Is Gui Lu Er Xian Jiao Safe During Early Pregnancy? Expert Insights - Obstetrics and Gynecology

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Taking the traditional Chinese medicine Gui Lu Er Xian Jiao during the first three months of pregnancy..?


Hello Doctor: Before I became pregnant, I was taking Gui Lu Er Xian Jiao to adjust my constitution as recommended by a traditional Chinese medicine practitioner.
After I became pregnant, I only remembered that I shouldn't take Western medicine, so I continued taking Gui Lu Er Xian Jiao (a friend of mine also took it during her late pregnancy, and her baby was born very healthy).
In retrospect, during the first to sixth weeks of my pregnancy, I took it about two to three times a week (on an empty stomach in the morning), and from the seventh to twelfth weeks, I took it about once a week.
I recently learned that it is best to avoid taking any medication during the first three months of pregnancy, and there are mixed opinions among traditional Chinese medicine practitioners regarding whether pregnant women can take Gui Lu Er Xian Jiao—some say it is okay, while others do not recommend it.
I am very concerned about whether this could affect my fetus.
I am currently 28 weeks pregnant, and during a high-level ultrasound at 22 weeks, everything was normal.
I would like to ask the doctor: (1) Should I undergo any further tests? For example, should I have another high-level ultrasound? (2) If there is indeed an impact on the fetus, what functions could be affected?

Xiao You, 30~39 year old female. Ask Date: 2006/02/07

Dr. Li Guanghan reply Obstetrics and Gynecology


Hello: 1.
For inquiries regarding Erxian Jiao, please consult the Traditional Chinese Medicine department.
2.
The results of a high-level ultrasound will not guarantee that everything is normal; it can only indicate that no obvious structural abnormalities were observed.
Many fetal issues may only become apparent after birth or even later in life.
Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Reply Date: 2006/02/07

More Info


When it comes to the safety of using Gui Lu Er Xian Jiao (龜鹿二仙膠) during early pregnancy, it is essential to consider both traditional Chinese medicine perspectives and modern medical insights. Gui Lu Er Xian Jiao is a traditional Chinese herbal remedy that is often used for its purported benefits in enhancing vitality and overall health. However, the implications of using such remedies during pregnancy can be complex.

Firstly, it is important to note that the first trimester of pregnancy is a critical period for fetal development. During this time, the embryo is particularly vulnerable to external factors, including medications and supplements. While some herbal remedies are considered safe, others may pose risks due to their active ingredients. Unfortunately, there is limited scientific research on the specific effects of Gui Lu Er Xian Jiao during pregnancy. Therefore, the safety profile of this herbal remedy remains uncertain.

From a traditional Chinese medicine perspective, some practitioners may argue that Gui Lu Er Xian Jiao can be beneficial for pregnant women, particularly in terms of nourishing the body and supporting overall health. However, there is also a cautionary stance among some practitioners who advise against its use during the first trimester due to the potential for unknown effects on fetal development.

Regarding your specific situation, since you have already reached 28 weeks of pregnancy and have had a normal high-level ultrasound at 22 weeks, it is reassuring that your pregnancy has been progressing well. However, if you have concerns about the potential effects of Gui Lu Er Xian Jiao on your baby, it would be prudent to discuss this with your healthcare provider. They may recommend additional monitoring or ultrasounds to ensure that the baby is developing normally.

As for the potential impacts on fetal development, the specific effects of Gui Lu Er Xian Jiao are not well-documented. However, herbal remedies can sometimes influence fetal growth, organ development, or even lead to complications if they contain certain contraindicated ingredients. For example, some herbs may have hormonal effects or could potentially cause uterine contractions, which could be harmful during early pregnancy.

In conclusion, while you have not experienced any adverse effects so far, it is crucial to remain vigilant and consult with your healthcare provider regarding any herbal supplements you have taken during pregnancy. They can provide personalized advice based on your medical history and the specifics of your pregnancy. If you are considering further testing, such as another high-level ultrasound, your doctor can guide you on the necessity and timing of such evaluations based on your individual circumstances.

In summary, while Gui Lu Er Xian Jiao may have been used without apparent issues during your pregnancy, the lack of definitive safety data means that caution is warranted. Always prioritize open communication with your healthcare provider to ensure the best outcomes for both you and your baby.

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