Synopsis

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

Peony, particularly species such as Paeonia lactiflora, has a long history of use in traditional Chinese medicine (TCM) for addressing women's health concerns, including symptoms associated with menopause such as hot flashes. In TCM, peony root (often as part of formulas like Bai Shao or Dang Gui Shao Yao San) is believed to nourish the blood and regulate the liver, thereby helping to balance hormones and alleviate symptoms like hot flashes. Historical texts and contemporary TCM practice often describe peony as a gentle herb to support women experiencing perimenopausal or menopausal symptoms.

However, scientific validation of peony's efficacy for hot flashes is limited. Some laboratory and animal studies suggest potential estrogenic or hormone-modulating effects of peony constituents, but robust clinical trials in humans for this specific indication are lacking. Most evidence comes from traditional use and small studies on multi-herb formulas that include peony alongside other ingredients, making it difficult to attribute effects to peony alone. Therefore, while traditional support is strong, scientific evidence remains preliminary, and more rigorous studies are needed to confirm its effectiveness for hot flashes.

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