Safe Herbal Remedies for Morning Sickness During Early Pregnancy - Traditional Chinese Medicine

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Morning sickness


Hello doctor, I am currently over 10 weeks pregnant.
Due to severe morning sickness and coughing, I went to a traditional Chinese medicine practitioner and received a prescription.
The prescribed herbs are Xiao Chai Hu Tang, Wen Dan Tang, Mai Men Dong, Pi Pa Ye, Jie Geng, and Bei Mu.
I would like to ask if these medications are safe to take during early pregnancy.

Xiao Lu, 20~29 year old female. Ask Date: 2007/10/06

Dr. Peng Peilun reply Traditional Chinese Medicine


In principle, it appears to be safe for consumption.

Reply Date: 2007/10/06

More Info


When it comes to managing morning sickness during early pregnancy, many women seek alternatives to conventional medications, including herbal remedies. It's important to approach this topic with caution, as not all herbal treatments are safe during pregnancy.
The herbs you mentioned—Xiao Chai Hu Tang (Minor Bupleurum Decoction), Wen Dan Tang (Warm Gallbladder Decoction), Mai Men Dong (Ophiopogon japonicus), Loquat Leaf, Platycodon (Jie Geng), and Fritillaria (Bei Mu)—are commonly used in Traditional Chinese Medicine (TCM) for various ailments, including digestive issues and coughs. However, their safety during pregnancy can vary.

1. Xiao Chai Hu Tang: This formula is often used for digestive issues and to relieve symptoms of nausea. While it has been traditionally used, there is limited research on its safety during pregnancy. The primary herb, Bupleurum, has not been extensively studied in pregnant populations.

2. Wen Dan Tang: This formula is used to harmonize the stomach and relieve phlegm. Similar to Xiao Chai Hu Tang, there is insufficient evidence regarding its safety in pregnant women.
3. Mai Men Dong: Ophiopogon japonicus is generally considered safe in small amounts and is often used to nourish the stomach and alleviate dryness. However, its effects during pregnancy are not well-documented.

4. Loquat Leaf: Traditionally used for cough and respiratory issues, loquat leaf is generally regarded as safe in moderate amounts, but again, specific studies on its use during pregnancy are lacking.

5. Platycodon (Jie Geng): This herb is often used to relieve cough and phlegm. While it is commonly used in TCM, there is limited research on its safety during pregnancy.

6. Fritillaria (Bei Mu): This herb is used for cough and phlegm as well. However, it is classified as potentially unsafe during pregnancy due to its effects on the uterus.

In general, while some herbs may have a long history of use in TCM, their safety during pregnancy is not always guaranteed. The lack of rigorous clinical studies means that potential risks cannot be fully assessed.
For managing morning sickness, some commonly recommended safe options include:
- Ginger: Known for its anti-nausea properties, ginger tea or ginger candies can be effective.

- Peppermint: Peppermint tea or candies can help soothe the stomach.

- Acupressure: Some women find relief through acupressure wristbands designed for motion sickness.

It's crucial to consult with your healthcare provider before taking any herbal remedies during pregnancy. They can provide personalized advice based on your health history and the specifics of your pregnancy. If you are experiencing severe morning sickness, also known as hyperemesis gravidarum, your doctor may recommend other treatments that are safe and effective.

In summary, while some of the herbs you mentioned are commonly used in TCM, their safety during pregnancy is not well-established. Always prioritize open communication with your healthcare provider to ensure the best outcomes for both you and your baby.

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