Review Article

Complementary and Alternative Medicine for Threatened Miscarriage: Advantages and Risks

Table 2

Commonly used single CHMs in formulas for threatened miscarriage.

English nameLatin nameEfficacy based on TCM theoryMechanism of actionAdverse eventsReferences

Baikal skullcap rootRadix ScutellariaeClearing heat and stopping bleeding to prevent miscarriageIt can have an antiabortive effect through inhibition of maternal-fetal interface immunity, and it contains baicalein, which has anti-inflammatory effects and elevates progesterone levels to prevent miscarriage.Treatment with 32 g/kg/day led to potential maternal toxicity and major limb abnormalities in mice.[5659, 75]
Chinese AngelicaRadix Angelicae SinensisReplenishing and promoting blood circulation, regulating menstruation, relieving pain, and acting as a laxativeThe water-based extracts can restrain the mobility of uterine smooth muscle and rectify the excitation of oxytocin.Inhibited embryonic growth and development in rats and mice.[60, 75]
Chinese Dodder seedSemen CuscutaeTonifying the kidney to prevent miscarriage, benefiting essence, and nourishing yinIt promotes progesterone secretion, improves trophoblast function, regulates decidual proliferation and apoptosis, and acts as an antioxidant.It increased antepartum and postpartum maternal mortality, decreased embryonic development, and minor limb abnormalities, mainly polydactyly and oligodactyly, in mice.[6163, 75]
Chinese Taxillus twigHerba TaxilliNourishing the liver and kidney, strengthening the waist and knees to prevent miscarriage, dispelling wind, and removing dampnessIt is rich in elements such as zinc and manganese that promote fetal development, inhibits uterine contraction, and reduces platelet aggregation.It had embryotoxic effects with high dose in rats, reduced maternal weight gain and increased early fetal resorption rate, shortened pregnancy duration, increased congenital malformation and postnatal mortality rate, and reduced postnatal weight gain in mice.[64, 65, 75]
Donkey-hide glueColla Corii AsiniNourishing and regulating the blood to prevent miscarriage, and relieving painIt contains iron, zinc, and other essential trace elements and thus can also stop vaginal bleeding, increase circulating calcium levels, and contribute to embryonic development.Not reported.[66]
Eucommia barkCortex EucommiaeReplenishing the liver and kidney and strengthening bones and muscles to prevent miscarriageIt can weaken pituitrin secretion and suppress uterine contraction.It impacted embryonic growth and development.[67, 68, 75]
Himalayan Teasel rootRadix DipsaciNourishing the liver and kidney, regulating blood vessels, and strengthening bones and musclesIt suppresses uterine contraction during pregnancy, improves ovarian function, and promotes uterine and embryonic development.Aqueous extracts at the dosage of 8 or 32 g/kg/d might cause adverse impacts on maternal health and embryonic/fetal development, including maternal death before delivery.[69, 70, 75]
Largehead Atractylodes rhizomeRhizoma Atractylodis MacrocephalaeTonifying Qi and strengthening the spleenIt contains volatile oils that can promote fetal development and maturity, inhibit uterine contraction, and maintain pregnancy.Potential reproductive toxicity in pregnant animals within the clinical dose equivalent to that used by humans, such as postpartum maternal mortality, embryonic developmental delay, and major fetal limb abnormalities.[56, 71, 75, 76]
Licorice rootRadix et Rhizoma GlycyrrhizaeTonifying and regulating Qi and the blood and relieving urgency and painIt is anti-inflammatory and antioxidative and enhances endogenous steroids. It is also used to relieve abdominal pain and muscle spasms.It can increase blood pressure in pregnant women, and it contains glycyrrhizin (≥500 mg/week) that may result in lower gestational age, increased postpartum maternal mortality, reduced maternal weight gain, and increased early fetal resorption rate in mice.[10, 17, 75, 77]
Milkvetch rootRadix AstragaliTonifying Qi and yin, promoting body fluid production, and lifting depressionIt elevates placental blood supply and restrains the placental immune response in order to prevent pregnancy complications, and it has benefits for embryonic development.Not reported.[72]
Szechwon Tangshen root/Pilose Asiabell rootRadix CodonopsisEnriching blood and promoting fluid production, strengthening the spleen and benefiting the lungIts polysaccharide component can strengthen immunity and promote compensatory hematopoiesis of the spleen.Antepartum maternal mortality increased in mice.[73, 75]
White Peony rootRadix Paeoniae AlbaEnriching blood, astringing yin, and relieving painIt might downregulate fetal Th1/Th2/Th17 cytokines and receptors, which might benefit embryonic survival and development.Antepartum maternal mortality and perinatal mortality increased in mice.[74, 75]

CHM: Chinese herbal medicine; TCM: traditional Chinese medicine.