: 33.6 ± 7.62
C: 34.20 ± 7.21
24/3628, NF10, qnLi Xu Qu Feng Tongluo Fang (decoction)Huang Qi, Ge Gen, Dan Shen, Chuan Xiong, Bai Zhi, Man Jing Zi, Xi Xin, Tu Bie Chong, and Jiang Chan

Chen (2010) [52]40: 30I: 0.5-30
C: 0.83-28
I: 20-65
C: 19-62
21/4728, NF5, qnShao Zhi Zhen Tong Fang (decoction)Chuan Xiong, Dang Gui, Jiang Chan, Quan Xie, Di Long, Bai Zhi, and Gan Cao

Dai (2005) [53]36: 34I: 5.70
C: 5.40
I: 35.6
C: 37.2
22/4890, 6010, qnXue Sai Tong soft capsuleSan Qi

Du (2014) [73]44: 44I: 6.18 ± 5.06
C: 6.30 ± 5.24
I: 44.93 ± 13.49
C: 48.27 ± 11.22
22/6490, NF5, qnXiong Zhi Jian Fang (decoction)Chuan Xiong, Bai Zhi, Bai Shao, Ge Gen, Xi Xin, Man Jing Zi, Xia Ku Cao, Bo He, Gao Ben, Chai Hu, Ju Hua, and Fang Feng

Du et al. (2011) [47]50: 50I: 3.80 ± 2.30
C: 3.90 ± 2.40
I: 40.5 ± 10.6
C: 39.4 ± 10.3
22/7828, NF10, qnTong Xin Luo capsuleRen Shen, Shui Zhi, Quan Xie, Tu Bie, Chong, Wu Gong, Chan Lian, Suan Zao Ren, and Bing Pian

Fu (2015) [64]40: 40I: 3.40 ± 2.10
C: 4.10 ± 2.30
I: 43.4 ± 2.7
C: 42.6 ± 2.5
42/3890, NF5, qnQu Feng Huo Xue Fang (decoction)Chuan Xiong, Niu Xi, Bai Ji Li, Gan Cao, Gao Ben, Tian Ma, Bai Zhi, Gou Teng, Ge Gen, and Chai Hu

Gao et al. (2006) [57]40: 42I: 3.20 ± 1.30
C: 3.00 ± 1.40
I: 35.4 ± 4.6
C: 36.1 ± 6.8
32/5060, 3655, qdTian Shu capsuleChuan Xiong and Tian Ma

Gao et al. (2009) [58]29: 27I: 9.75 ± 5.53
C: 8.96 ± 6.56
I: 41.4 ± 19.56
C: 42.5 ± 18.42
0/5630, 605∼10, qnNS (decoction)Sha Ren, Chi Shao, Bai Shao, Shi Jue Ming, Mai Dong, Ju Hua, Tao Ren, Ji Xue Teng, Ye Jiao Teng, Quan Xie, and Wu Gong

Gou and Miao (2014) [74]30: 30NS26∼6537/2390, NF10, qnSan Pian Tang (decoction)Chuan Xiong, Bai Zhi, Bai Shao, Bai Jie Zi, Xiang Fu, Chai Hu, Yu Li Ren, and Gan Cao

Huang et al. (2006) [65]30: 30I: 10.50 ± 4.60
C: 9.80 ± 3.70
I: 35.3 ± 3.6
C: 37.1 ± 3.5
22/3830, NF5, qnNS (decoction)Quan Xie, Di Long, Tian Ma, Chuan Xiong, Wu Gong, and Jiang Chan

Liang (2015) [46]120: 120I: 6.01 ± 3.75
C: 6.16 ± 3.20
I: 35.35 ± 10.87
C: 34.01 ± 9.06
53/17056, 2810, qnHe Jie Zhi Tong Fang (decoction)Chai Hu, Chuan Xiong, Huang Qin, Ban Xia, Dang Shen, Bai Zhu, Gan Cao, Long Gu, yuan zhi, Quan Xie, and Wu Gong

Liu (2009) [48]40: 40NSI: 44.47 ± 11.21
C: 42.77 ± 9.53
22/5130, NF10, qnTou Tong Fang (decoction)Huang Lian, zhi Ban Xia. Chen Pi, Zhi Shi, Dan Nan Xing, Zhu Ru, Shi Chang Pu, Mo Han Lian, Quan Xie, Man Jing Zi, Bai Zhi, and Chuan Xiong

Luo and Shu (2013) [79]32: 32I: 4.50
C: 4.80
I: 25–60
C: 24–59
25/3928, NF5, bidTzu Tong Tang (decoction)Tian Ma, Gou Teng, Shi Jue Ming, Ju Hua, Chuan Xiong, Bai Zhi, Man Jing Zi, Quan Xie, and Di Long

