Evidence supporting the use of: Chinese peony
For the health condition: Hot Flashes

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Chinese peony (Paeonia lactiflora) is primarily used in Traditional Chinese Medicine (TCM) for a variety of women's health conditions, including menstrual disorders and menopausal symptoms such as hot flashes. In TCM, Chinese peony is often included in classical formulations like "Jia Wei Xiao Yao San" (Augmented Rambling Powder), which is prescribed for symptoms associated with menopause, including hot flashes, irritability, and sweating. The traditional rationale is that Chinese peony nourishes the blood and preserves yin, thereby helping to balance the body's internal energies and alleviate symptoms thought to be due to "yin deficiency" and "liver qi stagnation."

However, scientific evidence supporting the use of Chinese peony specifically for hot flashes is limited. While some studies have examined the effects of multi-herb TCM formulas containing peony on menopausal symptoms, it is difficult to attribute efficacy to peony alone. The available clinical trials tend to be small, of low methodological quality, or do not isolate Chinese peony as a single agent. There is some preclinical evidence suggesting that peony root extracts have phytoestrogenic and anti-inflammatory properties, but this has not been robustly confirmed in human studies focused on hot flashes.

In summary, the use of Chinese peony for hot flashes is primarily supported by traditional use in TCM, with limited direct scientific evidence for efficacy in this specific indication.

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