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. 2025 Aug 15;104(33):e43789. doi: 10.1097/MD.0000000000043789

Table 1.

Basic characteristics of the included studies.

Study Patients of IG Male Female Patients of CG Male Female Age of IG, CG (mean ± SD) Age of CG, CG (mean ± SD) Treatment intervention Interventions dose, route Control intervention Control measures, dose, route Outcome measure Diagnostic
instrument
follpw-up (week)
Chen RF 2006 46 12 34 38 9 29 25–65 25–65 Bailemian 1.08 g, pod, bid, 4 wk TWBX 9 g, pod, bid, 4 wk * CCMD-3 4
Du XQ 2011 42 15 27 40 12 28 24–74 26–68 Bailemian 0.81 g, pod, tid, 4 wk Diazepatn 5 mg, pod, qd, 4 wk * CCMD-3 4
He ZW 2010 60 38 22 60 38 22 39.6 ± 3.3 39.4 ± 3.1 Bailemian 1.08 g, pod, tid, 2 wk BZYXW 15 g, pod, bid, 2 wk *,, CCMD-3 2
Hu CL 2017 60 35 25 60 36 24 38.8 ± 2.6 38.5 ± 2.8 Bailemian 1.08 g, pod, tid, 2 wk BZYXW 15 g, pod, bid, 2 wk * CCMD-3 2
Huang Y 2017 60 35 25 60 33 27 75.27 ± 14.73 76.93 ± 13.89 Bailemian 1.08 g, pod, bid, 8 wk Estazolam 1 mg, pod, qd, 8 wk *, CCMD-3 8
Mai J 2009 30 12 18 30 14 16 38.20 ± 3.12 38.60 ± 3.31 Bailemian 1.08 g, pod, bid, 3 wk Triazolam 0.25 mg, pod, qd, 3 wk *,, CCMD-3 3
Qiu XQ 2013 34 19 15 34 20 14 35.0 ± 13.5 38.0 ± 15.5 Bailemian 1.08 g, pod, tid, 1 wk Suanzaoren 0.4 g, pod, qd, 1 wk * CCMD-2R 1
Shi XR 2019 62 34 28 62 32 30 45.02 ± 5.25 45.54 ± 5.28 Bailemian 1.08 g, pod, bid, 1 wk Wuling capsule 0.99 g, pod, tid, 1 wk *, ICD-10 1
Si JW 2014 44 / / 44 / / 46–54 46–54 Bailemian 0.81 g, pod, tid, 2 wk Diazepatn 5 mg, pod, qd, 2 wk *, CCMD-3 2
Tang XJ 2008 30 14 16 30 12 18 45.02 ± 12.51 47.66 ± 13.97 Bailemian 1.08 g, pod, bid, 2 wk TWBX 9 g, pod, bid, 2 wk * CCMD-3 2
Wang HQ 2019 50 14 36 40 12 28 45.68 ± 3.54 41.08 ± 3.61 Bailemian 1.08 g, pod, bid, 4 wk TWBX 9 g, pod, bid, 4 wk * CCMD-3 4
Wang DJ 2013 40 / / 40 / / 18–60 17–60 Bailemian 1.08 g, pod, bid, 8 wk Diazepatn 5 mg, pod, qd, 8 wk *, CCMD-3-R 8
Wang L 2021 44 25 19 44 24 20 48.56 ± 3.39 48.87 ± 3.47 Bailemian 1.08 g, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Yin JL 2016 32 / / 32 / / 36.52 ± 9.10 35.14 ± 6.25 Bailemian 1.08 g, pod, bid, 4 wk Diazepatn 5 mg, pod, qd, 4 wk *, ICD-10 4
Zhang SJ 2017 44 16 28 39 16 23 50.4 ± 14.0 51.3 ± 13.5 Bailemian 1.08 g, pod, bid, 2 wk Wuling capsule 0.99 g, pod, tid, 2 wk , ICD-10 2
41 14 27 50.4 ± 14.0 48.7 ± 12.1 Bailemian 1.08 g, pod, bid, 2 wk Oxazepam 15 mg, pod, qd, 2 wk *,, ICD-10 2
Zhang TH 2015 18 5 13 18 6 12 65.4 ± 8.37 66.2 ± 6.49 Bailemian 1.08 g, pod, bid, 2 wk Estazolam 2 mg, pod, qd, 2 wk * CCMD-3 2
Zhang YL 2015 132 54 78 47 18 29 29–69 19–63 Bailemian 1.08 g, pod, bid, 2 wk Estazolam 2 mg, pod, qd, 2 wk * CCMD-3 2
Zhao ZX 2006 88 / / 78 / / 25–65 25–65 Bailemian 1.08 g, pod, bid, 2 wk Suanzaoren 0.4 g, pod, qd, 2 wk * CCMD-2R 2
