Evidence supporting the use of: European peony
For the health condition: PMS Type S

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Synopsis

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

European peony (Paeonia officinalis) has traditionally been used in European and Asian herbal medicine for various gynecological complaints, including menstrual irregularities and premenstrual syndrome (PMS). Specifically, PMS Type S refers to a subtype characterized by swelling, bloating, and breast tenderness, often linked to water retention and hormonal fluctuations. Historical texts, especially those from traditional Chinese medicine (where Paeonia lactiflora is more commonly referenced), describe peony as a key herb for harmonizing and relieving menstrual discomfort. In Western herbalism, European peony has been used in formulas aimed at calming uterine spasms and alleviating symptoms associated with the menstrual cycle.

However, the evidence supporting these uses is largely anecdotal or based on traditional practice rather than rigorous scientific studies. There are a few phytochemical studies suggesting that peony contains compounds with anti-inflammatory and antispasmodic properties, but direct clinical trials on European peony for PMS Type S are lacking. Most of the available scientific literature focuses on related peony species or on multi-herb formulas, making it difficult to isolate the effects of European peony itself. Thus, while there is a strong tradition of use, the scientific validation remains limited, justifying a low-to-moderate evidence score.

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