Can I take Panax notoginseng (San Qi) during menstruation?

May 26, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
It is generally not recommended to take Notoginseng (San Qi) during menstruation, as Notoginseng has blood-activating and stasis-resolving properties that can accelerate blood circulation. During menstruation, excessive consumption of Notoginseng by women may lead to abnormally heavy menstrual flow, or even metrorrhagia. This can not only increase the physical burden on women but also potentially cause discomforts such as anemia, fatigue, and dizziness.

Generally, it is not recommended to take Panax notoginseng (Sanqi) during menstruation. However, in special cases such as light menstrual flow, dysmenorrhea, or blood stasis type menstrual irregularities, it may be cautiously used under the guidance of a physician. Detailed analysis is as follows:

Panax notoginseng has the effect of promoting blood circulation and removing blood stasis, which can accelerate blood flow. During menstruation, if women take excessive amounts of Panax notoginseng, it may lead to abnormally heavy menstrual bleeding or even metrorrhagia. This can not only increase the physical burden on women but also potentially cause discomfort symptoms such as anemia, fatigue, and dizziness.

Although Panax notoginseng powder plays a role in regulating the endocrine system, during menstruation, a woman's endocrine system is already in a special state. Taking Panax notoginseng at this time may disrupt the normal endocrine balance, leading to menstrual disorders or other adverse consequences.

Panax notoginseng powder is warm in nature, and long-term or excessive use may cause heat-related symptoms such as sore throat, dry mouth, and gum bleeding. During menstruation, women's bodies are relatively weak and more susceptible to heat-related discomforts.

For individuals with light menstrual flow, dysmenorrhea, or blood stasis type menstrual irregularities, the blood-activating and stasis-resolving effects of Panax notoginseng may provide some benefit, helping to alleviate pain or dark menstrual blood caused by blood stasis. Nevertheless, even in these cases, it must be used cautiously under a physician's guidance, with strict control over dosage and treatment duration.

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