Can I take Xiaoyao Pills during menstruation?

May 26, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
When emotional depression or mild abdominal distension is caused by liver qi stagnation, the liver-soothing and qi-regulating effects of Xiaoyao Pills can improve impaired circulation of blood and qi. It is recommended to use the pills during the middle stage of the menstrual cycle when blood and qi are relatively stable. The single dose must strictly follow the instructions, and it is advisable to combine the medication with spleen-nourishing ingredients such as yam or millet to enhance its regulatory effects. Monitor for symptoms such as dry mouth or a sensation of internal heat after taking the medication.

During menstruation, if there is liver qi stagnation with smooth menstrual flow, Bupleurum Pills (Xiao Yao Wan) may be taken as directed by a physician. However, if menstrual bleeding is heavy or accompanied by severe abdominal pain, it should be avoided. If in doubt, it is recommended to seek medical advice in advance. Detailed explanation is as follows:

When emotional depression or mild abdominal distension is caused by liver qi stagnation and menstrual flow is smooth, the liver-regulating and qi-moving effects of Bupleurum Pills can help improve blood and qi circulation. It is recommended to use it during the middle phase of the menstrual cycle when blood and qi are relatively stable. Dosage must strictly follow the product instructions, and it should be combined with spleen-nourishing ingredients such as yam or millet to enhance the regulating effects. Monitor for symptoms such as dry mouth or internal heat after taking the medication.

Discontinue use if menstrual bleeding is excessively heavy, accompanied by large blood clots, or persistent severe pain. Liver-regulating medications may affect the balance of blood and qi, leading to menstrual retention or worsening abnormal uterine contractions. If paleness or dizziness occurs during menstruation, it is recommended to prioritize warming and nourishing foods such as red dates or glutinous rice for regulation, avoiding medication that may exacerbate blood and qi disturbances.

The use of Bupleurum Pills should be based on specific menstrual symptoms and individual body constitution. It is recommended to consult a TCM practitioner to assess the appropriateness of medication use.

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