Evidence supporting the use of: Peony (unspecified)
For the health condition: Cramps (menstrual)

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Synopsis

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

Peony (Paeonia spp.) has been used traditionally in Chinese medicine for centuries to support gynecological health, including the management of menstrual cramps (dysmenorrhea). The root of white peony (Paeonia lactiflora), known as "Bai Shao," is a key component in several classic herbal formulas such as Shao Yao Gan Cao Tang (Peony and Licorice Decoction), which is prescribed specifically to relieve muscle spasms and menstrual pain. Traditional texts describe peony as a herb that nourishes the blood, regulates menstruation, and soothes pain associated with menstrual disorders.

Modern pharmacological studies have identified several active compounds in peony root, such as paeoniflorin, which exhibit anti-inflammatory, antispasmodic, and analgesic properties in laboratory settings. However, while some small clinical studies and meta-analyses suggest that peony-containing formulas may reduce menstrual cramps—especially when used in combination with other herbs—there is a lack of large-scale, high-quality randomized controlled trials focusing solely on peony. Thus, while traditional use is strong and preliminary scientific evidence is promising, definitive clinical proof is still limited.

In summary, peony is widely used in traditional medicine for menstrual cramps, and there is some supportive pharmacological rationale and early clinical evidence, but more robust research is needed to confirm its efficacy.

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