Synopsis

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

Pulsatilla, a remedy derived from the plant Pulsatilla pratensis or related species, is primarily used in homeopathy and traditional herbal medicine. Its use for dysmenorrhea (painful menstruation) is based on historical and traditional practices rather than robust scientific evidence. Homeopathic practitioners recommend Pulsatilla for a range of menstrual complaints, particularly when symptoms include changeability of pain, emotional lability, and a tendency toward weepiness, as described in classical homeopathic materia medica. Traditional herbal medicine in Europe has also cited Pulsatilla for menstrual irregularities.

However, scientific evidence supporting the efficacy of Pulsatilla for dysmenorrhea is extremely limited. There are few, if any, well-conducted randomized controlled trials specifically evaluating Pulsatilla for this condition. Systematic reviews of homeopathic treatments for dysmenorrhea generally conclude that the evidence is insufficient or of low quality, and major pharmacological references do not list Pulsatilla as an evidence-based treatment for menstrual pain. Safety data are also limited, and the herb can be toxic in its fresh form. Thus, while tradition underpins its use, scientific support is lacking, and its evidence level is rated as very low (1 out of 5).

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