Review Article

New Insights for Cellular and Molecular Mechanisms of Aging and Aging-Related Diseases: Herbal Medicine as Potential Therapeutic Approach

Table 3

Published randomized controlled trials of herbal medicines for the treatment of aging-related diseases in humans.

NumberAuthors (year)TargetsConditionsAge (years)Name of herb or formulaDose/durationGroupsMain outcomesAdverse reactions

(1)Liu et al. (2007) [240]Aging vascular dementia≥55Kangxin capsule (Fructus lycii, Herba epimedii, Radix paeoniae alba, Radix Salvia miltiorrhiza, Fructus crataegi, Radix astragali, etc.)0.9 g once and three times per day, for 1 monthI: compound
C: piracetam
CD4, CD4, CD8-1 ↑ ()
HIS index, GDS, ET, E2·T-1 ↓ ()
No adverse reactions were observed
(2)Zhao et al. (2018) [241]Type 2 diabetes mellitus50-75Ginkgo leaf tablets
Liuwei Dihuang pills
2 Ginkgo leaf tablets and 8 Liuwei Dihuang pills, 3 times a day, for 36 monthsI: compound
C: placebos
Plasma CML, 8-IsoP levels ↓ ()
FBG, PBG, BP, HbA1c, TC, TG, LDL-C, HDL-C ()
Drug reaction
(3)Kwok et al. (2014) [242]Atherosclerosis in postmenopausalDG capsules (Danshen and ginseng)Two capsules daily, for 12 monthsI: compound
C: placebos
TC, LDL-C carotid IMT ↓ ()
BP, BMI, Glu ()
No adverse reactions were observed
(4)Dingzhu et al. (2015) [243]Carotid atherosclerosisShoushen granule (Radix Polygoni multiflori, Fructus lycii, Crataegus, and Radix notoginseng)1 tablet once daily for 24 weeksI: compound
C: pravastatin
baPWV, IMTEp, AI, PWVβ ↓ ()Not reported
(5)Lv et al. (2016) [244]Type 2 diabetes mellitus50-80Naoxintong (Radix astragali, Angelica sinensis, Radix paeoniae rubra, and Ligusticum wallichii)1.2 g per day for 3 monthsI: compound
C: blank control
HbA1c ↓ ()
Proliferative effects, migration ability, antiapoptotic function of HUVECs ↑ ()
TC, TG, LDL-C, HDL-C ()
Not reported
(6)Akhondzadeh et al. (2003) [245]Alzheimer’s disease65-80Salvia officinalis extract60 drops daily for 16 weeksI: compound
C: placebos
ADAS-cog, CDR-SB ↓ ()Vomiting, wheezing, nausea
(7)Akhondzade et al. (2010) [246]Alzheimer’s diseaseSaffron15 mg twice per day, for 16 weeksI: compound
C: placebos
ADAS-cog, CDR-SB ↓ ()Dry mouth
(8)Jia et al. (2014) [247]Vascular dementiaSaiLuoTong (Ginkgo biloba, ginsenosides, saffron)360/240 mg daily, for 52 weeksI: compound
C: placebos
VaD Assessment Scale—cognitive subscale scores (, 26 weeks)Mild gastrointestinal intolerance, abnormal alanine aminotransferase, dreaminess
(9)Tajadini et al. (2015) [248]Alzheimer’s disease>50Davaie Loban500 mg, three times daily, for 3 monthsI: compound
C: placebos
ADAS-cog, CDR-SB ↓ ()Without any adverse drug reaction
(10)Uno et al. (2005) [249]Type 2 diabetesGoshajinkigan7.5 g daily for 1 monthI: combined compound and OHAs
C: OHAs
HOMA-R, FBG TC, TG ↓ ()
HbA1c ()
No adverse reactions were observed
(11)Cho et al. (2009) [250]Healthy femaleRed ginseng root extract mixed with Torilus fructus and Corni fructus3 g daily for 24 weeksI: compound
C: placebos
Facial wrinkles ↓
Type I procollagen gene, protein expression ↑
Gastrointestinal discomfort

Abbreviations: GDS: Geriatric Depression Scale; HIS: Hachinski Ischemia Scale; ET: endothelin; E2·T-1: estradiol (E2)·testosterone (T)-1; CML: carboxymethyl lysine; 8-IsoP: 8-isoprostane; FBG: fasting blood glucose; PBG: postprandial blood glucose; HbA1c: glycosylated hemoglobin; TC: total cholesterol; TG: triglyceride; HDL: high-density lipoprotein; LDL: low-density lipoprotein; IMT: intima-media thickness; GLU: glucose; Ep: pressure-strain elastic modulus; Ac: arterial compliance; AI: augmentation index; PWVβ: pulse wave velocity β; HUVECs: human umbilical vein endothelial cells; ADAS-cog: cognitive subscale of Alzheimer’s Disease Assessment Scale; CDR: Clinical Dementia Rating; OHAs: oral hypoglycemic agents.