Depression is a common affective disorder characterized by significant and persistent low mood. Traditional Chinese medicine (TCM) attributes depression to emotional disturbances, classifying it as a mood disorder. Chinese herbal formulas have unique advantages and higher safety profiles in treating depression, despite challenges such as complexity in herb combinations, varying efficacy, and potential side effects. Currently, Chinese patent medicines and decoctions are widely used in the clinical treatment of depression, yielding positive results. This article summarizes recent research on the pharmacological effects of Chinese herbal formulas and single herbs with antidepressant properties, analyzing them from three aspects: chemical composition, pharmacological mechanism, and adverse reactions. The aim is to provide references for the clinical application of Chinese herbal formulas in treating depression and to suggest directions for future research.
Li W, Li ZY, 2024, Theory of Stagnation Syndrome in Traditional Chinese Medicine. People’s Medical Publishing House, Beijing, 538.
Peng QH, 2024, Self-study Encyclopedia of Traditional Chinese Medicine. Chemical Industry Press, Beijing, 477.
Tang QS, 2024, Clinical Application of Stone Medicines. People’s Medical Publishing House, Beijing, 652.
Liang WY, He HL, Jia HY, 2025, Relationship between Diversified Application of Chinese Herbal Medicines and Long-term Rehabilitation Quality of Patients with Neurological Sequelae. Journal of Traditional Chinese Medicine Management, 33(5): 109–111.
Zhou SY, Zhang KR, Yin Q, et al., 2016, Exploring the Syndrome Differentiation and Medication Rules of Traditional Chinese Medicine Combined with ICIs in the Treatment of Lung Cancer Based on Data Mining. Journal of Liaoning University of Traditional Chinese Medicine, 2016(8): 1–11.
Qiu XJ, 2024, Evaluation of the Influence of the Quality of Chinese Herbal Medicine Dispensing on the Rationality of Chinese Medicine Prescriptions and the Safety of Clinical Medication. Sichuan International Medical Exchange Promotion Association. Medical Nursing Innovation Academic Exchange Conference Proceedings (Smart Medicine). Navy Qingdao Special Service Sanatorium Department of Traditional Chinese Medicine, 425–427.
Wang J, Zhu XN, Wang XD, et al., 2025, Current Status, Challenges, and Potential Strategies of traditional Chinese Medicine in the Treatment of Primary Hepatocellular Carcinoma. Journal of Southwest Medical University, 48(2): 111–115.
Zhao Y, 2024, Analysis of Medication Rules of Professor Jiang Lihong in Treating Hypertension Complicated with Anxiety/depression Based on Data Mining Technology, thesis, Changchun University of Traditional Chinese Medicine.
Gong HT, Ruan JB, Wang YQ, 2024, Pharmaceutical Administration and Regulations. Chemical Industry Press, Beijing, 282.
Li Y, 2024, Theory of “Yin and Yang of Heart” and the Occurrence of Heart-related Insomnia, thesis, Zhejiang Chinese Medical University.
Hao QY, Li P, He QY, et al., 2022, Treatment of Depression from the Perspective of Shaoyin Disease. China Journal of Traditional Chinese Medicine Information, 11(3): 1–6.
Wang W, 2023, Three-Factor Theory of Syndromes in Traditional Chinese Medicine. People’s Medical Publishing House, Beijing, 202.
Fan CX, Li PF, Yu DH, 2025, Exploration of the “Five Discriminations” Theory in Preventive Treatment of Disease in Traditional Chinese Medicine. Shanghai Journal of Traditional Chinese Medicine, 59(1): 28–32.
Yu XW, 2019, Exploring the Syndrome Differentiation and Medication Rules of Depression Based on the Theory of Stagnation Syndrome in Traditional Chinese Medicine, thesis, Shandong University of Traditional Chinese Medicine.
Zhao HQ, Feng PC, Zhang X, et al., 2023, Effects of Genistein on Microglia Activation and HMGB1/TLR4 Pathway in Stroke Rats. Chinese Journal of Gerontology, 43(18): 4504–4508.
Hang HQ, Yu MS, Ye Y, et al., 2024, Pharmacokinetic Analysis of Total Alkaloids from Corydalis saxicola in a Depression Model Rat. Chinese Journal of Experimental Traditional Medical Formulae, 30(14): 175–183.