Zhou B 2015 30 7 23 30 9 21 45–78 45–78 Bailemian 1.08 g, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Zhou WF 2014 45 / / 45 / / 18–65 18–65 Bailemian 1.08 g, pod, bid, 2 wk Diazepatn 3.75 mg, pod, qd, 2 wk *, CCMD-3 2
Zhou XY 2018 56 / / 56 / / / / Bailemian 1.08 g, pod, bid, 2 wk Wuling capsule 0.99 g, pod, tid, 2 wk * CCMD-3 2
Zou JD 2014 340 112 228 112 38 74 45.44 ± 13.71 43.73 ± 14.78 Bailemian 1.08 g, pod, bid, 4 wk TWBX 9 g, pod, bid, 4 wk , ICSD-3 5
Zeng ZL 2014 50 32 18 50 28 22 26–72 26–72 SST 1.25 g, pod, tid, 8 wk Alprazolam 0.8 mg, pod, qd, 8 wk CCMD-3 9
Liu Q 2009 30 12 18 30 13 17 18–52 17–52 SST 0.75 g, pod, tid, 6 wk Estazolam 2.5 mg, pod, qd, 6 wk * CCMD-3 6
Song RX 2015 98 38 60 98 38 60 51.5 ± 2.3 52.3 ± 3.1 SST 0.75 g, pod, tid, 4 wk Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Tian J 2010 30 14 16 30 12 18 70 ± 7 67 ± 5 SST 0.75 g, pod, tid, 8 wk Estazolam 1 mg, pod, qd, 8 wk *, CCMD-3 8
Yan Q 2012 46 18 28 46 19 27 34–68 33–69 SST 0.75 g, pod, tid, 8 wk Estazolam 1 mg, pod, qd, 8 wk * CCMD-3 8
Yu ZA 2009 50 24 29 50 22 29 / / SST 1.25 g, pod, tid, 8 wk Alprazolam 0.8 mg, pod, qd, 8 wk CCMD-3 8
Zhang L 2018 51 28 23 51 27 24 38.7 ± 4.6 39.2 ± 4.8 SST 0.75 g, pod, tid, 4 wk Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 4
Zhang XE 2012 46 18 28 46 19 27 34–68 33–69 SST 0.75 g, pod, tid, 4 wk Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 4
Zhao KQ 2010 60 32 28 60 28 32 20–82 16–76 SST 1.25 g, pod, tid, 8 wk Oryzanol 20 mg, pod, tid, 8 wk * CCMD-3 8
Chen WC 2021 40 14 26 40 15 25 44.49 ± 3.48 44.53 ± 3.45 CLMD / Estazolam 1 mg, pod, qd, 2 wk * CCMD-3 2
Chen XZ 2017 46 15 31 46 19 27 41.3 ± 6.2 39.5 ± 7.8 CLMD / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Feng EB 2022 90 39 51 90 37 53 59.17 ± 8.66 59.44 ± 8.69 CLMD / Estazolam 1 mg, pod, qd, 8 wk *,, CCMD-3 8
He SY 2023 35 16 19 35 17 18 36.31 ± 2.98 35.23 ± 2.89 CLMD / Estazolam 1 mg, pod, qd, 3 wk *, CCMD-3 3
Huang QY 2016 30 10 20 30 9 21 50.01 ± 1.29 49.65 ± 1.32 CLMD / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Lai SH 2016 53 33 20 53 35 18 34.6 ± 3.4 35.3 ± 3.2 CLMD / Estazolam 1 mg, pod, qd, 4 wk * CCMD-3 4
Lei HM 2017 31 15 16 29 14 15 35.38 ± 10.2 35.59 ± 10.8 CLMD / Estazolam 1 mg, pod, qd, 3 wk * CCMD-3 3
Li N 2010 45 19 26 45 17 28 35–65 33–67 CLMD / ZRAS 0.18 g, pod, qd, 4 wk * CCMD-3 4
Liu Y 2022 43 25 18 43 23 20 45.31 ± 5.18 45.33 ± 5.21 CLMD / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Luo JH 2020 30 18 12 30 23 7 35.32 ± 6.56 33.53 ± 5.68 CLMD / Zolpidem tartrate 10 mg, pod, qd, 4 wk *,, CCMD-3 4
Lv GL 2023 52 31 21 53 30 23 43.31 ± 8.98 43.25 ± 8.13 CLMD / Estazolam 1 mg, pod, qd, 4 wk *, ICSD-3 4
Wang B 2016 40 15 25 40 16 24 44.63 ± 9.17 43.31 ± 8.68 CLMD / Oryzanol 200 mg, pod, qd, 4 wk *,, CCMD-3 4
