Is It Safe for Pregnant Women to Consume Traditional Chinese Medicine? - Pharmacology

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Herbal Medicine Use in Pregnant Women


Hello Doctor: I am currently 10 weeks pregnant.
My mother-in-law, seeing that I am thin, has been giving me chicken essence, which also contains red dates, goji berries, angelica, astragalus, and American ginseng.
I have heard that it is best to avoid herbal ingredients during pregnancy, especially ginseng.
However, my mother-in-law says it is a pregnancy-preserving medicine prescribed by a traditional Chinese medicine practitioner.
I had some bleeding in the previous weeks, and since angelica is known to promote blood circulation, I would like to know if it is safe for me to consume now or if I should wait until after three months.
Thank you for your response.

Xinshou Mama, 30~39 year old female. Ask Date: 2010/09/30

Dr. Huang Shenggang reply Pharmacology


Hello, new mom: It is said that it is best not to take traditional Chinese medicine during pregnancy, which should mean "do not casually take unknown herbal remedies." Every parent has a caring heart and wants to provide the best care, which is why your mother-in-law is so concerned about you.
You should first appreciate her thoughtfulness and then inquire about the source of the herbal medicine she is suggesting.
If it comes from a licensed herbal pharmacy and a qualified practitioner, there is no need to worry too much.
According to Dr.
Liu Guilan from the Traditional Chinese Medicine Department of Taipei City Hospital, a commonly used prescription for maintaining pregnancy is known as the "Thirteen Taibao Formula," which consists of Angelica sinensis, Ligusticum chuanxiong, Paeonia lactiflora, Astragalus membranaceus, Magnolia officinalis, Notopterygium incisum, Cuscuta chinensis, Fritillaria cirrhosa, Fructus Aurantii, Schizonepeta tenuifolia, Zingiber officinale, and Artemisia argyi.
This is provided for your reference.

Reply Date: 2010/09/30

More Info


The question of whether it is safe for pregnant women to consume Traditional Chinese Medicine (TCM) is a nuanced one, as it involves various factors including the specific herbs used, the health status of the mother, and the stage of pregnancy.
In your case, you mentioned that you are currently 10 weeks pregnant and have been given a tonic that includes ingredients such as red dates, goji berries, angelica (dang gui), astragalus (huang qi), and American ginseng. It is understandable to have concerns about the safety of these ingredients, especially since you have experienced some bleeding in the early weeks of your pregnancy.

First and foremost, it is essential to recognize that not all herbal remedies are created equal. Some herbs can be beneficial during pregnancy, while others may pose risks. For instance, angelica is often used in TCM for its blood-moving properties, which can be contraindicated in early pregnancy, particularly for women who have experienced bleeding. On the other hand, ingredients like red dates and goji berries are generally considered safe and can provide nutritional benefits.

The concern regarding ginseng, particularly American ginseng, is also valid. While some studies suggest that ginseng may have health benefits, there are also concerns about its potential effects on hormone levels and fetal development. Therefore, it is often recommended that pregnant women avoid ginseng unless prescribed by a qualified healthcare provider.

Given your situation, it is crucial to consult with a qualified healthcare professional, preferably one who specializes in both obstetrics and TCM. They can provide personalized advice based on your medical history and current health status. If the tonic was prescribed by a licensed TCM practitioner, it is worth discussing with them the specific reasons for each ingredient and any potential risks associated with their use during pregnancy.

Moreover, it is essential to monitor your health closely during this time. If you experience any adverse effects or have concerns about your pregnancy, do not hesitate to reach out to your obstetrician or healthcare provider. Regular prenatal check-ups are vital for ensuring both your health and the health of your baby.

In summary, while some TCM ingredients may be safe during pregnancy, others can pose risks, especially in the early stages. It is always best to err on the side of caution and seek professional guidance before consuming any herbal remedies during pregnancy. Your health and the health of your baby should always come first, and informed decisions based on expert advice will help ensure a safe and healthy pregnancy.

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