Dong Quai: Uterine Tonic and Fertility Herb….

Dong Quai: Uterine Tonic and Fertility Herb….

Dong Quai (Angelica sinensis) is one of the most powerful females tonic and fertility herbs. Used since at least the first century, dong quai tonifies and strengthens the uterus by regulating hormonal control, improving uterine tone, and improving the timing of the menstrual cycle. In Asia dong quai is to women’s health as ginseng is to men’s health.

In traditional Chinese medicine Dong Quai is referred to as a blood tonic as it has a general effect on circulation. This could be helpful for women experiencing pale menstrual flow, absent periods, and weakness after periods (in TCM this is called blood deficient). It has also been shown to improve red blood cell counts. Dong quai is traditionally used for situations of stagnation (PCOS, endometriosis, ovarian cysts, and fibroids) as it increases the blood flow to the reproductive system reducing congestion and pain.

Dong Quai may be helpful for:

  • Menstrual irregularities
  • Delayed or absent menstruation
  • Short periods with cramping
  • Strengthening a “weakened uterus”
  • If you experience cramping and PMS during your period.
  • Women who have stopped taking birth control pills and need to encourage a regular cycle
  • Light or slow starting menstruation
  • Stagnant conditions

How Dong Quai Works

Dong quai is an herb used in TCM to help increase circulation to the reproductive system and nourish the blood.

Dong Quai works by promoting blood flow to the pelvis where it will stimulate an absent or scanty period. It also nourishes the blood (it is in nearly all Chinese herbal blood-building formulas) and helps iron deficiency and anemia. One of the best uses is it helps women who are not menstruating to invite there menstruation back. The increased circulation also helps to strengthen and balance the uterus. In rat studies it has been show to help build the uterus lining.

Dong Quai also has a relaxing effect on both the uterus and the nervous system. This can be helpful in situations such as PMS and cramping during your period. It’s relaxing effects are just as powerful as well known herbs lavender, chamomile, or valerian root.

How to Use Dong Quai

We find that Dong Quai is best taken as the dried powdered root in capsules. The daily suggested use of Dong Quai is 3120mg per day, split into 3 separate doses of 520mg. Dong Quai is best taken with food, during meals.

Safety & Side Effects

While Dong Quai is considered safe for most people, there are some instances this herb should not be used.

  • Not to be used during pregnancy due to the stimulating effect of dong quai.
  • Do not use during menstruation as it may increase the menstrual flow. Those with scanty flow may find it beneficial all month long.
  • Dong quai should not be used by those with diarrhea, hemorrhagic diseases, or excessive menstrual flow.
  • If you are using any anti-coagulant or blood thinning medication such as warfarin or aspirin, consult your health care professional prior to using this product.
  • Discontinue use 2 weeks prior to undergoing surgical procedures.

Safety Ratings
The Botanical Safety Handbook classifies dong quai as a class 2b: Not to be used during pregnancy unless otherwise directed by an expert qualified in the used of the described substance.

1. Trickey, Ruth. Women’s Hormones, and The Menstrual Cycle. 2003.
2. Hirata, Janie D.; Swiersz, Lillian M.; Zell, Bonnie; Small, Rebecca; Ettinger, Bruce. Does Dong Quai Have Estrogenic Effects in Postmenopausal Women? A Double-Blind, Placebo-Controlled Trial. Obstetrical & Gynecological Survey. 53(5):295-296, May 1998.
3. Lan-Fang Huang, Bo-Yan Li, Yi-Zeng, Liang Fang-Qiu Guo, and Ya-Li Wang. Application of combined approach to analyze the constituents of essential oil from Dong quai. Analytical and Bioanalytical Chemistry Volume 378, Number 2 / January, 2004.


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  1. Hi
    I am an 18 year dancer and as I am very much physically active, my period hardly comes. Would you recommend dong quai?


  2. Update 2014 – We are back! We have been away for a while and we sure have missed all of your wonderful questions and thoughts on our articles. Moving forward, one of our staff herbalists will be here to respond to comments! We look forward to connecting with our readers once again!

  3. Hello

    I have got late period for a month and I have never use dong quai. Should I use this to get my period back? How many should I take daily and when will period come after the dosage.


  4. HI, I have PCOS, Prolactinoma, 2 x parietal meningiomas and multi nodular goiter.My GP has taken me off metformin,dostinex and metoprolol as having atrial taccycardia and think its the dostinex, want to try herbal meds instead, my period is about 32 day cycle ?ovulate but when AF comes very dark, smelly leading up to and throughout and not much of it.Tried ICSI no good, DH sperm poor.think start with fertility cleanse,macs and vitex-is this ok? Anything to help offensive and short AF?

  5. Hi,

    I have used dongquai for nearly a month and did not know I was already pregnant, what should I do now? Im so worried :(

  6. Hi,
    I am currently trying to conceive, have been trying for 2 years now. My egg count is low for my age-9.7% and i am 31. I have been given femara from my fertility doctor. I am just wondering if i can use Dong Quai with these pills or not?
    Thanks, Kristy