2023 Nutrients

Vitamin D deficiency could accelerate depressive symptoms and suicide risks, and vitamin D supplementation may mitigate these effects.

The paper examines the links between vitamin D deficiency, depression, and suicide from various studies. It hypothesizes that vitamin D could enhance serotonin synthesis and modulate proinflammatory cytokines, both factors in depression and suicide. The paper reviews this hypothesis in the context of the broader health issue of suicide, which is among the leading causes of death worldwide.

This paper then discusses the potential benefits of vitamin D supplementation. Drawing upon indirect evidence suggesting that vitamin D deficiencies may be a risk factor for depression—one of the most common factors in suicide attempts—the paper postulates that vitamin D supplementation could play a role in helping to reduce the risk of depression and thus suicide. The beneficial mechanisms of vitamin D, such as enhancing serotonin synthesis and modulating proinflammatory cytokines, which are associated with depression and suicide, stand as the central contributing factors in this hypothesis.

Vitamin D in Depression: A Potential Bioactive Agent to Reduce Suicide and Suicide Attempt Risk Somoza-Moncada MM, Turrubiates-Hernández FJ, Muñoz-Valle JF, Gutiérrez-Brito JA, Díaz-Pérez SA, Aguayo-Arelis A, Hernández-Bello J

2023 Sleep Medicine Clinics

Acupuncture may enhance the effectiveness of cognitive-behavioral therapy for people suffering from insomnia and related conditions.

The research methodology used in this paper is mainly a theoretical analysis and discussion of the potential synergistic effects of combining cognitive-behavioral therapy for insomnia (CBT-I) and acupuncture. This involves analysis of the current evidence base for the efficacy of acupuncture in treating insomnia and related conditions, along with examination of the practical, logistical, and regulatory aspects of combining these two treatments.

In the discussion of their results, the researchers found that there is a growing body of evidence that supports the potential benefit of acupuncture in treating insomnia and its comorbidities, enhancing the current standard treatment approach of CBT-I. This appears to be an innovative approach that could potentially enhance the treatment effectiveness and outcomes for those struggling with insomnia, though it concurrently raises complex issues in terms of its practical and regulatory implementation.

Acupuncture as an Adjunct Treatment to Cognitive-Behavioral Therapy for Insomnia Kutana S, Mao JJ, Garland SN

2022 Frontiers in Pharmacology

Chinese herbal medicine was effective in treating coronary heart disease patients with anxiety or depression, particularly in improving angina pectoris, and its active compounds could act on the pathological targets of CHD, anxiety, and depression.

The meta-analysis of 32 studies found that Chinese herbal medicine (CHM) was more effective in treating anxiety and depression in patients with coronary heart disease (CHD) compared to control groups, and the efficacy of CHM was similar to Western medicine. Additionally, CHM was shown to improve angina stability in CHD patients with anxiety or depression better than control and Western medicine groups. The study identified the main underlying mechanisms to involve anti-damage/apoptosis, anti-inflammation, antioxidative stress, and maintaining neurotransmitter homeostasis, with certain herbal compounds being most related to CHD, anxiety, and depression.

Evidence and Characteristics of Traditional Chinese Medicine for Coronary Heart Disease Patients With Anxiety or Depression: A Meta-Analysis and Systematic Review Wang B, Teng Y, Li Y, Lai S, Wu Y, Chen S, Li T, Han X, Zhou H, Wang Y, Lu Z, Li H, Ding Y, Ma L, Zhao M, Wang X

2022 Frontiers in Pharmacology

Chinese herbal medicine was effective in treating coronary heart disease patients with anxiety or depression, particularly in improving angina pectoris, and its active compounds could act on the pathological targets of CHD, anxiety, and depression.

The meta-analysis of 32 studies found that Chinese herbal medicine (CHM) was more effective in treating anxiety and depression in patients with coronary heart disease (CHD) compared to control groups, and the efficacy of CHM was similar to Western medicine. Additionally, CHM was shown to improve angina stability in CHD patients with anxiety or depression better than control and Western medicine groups. The study identified the main underlying mechanisms to involve anti-damage/apoptosis, anti-inflammation, antioxidative stress, and maintaining neurotransmitter homeostasis, with certain herbal compounds being most related to CHD, anxiety, and depression.

Evidence and Characteristics of Traditional Chinese Medicine for Coronary Heart Disease Patients With Anxiety or Depression: A Meta-Analysis and Systematic Review Wang B, Teng Y, Li Y, Lai S, Wu Y, Chen S, Li T, Han X, Zhou H, Wang Y, Lu Z, Li H, Ding Y, Ma L, Zhao M, Wang X

2022 Journal of Acupuncture and Meridian Studies

Acupuncture shows promise in improving psychiatric symptoms, physical symptoms, and quality of life in patients with treatment-resistant mood disorders, highlighting its potential as a complementary therapy for these conditions.

This prospective study explored the effects of acupuncture on physical symptoms and quality of life (QoL) in patients with treatment-resistant major depressive disorder (MDD) and bipolar disorder (BD). After 12 weeks of acupuncture treatment, significant improvements were observed in psychiatric symptoms, physical symptoms, and various aspects of QoL. These findings suggest that acupuncture may be beneficial for both the physical and mental well-being of patients with treatment-resistant mood disorders, although further research is needed to validate these preliminary results.

Effect of Acupuncture on Physical Symptoms and Quality of Life in Treatment-Resistant Major Depressive Disorder and Bipolar Disorder: a Single-Arm Longitudinal Study Matsuura Y, Hongo S, Taniguchi H, Yasuno F, Sakai T

2022 Journal of Acupuncture and Meridian Studies

Acupuncture shows promise in improving psychiatric symptoms, physical symptoms, and quality of life in patients with treatment-resistant mood disorders, highlighting its potential as a complementary therapy for these conditions.

This prospective study explored the effects of acupuncture on physical symptoms and quality of life (QoL) in patients with treatment-resistant major depressive disorder (MDD) and bipolar disorder (BD). After 12 weeks of acupuncture treatment, significant improvements were observed in psychiatric symptoms, physical symptoms, and various aspects of QoL. These findings suggest that acupuncture may be beneficial for both the physical and mental well-being of patients with treatment-resistant mood disorders, although further research is needed to validate these preliminary results.

Effect of Acupuncture on Physical Symptoms and Quality of Life in Treatment-Resistant Major Depressive Disorder and Bipolar Disorder: a Single-Arm Longitudinal Study Matsuura Y, Hongo S, Taniguchi H, Yasuno F, Sakai T

2022 Frontiers in Pharmacology

Xiao Yao San has potential as an effective and safe alternative treatment for depression, offering multiple mechanisms of action for its antidepressant effects.

