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Can I take Tianma (Gastrodia elata) during my menstrual period?

May 22, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Under normal circumstances, individuals with a constitution characterized by hyperactive liver yang or internal wind due to liver disharmony may take Gastrodia (Tianma) during menstruation as directed by a physician. However, those with a cold deficiency pattern in the spleen and stomach or those experiencing heavy menstrual flow should avoid taking Gastrodia. It is recommended to consult a doctor before using any medication. During menstruation, diet should primarily consist of nourishing and mild foods, avoiding raw, cold, spicy, and blood-activating foods.

Generally, if you have a constitution characterized by hyperactivity of liver-yang or internal wind due to liver disharmony, you may take Gastrodia (Tianma) as directed by a physician during your menstrual period. However, if you have a cold deficiency of the spleen and stomach or experience heavy menstrual bleeding, Gastrodia may not be suitable. It is recommended to consult a doctor before using it. Detailed explanation is as follows:

Gastrodia is a traditional Chinese herb that functions to calm liver-wind and relieve wind-related pain. If your constitution falls into the category of hyperactivity of liver-yang or internal wind due to liver disharmony, and you experience symptoms such as headache and dizziness—especially if these symptoms are prominent during menstruation—appropriate use of Gastrodia might help alleviate headaches or mood swings caused by hyperactivity of liver-yang during the menstrual period. However, you should monitor your body's response carefully and avoid long-term or excessive use.

Gastrodia may have certain blood-activating properties. If you already have heavy menstrual bleeding or prolonged periods, taking Gastrodia might exacerbate bleeding and lead to depletion of qi and blood. If you have a special constitution, such as cold deficiency of the spleen and stomach, damp-heat in the body, or are allergic to any components of Gastrodia, taking it during the menstrual period may be unsuitable and could even worsen physical discomfort.

Diet during the menstrual period should primarily be warm-nourishing and light, avoiding raw, cold, spicy, or blood-activating foods. If abnormal menstruation or physical discomfort occurs after taking Gastrodia, discontinue use immediately and seek medical attention.

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