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Dong Quai

What is dong quai traditionally used for?

Traditional Chinese Medicine has used dong quai for centuries as a blood tonic when periods are irregular, heavy or painful. That's where its nickname 'female ginseng' comes from.

Christina Hanley, BHSc (Nutritional Medicine), Digital Experience & Content Manager, Mr Vitamins

Christina HanleyBHSc (Nutritional Medicine), Digital Experience & Content Manager
Checked this page October 2026

See what we checked

Is Dong Quai right for you?

Dong quai is a traditional choice for period and menopause support, but some people should avoid it. These are the questions our naturopaths ask in store.

A good fit if

  • You're an adult wanting to try a traditional Chinese blood tonic for period or menopause support
  • You're comfortable relying on centuries of traditional use rather than strong clinical trial evidence
  • You don't take warfarin, aspirin or any other blood-thinning medicine
  • You don't have a personal or family history of hormone-sensitive cancer
  • You're open to trying it on its own, or in a combination formula where the evidence is more preliminary

Check with us first if

  • You take warfarin or another anticoagulant. A published case report links dong quai to a dangerous rise in warfarin's effect.
  • You take aspirin, clopidogrel or another blood-thinning medicine or supplement. The same bleeding risk caution applies.
  • You take any regular prescription medicine. Sources describe moderate interactions with a large number of medicines.
  • You spend a lot of time in the sun, or use a medicine that makes your skin sun-sensitive. Dong quai contains compounds linked to sun sensitivity.

How the forms compare

  • Crude dried root / decoction. Best known for: The traditional Chinese medicine preparation, closest to how it was historically used. Absorption: Taken by mouth; we found no absorption data. Typical use: The whole root simmered as a decoction, roughly 3 to 15 g a day.
  • Powdered root capsule or tablet. Best known for: The only form tested in a controlled trial, and that trial found no benefit. Absorption: Taken by mouth; we found no absorption data. Typical use: The trial used 4.5 g a day and found no benefit over placebo for menopause symptoms.
  • Liquid extract / tincture. Best known for: A traditional way to take it, with no trial behind it. Absorption: We found no data. Typical use: Around 1 mL, three times a day.
  • Combination formulas (with chamomile, soy isoflavones, black cohosh, or classical TCM multi-herb blends). Best known for: Where most of the positive results in the research actually come from. Absorption: Not applicable, as there are several ingredients. Typical use: Dong quai's own contribution can't be separated from the other herbs in the formula.

Common questions

Does dong quai help with menopause symptoms or hot flushes?

The best evidence says no, at least not on its own. The one well-designed placebo-controlled trial gave 71 postmenopausal women 4.5 g a day for 24 weeks and found no meaningful difference from placebo for hot flushes. Positive results elsewhere come from combination products, where dong quai's own part can't be separated out.

Is dong quai the same as Korean dong quai (Angelica gigas)?

No, and they're often mixed up online. In Australian shops, 'dong quai' almost always means Chinese dong quai, Angelica sinensis, the plant this page covers. Angelica gigas, sometimes called Korean dong quai, is a different species with its own research and traditional uses. Check the botanical name on the label if you want to be sure which one you're buying.

Can I take dong quai with blood thinners like warfarin?

Take real care. A published case report describes dong quai increasing warfarin's blood-thinning effect and bleeding risk in one patient, and there's a general caution with aspirin, clopidogrel and other blood-thinning medicines too. If you take any of these, check with your doctor or pharmacist before you start, rather than trying it on your own.

How much, and when

Reference values. None. Dong quai is a herb, not an essential nutrient, so the NHMRC sets no recommended intake for it.

Typical supplemental range. Traditional doses vary by form. Dried root, simmered as a decoction, is usually 3 to 15 g a day. Powdered root is often 1 to 2 g, three times a day. Liquid extract is commonly around 1 mL, three times a day. The one controlled trial we found used 4.5 g a day of powdered root.

Upper level. There's no NHMRC upper limit, and Australia's permitted ingredients list (Schedule 1) sets no maximum daily dose. Safety beyond the dose and length of time used in the trial hasn't been established.

Worth knowing. It's not recommended in pregnancy or while breastfeeding, and we found no dosing information for children. What you need depends on your age, diet and health, so talk to one of our naturopaths.

Before you start

If any of these sound like you, talk to one of our naturopaths or your doctor before you start.

  • Warfarin and other blood thinners (anticoagulants). A published case report links dong quai to a dangerous rise in warfarin's effect and bleeding risk.
  • Aspirin, clopidogrel and other blood-thinning medicines or supplements. It may add to bleeding risk.
  • Pregnancy. Don't take it; effects that stimulate and relax the uterus have been reported, and safety isn't established.
  • Breastfeeding. Don't take it, as a precaution; it isn't known whether it passes into breast milk.
  • A personal history of breast, ovarian or uterine cancer, or of endometriosis or fibroids. Don't take it; lab testing found it can stimulate the growth of hormone-sensitive breast cancer cells.
  • Sun exposure and medicines that make you sun-sensitive. It contains compounds linked to sun sensitivity.
  • Regular prescription medicines in general. Sources describe moderate interactions with a large number of drugs.
  • If you take prescription medicines, check with your doctor, pharmacist or our naturopaths before you start.

The evidence, and its limits

  • Traditional Chinese medicine classes dong quai root as a blood tonic for menstrual health, a traditional-use wording the TGA also recognises. (Permissible Indications Determination)
  • Only one placebo-controlled trial has tested dong quai alone: 71 women over 24 weeks, with no benefit for hot flushes. (PubMed 9091314)
  • Lab testing found dong quai shows no oestrogen-like activity, despite the old 'natural HRT' assumption. (PubMed 11875390)
  • A published case report links dong quai to a dangerous rise in warfarin's blood-thinning effect. (PubMed 10417036)
  • Most positive results in the research come from combination formulas, not dong quai on its own. (drugs.com)

How it works

In Traditional Chinese Medicine, dong quai is known as a 'blood tonic'. The idea is that it nourishes the blood and helps it move more freely around the body, especially through the reproductive system, which is why it's so often used for period pain and menstrual flow. For a long time it was also thought to work like a plant oestrogen, gently topping up hormone levels after menopause. The best human trial and a lab test of hormone receptors both tested that idea directly, and neither found that dong quai acts like oestrogen in the body. Whatever is behind its traditional reputation, it isn't copying hormones. Its case rests on tradition rather than proven clinical effect.

The Australian rules

Species in the Angelica genus are allowed in Australian listed medicines, including two close East Asian relatives of dong quai listed by name: Angelica acutiloba (Japanese angelica, used in Kampo medicine) and Angelica polymorpha. Angelica sinensis, dong quai's own botanical name, doesn't appear as a direct match in the current list, and the exact Schedule 1 item that covers it hasn't been confirmed. It's sold in Australia as a listed-medicine ingredient and as a dried root or tea, but the item number still needs a regulatory check before it's stated as fact. Being allowed means an ingredient may lawfully be used in a listed medicine; it isn't the government endorsing any product or claim.

Read the instrument: Schedule 1, item 613.

Not sure this is the right form for you? Ask one of our naturopaths. It is free and takes 10 minutes.

Always read the label and follow the directions for use. General information only, and not a substitute for advice from your doctor or one of our naturopaths.

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