The article discusses the use of Xiaoyaosan, a traditional Chinese medicine formulation, in the treatment of depression. It reviews recent evidence from animal and clinical studies, highlighting the pharmacological mechanisms and effective components involved in the antidepressant effects of Xiaoyaosan. The review explores various factors such as neurotransmitters, neuroplasticity, inflammatory response, gut-brain axis, oxidative stress, and autophagy that contribute to its therapeutic effects. The article emphasizes the potential of Xiaoyaosan as an alternative therapy for depression and provides an overview of its mechanisms of action.

Research progress on classical traditional chinese medicine formula xiaoyaosan in the treatment of depression Chen J, Lei C, Li X, Wu Q, Liu C, Ma Q, Chen J.

2022 Medicine

High prevalence of insomnia, anxiety, and depression among perimenopausal women, emphasizing the importance of exploring acupuncture as a potential green therapy for effectively addressing these interconnected issues.

This passage discusses the prevalence of insomnia among perimenopausal women, its association with anxiety and depression, and the potential of acupuncture as a green therapy for treating these issues. The passage outlines the objectives and methods of a systematic review aiming to evaluate the efficacy of acupuncture in improving sleep quality and alleviating anxiety and depression in perimenopausal women, highlighting the need for safer alternatives to conventional medications and the significance of such a study.

Can acupuncture improve sleep quality and anxiety among women during perimenopause? Ping Y, Liang C, Fan X, Zhang L, Ying D, Wang Z

2022 Evidence-Based Complementary and Alternative Medicine

Xiao Yao San, alone or combined with anxiolytics, assists in better improvement and safety in treating anxiety disorders compared to anxiolytics alone.

The methodology involved a systematic search on PubMed, Cochrane Library, EMBASE, Web of Science, and several Chinese databases for all randomized control trials (RCTs) that have evaluated the use of XYS for treating anxiety disorders until November 2021. The studies were independently screened, and data were extracted by two investigators who also assessed the risk of bias in the selected trials using RevMan5.3 software.

The meta-analysis result shows that the use of XYS, either on its own or together with anxiolytics, showed better improvements in anxiety-related symptoms and fewer adverse drug reactions compared to treatment with anxiolytics only. This suggests that XYS, whether used alone or in conjunction with anxiolytic agents, appears to offer a more effective and safer treatment option for anxiety disorders.

Evaluation of the Safety and Efficacy of Xiao Yao San as a Treatment for Anxiety: A Systematic Review and Meta-Analysis Lin J, Ji Y, Si J, Wang G, Li X, Shen L

2022 Annals of Medicine

The Gui Zhi-Shao Yao herb pair in traditional Chinese medicine potentially treats chronic pain, anxiety, and depression through interactions with nine key targets.

The methodology in this research utilised network pharmacology to explore the active components of the "Gui Zhi-Shao Yao" herb pair and their possible targets. Initially, 15 active compounds were identified through a series of analysis which revealed about 130 potential targets. By considering the intersections between the targets of the "Gui Zhi-Shao Yao" herb pair and chronic pain, anxiety disorder, and mental depression, nine vital targets were identified and listed in order of importance.

The results discussion revealed that the "Gui Zhi-Shao Yao" herb pairing acted on the nine identified key targets to alleviate chronic pain, anxiety, and depression. Gene ontology and pathway analysis demonstrated that there were 11 primary pathways, including AGE-RAGE signalling pathway, IL-17 signalling pathway, and TNF signalling pathway. These pathways appear to be actively involved in the pathological processes, providing a holistic understanding of how the "Gui Zhi-Shao Yao" herb pair functions therapeutically.

A network pharmacology approach to predict potential targets and mechanisms of “Ramulus Cinnamomi (cassiae) – Paeonia lactiflora” herb pair in the treatment of chronic pain with comorbid anxiety and depression Pan HT, Xi ZQ, Wei XQ, Wang K

2022 Annals of Medicine

The Gui Zhi-Shao Yao herb pair in traditional Chinese medicine potentially treats chronic pain, anxiety, and depression through interactions with nine key targets.

The methodology in this research utilised network pharmacology to explore the active components of the "Gui Zhi-Shao Yao" herb pair and their possible targets. Initially, 15 active compounds were identified through a series of analysis which revealed about 130 potential targets. By considering the intersections between the targets of the "Gui Zhi-Shao Yao" herb pair and chronic pain, anxiety disorder, and mental depression, nine vital targets were identified and listed in order of importance.

The results discussion revealed that the "Gui Zhi-Shao Yao" herb pairing acted on the nine identified key targets to alleviate chronic pain, anxiety, and depression. Gene ontology and pathway analysis demonstrated that there were 11 primary pathways, including AGE-RAGE signalling pathway, IL-17 signalling pathway, and TNF signalling pathway. These pathways appear to be actively involved in the pathological processes, providing a holistic understanding of how the "Gui Zhi-Shao Yao" herb pair functions therapeutically.

A network pharmacology approach to predict potential targets and mechanisms of “Ramulus Cinnamomi (cassiae) – Paeonia lactiflora” herb pair in the treatment of chronic pain with comorbid anxiety and depression Pan HT, Xi ZQ, Wei XQ, Wang K

2022 Frontiers in Psychiatry

Acupuncture can be a safe and effective alternative therapy to conventional drugs for improving sleep quality and relieving symptoms in patients with active depression.

The research methodology involved a systematic review of randomized controlled trials focusing on the effect of acupuncture on depression-related insomnia. These studies were identified from seven different databases, dating up until December 2021. The papers included compared acupuncture to controls (waiting list or placebo/sham acupuncture) and conventional treatments (Western pharmacotherapy and/or cognitive-behavioral therapy) either alone or in combination with acupuncture. The analysis followed Cochrane criteria and encompassed a total of 21 trials, including 1,571 participants.

Regarding results, it was found that acupuncture significantly reduced severity metrics of sleep quality and depression for patients who have active depression, compared with placebo-acupuncture. When contrasted with standard care (antidepressants and/or sleeping aids), acupuncture led to improvements in sleep quality and depressive symptom scores. However, for those suffering from the lingering symptoms of past or partially treated depression, the therapeutic benefits of acupuncture were minor and not statistically noteworthy. Unfortunately, no studies were found to review acupuncture's efficacy compared to cognitive-behavioral therapy or its potential synergistic effect when used concurrently.

The Role of Acupuncture in the Management of Insomnia as a Major or Residual Symptom Among Patients With Active or Previous Depression: A Systematic Review and Meta-Analysis Zhao FY, Kennedy GA, Spencer SJ, Conduit R, Zhang WJ, Fu QQ, Zheng Z

2022 Frontiers in Psychiatry

Acupuncture can be a safe and effective alternative therapy to conventional drugs for improving sleep quality and relieving symptoms in patients with active depression.