Wang JL 2017 51 / / 49 / / / / CLMD / Zolpidem tartrate 10 mg, pod, qd, 4 wk *,, CCMD-3 4
Wang LZ 2016 30 8 22 30 11 19 44.07 ± 5.31 41.76 ± 5.54 CLMD / TOL 1.2 g, pod, bid, 4 wk *, ICSD-3 4
Wen LM 2021 102 51 51 102 50 52 72.22 ± 8.09 72.16 ± 8.39 CLMD / Estazolam 2 mg, pod, tid, 4 wk *, CCMD-3 4
Xin H 2017 140 53 87 140 63 77 45.4 ± 5.4 47.0 ± 6.2 CLMD / Estazolam 1 mg, pod, qd, 2 wk *, CCMD-3 2
Xu CF 2014 32 18 14 32 19 13 46.1 ± 7.6 45.3 ± 6.8 CLMD / Estazolam 1 mg, pod, qd, 2 wk * CCMD-3 2
Yuan YH 2022 40 10 30 40 11 29 47.5 ± 6.9 47.2 ± 6.8 CLMD / Estazolam 2 mg, pod, qd, 4 wk *,, CCMD-3 4
Zheng GL 2014 40 16 24 40 17 23 40.35 ± 10.31 39.35 ± 10.01 CLMD / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Zhong W 2018 39 14 25 39 14 25 / / CLMD / Estazolam 2.5 mg, pod, qd, 4 wk *, CCMD-3 4
Zhu HX 2021 35 21 14 35 22 13 53.9 ± 5.1 53.5 ± 4.9 CLMD / Estazolam 1 mg, pod, qd, 3 wk * CCMD-3 3
Lin MM 2023 45 18 27 44 25 19 35.25 ± 7.66 35.12 ± 6.80 CSP 100 mL, pod, bid, 4 wk Zopiclone 3.75, pod, qd, 4 wk *, CCMD-3 4
Yang DF 2015 60 23 37 60 26 34 18–68 19–65 CSP 100 mL, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Yin S 2008 33 / / 31 / / 32.16 ± 4.04 31.47 ± 3.17 CSP 100 mL, pod, bid, 2 wk Estazolam 2 mg, pod, qd, 2 wk *, CCMD-3 2
Zhang AL 2010 28 11 17 20 8 12 45.93 ± 4.30 45.95 ± 6.81 CSP 100 mL, pod, bid, 4 wk TWBX 3 g, pod, tid, 4 wk * CCMD-3 4
Chen W 2014 45 27 18 44 27 17 46.3 ± 6.8 46.3 ± 6.8 Guipi decoction / Alprazolam 0.4 mg, pod, qd, 4 wk *, CCMD-3 4
Fu JJ 2013 55 21 34 55 23 32 20–65 21–64 Guipi decoction / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 3
Guo CY 2011 60 / / 60 / / / / Guipi decoction / Estazolam 2 mg, pod, qd, 2 wk *, CCMD-3 6
He XY 2015 77 45 32 63 40 23 49.5 ± 7.4 48.4 ± 6.9 Guipi decoction / Estazolam 2 mg, pod, qd, 4 wk *,, CCMD-3 4
Jia QZ 2013 65 / / 64 / / / / Guipi decoction / Estazolam 2 mg, pod, qd, 6 wk * CCMD-3 6
Kong LK 2016 43 23 20 43 22 21 50.10 ± 2.22 50.05 ± 2.17 Guipi decoction / Diazepatn 10 mg, pod, qd, 4 wk * CCMD-3 4
Li J 2012 36 13 23 32 12 20 42–75 42–75 Guipi decoction / Estazolam 2 mg, pod, qd, 2 wk *, CCMD-3 2
Liu GQ 2015 50 / / 35 / / / / Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
35 / / / / Guipi decoction / Suanzaoren 2.4 g, pod, qd, 4 wk *, CCMD-3 4
Liu JM 2016 50 22 28 50 24 26 44.6 ± 1.3 45.2 ± 1.1 Guipi decoction / Estazolam 2 mg, pod, qd, 6 wk *, CCMD-3 6
Liu YG 2018 24 17 7 24 18 6 45.3 ± 4.7 45.4 ± 4.8 Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk * CCMD-3 4
Lv TM 2015 47 21 26 47 23 24 57.2 ± 2.3 58.7 ± 2.4 Guipi decoction / Estazolam 1 mg, pod, qd, 3 wk * CCMD-3 3
Miao YN 2015 54 23 31 54 22 32 58.9 ± 2.4 59.0 ± 2.1 Guipi decoction / Estazolam 1 mg, pod, qd, 3 wk * CCMD-3 3
