Generic: dong quai
an herbal product - treats Angina pectoris / coronary artery disease, Glomerulonephritis, Menstrual migraine headache, Dysmenorrhea, Arthritis, Nerve pain, Amenorrhea, Menopausal symptoms, Idiopathic thrombocytopenic purpura, and Pulmonary hypertension
Adults (18 years and older)
Dong quai is used in numerous herbal combinations, and various doses have been used both traditionally and in research in China. Because of this variation and lack of high- quality studies, no specific recommendations can be made. Safety and effectiveness are not established for most herbal combinations, and the amounts of Dong quai present from batch to batch may vary.
Powdered or dried root/ root slices, fluid extracts, tinctures, decoctions, and dried leaf preparations of Dong quai are available to be taken orally. Topical preparations are available to be applied to the skin. Safety of intravenous use is not established, although it has been reported in research.
Children (younger than 18 years)
There is not enough scientific data to recommend Dong quai for use in children, and it is not recommended due to potential side effects.
SafetyDISCLAIMER: Many complementary techniques are practiced by healthcare professionals with formal training, in accordance with the standards of national organizations. However, this is not universally the case, and adverse effects are possible. Due to limited research, in some cases only limited safety information is available.
People with known allergy/ hypersensitivity to Angelica radix or members of the Apiaceae/ Umbelliferae family (anise, caraway, carrot, celery, dill, parsley) should avoid Dong quai. Skin rash has been reported with the use of Dong quai, although it is not clear if this was an allergic response. An asthma response has occurred after breathing in Dong quai powder.
Side Effects and Warnings
Although Dong quai is accepted as being safe as a food additive in the United States and Europe, its safety in medicinal doses is not known. There are no reliable long- term studies of side effects. Most precautions are based on theory, laboratory research, tradition, or isolated case reports.
Components of Dong quai may increase the risk of bleeding due to anticoagulant and anti- platelet effects. Caution is advised in patients with bleeding disorders or taking drugs that may increase the risk of bleeding. Dosing adjustments may be necessary. Discontinue use prior to surgical or major dental procedures.
It remains unclear if Dong quai has the same effects on the body as estrogens, if it blocks the activity of estrogens, or if it has no significant hormonal effects. It remains unclear if Dong quai is safe in individuals with hormone- sensitive conditions such as breast cancer, uterine cancer, ovarian cancer, or endometriosis. It is not known if Dong quai possesses the beneficial effects that estrogen is believed to have on bone mass or potential harmful effects such as increased risk of stroke or hormone- sensitive cancers.
Increased sun sensitivity with a risk of severe skin reactions (photosensitivity) may occur due to chemicals in Dong quai. Prolonged exposure to sunlight or ultraviolet light should be avoided while taking Dong quai.
Safrole, a volatile oil in Dong quai, may be carcinogenic (cancer- causing). Long- term use should therefore be avoided, and suntan lotions that contain Dong quai often limit the amount of Dong quai to less than one percent.
Dong quai has traditionally been associated with gastrointestinal symptoms (particularly with prolonged use), including laxative effects/ diarrhea, upset stomach, nausea, vomiting, loss of appetite, burping, or bloating. Published literature is limited in this area.
Dong quai preparations may contain high levels of sucrose, and should be used cautiously by patients with diabetes or glucose intolerance.
Various other side effects have rarely been reported with Dong quai taken alone or in combination with other herbs. However, side effects have not been evaluated in well- designed studies. These include: headache, lightheadedness/ dizziness, sedation/ drowsiness, insomnia, irritability, fever, sweating, weakness, abnormal heart rhythms, blood pressure abnormalities, wheezing/ asthma, hot flashes, worsening premenstrual symptoms, reduced menstrual flow, increased male breast size (gynecomastia), kidney problems (nephrosis), or skin rash.
The safety of Dong quai injected into the skin, muscles, or veins is not known and should be avoided.
Pregnancy and Breastfeeding
Dong quai is not recommended during pregnancy due to possible hormonal and anticoagulant/ anti- platelet properties. Animal research has noted conflicting effects on the uterus, with reports of both stimulation and relaxation. There is a published report of miscarriage in a woman taking Dong quai, although it is not clear that Dong quai was the cause. Dong quai is traditionally viewed as increasing the risk of abortion. There is insufficient evidence regarding the safety of Dong quai during breastfeeding.