The research methodology involved a systematic review of randomized controlled trials focusing on the effect of acupuncture on depression-related insomnia. These studies were identified from seven different databases, dating up until December 2021. The papers included compared acupuncture to controls (waiting list or placebo/sham acupuncture) and conventional treatments (Western pharmacotherapy and/or cognitive-behavioral therapy) either alone or in combination with acupuncture. The analysis followed Cochrane criteria and encompassed a total of 21 trials, including 1,571 participants.

Regarding results, it was found that acupuncture significantly reduced severity metrics of sleep quality and depression for patients who have active depression, compared with placebo-acupuncture. When contrasted with standard care (antidepressants and/or sleeping aids), acupuncture led to improvements in sleep quality and depressive symptom scores. However, for those suffering from the lingering symptoms of past or partially treated depression, the therapeutic benefits of acupuncture were minor and not statistically noteworthy. Unfortunately, no studies were found to review acupuncture's efficacy compared to cognitive-behavioral therapy or its potential synergistic effect when used concurrently.

The Role of Acupuncture in the Management of Insomnia as a Major or Residual Symptom Among Patients With Active or Previous Depression: A Systematic Review and Meta-Analysis Zhao FY, Kennedy GA, Spencer SJ, Conduit R, Zhang WJ, Fu QQ, Zheng Z

2022 Frontiers in Neuroscience

Chinese herbal medicine shows promising and safe outcomes in relieving functional dyspepsia symptoms and associated psychological disorders.

The methodology for this research involved a comprehensive search across various libraries and databases, such as PubMed, Embase, Cochrane Library, Web of Science, and various Chinese data sources, seeking randomized controlled trials where functional dyspepsia was treated with Chinese herbal medicine. The aim was to assess the efficacy and safety of this type of treatment for functional dyspepsia. Two researchers independently conducted each stage of the process, from searching the sources, screening the documents, extracting data, and assessing risk biases within the included studies. They used RevMan 5.4 software to do a meta-analysis of the selected research materials.

The discussion of their findings showed that treatment with Chinese herbal medicine significantly alleviated the symptoms of functional dyspepsia, compared to both a placebo group and a group treated with traditional prokinetic agents and flupentixol melitracen. Patients treated with Chinese herbal medicine reported higher total effective rates and lower total symptom scores, along with smaller depression and anxiety scores. The symptoms of functional dyspepsia, in this case, were improved more successfully with Chinese herbal medicine than with other treatment types, without any significant adverse reactions.

Chinese Herbal Medicine for Functional Dyspepsia With Psychological Disorders: A Systematic Review and Meta-Analysis Luo X, Wang L, Fang S, Qing X, Jiang T, Yang Y, Su X, Wei W

2022 Frontiers in Neuroscience

Chinese herbal medicine shows promising and safe outcomes in relieving functional dyspepsia symptoms and associated psychological disorders.

The methodology for this research involved a comprehensive search across various libraries and databases, such as PubMed, Embase, Cochrane Library, Web of Science, and various Chinese data sources, seeking randomized controlled trials where functional dyspepsia was treated with Chinese herbal medicine. The aim was to assess the efficacy and safety of this type of treatment for functional dyspepsia. Two researchers independently conducted each stage of the process, from searching the sources, screening the documents, extracting data, and assessing risk biases within the included studies. They used RevMan 5.4 software to do a meta-analysis of the selected research materials.

The discussion of their findings showed that treatment with Chinese herbal medicine significantly alleviated the symptoms of functional dyspepsia, compared to both a placebo group and a group treated with traditional prokinetic agents and flupentixol melitracen. Patients treated with Chinese herbal medicine reported higher total effective rates and lower total symptom scores, along with smaller depression and anxiety scores. The symptoms of functional dyspepsia, in this case, were improved more successfully with Chinese herbal medicine than with other treatment types, without any significant adverse reactions.

Chinese Herbal Medicine for Functional Dyspepsia With Psychological Disorders: A Systematic Review and Meta-Analysis Luo X, Wang L, Fang S, Qing X, Jiang T, Yang Y, Su X, Wei W

2022 Critical Reviews in Food Science and Nutrition

Vitamin D supplementation, particularly in doses greater than 2,000 IU/day, can help reduce depressive symptoms in adults.

In the methodology, a comprehensive database search (including Medline, PsycINFO, CINAHL and The Cochrane Library) was performed to identify English language articles relating to the impact of Vitamin D on depression in adults, published before April 2022. This meta-analysis considered both general and clinical populations and also included studies of individuals suffering from systemic diseases, but excluded studies involving light therapy, co-supplementation (except calcium), and bipolar disorder. During the assessment of the work, the Cochrane risk-of-bias tool (RoB 2) and GRADE standards were employed to appraise the validity of each study.

The results revealed a positive effect of Vitamin D on alleviating depressive symptoms. Despite the presence of high heterogeneity within included studies and with the majority having concerns related to risk of bias, it was found overall that Vitamin D supplementation, particularly when administered at doses about 2,000 IU/day, could serve as a valuable solution in reducing depressive conditions. This offers an interesting angle for mental health treatment, suggesting the supplement could be a useful addition to standard therapeutic procedures for clinical depression.

The effect of vitamin D supplementation on depressive symptoms in adults: A systematic review and meta‐analysis of randomized controlled trials Mikola T, Marx W, Lane MM, Hockey M, Loughman A, Rajapolvi S, Rocks T, O’Neil A, Mischoulon D, Valkonen-Korhonen M, Lehto SM, Ruusunen A

2022 Frontiers in Pharmacology

Modified Xiao Chai Hu Decoction combined with mirtazapine shows superior effectiveness in treating persistent depressive disorder compared to traditional Chinese medicine alone.

For the study, patients from the Naval General Hospital diagnosed with persistent depressive disorder were selected and divided into two groups. One group received modified Xiaochaihu Decoction only, while the other group was treated with a combination of modified Xiaochaihu Decoction and mirtazapine. To track progress, measurements were taken using the self-rating depression scale and the traditional Chinese medicine scale at the beginning of treatment, and again after a period of 12 weeks. Moreover, an account of any adverse reactions was also kept.

The study results indicate the total effective rate was significantly higher in the combined group compared to the control group. It was also found that while post-treatment scores of the depression scales were lower in both groups, the difference between the groups was not statistically significant. However, the combined group reported higher improvement rates for symptoms like insomnia, bitter taste, languid, and belching/anorexia. An increased frequency of adverse events was also noted in the combined group.

Modified Xiaochaihu Decoction Combined with Mirtazapine in the Treatment of Persistent Depression: A Pilot Randomized Controlled Trial Xin Li, Xiuyu Li, Man Gong, Chaoqun Li, Jing Li, Chao Zhou, Tingting He

2022 Journal of Ethnopharmacology

Xiang Fu, a traditional Chinese herbal medicine, shows significant antidepressant effects.