Qi XM 2018 47 22 25 46 24 22 55.94 ± 11.49 56.30 ± 10.77 Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk * CCMD-3 4
Qian YH 2021 30 17 13 30 18 12 51.22 ± 10.15 51.24 ± 10.17 Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Su LD 2010 48 17 31 48 20 28 / / Guipi decoction / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Wang BD 2020 35 3 33 35 3 32 49 ± 4.3 49 ± 4.1 Guipi decoction / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Xu Y 2016 35 12 23 35 8 27 47.14 ± 17.26 46.00 ± 15.37 Guipi decoction / Lorazepam 20 mg, pod, qd, 4 wk *, ICSD-3 4
Xue GT 2016 60 32 28 56 30 26 33.59 ± 6.12 36.24 ± 7.36 Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Yang C 2015 42 / / 42 / / / / Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Yao ZQ 2018 52 21 31 52 19 33 45.87 ± 9.62 44.69 ± 9.15 Guipi decoction / Estazolam 1 mg, pod, qd, 4 wk , CCMD-3 4
Zhao Y 2013 34 / / 34 / / / / Guipi decoction / Estazolam 1 mg, pod, qd, 12 wk *, CCMD-3 12
Zhu XZ 2017 65 31 34 64 30 34 53.69 ± 6.71 52.65 ± 6.58 Guipi decoction / Diazepatn 5 mg, pod, tid, 4 wk *, CCMD-3 4
Chao Z 2013 35 21 14 15 10 5 33.09 ± 9.23 35.64 ± 8.15 HLWDD / Estazolam 0.4 mg, pod, qd, 2 wk *, CCMD-2 2
Chen XY 2020 30 18 12 30 16 14 18–75 18–74 HLWDD / Estazolam 1 mg, pod, qd, 4 wk * CCMD-3 4
Chen XM 2019 40 25 15 40 23 17 38.8 ± 4.6 38.6 ± 4.3 HLWDD / Estazolam 5 mg, pod, qd, 3 wk *, CCMD-3 3
Chen ZL 2010 40 12 20 40 11 17 39–62 40–60 HLWDD / Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 4
Gong XQ 2018 40 16 24 40 18 22 42.39 ± 6.75 42.16 ± 6.84 HLWDD / Zopiclone 3 mg, pod, qd, 2 wk *, CCMD-3 2
Han YH 2012 58 26 32 58 24 31 37.09 ± 11.23 37.64 ± 12.15 HLWDD / Estazolam 5 mg, pod, qd, 2 wk *, CCMD-3 2
Lin B 2014 60 19 41 60 22 38 22–65 21–67 HLWDD / Estazolam 5 mg, pod, qd, 2 wk *, CCMD-3 2
Liu M 2014 48 / / 48 / / / / HLWDD / Estazolam 5 mg, pod, qd, 4 wk *, CCMD-3 4
Ruan YX 2014 112 55 57 96 47 49 37.89 ± 8.93 38.29 ± 9.18 HLWDD / Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Sheng XM 2020 43 19 24 43 16 27 44.55 ± 6.21 44.51 ± 6.11 HLWDD / Estazolam 5 mg, pod, qd, 2 wk *,, CCMD-3 2
Su HM 2013 70 31 39 70 33 37 45.94 ± 4.6 46.12 ± 6.32 HLWDD / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Ta SM 2018 46 12 34 46 10 36 46.22 ± 3.86 46.19 ± 3.84 HLWDD / Estazolam 2 mg, pod, qd, 3 wk *, CCMD-3 3
Wei JQ 2022 31 19 12 31 18 13 54.4 ± 3.3 54.6 ± 3.4 HLWDD / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Ye SJ 2015 28 / / 31 / / 18–65 18–65 HLWDD / Estazolam 1 mg, pod, qd, 3 wk *,, CCMD-3 3
Zhang M 2021 40 19 21 40 18 22 46.8 ± 7.0 45.5 ± 6.8 HLWDD / TOL 20 mL, pod, bid, 2 wk CCMD-3 2
Zhao YH 2014 20 13 7 20 12 8 35.28 ± 11.2 35.79 ± 11.8 HLWDD / Estazolam 5 mg, pod, qd, 2 wk * CCMD-3 2
Bai HJ 2007 31 12 19 22 8 14 44.8 ± 14.1 48.9 ± 14.6 Jieyu pill 12 g, pod, tid, 4 wk Diazepatn 5 mg, pod, qd, 4 wk * CCMD-3 4