Bai LM, 2024, Observation on the Therapeutic Effect of Chaihu Shugan Powder Combined with Ear Acupuncture in Treating Post-stroke Depression with Liver Qi Stagnation Syndrome. Journal of Practical Traditional Chinese Medicine, 40(11): 2134–2136.
Li Y, Wang JD, Yao J, 2025, Clinical Observation on the Effect of Chaihu-like Prescriptions in Treating Dry Eye Patients with Anxiety and Depression. Chinese Journal of Ophthalmology of Integrative Medicine, 35(3): 219—224 + 231.
Li DF, 2024, Research on the Characteristics of Traditional Chinese Medicine Syndrome Elements and Clinical Intervention of Chronic Heart Failure with Depression based on Data Mining, thesis, Beijing University of Traditional Chinese Medicine.
Ma LB, 2021, Basic Theory and Application of Plant Extracts. Chemical Industry Press, Beijing, 277.
Cai CC, 2023, Study on the Regulatory Effect of Yulangshan Polysaccharide on Metabolism and Gut Microbiota in Chronically Stressed Depressed Rats, thesis, Shanxi University.
Ding ML, Gao M, Bao YW, et al., 2024, Protective Effect of Jingfang Granules on Alcoholic Liver Injury in Mice Based on the p62-Keap1-Nrf2 Signaling Pathway. Chinese Traditional and Herbal Drugs, 55(19): 6588–6598.
Zhang ML, 2024, Effect of Yixinshu Capsule on SAQ, SDS, and SAS Scores in Patients with Coronary Heart Disease and Depression. Cardiovascular Disease Prevention and Control Knowledge, 14(11): 60–62.
Gao JB, Li YD, Yang SZ, et al., 2017, Effects of Yixinshu Capsule on Quality of Life and Anxiety and Depression in Patients after Percutaneous Coronary Intervention. Chinese Journal of New Drugs, 26(10): 1148–1151.
Gao JB, Li YD, Yang SZ, 2017, Effects of Yixinshu Capsule on Anxiety, Depression, and Quality of Life after Acute Myocardial Infarction. World Chinese Medicine, 12(5): 1068–1071.
Li C, Jiang J, 2017, Effects of Yixinshu Capsule on Quality of Life and Anxiety and Depression in Patients after PCI. Journal of Nanjing University of Traditional Chinese Medicine, 33(3): 242–244.
Qin ZL, Li RQ, Tan C, et al., 2024, Network Meta-analysis of Chinese Patent Medicines for the Treatment of Cardiac Neurosis. Journal of Integrated Traditional Chinese and Western Medicine for Cardiocerebrovascular Diseases, 22(15): 2696–2707.
Cai XS, 2024, SIK2/CRTC1 Pathway Reduces Hippocampal Synaptic Plasticity and Participates in the formation of Liver Stagnation Syndrome during Perimenopausal Syndrome, thesis, Fujian University of Traditional Chinese Medicine.
Fang LZ, Du XP, 2024, Clinical Practice of Geriatrics in General Practice. People’s Medical Publishing House, Beijing, 1020.
Luo N, Wang SL, Li M, et al., 2025, Exploring the Pathogenesis and Treatment Ideas of Gastric Cancer after Surgery Based on “Deficiency, Stagnation, Toxicity, and Stagnation”. Journal of Basic Theory of Chinese Medicine, 1–8.
Liu J, 2022, Practical Handbook of Chinese Materia Medica. Chemical Industry Press, Beijing, 848.
Pang Q, 2022, Clinical Observation and Related Mechanism Discussion on the Treatment of Graves’ Disease with Syndrome Differentiation Combined with Sequential Syndrome Differentiation, thesis, China Academy of Chinese Medical Sciences.
Liang S, Sun H, Ding Y, et al., 2024, Simultaneous Determination of Aristolochic Acid I and Aristolochic Acid II in Tongdi Capsules by UPLC-MS/MS. Modern Chinese Medicine, 26(8): 1307–1311.
Chen XP, Xia LF, Li XM, et al., 2024, Application of Zebrafish Experimental Model in Biological Activity Evaluation. Today’s Pharmacy, 34(5): 387–400.
Yu ZY, 2024, Pharmaceutical Service Technology. Chemical Industry Press, Beijing, 261.
Xia JG, Yuan MX, Cai XL, et al., 2025, Chinese Expert Consensus on Comprehensive Management of Patients with Cardiovascular-Kidney-Metabolic Syndrome. Chinese Journal of Cardiovascular Research, 23(3): 193–228.