The study reviewed the major antidepressant mechanisms and clinical applications of Cyperi Rhizoma, known as CR. It aimed to evaluate the pharmacological effects and the chemical compositions associated with these effects. The authors underwent an extensive literature search using "Cyperus rotundus L." as the search term across multiple electronic databases including Web of Science, ScienceDirect, and PubMed.

In discussing the results, the researchers found that CR has broad application in alleviating symptoms related to stagnation of Qi, such as issues with the liver, stomach, and bowels, common in different countries. They identified the effective constituents of CR, including Aqueous extract, EtOH extract, essential oil, total oligomeric flavonoids, and five other extracts. These exhibited various pharmacological activities, such as antibacterial, antioxidant, neuroprotective, antihemolytic, and anti-inflammatory effects. Notably, specific components like α-cyperone and nootkatone showed antidepressant effects. Through synthesizing this scientific information, they concluded that CR holds potential as a herbal medicine to develop antidepressant drugs with fewer side effects.

The association study of chemical compositions and their pharmacological effects of Cyperi Rhizoma (Xiangfu), a potential traditional Chinese medicine for treating depression Lu J, Li W, Gao T, Wang S, Fu C, Wang S

2022 Molecules

Saffron and its bioactive molecules, notably crocins, have been found to be as effective as common antidepressants in treating depression disorders.

The methodology of the research centered on the incredible therapeutic properties of saffron, more specifically its bioactive molecules known as crocins. These molecules were singled out as they have shown a capacity to inhibit monoamine oxidase type A and B. The researchers also conducted experiments with saffron petal extracts, observing their impact on contractile response in electrical field stimulation. There were further investigations into saffron's ability to inhibit the reuptake of monoamines, display -methyl-d-aspartate antagonism, and enhance brain-derived neurotrophic factor signaling.

The discussion of the results highlighted the effectiveness of saffron and its crocins in treating depressive disorders. From several experimental studies, it became apparent that saffron and crocins might perform similarly to fluoxetine and imipramine, both widely accepted antidepressant drugs. As such, the paper suggests that these natural elements found in saffron could offer an alternative treatment method for depression. The limitations, however, as highlighted in the study, were issues surrounding stability and delivery of the herbal treatment.

Anti-Depressant Properties of Crocin Molecules in Saffron Siddiqui SA, Ali Redha A, Snoeck ER, Singh S, Simal-Gandara J, Ibrahim SA, Jafari SM

2021 Annals of General Psychiatry

Acupuncture therapy aimed at reducing anxiety in patients with generalised anxiety disorder has certain beneficial effects compared to controls.

Twenty RCTs were included in this systematic review and meta-analysis. All included studies were designed for patients with generalised anxiety disorder (GAD), and 18 studies were published in Chinese. Egger’s test showed that the asymmetry of the funnel plot in all studies was not significant. The meta-analysis of anxiety symptoms showed that acupuncture was more effective than the control condition, with a standard mean effect size of − 0.41, and that acupuncture intervention showed good tolerance and safety in the treatment of anxiety disorder.

Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials Yang, Xy., Yang, Nb., Huang, Ff. et al.

2021 Evidence-Based Complementary and Alternative Medicine

The comprehensive evaluation results show that scalp acupuncture is effective in treating insomnia.

A total of 21 studies were included in this study, and a total of 1606 cases were included. The comprehensive evaluation results show that scalp acupuncture is effective in treating insomnia. Compared with the control group, scalp acupuncture can significantly improve the effective rate of treating insomnia. The PSQI score subgroup analysis showed that the PSQI score of the head was significantly better than that of the drug and blank group, but there was no significant difference from other acupuncture methods. Sensitivity analysis showed that scalp acupuncture ameliorates the PSQI score better, but excluding any item had high heterogeneity. Meta regression analysis of PSQI score according to different intervention measures in the control group showed that the difference of intervention measures in the control group was the source of heterogeneity. In terms of adverse events, the scalp acupuncture group had no adverse events, which was significantly better than the control group. Based on this study, we found that scalp acupuncture is effective and safe in the treatment of insomnia.

Efficacy and Safety of Scalp Acupuncture for Insomnia: A Systematic Review and Meta-Analysis Fu-gui Liu, Ai-hua Tan, Chao-qun Peng, Yun-xia Tan, Ming-chao Yao

2021 Oxidative Medicine and Cellular Longevity

Pumpkin extract exhibits potential antidepressant effects similar to fluoxetine and ameliorates biochemical and structural changes in rat brains resulting from chronic stress.

The researchers used forty male albino rats, split into four different groups: a negative control group, a chronic unpredictable mild stress (CUMS) group, a fluoxetine-treated group, and a pumpkin-treated group. These rats were exposed to CUMS for 28 days, with the treatments applied during the last 14 days of this exposure period. After these 28 days, the scientists evaluated the behavioral, biochemical, and histopathological alterations in these rats.

The application of pumpkin extract significantly reduced markers of stress and inflammation, while increasing antioxidant levels. Additionally, the extract helped reduce structural damage in the hippocampal region of the brain caused by exposure to CUMS. These effects were comparable to those observed by administering fluoxetine, a conventional antidepressant.

L. Cucurbita pepo Alleviates Chronic Unpredictable Mild Stress via Modulation of Apoptosis, Neurogenesis, and Gliosis in Rat Hippocampus Ayuob N, Shaker SA, Hawuit E, Al-Abbas N, Shaer NA, Al Jaouni S, Mahdi MR

2021 Journal of Trauma Nursing

Auricular acupressure may be a safe and effective technique for reducing burnout and secondary traumatic stress in healthcare workers.

In this prospective randomized trial with an open, parallel-group design, participants were randomized to receive one of three interventions: auricular acupuncture, auricular seed acupressure, or auricular massage. Interventions took place over a period of 3 weeks at a 334-bed Level II pediatric trauma center. Using a pre-/posttest design, the researchers analyzed self-reported scores from the State-Trait Anxiety Inventory, the Professional Quality of Life scale, and the Caring Ability Inventory.

The study found that auricular seed acupressure was associated with a reduction in burnout and secondary traumatic stress. Importantly, this effect remained even after adjusting for individual pretest scores. Attempts at achieving significant effects on anxiety levels, professional quality of life, and caring ability, however, did not yield any significant improvement. Overall, the data suggest that auricular acupressure is a very effective strategy for reducing work-related stress among health care staff.

Effects of Acupuncture and Acupressure on Burnout in Health Care Workers: A Randomized Trial Afrasiabi J, McCarty R, Hayakawa J, Barrows J, Lee K, Plouffe N, Schomberg J

2020 Nature and Science of Sleep

Ten sessions of electroacupuncture can improve the sleep quality of patients with insomnia without serious adverse effects.

