Synopsis

Source of validity: Traditional
Rating (out of 5): 2

European peony (Paeonia officinalis) has a longstanding history in traditional European and Asian herbal medicine for supporting women's health, including menstrual complaints such as premenstrual syndrome (PMS). Its use for PMS—specifically PMS Type H, which is associated with "hyperhydration" symptoms like bloating, breast tenderness, and water retention—stems from its reputation as a mild antispasmodic and its inclusion in formulas aimed at alleviating menstrual discomfort. In Traditional Chinese Medicine (TCM), the related species Paeonia lactiflora (white peony) is more commonly cited, often in combination with other herbs, for regulating menstrual cycles and reducing PMS symptoms.

However, there is limited scientific validation specific to European peony (Paeonia officinalis) for PMS Type H. Most research and clinical studies focus on Paeonia lactiflora and its active constituents such as paeoniflorin, which may have mild anti-inflammatory and muscle-relaxant effects. Some traditional herbalists in Europe have historically recommended peony root for "female complaints," but robust clinical trials or modern pharmacological studies directly supporting its use for PMS hyperhydration symptoms are lacking. Thus, its use is justified primarily by tradition, and the evidence quality for this specific application is modest (rated 2 out of 5).

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