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Are Chinese Herbs Safe to Take During Pregnancy?

Pregnancy is a time of transformation, growth, and, perhaps most importantly, careful decision-making. 

Many expecting mothers look for natural ways to support their health and well-being during this important time in their lives – and Chinese herbs for pregnancy may be one of those natural solutions. 

Traditional Chinese Medicine (TCM) offers a wealth of herbal remedies that can ease common pregnancy discomforts like nausea or back pain, nourish both mother and baby, and promote overall balance. 

But how safe are Chinese herbs during pregnancy?

While TCM has been used for centuries to support reproductive health, extra care is needed when selecting and using herbs during pregnancy. Some are highly beneficial, while others should be avoided. 

Let’s get a clearer idea of the role of Chinese herbs in pregnancy so you can make informed decisions and find healthy, safe relief for your symptoms. 

TCM in Pregnancy: How Does it Help?

Unlike Western medicine, which often focuses on treating symptoms alone, TCM views pregnancy as a dynamic process. The body changes quickly, and all the organ systems need to work in harmony for you to feel your best. 

But, because pregnancy is such a powerful transformation, it’s likely that something will get imbalanced along the way. That’s normal! If you’re balanced, your body will adapt quickly and those symptoms will pass. But if there’s a deeper underlying issue, you may struggle with ongoing issues like:

  • Morning sickness or vomiting
    Morning sickness is often the first symptom to arise in pregnancy. Gentle herbs like ginger and tangerine peel help soothe the stomach, settle the digestive system, and ease queasiness naturally.
  • Fatigue and low energy
    During pregnancy, your body needs much more qi and blood than usual. Growing a baby is a lot of work, after all! If you’re feeling fatigued, it’s a sign you are using up more energy than you have in reserve. Gentle tonic herbs like dang shen and astragalus help replenish energy reserves, while blood-nourishing formulas like Ba Zhen Tang can support your overall vitality. After you’ve delivered your baby, consider Nu Ke Ba Zhen Tang which is specifically designed to rebuild your energy postpartum.
  • Stress and emotional balance
    Pregnancy brings hormonal shifts that can affect your mood, which is linked to Liver qi stagnation in TCM. Herbs like bai shao and formulas such as Si Wu Tang gently soothe the nervous system, helping to ease tension and support emotional well-being.
  • Digestive issues
    As pregnancy progresses, constipation is a common complaint as your hormones change and the baby puts more pressure on your digestive organs. Herbs like chen pi and gentle formulas such as Chinese Herbal Soup and Broth Mix for Revitalization help regulate digestion, reduce bloating, and promote smoother digestion.
  • Immune support
    Pregnancy naturally shifts your immune system to protect the baby. But, this sometimes leaves you more susceptible to illness. TCM supports immunity through herbs like huang qi, which strengthen defensive qi (your immunity) without overstimulating the body.

What Chinese Herbs are Safe for Pregnancy?

Some Chinese herbs have been safely used for centuries during pregnancy when taken in the right amounts. They work by gently supporting your body’s natural rhythms – helping with energy, digestion, and overall balance – without being too harsh or causing side effects.

  • Ginger (Sheng Jiang): A well-known remedy for nausea and morning sickness, ginger soothes the stomach and aids digestion.
  • Dang Shen (Codonopsis Root): This mild adaptogen supports energy and immune function, making it a safe alternative to ginseng during pregnancy.
  • Bai Shao (White Peony Root): Helps nourish blood, ease muscle tension, and reduce cramping.
  • Huang Qi (Astragalus): Strengthens immunity and boosts overall vitality, particularly in women experiencing low energy.
  • Chen Pi (Aged Tangerine Peel): Supports digestion and alleviates bloating, making it useful for those experiencing sluggish digestion.
  • Da Zao (Jujube Date): A gentle, nourishing herb that helps build blood, strengthen digestion, and support overall energy levels during pregnancy.


TCM Formulas That Support Pregnancy

While single herbs can be helpful (like ginger for nausea), most herbs are meant to be used in combination. For those looking for safe and effective herbal support, several TCM formulas have been traditionally used to promote a healthy pregnancy.

These formulas offer a natural way to maintain balance and health, but they should always be used under the supervision of a qualified TCM herbalist to make sure they will be safe and effective for your unique circumstances.


Chinese Herbs to Avoid During Pregnancy

While some herbs are considered helpful tonics in pregnancy, other herbs are too strong or stimulating and should be avoided. Many of these herbs influence blood circulation, body temperature, or hormone levels in ways that could be risky. 

  • Hong Hua (Safflower) and Tao Ren (Peach Kernel)
    This duo is often used in formulas to move blood. They should be avoided as they may induce contractions.
  • Fu Zi (Aconite)
    Fu zi is a powerful yang tonic, but is too warming and stimulating to use during pregnancy.
  • Ban Xia (Pinellia)
    This herb is often used for dampness and nausea, but is too strong and not recommended for pregnancy-related nausea.
  • Large doses of cooling herbs (Huang Lian, Huang Qin, Huang Bai, Da Huang)
    While these herbs clear heat, they may also drain energy rapidly, which is not ideal during pregnancy.


This list covers some of the more commonly used herbs, and is not exhaustive of the ones you should avoid while pregnant. It’s always best to speak with a practitioner before starting any new supplement or herbal formula when pregnant. 

How to Use Chinese Herbs Safely During Pregnancy

TCM can be an excellent ally during pregnancy. However, it is important to approach herbal remedies with caution and mindfulness. Here are a few key guidelines for using Chinese herbs safely:

  • Work with a licensed TCM herbalist
    Personalized guidance ensures that the herbs and formulas chosen align with your specific needs and pregnancy stage.
  • Avoid self-prescribing
    Even mild herbs can have unexpected effects when combined with other treatments or conditions.
  • Use well-established pregnancy formulas
    Stick to herbal blends designed specifically for pregnancy rather than general tonics.
  • Monitor for changes in symptoms
    If an herbal remedy causes discomfort, stop using it and consult a professional. 


The Bottom Line: Are Chinese Herbs Safe for Pregnancy?

When used correctly, Chinese herbs can be a gentle, natural way to support your body during pregnancy. They can help ease nausea, pain, bloating, constipation, support energy, and promote your overall health – and your baby’s. 

However, not all herbs are safe, and taking the wrong ones could lead to side effects or risks. Stick to time-tested pregnancy formulas or reach out to a qualified herbalist for tailored support. 

And don’t forget to consider Chinese herbs for postpartum recovery! There are many remedies designed to build your Qi, blood, and fluids after delivery and help you embrace early motherhood with ease, joy, and comfort. 

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