Can Cooked Rehmannia Be Safe for Breastfeeding Babies with Favism? - Traditional Chinese Medicine

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Regarding the contraindicated Chinese herbal medicines for Favism?


Hello Doctor: My child has just turned one month old and is being breastfed.
My child has been diagnosed with favism.
I am currently consuming postpartum meals, and one of the ingredients in these meals is cooked rehmannia (熟地黃).
I understand that raw rehmannia (生地黃) is contraindicated for children with favism.
Can a child with favism safely consume cooked rehmannia? I am concerned about the possibility of it being transmitted through breast milk.

Kiyoe, 30~39 year old female. Ask Date: 2018/01/31

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello Kiyoe: Individuals with G6PD deficiency should avoid traditional Chinese herbs that can promote blood oxidation, such as Huang Lian (Coptis chinensis), Jin Yin Hua (Lonicera japonica), Dan Pi (Moutan Cortex), Sheng Di (Rehmannia glutinosa), Chai Hu (Bupleurum), Hu Zhang (Polygonum cuspidatum), and Bing Pian (Borneol).
Shu Di (prepared Rehmannia) is a processed product of Sheng Di, and its properties and uses differ from those of Sheng Di.
If prescribed by a licensed TCM practitioner, it should not pose any issues.
If you are consuming herbal dishes from postpartum meals, it is advisable to have them confirmed by a TCM practitioner for peace of mind.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital.

Reply Date: 2018/01/31

More Info


When it comes to the safety of consuming cooked Rehmannia (熟地黃) for breastfeeding mothers with a child diagnosed with favism (蠶豆症), it is essential to consider both the properties of the herb and the implications of favism itself. Favism is a genetic condition characterized by a deficiency of the enzyme glucose-6-phosphate dehydrogenase (G6PD), which can lead to hemolytic anemia when exposed to certain triggers, including fava beans and some medications or herbs.

Rehmannia, particularly in its cooked form, is often used in traditional Chinese medicine for its nourishing properties and is considered safe for many individuals. However, the concern arises when considering its potential effects on a breastfeeding infant with favism. While cooked Rehmannia is generally regarded as safe and is less likely to contain the harmful compounds found in its raw form, there is still a lack of extensive research specifically addressing its safety for infants with G6PD deficiency.

The primary concern for breastfeeding mothers is the possibility of any harmful substances passing through breast milk to the infant. In the case of cooked Rehmannia, it is less likely to pose a risk compared to its raw counterpart, which contains compounds that could trigger hemolytic reactions in G6PD-deficient individuals. However, caution is always advised when introducing any new food or herb into the diet of a breastfeeding mother, especially when there is a known condition like favism in the infant.

It is crucial to consult with a healthcare professional, such as a pediatrician or a specialist in maternal and child health, before making any dietary changes. They can provide personalized advice based on the specific health needs of both the mother and the child. Additionally, monitoring the infant for any signs of adverse reactions after the mother consumes cooked Rehmannia can help ensure safety.

In summary, while cooked Rehmannia is generally considered safe for most individuals, including breastfeeding mothers, the specific context of favism necessitates a cautious approach. Always prioritize professional medical advice and closely observe the infant's health when introducing any new foods or herbs into the mother's diet.

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