Synopsis

Source of validity: Traditional
Rating (out of 5): 1

American Liverleaf (Hepatica americana) has been used traditionally in North American herbal medicine, particularly by Indigenous peoples and early settlers, for a variety of conditions related to women’s reproductive health. There are some historical records suggesting its use in supporting recovery after childbirth, including easing afterbirth pain (the cramping that occurs as the uterus returns to its pre-pregnancy size). The purported rationale for its use stems from the doctrine of signatures and the observation of its mild astringent and anti-inflammatory properties, which were thought to help with internal pain and healing. However, scientific evidence is lacking—no controlled studies have investigated American Liverleaf for afterbirth pain, and its pharmacological actions have not been characterized in this context. Modern herbal references rarely mention it for postpartum use, and there is no consensus among herbalists regarding its efficacy for afterbirth pain. Consequently, while there is a traditional basis for its use, the evidence is limited to anecdotal reports and historical texts, and its safety and effectiveness remain unproven for this specific condition.

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