Hong YB 2004 31 12 19 22 8 14 / / Jieyu pill 12 g, pod, tid, 6 wk Trazodone 0.255 mg, pod, qd, 6 wk *, CCMD-3 6
Yang XC 2012 30 13 17 30 15 15 41 ± 12 43 ± 13 Jieyu pill 8 g, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Zhang LF 2010 52 32 20 48 26 22 17–45 18–46 Jieyu pill 4 g, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk * CCMD-3 4
Chen X 2013 42 15 27 40 14 26 24–69 25–71 LXD / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Li XQ 2021 75 42 33 75 40 35 54.29 ± 11.25 52.21 ± 9.98 LXD / Anshenbunao syrup 10 mL, pod, bid, 9 wk * CCMD-3 9
Liu QL 2011 79 41 38 79 43 36 28–60 30–60 LXD / Alprazolam 2 mg, pod, tid, 3 wk * CCMD-3 3
Lu JZ 2016 45 20 25 45 21 24 47.3 ± 3.4 46.5 ± 3.5 LXD / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Lv GL 2021 60 30 30 60 33 27 45.6 ± 10.0 45.3 ± 10.2 LXD / Estazolam 2 mg, pod, qd, 3 wk * CCMD-3 3
Ren DW 2018 30 19 11 30 21 9 35–75 32–69 LXD / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Shang XL 2021 40 22 18 35 19 16 48.3 ± 16.5 48.9 ± 16.3 LXD / Estazolam 1 mg, pod, qd, 8 wk * CCMD-3 8
Xu JY 2010 66 36 30 54 30 24 28–63 26–62 LXD / Qiyeshenanpian 100 mg, pod, tid, 3 wk * CCMD-2R 3
Yuan YS 2008 56 21 35 54 22 32 25–59 26–58 LXD / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Chen WJ 2022 216 75 141 72 19 53 59.12 ± 7.93 59.09 ± 7.58 Qiyeshenanpian 17 mg, pod, tid, 4 wk Placebo / *,, ICD-10 4
He CY 2022 202 / / 68 / / / / Qiyeshenanpian 17 mg, pod, tid, 4 wk Placebo / *, ICD-10 4
Liu LS 2017 100 40 60 100 43 57 44.9 ± 14.8 42.3 ± 17.4 Qiyeshenanpian 100 mg, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Ni JL 2012 60 / / 60 / / 16–57 16–57 Qiyeshenanpian 100 mg, pod, tid, 2 wk Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 2
Zhao LL 2005 36 15 21 35 13 22 14–18 15–18 Qiyeshenanpian 100 mg, pod, tid, 2 wk Estazolam 5 mg, pod, qd, 2 wk *, CCMD-3 2
Bu YF 2014 30 15 15 30 16 14 50.57 ± 10.57 50.03 ± 10.50 SMC 1.2 g, pod, bid, 6 wk Estazolam 1 mg, pod, qd, 6 wk *,, CCMD-3 6
Chen YP 2017 30 / / 30 / / / / SMC 1.2 g, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCDM-3 4
He EB 2020 30 23 20 30 21 22 55.12 ± 7.17 53.12 ± 8.92 SMC 1.2 g, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Lu AY 2008 58 / / 57 / / 18–65 18–65 SMC 1.2 g, pod, bid, 4 wk Diazepatn 5 mg, pod, bid, 4 wk *, CCDM-3 4
Luo ZY 2009 33 15 18 33 16 17 45 ± 20 46 ± 22 SMC 1.2 g, pod, bid, 1 wk Alprazolam 0.4 mg, pod, qd, 4 wk , CCDM-3 1
Song HX 2019 287 164 123 287 158 129 73.36 ± 10.82 72.94 ± 10.47 SMC 1.2 g, pod, bid, 4 wk Zopiclone 3 mg, pod, qd, 4 wk *, CCMD-3 4
Sun AH 2015 50 20 30 50 20 30 44.39 ± 10.61 45.13 ± 11.03 SMC 1.2 g, pod, bid, 3 wk Estazolam 1 mg, pod, qd, 3 wk *, CCMD-3 4
Xia LF 2015 49 23 27 47 20 27 52.9 ± 11.0 51.3 ± 14.6 SMC 1.2 g, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCDM-3 4
