Objective To review the systemat ic reviews/meta-analyses involving Traditional Chinese Medicine (TCM ) therapy for menopausal syndrome, so as to offer clinical evidence about the safety and efficacy of TCM. Methods We searched The Cochrane Library (Issue 4, 2006), MEDLINE (1991 to 2006), Ovid (1990 to 2006), CBM(1990 to 2006), CNKI(1989 to 2006) and VIP(1979 to 2006). The search terms of "menopause OR climacteric" and "traditional Chinese medicine OR herb OR plant" and "systematic review OR evidence-based medicine OR Meta-analysis OR Meta-analysis" were used to identify systematic reviews or meta-analyses on TCM for menopause syndrome. Results A total of 6 systematic reviews or meta-analyses were identified. Two of these were in Chinese databases and four were in the foreign language databases. The 6 articles were reviewed and summarized. Conclusion TCM has a effect in the treatment of menopausal syndrome with a good safety profile. However, due to the generally low quality of included studies, the evidence available is not b enough to evaluate the efficacy and safety of TCM for menopausal syndrome.More rigorously designed and strictly executed trials are needed.