Ma (2014) [59]30: 30NSI: 42.90 ± 11.74
C: 46.97 ± 12.29
31/2928, NF10, qnChai Hu Gui Zhi Gan Jiang Tang (decoction)Chai Hu, Gui Zhi, Gan Jiang, Ban Xia, Huang Qin, Dang Shen, Fu Ling, and Gan Cao

Mao et al. (2011) [49]20: 20I: 11.05
C: 9.19
I: 39
C: 42.6
6/3230, NF5, qnChai Shao Zhi Tong Fang (decoction)Chai Hu, Bai Shao, Bai Zhu, Dang Gui, Chuan Xiong, Qing Feng Teng, Zhi Ke, and Gan Cao

Niu et al. (2003) [56]35: 35NSNSNS30, NF5, qnYang Xue Qing Nao Ke Li (granule)Dang Gui, Chuan Xiong, Shu Di, Zhen Zhu Mu, Jue Ming Zi, Xia Ku Cao, and Bai Shao

Pan et al. (2015) [54]30: 30I: 7.10
C: 6.50
I: 47.52
C: 51.38
27/3390, 905∼10, qnXiong Long Tang (decoction)Yan Hu Suo, Chuan Xiong, Ge Gen, Bai Zhi, Tao Ren, Di Long, Niu Xi, Hong Hua, and Xi Xin

Peng (2017) [75]38: 38I: 5.40 ± 1.80
C: 5.00 ± 1.50
I: 36.2 ± 4.2
C: 35.5 ± 4.1
48/2830, NF10, qn1. Tong Qiao Huo Xue Tang (decoction)
2. Tian Ma Gou Teng Yin (decoction)
3. Qi Ju Di Huang Tang (decoction)
4. Ren Shen Yang Rong Tang (decoction)
1. San Qi, Chuan Xiong, Fu Shen, Chi Shao, Dan Shen, Tao Ren, Bai Zhi, Yu Jin, and Chen Pi
2. Yi Mu Cao, Tian Ma, Zhi Zi, Niu Xi, Di Long, Gou Teng, Huang Qin, Shi Jue Ming, Sang Ji Sheng, and Du Zhong
3. Gou Qi, Mo Han Lian, Nv Zhen Zi, Ju Hua, Shan Zhu Yu, Shan Yao, Shu Di, Fu Ling, Ze Xie, and Mu Dan Pi
4. Chen Pi, Huang Qi, Bai Shao, Ren Shen, Shu Di, Bai Zhu, Chuan Xiong, Dang Gui, and Gan Cao

Qian and Yan, (2006) [60]57: 60I: 5.30
C: 5.10
I: 42.5 ± 6.12
C: 41.5 ± 7.36
47/7028, NF10, qnTong Qiao Huo Xue Tang (decoction)Chi Shao, Chuan Xiong, Tao Ren, Hong Hua, Bai Zhi, Cong, Sheng Jiang, Da Zao, Huang Jiu, Dan Shen, and Huang Qi

Qu et al. (2010) [67]31: 32NSI: 41.52 ± 8.6
C: 42.31 ± 7.3
20/4330, NF5, qnYi Li Tian Kan Tang (decoction)Ba Ji Tian, Zhen Zhu Mu, Rou Gui, Huang Lian, Gui Zhi, Bai Shao, Fu Ling, Chai Hu, Zhi Zi, and Wu Mei

Shen et al. (2016) [50]60: 60I: 4.62 ± 2.48
C: 5.05 ± 3.05
I: 26.98 ± 4.6
C: 25.54 ± 4.35
40/7528, 285, qnSan Pian Tang (decoction)Chuan Xiong, Bai Shao, Chai Hu, Yu Li Ren, Xiang Fu, Bai Zhi, Gan Cao, Bai Jie Zi, Chi Shao, and Jiang Chan

Song (2017) [68]32: 32I: 0.01 ± 0.01
C: 0.01 ± 0.01
I: 38.9 ± 2.5
C: 39.1 ± 2.4
9/5560, NF10, bid1. Ban Xia Bai Zhu Tang (decoction)
2. Tong Qiao Huo Xue Tang (decoction)
3. Da Bu Yuan Jian (decoction)
4. Tian Ma Gou Teng Yin (decoction)
1. Gan Cao, Ju Hong, Man Jing Zi, Chuan Xiong, Fa Ban Xia, Tian Ma, Fu Ling, Ci Ji Li, and Bai Zhu
2. Tao Ren, Chuan Xiong, Hong Hua, Bai Zhi, Chi Shao, Yan Hu Suo, Chai Hu, Shi Chang Pu, Yu Jin, and Dan Shen
3. Dang Gui, Gou Qi Zi, Du Zhong, Shan Zhu Yu, Shan Yao, Shu Di, Dang Shen, and He Shou Wu
4. Chuan Xiong, Huang Qin, Tian Ma, Chong Wei Zi, Sang Ji Sheng, Niu Xi, Gou Teng, Ye Jiao Teng, Zhi Zi, and Shi Jue Ming