Results of the current trial provide supportive evidence that electroacupuncture can be an effective, safe, and well-tolerated non-pharmacological intervention for insomnia, using validated placebo control and validated subjective questionnaires. Further long-term studies with objective sleep measures are needed for a more definitive conclusion.

Efficacy and Safety of Electroacupuncture for Insomnia Disorder: A Multicenter, Randomized, Assessor-Blinded, Controlled Trial Lee B, Kim BK, Kim HJ, Jung IC, Kim AR, Park HJ, Kwon OJ, Lee JH, Kim JH.

2020 Neuropsychiatric Disease and Treatment

Acupuncture is associated with a reduction in the risk of depression during long-term follow-up in patients with trigeminal neuralgia.

In total, 776 patients with newly diagnosed trigeminal neuralgia in each cohort with similar baseline characteristics were enrolled in the study. The acupuncture cohort had a reduced risk of depression compared to the non-acupuncture cohort. Kaplan–Meier analysis also revealed that the cumulative incidence of depression was significantly lower in the acupuncture cohort during the 13-year follow-up period. In particular, the beneficial effect of acupuncture was a decrease in the risk of depression among TN patients aged 50– 69 years who had also used carbamazepine.

Long-Term Beneficial Effects of Acupuncture with Reduced Risk of Depression Development Following Trigeminal Neuralgia: A Nationwide Population-Based Cohort Study Liao CC, Lin CL, Liao KR, Li JM

2020 Frontiers in Aging Neuroscience

Acupuncture appears to be a promising complementary treatment for Alzheimer's disease, according to findings from systematic reviews and meta-analyses.

The study analysed the role of acupuncture as a complementary treatment for Alzheimer's disease by perusing systematic reviews and meta-analyses using data from eight electronic databases. The researchers employed a variety of tools such as the Assessing the Methodological Quality of Systematic Reviews 2, Risk of Bias in Systematic Reviews tool, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and the Grading of Recommendations, Assessment, Development, and Evaluation to determine the quality of methodology, risk of potential bias, and quality of the evidence.

A total of eleven systematic reviews and meta-analyses met the necessary criteria for inclusion in this study. The results, despite indicating that acupuncture may show promise as a complementary treatment for Alzheimer's disease, all rated critically low in quality when assessed with the tools employed. Some methodological weaknesses remained, particularly pertaining to the protocol and registration, search strategy, risk of bias, additional analyses, and funding. Only a small portion of the reviews exhibited a low risk of bias. There was no high-quality evidence found, but moderate-quality evidence was provided for seven outcomes. The risk of bias in the original trials seemed more prevalent than inconsistency, imprecision, and publication bias.

Acupuncture for the Treatment of Alzheimer's Disease: An Overview of Systematic Reviews Huang J, Shen M, Qin X, Wu M, Liang S, Huang Y

2020 Frontiers in Aging Neuroscience

Depressed patients who received acupuncture treatment showed a significantly lower risk of developing Parkinson's disease.

The study was retrospective in nature and was based on data sourced from Taiwan's National Health Insurance Research Database. An equal number of patients (9,189), with and without acupuncture treatment, were selected from the total 48,981 patients newly diagnosed with depression between 2000 and 2012. These study participants were matched 1:1 using the propensity score method. The incidence of Parkinson's disease in these two groups was compared using the Kaplan-Meier method and the difference was examined with a log-rank test. The severity of depression and specific acupoints used were not indicated.

The results indicated a significantly lower risk of developing Parkinson's disease in patients who had undergone acupuncture treatment. Differences in age, sex, insurance amount, geographic region, urbanization levels, comorbidities, and drugs were taken into account. The cumulative effect was such that the incidence was significantly lower in the acupuncture cohort as compared to the non-acupuncture cohort.

Acupuncture Treatment Reduces Incidence of Parkinson's Disease in Patients With Depression: A Population-Based Retrospective Cohort Study in Taiwan Huang CH, Lin MC, Hsieh CL

2019 Aging

Our study offers the first evidence of the positive contribution of tea drinking to brain structure and suggests a protective effect on age-related decline in brain organisation.

Our study comprehensively investigated the effects of tea drinking on brain connectivity at both global and regional scales using multi-modal imaging data (i.e., functional and structural imaging) and provided the first compelling evidence that tea drinking positively contributes to brain structure making network organization more efficient. Our study suggests that tea drinking is effective in preventing (slowing) or ameliorating cognitive decline and that tea drinking might be a simple lifestyle choice that benefits brain health.

Habitual tea drinking modulates brain efficiency: evidence from brain connectivity evaluation Li J, Romero-Garcia R, Suckling J, Feng L.

2019 Evidence-Based Complementary and Alternative Medicine

Acupuncture therapy is an effective and safe treatment for chronic pain-related insomnia.

In our current study, we pooled the data from nine studies involving 944 patients. Our pooled analysis indicated that acupuncture treatment was significantly better than drugs group in improving effective rate and cure rate and in debasing PSQI score and VAS score. In addition, compared with sham acupuncture, manual acupuncture treatment has an advantage in improving the effective rate and reducing the PSQI score, but the two groups have no statistical significance in improving the cure rate. In this meta-analysis, only four studies reported relevant adverse events. The combined data showed no significant difference in adverse reactions between acupuncture group and control group. Therefore, we can carefully recommend that acupuncture is as safe as control group for CPRI. In addition, adverse events were relatively mild, mainly including bruises, soreness, nausea, dizziness, and other discomforts. These adverse events can be effectively avoided by strengthening the aseptic operation specification, and improving the professional ability of doctors. Based on the findings of our included studies, we propose that acupuncture is an effective and safe therapy for patients with CPRI.

Acupuncture for Chronic Pain-Related Insomnia: A Systematic Review and Meta-Analysis Fushui Liu, Jianyu You, Qi Li, Ting Fang, Mei Chen, Nana Tang, Xiaojun Yan

2019 Frontiers in Psychiatry

Evidence indicates that acupuncture treatment may be of benefit in several neuropsychiatric disorders, including depression, anxiety, schizophrenia, and Alzheimer's Disease.

The pathophysiology of these disorders may be associated with glutamate dysregulation, marked by a high rate of glutamate release and elevated expression of glutamate receptors and glutamate transporters in the CNS. The ability of acupuncture stimulation to modulate glutamate receptor and EAAT expression suggests that the treatment effects of acupuncture are underpinned by its intervention in the dysregulated glutamate system. Further preclinical and clinical studies are needed to clarify the possible mechanisms of acupuncture in these neuropsychiatric disorders and to establish protocols for treatment guidelines.

The Effects of Acupuncture on Glutamatergic Neurotransmission in Depression, Anxiety, Schizophrenia, and Alzheimer's Disease: A Review of the Literature Tu CH, MacDonald I, Chen YH

2019 Frontiers in Psychiatry

Evidence indicates that acupuncture treatment may be of benefit in several neuropsychiatric disorders, including depression, anxiety, schizophrenia, and Alzheimer's Disease.