Meng B 2013 35 20 15 35 19 16 71.35 ± 7.58 72.06 ± 8.14 SMC 1.2 g, pod, bid, 4 wk Alprazolam 0.4 mg, pod, qd, 4 wk * CCDM-3 4
Zheng C 2018 40 21 19 40 22 18 47.8 ± 15.4 48.2 ± 14.7 SMC 1.2 g, pod, bid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCDM-3 4
Zhu X 2018 61 38 33 61 39 22 43.52 ± 5.26 43.96 ± 5.21 SMC 1.2 g, pod, bid, 4 wk Estazolam 2 mg, pod, qd, 4 wk *,, CCDM-3 4
Chen S 2022 8 / / 11 / / / / SMC 1.2 g, pod, bid, 4 wk Placebo / *, DSM-5 4
Li L 2021 104 48 56 99 34 65 / / SMC 1.2 g, pod, bid, 4 wk Placebo / * CCDM-3 4
Bai YX 2022 41 / / 41 / / 37.24 ± 6.13 37.53 ± 6.22 Suanzaoren / Diazepatn 2.5 mg, pod, qd, 2 wk *,, CCMD-3 2
Chen H 2014 50 29 21 50 27 23 72.46 ± 8.90 71.46 ± 8.03 Suanzaoren / Bailemian 1.08 g, pod, bid, 2 wk *, CCMD-3 2
Feng HP 2011 78 31 47 69 25 44 20–69 19–68 Suanzaoren / Estazolam 2 mg, pod, qd, 4 wk * CCMD-3 4
Fu GL 2019 48 25 23 48 24 24 45.1 ± 6.2 44.6 ± 7.9 Suanzaoren / Estazolam 2 mg, pod, qd, 12 wk *, ICD-10 16
Gao SC 2013 70 19 51 70 22 48 63.07 ± 3.53 62.36 ± 4.16 Suanzaoren / Diazepatn 5 mg, pod, qd, 4 wk * ICD-10 4
Jiang XH 2012 40 20 20 40 20 20 / / Suanzaoren / Diazepatn 5 mg, pod, qd, 4 wk * CCMD-3 4
Li L 2005 35 18 16 35 21 14 37.6 ± 2.4 38.1 ± 2.2 Suanzaoren / Diazepatn 5 mg, pod, bid, 4 wk * CCMD-3 4
Li JF 2020 37 / / 37 / / 27–73 27–73 Suanzaoren / Estazolam 1 mg, pod, qd, 2 wk *,, CCMD-3 2
Li LS 2013 76 34 42 68 30 38 19–58 18–57 Suanzaoren / Estazolam 2 mg, pod, qd, 2 wk * CCMD-3 2
Liu L 2019 44 23 21 44 22 22 56.06 ± 10.27 54.28 ± 11.37 Suanzaoren / Diazepatn 5 mg, pod, qd, 2 wk *,, CCMD-3 2
Liu YB 2021 35 15 20 35 17 18 46.3 ± 2.3 46.0 ± 2.0 Suanzaoren / Estazolam 1 mg, pod, qd, 2 wk , CCMD-3 2
Ma YF 2019 60 31 29 60 32 28 38.15 ± 4.87 37.44 ± 5.09 Suanzaoren / Estazolam 1 mg, pod, qd, 8 wk *, CCMD-3 8
She YQ 2009 60 / / 59 / / 36.68 ± 8.53 35.32 ± 9.13 Suanzaoren / Estazolam 5 mg, pod, qd, 4 wk *, CCMD-3 4
Tian HY 2019 66 35 31 66 30 36 50.13 ± 7.82 49.24 ± 7.01 Suanzaoren / Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 4
Wang JB 2014 30 10 20 30 11 19 46.3 ± 7.4 44.1 ± 8.2 Suanzaoren / Estazolam 2 mg, pod, qd, 4 wk *, CCMD-3 6
Wang H 2013 30 14 16 30 15 15 / / Suanzaoren / Lorazepam 2 mg, pod, qd, 4 wk *, CCMD-3 4
Wang ZM 2021 25 15 10 25 14 11 48.2 ± 3.5 49.5 ± 3.6 Suanzaoren / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 2
Wu LM 2020 57 20 37 57 28 29 45.16 ± 5.79 45.81 ± 5.58 Suanzaoren / SMC 0.4 g, pod, qd, 4 wk *, CCMD-3 4
Wu WF 2020 34 16 18 33 15 18 44.76 ± 10.41 45.03 ± 9.19 Suanzaoren / Estazolam 1 mg, pod, qd, 4 wk ICSD-3 8
Xiao CJ 2020 60 / / 60 / / 40.63 ± 3.71 40.58 ± 3.62 Suanzaoren / Estazolam 1 mg, pod, tid, 4 wk *, CCMD-3 4
Xu JS 2013 44 20 24 44 19 25 34.5 ± 7.4 32.9 ± 8.1 Suanzaoren / Alprazolam 0.4 mg, pod, tid, 2 wk *, CCMD-3 2
