Evidence map›Paper›PMID 40596629›Full record

SynthesisScientific reports2025

A systematic review and meta-analysis of shugan jieyu capsule combined with escitalopram in the treatment of senile depression.

Xing Tang, Chengcheng Wang, Qinwan Huang, Chunxia Yang, Shoujen Lan, Yeayin Yen, Congcong Yu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xing TangCollege of Acupuncture-Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Chengcheng WangSub-Health Clinical Detection and Evaluation Laboratory, Sichuan Integrative Medicine Hospital, Chengdu, China.
Qinwan HuangCollege of Acupuncture-Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Chunxia YangDepartment of Epidemiology and Biostatistics, Sichuan University, Chengdu, China.
Shoujen LanDepartment of Healthcare Administration, Asia University, Taichung, China.
Yeayin YenDepartment of Healthcare Administration, Asia University, Taichung, China.
Congcong YuSub-Health Clinical Detection and Evaluation Laboratory, Sichuan Integrative Medicine Hospital, Chengdu, China. ycc71@163.com.

Funding

Chengdu Science and Technology Bureau Project 2022-YF05-01932-SNProject of Science and Technology Department of Sichuan Province 2022YFS0446Sichuan Province Traditional Chinese Medicine Development Special Fund Support T000011947436
6 · The paper itself

Abstract

To evaluate the synergistic effect of the Shugan Jieyu Capsule combined with Escitalopram in the treatment of senile depression. The study protocol has been registered in PROSPERO with registration number CRD42023440270. Eight databases, including PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Network (CNKI), China Biomedical Literature Database (CBM), VIP database, and Wanfang Database, were searched, respectively. Randomized controlled trial (RCTs) of the Shugan Jieyu Capsule combined with Escitalopram in the treatment of senile depression was included. The search time was from the listing of Shugan Jieyu Capsule (2009) to January 1, 2025. Outcome measures included Total effective rate, Hamilton Depression Scale (HAMD) score, Hamilton Anxiety Scale (HAMA) score, serum 5-hydroxytryptamine (5-HT), serum norepinephrine (NE), and Incidence of adverse reactions. The treatment period should be at least 6 weeks. Data extraction and methodological quality evaluation were carried out for the included literature, and statistical analysis was performed using RevMan 5.3 software. Finally, the Grading of Recommendations Assessment, Development and Evaluation (GRADE ) system was used to assess the quality of the evidence. A total of 8 RCTs were included in the study, with a total of 765 patients. The results of this meta-analysis showed that the combination of Shugan Jieyu Capsule and Escitalopram could improve Total effective rate [OR = 4.25, 95%CI(2.53, 7.14), P<0.00001] and reduce HAMD score in terms of clinical symptom indicators [SMD=-1.26, 95%CI(-1.45, -1.08), P<0.00001], and decrease HAMA score [SMD=-0.82, 95%CI(-1.05, -0.59), P<0.00001]. In terms of laboratory indexes, serum 5-HT levels could be increased in the combined group [MD = 31.92, 95%CI(28.34, 35.50), P < 0.00001]. In terms of safety, no serious adverse reactions were observed in both group, and the incidence of adverse reactions was lower in the combined group [OR = 0.62, 95%CI(0.42, 0.92), P = 0.02]. During the treatment period of 12 weeks, Shugan Jieyu Capsule combined with Escitalopram had a good effect in the treatment of senile depression, which could significantly reduce HAMD and HAMA scores of senile depression. In addition, the combined application of the two drugs can help to increase the level of serum 5-HT, without increasing the occurrence of adverse events, and has a good application prospect.

Indexed as

CitalopramDepressionDrugs, Chinese HerbalEscitalopramAgedCapsulesDrug Therapy, CombinationHumansRandomized Controlled Trials as TopicTreatment OutcomeCapsulesCitalopramDrugs, Chinese HerbalEscitalopramAnxietyEscitalopramMeta-analysisSenile depressionSerum 5-hydroxytryptamine (5-HT)Shugan Jieyu capsule

Identifiers

PMID40596629
PMCPMC12217759

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.