The pathophysiology of these disorders may be associated with glutamate dysregulation, marked by a high rate of glutamate release and elevated expression of glutamate receptors and glutamate transporters in the CNS. The ability of acupuncture stimulation to modulate glutamate receptor and EAAT expression suggests that the treatment effects of acupuncture are underpinned by its intervention in the dysregulated glutamate system. Further preclinical and clinical studies are needed to clarify the possible mechanisms of acupuncture in these neuropsychiatric disorders and to establish protocols for treatment guidelines.

The Effects of Acupuncture on Glutamatergic Neurotransmission in Depression, Anxiety, Schizophrenia, and Alzheimer's Disease: A Review of the Literature Tu CH, MacDonald I, Chen YH

2019 Frontiers in Psychiatry

Evidence indicates that acupuncture treatment may be of benefit in several neuropsychiatric disorders, including depression, anxiety, schizophrenia, and Alzheimer's Disease.

The pathophysiology of these disorders may be associated with glutamate dysregulation, marked by a high rate of glutamate release and elevated expression of glutamate receptors and glutamate transporters in the CNS. The ability of acupuncture stimulation to modulate glutamate receptor and EAAT expression suggests that the treatment effects of acupuncture are underpinned by its intervention in the dysregulated glutamate system. Further preclinical and clinical studies are needed to clarify the possible mechanisms of acupuncture in these neuropsychiatric disorders and to establish protocols for treatment guidelines.

The Effects of Acupuncture on Glutamatergic Neurotransmission in Depression, Anxiety, Schizophrenia, and Alzheimer's Disease: A Review of the Literature Tu CH, MacDonald I, Chen YH

2019 Frontiers in Psychiatry

Evidence indicates that acupuncture treatment may be of benefit in several neuropsychiatric disorders, including depression, anxiety, schizophrenia, and Alzheimer's Disease.

The pathophysiology of these disorders may be associated with glutamate dysregulation, marked by a high rate of glutamate release and elevated expression of glutamate receptors and glutamate transporters in the CNS. The ability of acupuncture stimulation to modulate glutamate receptor and EAAT expression suggests that the treatment effects of acupuncture are underpinned by its intervention in the dysregulated glutamate system. Further preclinical and clinical studies are needed to clarify the possible mechanisms of acupuncture in these neuropsychiatric disorders and to establish protocols for treatment guidelines.

The Effects of Acupuncture on Glutamatergic Neurotransmission in Depression, Anxiety, Schizophrenia, and Alzheimer's Disease: A Review of the Literature Tu CH, MacDonald I, Chen YH

2019 Current Medical Science

Acupuncture yielded positive results for Alzheimer's Disease as determined via clinical efficacy rate, Mini-Mental State Examination score, Ability of Daily Living Scale score and Alzheimer’s Disease Assessment Scale-Cognition score.

Eight databases were searched for articles published up to and including July 2017, and 13 studies fulfilling the inclusion criteria were identified. The main outcomes assessed were clinical efficacy rate, Mini-Mental State Examination score, Ability of Daily Living Scale score, Alzheimer’s Disease Assessment Scale-Cognition score, Hasegawa’s Dementia Scale (HDS) score, and adverse events. The methodological quality of the articles was assessed using Cochrane’s risk of bias. All the studies compared the efficacy of acupuncture with that of medication, and were published in Chinese journals. Meta-analysis revealed that acupuncture yielded positive results as determined via all the indexes scored except the HDS. Only one of the studies reported adverse events associated with acupuncture and medication. The rate of adverse events in the medication group was 13%. In most of the studies assessed in the current meta-analysis, acupuncture alone was better than conventional western medicines for the treatment of AD.

Effectiveness of Acupuncture for Alzheimer's Disease: An Updated Systematic Review and Meta-analysis Huang, Q., Luo, D., Chen, L. et al.

2019 Acta Obstetricia et Gynecologica Scandinavica

Acupuncture during IVF treatment can possibly lower anxiety at the time of embryo transfer but seems to have no long-term impact on women's quality of life.

A multicenter randomised controlled trial was conducted recruiting women between 18 to 42 years, who were already undergoing a fresh IVF cycle and not using acupuncture. The experiment ran between June 2011 and October 2015 in Australia and New Zealand. Random assignments placed participants in either the acupuncture group or a control group which received sham acupuncture. Three treatments were administered in total - the first between the 6th and 8th day of ovarian stimulation, and the other two on the day of the embryo transfer.

The results of the study highlighted that participants who received acupuncture reported experiencing significantly less anxiety following the embryo transfer. However, no discernible difference was found between the groups in terms of quality of life following the embryo transfer. The apparent benefit of acupuncture on the general health of participants was not sustained 14 weeks after the trial, which indicates that acupuncture might not have a long-term impact on a woman's emotional well-being following an IVF cycle.

The effects of acupuncture on the secondary outcomes of anxiety and quality of life for women undergoing IVF: A randomized controlled trial Smith CA, de Lacey S, Chapman M, Ratcliffe J, Norman RJ, Johnson NP, Fahey P

2019 Nutrition Reviews

Saffron shows promising effectiveness in alleviating symptoms of depression and anxiety and augmenting the effects of antidepressants.

The research was carried out following the PRISMA guidelines and performed a comprehensive literature review of randomized controlled trials to study the impact of saffron supplementation on symptoms of depression and anxiety. This included both cases where saffron was used alone as a therapy and cases where it was used in conjunction with other treatments. The quality and risk of bias in these studies were evaluated using the Jadad scale.

In this analysis, the result of saffron supplementation was compared against placebo and regular pharmacotherapy. It was concluded that using saffron had a notable positive effect in relieving symptoms of depression and anxiety when compared with a placebo. Additionally, it was found that saffron also demonstrated a sizeable positive effect when used alongside antidepressants in treating depressive symptoms. Nonetheless, the Egger's regression test pointed out evidence of publication bias in this area of study.

Effect of saffron supplementation on symptoms of depression and anxiety: a systematic review and meta-analysis Marx W, Lane M, Rocks T, Ruusunen A, Loughman A, Lopresti A, Marshall S, Berk M, Jacka F, Dean OM

2019 Nutrition Reviews

Saffron shows promising effectiveness in alleviating symptoms of depression and anxiety and augmenting the effects of antidepressants.

The research was carried out following the PRISMA guidelines and performed a comprehensive literature review of randomized controlled trials to study the impact of saffron supplementation on symptoms of depression and anxiety. This included both cases where saffron was used alone as a therapy and cases where it was used in conjunction with other treatments. The quality and risk of bias in these studies were evaluated using the Jadad scale.