Zhang JF 2023 21 6 15 21 7 14 53.17 ± 4.25 52.85 ± 4.32 Suanzaoren / Diazepatn 5 mg, pod, qd, 2 wk *, CCMD-3 2
Zhang QQ 2018 40 19 21 40 18 22 43.33 ± 3.42 42.36 ± 3.57 Suanzaoren / Lorazepam 1 mg, pod, tid, 4 wk * CCMD-3 4
Zhang YX 2013 60 29 31 60 32 28 39.11 ± 5.29 40.94 ± 4.38 Suanzaoren / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Zhou LX 2014 30 11 19 30 10 20 42.1 ± 3.4 42.8 ± 3.1 Suanzaoren / Oryzanol 20 mg, pod, tid, 4 wk *, CCMD-3 4
Zhou CB 2018 42 24 18 42 23 19 38.6 ± 3.1 38.7 ± 3.2 Suanzaoren / Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Chan YY 2015 45 / / 45 / / / / Suanzaoren / Placebo / *, DSM-5 4
Hu LL 2015 60 / / 59 / / / / Suanzaoren / Lorazepam 1 mg, pod, tid, 4 wk , ICD-10 6
Scholey A 2017 82 / / 78 / / / / Suanzaoren / Placebo / , ICSD-3 7
Zeng ZC 2013 50 30 20 50 28 22 41.7 ± 4.2 41.2 ± 3.8 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 5 mg, pod, qd, 4 wk *, CCMD-3 4
Chen JX 2014 35 16 19 35 15 18 34.2 ± 9.46 36.8 ± 10.78 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 2 mg, pod, qd, 4 wk *,, CCMD-3 4
Feng XD 2008 25 / / 23 / / / / Wuling capsule 0.99 g, pod, tid, 8 wk Estazolam 0.4 mg, pod, qd, 8 wk *, CCMD-3 8
Huang XY 2011 50 21 29 50 19 31 44.58 ± 10.25 44.20 ± 7.83 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 5 mg, pod, qd, 4 wk *, CCMD-3 4
Jin X 2012 24 / / 24 / / / / Wuling capsule 0.99 g, pod, tid, 4 wk Bailemian 1.08 g, pod, bid, 4 wk *, DSM-5 4
Li YM 2006 36 20 16 20 11 9 77 ± 9 72 ± 7 Wuling capsule 0.99 g, pod, tid, 4 wk Suanzaoren 0.4 g, pod, qd, 4 wk * DSM-5 4
Liu XY 2018 36 10 26 35 7 28 57.33 ± 9.76 59.45 ± 12.88 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Miu WP 2012 35 / / 34 / / 58–77 58–77 Wuling capsule 0.99 g, pod, tid, 4 wk Oryzanol 10 mg, pod, qd, 4 wk * CCMD-3 4
Wang J 2021 49 30 19 49 27 22 50.48 ± 7.51 49.85 ± 7.90 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Zhang WT 2011 31 17 14 31 16 15 25–58 23–57 Wuling capsule 0.99 g, pod, tid, 4 wk Alprazolam 0.4 mg, pod, qd, 4 wk * CCMD-3 4
Zhu HF 2009 32 14 18 30 15 15 46.2 ± 6.5 45.1 ± 6.2 Wuling capsule 0.99 g, pod, tid, 4 wk Estazolam 2 mg, pod, qd, 4 wk *,, CCMD-3 4
Lin Y 2012 99 28 71 102 26 76 / / Wuling capsule 0.99 g, pod, tid, 4 wk Placebo / , ICD-10 4
Feng JW 2021 34 14 20 34 15 19 45.11 ± 5.05 44.54 ± 5.28 ZRAS 2.25 g, pod, qd, 3 wk Estazolam 2 mg, pod, qd, 3 wk *, CCMD-3 3
Fu JL 2019 43 23 20 43 22 21 53.28 ± 5.24 53.50 ± 5.18 ZRAS 4.5 g, pod, qd, 4 wk CLMD / * CCMD-3 4
Gan JG 2013 60 / / 60 / / 67.2 ± 5.0 66.5 ± 9.2 ZRAS 4.5 g, pod, qd, 4 wk Alprazolam 0.8 mg, pod, qd, 4 wk *,, CCMD-3 4
Huang Y 2013 45 21 24 45 22 23 18.3 ± 5.4 15.4 ± 6.3 ZRAS 2.25 g, pod, qd, 4 wk Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
Li GR 2012 30 13 17 30 15 15 / / ZRAS 2.25 g, pod, qd, 2 wk Estazolam 1 mg, pod, qd, 2 wk *,, CCMD-3 2