Sun and Xu (2016) [76]60: 60I: 0.17 ± 0.02
C: 2.03 ± 0.20
I: 56.26 ± 5.1
C: 55.60 ± 4.6
65/5556, NF10, qdChuan Xiong Cha Tiao San (decoction)Chuan Xiong, Jin Jie, Fang Feng, Xi Xin, Qiang Huo, Bai Zhi, Bo He, and Gan Cao

Wang et al. (2012) [77]60: 60I: 5.40 ± 2.60
C: 6.30 ± 2.20
I: 38.5 ± 12.9
C: 39.2 ± 13.4
36/8460, NF10, qnSan Han Huo Yu Zhi Tong Fang (decoction)Chuan Xiong, Sha Shen, Tu Fu Ling, Bahi Zhi, Bai Jie Zi, Quan Xie, Jin Jie, Man Jing Zi, Gan Cao, and Xi Xin

Wang (2016) [62]60: 60NSI: 36.30 ± 9.66
C: 34.33 ± 10.5
31/8956, NF10, qnRou Gan Xi Feng Tang (decoction)Bai Shao, Gou Qi Zi, He Shou Wu, Xiang Fu, Chai Hu, Tian Ma, Chuan Xiong, Huang Qin, and Gan Cao

Wang (2013) [51]58: 52I: 7.64 ± 2.34
C: 6.18 ± 2.7
I: 39.30 ± 12.97
C: 41.37 ± 12.03
60/5030, NF5, qnNS (decoction)Chuan Xiong, Bai Shao, He Shou Wu, Shi Jue Ming, Man Jing Zi, Dang Gui, Tian Ma, Tao Ren, Bai Zhi, and Quan Xie

Xie (2015) [55]24: 24NSI: 35.05 ± 8.54
C: 33.55 ± 8.79
15/3384, 285, qnZheng Tian Jiao Nang (capsule)Bai Shao, Bai Zhi, Chuan Xiong, Dang Gui, Di Huang, Du Huo, Fang Feng, Fu Zi, Gou Teng, Hong Hua, Ji Xue Teng, Ma Huang, and Qiang Huo

Xin (2016) [56]30: 30NSI: 18–65
C: 18–65
31/2928, 2810, qnTou Tong Fang (decoction)Huang Qi, Ren Shen, Dang Gui, Bai Shao, Chuan Xiong, Yan Hu Suo, Xi Xin, Bai Zhi, and Shui Niu Jiao

Yuan (2017) [63]30: 30I: 3.90 ± 4.63
C: 4.30 ± 4.24
I: 42.53 ± 12.19
C: 41.87 ± 12.33
16/4428, NF10, qnXiao Chai Hu Tang plus Qing Kong Gao (decoction)Chai Hu, Huang Qin, Huang Lian, Ban Xia, Ge Gen, Dan Nan Xing, Chuan Xiong, Hou Po, Chen Pi, Qiang Huo, Fang Feng, and Dang Shen

Zhang (2013) [71]30: 30NSI: 39.30 ± 12.97
C: 41.37 ± 12.03
27/3356, NF10, qnZheng Tian Wan (pill)Chuan Xiong, Dang Gui, Bai Shao, Di Huang, Gou Teng, Tao Ren, Hong Hua, Fu Zi, Du Huo, Fang Feng, Ma Huang, Ji Xue Teng, and Bai Zhi

Zhang and Sun (2019) [78]32: 32I: 8.57 ± 3.65
C: 6.29 ± 4.68
I: 49.86 ± 11.37
C: 50.23 ± 9.16
17/4728, F10, qnYang Xue Ping Gan Tang (decoction)Xuan Fu Hua, Zhe Shi, Shi Gao, Dang Gui, Chuan Xiong, sheng di, Bai Shao, Shou Wu Teng, Xiang Fu, and Gan Cao

Zhang (2014) [70]42: 42NSI: 40.4 ± 9.5
C: 41.2 ± 7.9
34/5028, NF5, qnTian Ma Gou Teng Yin (decoction)Tian Ma, Chuan Xiong, Dang Gui, Zhi Zi, Niu Xi, Bai Shao, Sang Ji Sheng, Gou Teng, Shi Jue Ming, Ye Jiao Teng, Zhen Zhu Mu, and Tao Ren

Zhong et al. (2009) [45]16: 16I: 2.10 ± 0.60
C: 2.20 ± 0.50
I: 34.7 ± 6.2
C: 33.8 ± 7.1
11/2120, NF5, qnPing Gan Qian Yang Fang (decoction)Tian Ma, Gou Teng, Shi Jue Ming, Mu Li, and Chuan Xiong

Zhu (2006) [72]42: 42NS33.4 ± 8.532/5230, NF10, qnTian Ma Su capsuleTian Ma

Note: bid, bis in die; C, control group; I, intervention group; mg, milligram; NF, no follow-up; No., number; NS, not stated; qd, quaque die; qn, quaque nocte; SD, standard deviation.