In this analysis, the result of saffron supplementation was compared against placebo and regular pharmacotherapy. It was concluded that using saffron had a notable positive effect in relieving symptoms of depression and anxiety when compared with a placebo. Additionally, it was found that saffron also demonstrated a sizeable positive effect when used alongside antidepressants in treating depressive symptoms. Nonetheless, the Egger's regression test pointed out evidence of publication bias in this area of study.

Effect of saffron supplementation on symptoms of depression and anxiety: a systematic review and meta-analysis Marx W, Lane M, Rocks T, Ruusunen A, Loughman A, Lopresti A, Marshall S, Berk M, Jacka F, Dean OM

2019 Phytotherapy Research

Chamomile has demonstrative positive effects on generalized anxiety disorders and sleep quality, but exhibits minimal impact on state anxiety and insomnia.

The methodology of this study involved rigorous systematic review and meta-analysis across multiple databases, including PubMed, Science Direct, Cochrane Central, and Scopus. The aim was to determine the efficacy and safety of chamomile for managing state anxiety, generalized anxiety disorders, sleep quality and insomnia in humans. Relevant randomized control trials were retrieved, yielding a total of 12 trials used for this study. Statistical analyses were performed with the meta package of R statistical software version 3.4.3 and RevMan version 5.3.

The results indicated that chamomile had a significant positive effect on generalized anxiety disorders (GAD) and improved sleep quality. Improvements in GAD were observed after 2 and 4 weeks of chamomile treatment. However, no significant effects were noted in the treatment of state anxiety or insomnia. Mild adverse events were reported in three trials. In conclusion, chamomile was determined to be effective and safe for treating GAD and improving sleep quality, but showed less impact on state anxiety and insomnia.

Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta‐analysis of randomized trials and quasi‐randomized trials Hieu TH, Dibas M, Surya Dila KA, Sherif NA, Hashmi MU, Mahmoud M, Trang NTT, Abdullah L, Nghia TLB, Y MN, Hirayama K, Huy NT

2018 Medicine

Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes.

Overactive bladder is stated as the occurrence of urinary urgency which will cause negative impacts and decrease patients’ health-related quality of life. The aim of this systematic review is to assess the efficiency and safety of acupuncture for adults with overactive bladder (OAB) comparing with sham-acupuncture, drugs, and acupuncture plus drugs.

Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes. However, the evidence is insufficient to show the effect using acupuncture alone or the additional effect to drugs in treating OAB.

Acupuncture for adults with overactive bladder: A systematic review and meta-analysis of randomized controlled trials Zhao Y, Zhou J, Mo Q, Wang Y, Yu J, Liu Z.

2018 Journal of Traditional and Complementary Medicine

Gan Mai Da Zao Tang, a traditional herbal formula, produced substantial antidepressant-like effects in rats by regulating monoamine neurotransmitters.

The researchers studied the antidepressant effects of Gan-Mai-Da-Zao-Tang and its constituent ingredients in rats subjected to the forced swim test. 72 male Nerl: Wistar rats aged 8 weeks were divided into groups receiving either a control solution, licorice, wheat, jujube, Gan-Mai-Da-Zao-Tang in a specific ratio, or Prozac. These substances were administered orally for 21 days. On the final day, the forced swimming test was performed which initially involved a pretest lasting 15 minutes followed by a 5 minute real test. Following this, the rats were euthanized and their brain tissues were collected for analysis of monoamine concentrations.

Discussion on the results revealed that the Gan-Mai-Da-Zao-Tang group exhibited significantly reduced immobility time and certain monoamine turnover rates, and showed an increase in concentration of some neurotransmitters in the brain tissues compared to the control group. This indicates a potent antidepressant-like effect by modulating these monoamines concentrations. In contrast, the licorice, wheat, and jujube groups didn't display significant differences when compared with the control group. Prozac, the positive control, resulted in significant reductions in body weight and appetite.

Antidepressant-like effects of Gan-Mai-Dazao-Tang via monoamine regulatory pathways on forced swimming test in rats Huang HL, Lim SL, Lu KH, Sheen LY

2017 Evidence-Based Complementary and Alternative Medicine

Jujube possesses neuroprotective activities, including protecting neuronal cells against neurotoxin stress, stimulating neuronal differentiation, increasing expression of neurotrophic factors, and promoting memory and learning.

Jujube possesses neuroprotective activities, including protecting neuronal cells against neurotoxin stress, stimulating neuronal differentiation, increasing expression of neurotrophic factors, and promoting memory and learning. Flavonoid, cAMP, and jujuboside could be the potential bioactive ingredients to account for the aforesaid biological activities. These findings imply that jujube is a potential candidate for development of health supplements for prevention and/or treatment of neurological diseases.

A Review of Dietary Ziziphus jujuba Fruit (Jujube): Developing Health Food Supplements for Brain Protection Chen J, Liu X, Li Z, et al.

2017 Phytomedicine

Green tea consumption was shown to reduce psychopathological symptoms like anxiety and was also shown to effect cognition, with noted benefits for memory and attention. Green tea was also linked with the activation of working memory as seen in functional MRI.

The effects of green tea cannot be attributed to a single constituent of the beverage. This is exemplified in the finding that beneficial green tea effects on cognition are observed under the combined influence of both caffeine and l-theanine, whereas separate administration of either substance was found to have a lesser impact.

Green tea effects on cognition, mood and human brain function: A systematic review Mancini E, Beglinger C, Drewe J, Zanchi D, Lang UE, Borgwardt S

2017 Journal of Physics Conference Series

Acupuncture treatment effectively improved the quality of sleep and the quality of life for chronic hemodialysis patients.

Twenty-eight hemodialysis patients suffering from insomnia were divided randomly into two groups, an acupuncture group (n = 15) who received acupuncture treatment at the points HT7 Shenmen, PC6 Neiguan, GV20 Baihui, and EX-HN1 Sishenchong, anda control group (n = 13) who underwent a sham procedure in which a needle was inserted into an elastic bandage at the same points. The acupuncture treatment was done during hemodialysis twice a week for five weeks. PSQI scores and the WHOQOL-BREF were assessed before treatment, after the fifth treatment, and at the end of the treatment. Significant differences were found in the PSQI score and in the WHOQOL-BREF between the acupuncture group and the control group by the end of the period of treatment. Acupuncture treatment effectively improved the quality of sleep and the quality of life for these chronic hemodialysis patients.

The effect of acupuncture treatment for insomnia in chronic hemodialysis patients J A Widjaja, C Simadibrata, A Srilestari, M B H Marbun

2017 Mindfulness

iRest Yoga Nidra combined with acupuncture significantly improves psychological health in veterans compared to using acupuncture alone.