Liang Y 2016 40 / / 40 / / / / ZRAS 2.25 g, pod, qd, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Liu HY 2017 60 26 34 60 30 30 / / ZRAS 2.25 g, pod, qd, 2 wk Estazolam 1 mg, pod, qd, 2 wk *, CCMD-3 2
Liu Y 2009 30 12 18 30 13 17 36.9 ± 11.48 37.2 ± 11.36 ZRAS 2.25 g, pod, qd, 4 wk Estazolam 1 mg, pod, qd, 4 wk *, CCMD-3 4
30 13 17 36.9 ± 11.48 37.8 ± 11.38 ZRAS 2.25 g, pod, qd, 4 wk Placebo / *, CCMD-3 4
Liu Z 2021 52 30 22 52 29 23 48.29 ± 6.64 48.63 ± 7.42 ZRAS 4.5 g, pod, qd, 4 wk Zopiclone 3 mg, pod, qd, 4 wk , ICSD-3 4
Qin GX 2007 63 25 38 62 23 39 36.3 35.8 ZRAS 2.25 g, pod, qd, 2 wk Clonazepam 1 mg, pod, qd, 2 wk *, CCMD-3 2
Sun HH 2019 55 24 31 55 28 27 49–73 48–70 ZRAS 2.25 g, pod, qd, 2 wk Estazolam 1 mg, pod, qd, 2 wk *, CCMD-3 2
Wang J 2017 64 39 25 64 38 26 42.6 ± 10.1 42.5 ± 11.3 ZRAS 2.25 g, pod, qd, 4 wk Zopiclone 3 mg, pod, qd, 4 wk *,, CCMD-3 4
Wang X 2017 41 20 21 41 19 22 / / ZRAS 2.25 g, pod, qd, 4 wk Estazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 3
Wu SK 2020 120 48 72 120 45 75 51.07 ± 8.28 50.85 ± 8.96 ZRAS 2.25 g, pod, qd, 4 wk Placebo / *,, DSM-5 4
Xu C 2011 75 35 40 75 33 42 / / ZRAS 2.25 g, pod, qd, 4 wk Alprazolam 1 mg, pod, qd, 4 wk *,, CCMD-3 4
Zhang J 2016 34 16 18 34 17 17 43.5 ± 5.7 43.4 ± 5.3 ZRAS 2.25 g, pod, qd, 3 wk Estazolam 1 mg, pod, qd, 3 wk *, CCMD-3 3
Zhang SN 2018 30 9 21 30 4 26 46.17 ± 9.92 49.70 ± 12.22 ZRAS 2.25 g, pod, qd, 4 wk Zopiclone 7.5 mg, pod, qd, 4 wk *,, CCMD-3 4
30 13 17 46.17 ± 9.92 46.77 ± 11.53 ZRAS 2.25 g, pod, qd, 4 wk Placebo / *,, CCMD-3 4
Zhang YW 2019 41 21 20 41 22 19 43.5 ± 5.7 43.4 ± 5.6 ZRAS 2.25 g, pod, qd, 3 wk Estazolam 1 mg, pod, qd, 3 wk *, CCMD-3 3
Birling Y 2022 38 / / 47 / / / / ZRAS 2.25 g, pod, qd, 4 wk Placebo / DSM-5 4
Zhu X 2022 32 14 18 32 11 21 / / ZRAS 2.25 g, pod, qd, 4 wk Zolpidem tartrate 10 mg, pod, qd, 4 wk DSM-5 4

bid = twice a day, BZYXW = baizi yangxin wan, CCMD-2-R = the Chinese Classification of Mental Disorders, Second Revised Edition, CCMD-3 = the updated version 3 Chinese Classification of Mental Disorders, CG = control group, CLMD = chaihu longgu muli decoction, CSP = chaihu shugan powder, DSM-5 = Diagnostic and Statistical Manual of Mental Disorders-5, HLWDD = Huanglian Wendan decoction, ICD-10 = International Statistical Classification of Diseases and Related Health Problems tenth edition, ICSD-3 = International Classification of Sleep Disorders, Third Edition, IG = intervention group, LXD = longdan xiegan decoction, po = oral administration, qd = once a day, SMC = shumian capsule, SST = shenqi schisandra tablet, tid = 3 times a day, TOL = tianmeng oral liquid, TWBX = tianwang buxin wan, ZRAS = zaoren anshen capsule

*

Clinical effectiveness rate.

PSQI.

Adverse effects rate.