Evidence supporting the use of: Chinese peony
For the health condition: Cramps (menstrual)

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Synopsis

Source of validity: Traditional
Rating (out of 5): 3

Chinese peony (Paeonia lactiflora) has a long history of use in Traditional Chinese Medicine (TCM), particularly for conditions related to women’s health, including menstrual cramps (dysmenorrhea). In TCM, Chinese peony is a key ingredient in formulas such as Shao Yao Gan Cao Tang (Peony and Licorice Decoction), which has been used for centuries to alleviate various types of pain and muscle spasms, including those associated with menstruation. The herb is traditionally believed to nourish the blood, regulate menstruation, and relieve pain by promoting smooth flow of qi (energy) and blood.

Modern scientific studies provide some support for these traditional uses. Research has identified active compounds in Chinese peony, such as paeoniflorin, which demonstrate anti-inflammatory, antispasmodic, and analgesic properties in preclinical studies. Some clinical studies, particularly those examining TCM herbal combinations, have shown potential benefits for reducing menstrual pain, though most trials have methodological limitations and often use peony in combination with other herbs rather than alone. Systematic reviews indicate that while TCM formulas containing peony may help, more rigorous, high-quality studies are needed to confirm efficacy and safety.

In summary, the use of Chinese peony for menstrual cramps is primarily justified by a strong traditional foundation, with moderate scientific evidence supporting its antispasmodic and analgesic effects, especially within multi-herb formulations.

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