Traditional Chinese Medicine Ingredients and Iron Deficiency Effects - Traditional Chinese Medicine

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Hello, doctor.
I would like to ask about the effects of the following Chinese herbal ingredients: Pingwei San, Jiawei Xiaoyao San, Tianma Gouteng Decoction, Ye Jiao Teng, He Huan Pi, Dang Gui, Huang Qi, Jiang Huang, Yu Jin, and Xiao Hui Xiang.
Can they be taken during menstruation? Additionally, I would like to know what the long-term consequences would be if there is a continuous deficiency of iron in the body and low ferritin levels.
Thank you for your response!

Amy, 30~39 year old female. Ask Date: 2022/10/04

Dr. Lü Bingcheng reply Traditional Chinese Medicine


Question 1: The listed traditional Chinese herbal formula has the effects of strengthening the spleen and harmonizing the stomach, soothing the liver and relieving depression, clearing heat and pacifying liver wind, as well as tonifying qi and nourishing blood.
It can help improve sleep quality and regulate qi, blood, and digestive system functions.
It is generally safe to take during the menstrual period; however, if menstruation lasts longer than seven days with persistent spotting, it is advisable to suspend the medication and resume only after menstruation has completely ended.
Question 2: If low ferritin levels persist without improvement, common symptoms may include weakness and fatigue, shortness of breath, headaches and dizziness, pallor, chest tightness or pain, decreased exercise tolerance, increased heart rate, palpitations, pale eyelids, dry and yellowish skin, and decreased immunity, among other conditions.

Reply Date: 2022/10/04

More Info


Understanding the ingredients of Traditional Chinese Medicine (TCM) and their effects on health, particularly in relation to iron deficiency, is crucial for making informed decisions about treatment options. The herbs you mentioned—Pingwei San, Jiawei Xiaoyao San, Tianma Gouteng Yin, Ye Jiao Teng, He Huan Pi, Dang Gui, Huang Qi, Jiang Huang, Yu Jin, and Xiao Hui Xiang—each have specific properties and uses in TCM.

1. Pingwei San (平胃散): This formula is primarily used to strengthen the spleen and resolve dampness. It can help alleviate symptoms like bloating and poor appetite. It is generally safe to take during menstruation, but individual responses may vary.

2. Jiawei Xiaoyao San (加味逍遙散): This is a modified version of the classic Xiao Yao San, which is used to soothe the liver and relieve stress. It can help with menstrual irregularities and is often recommended for women experiencing premenstrual syndrome (PMS) symptoms.

3. Tianma Gouteng Yin (天麻鉤藤飲): This formula is used to calm the liver and extinguish wind, often prescribed for headaches or dizziness. It is typically safe during menstruation but should be taken under the guidance of a healthcare provider.

4. Ye Jiao Teng (夜交藤): Known for its calming properties, it is often used to treat insomnia and anxiety. It is generally safe during menstruation.

5. He Huan Pi (合歡皮): This herb is used to relieve stress and promote relaxation. It is also considered safe for use during menstruation.

6. Dang Gui (當歸): Often referred to as "female ginseng," it is used to nourish the blood and regulate menstruation. It is particularly beneficial for women with iron deficiency, as it can help improve blood circulation and support overall reproductive health.

7. Huang Qi (黃耆): Known for its immune-boosting properties, Huang Qi is used to tonify Qi and strengthen the body's defenses. It is generally safe during menstruation.

8. Jiang Huang (薑黃): This herb has anti-inflammatory properties and can support digestive health. It is typically safe for use during menstruation.

9. Yu Jin (鬱金): Known for its ability to promote blood circulation and relieve pain, it is often used in cases of menstrual discomfort.

10. Xiao Hui Xiang (小茴香): This herb is used to alleviate digestive issues and can help with menstrual cramps. It is generally safe during menstruation.

Regarding your question about iron deficiency, if your body is consistently low in iron and ferritin levels (the protein that stores iron), it can lead to several health issues over time. Chronic iron deficiency can result in iron deficiency anemia, which is characterized by fatigue, weakness, pale skin, and shortness of breath. In severe cases, it can affect heart health, leading to complications such as an increased heart rate or heart failure due to the heart working harder to supply oxygen to the body.

Long-term iron deficiency can also impair cognitive function, weaken the immune system, and affect overall quality of life. It is essential to address iron deficiency through dietary changes, supplementation, or both, under the guidance of a healthcare professional. Foods rich in iron include red meat, poultry, fish, lentils, beans, and fortified cereals. Pairing these with vitamin C-rich foods can enhance iron absorption.

In summary, the TCM herbs you mentioned can have beneficial effects, especially for women experiencing menstrual issues or iron deficiency. However, it is crucial to consult with a qualified healthcare provider or a licensed TCM practitioner to ensure that these herbs are appropriate for your specific health needs and to address any underlying iron deficiency effectively.

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