The study employed iRest Yoga Nidra, a mindfulness approach that promotes relaxation and focused attention, along with acupuncture. Initially developed for military use, iRest was combined with acupuncture in this exploratory study to determine its effectiveness. Specifically, this was tested on veterans with a view to improving their psychological health. Throughout the study, the participants were exposed to principles such as non-judgment and observation of opposing feelings and emotions, along with the inclusion of these principles into their everyday life.

The analysis of results showed that the combined therapy using iRest and acupuncture had a marked effect on psychological health. There were significant improvements in areas such as depression, psychological symptom severity, depression or tension as a result of pain, and the emotional interference with activities of daily life. Conversely, the group that had only undergone acupuncture treatment showed no significant benefits in these areas. Also significant was that the comfort shown by the treatment group was a moderate to high degree in contrast to the low comfort experienced by the group receiving only acupuncture. The overall treatment condition demonstrated considerable changes, with veterans reporting substantive decreases in the levels of mild, moderate, and severe depression. Additionally, it was indicated that the benefits of the combined treatment did not differ across factors such as age, gender, or race.

The Effect of Mindfulness and Acupuncture on Psychological Health in Veterans: an Exploratory Study Wheeler MS, Glass CR, Arnkoff DB, Sullivan P, Hull A

2016 BMC Complementary Medicine and Therapies

Our results suggest that acupuncture could be effective for treating insomnia after stroke.

A total of 165 studies were identified; 13 RCTs met our inclusion criteria. Meta-analysis showed that acupuncture appeared to be more effective than drugs for treatment of insomnia after stroke, as assessed by the PSQI and by the efficacy standards of Chinese medicine. Intradermal acupuncture had significant effects compared with sham acupuncture, as assessed by the ISI and the AIS.

Acupuncture for insomnia after stroke: a systematic review and meta-analysis Lee SH, Lim SM

2015 Sleep Medicine

Chinese herbal medicine was superior to placebo and benzodiazepine drugs and was superior to benzodiazepines and psychotherapy alone as an adjunct therapy in terms of subjective sleep quality and quantity and safety.

In this study, we systematically reviewed 79 RCTs investigating a variety of Chinese herbal medicine (CHM) treatments for participants with insomnia. We also performed meta-analyses to estimate the efficacy of CHM on subjective sleep quality assessed by validated instruments, patient-rated sleep parameters, clinician-reported severity, and PSG results, as well as to determine the safety of CHM.

Overall, this systematic review and meta-analysis showed that CHM was superior to placebo and benzodiazepine drugs (BZDs) when used as a monotherapy and was superior to BZDs and psychotherapy alone as an adjunct therapy in terms of subjective sleep quality and quantity and safety. CHM was not associated with more benefit than non-BZDs, although the risks were less. These results suggest that CHM could be a promising alternative therapy with a good benefit–risk ratio.

Updated clinical evidence of Chinese herbal medicine for insomnia: a systematic review and meta-analysis of randomized controlled trials Xiaojia Ni, Johannah Linda Shergis, Xinfeng Guo, Anthony Lin Zhang, Yan Li, Chuanjian Lu, Charlie Changli Xue

2015 Evidence-Based Complementary and Alternative Medicine

TCM pattern-based treatments for depression frequently use Xiao Yao and Chai Hu Shu Gan decoctions, with Bai Shao and Chai Hu herbs common across different TCM patterns.

The methodology incorporated a systematic review of randomized controlled trials from both Chinese and English literatures regarding traditional Chinese medicine (TCM) pattern-based treatments for depression. This encompassed a total of 61 studies and 2504 subjects across 27 TCM patterns. Due to varied TCM patterns among participants, the analysis focused on the four most prevalent ones: liver qi depression, liver depression and spleen deficiency, dual deficiency of the heart and spleen as well as liver depression and qi stagnation.

In the discussion of results, it was found that Xiaoyao decoction was most frequently used for the treatment of liver qi depression and liver depression with spleen deficiency, whereas Chaihu Shugan decoction was typically used for liver depression and qi stagnation. Commonly used herbs regardless of the prescribed Chinese herbal formulas included Bai Shao and Chai Hu. Typically, the individual studies did not provide an underlying rationale for herb selection, limiting the conclusions one could draw regarding the efficacy of certain herbal formulas and the response of specific TCM patterns to these treatments.

Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review Yeung WF, Chung KF, Ng KY, Yu YM, Zhang SP, Ng BFL, Ziea ETC

2013 International Review of Neurobiology

The clinical efficacy of acupuncture appeared to be supported by evidence obtained from basic neuroendocrinological studies.

A number of studies have demonstrated that acupuncture may modulate a wide range of neuroendocrinological factors following stimulation of acupoints. Evidence has suggested that the clinical efficacy of acupuncture in treatment of insomnia is potentially mediated by a variety of neurotransmitters including norepinephrine, melatonin, gamma-aminobutyric acid, and β-endorphin. However, due to the complexity, these findings are far from conclusive. More research is necessary. More rigors methodology and integrated approach to evaluate both clinical and basic research evidence are required for future studies.

Acupuncture for the treatment of insomnia Kaicun Zhao

2013 Evidence-Based Complementary and Alternative Medicine

Evidence of effectiveness of acupuncture for PTSD is encouraging but not cogent. Acupuncture may be a relatively safe alternative for PTSD in contrast to SSRI, if long-term therapy is needed for treatment.

This is the first systematic review and meta-analysis of prospective clinical trials on the effectiveness of acupuncture for treatment of PTSD. Only 4 RCTs and 2 UCTs met the inclusion criteria for this review. Our main finding of this review is that acupuncture is effective for PTSD based on one high-quality RCT and a meta-analysis.

Acupuncture has positive effects in PTSD patients, although the evidence is still lacking as to its true efficacy for this condition.

Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials Young-Dae Kim, In Heo, Byung-Cheul Shin, Cindy Crawford, Hyung-Won Kang, Jung-Hwa Lim,

2009 The Journal of Alternative and Complementary Medicine

Clinical studies have shown that acupuncture may have a beneficial effect on insomnia compared with Western medication.

Forty-six (46) randomized trials involving 3811 patients were included, and the methodological quality of trials was generally fair in terms of randomization, blinding, and intention-to-treat analysis. Meta-analyses showed a beneficial effect of acupuncture compared with no treatment and real acupressure compared with sham acupressure on total scores of Pittsburgh Sleep Quality Index. Acupuncture was superior to medications regarding the number of patients with total sleep duration increased for >3 hours. However, there was no difference between acupuncture and medications in average sleep duration. Acupuncture plus medications showed better effect than medications alone on total sleep duration. Similarly, acupuncture plus herbs was significantly better than herbs alone on increase of sleep rates. There were no serious adverse effects with related to acupuncture treatment in the included trials.

Acupuncture for Treatment of Insomnia: A Systematic Review of Randomized Controlled Trials Cao H, Pan X, Li H, Liu J.