dang gui


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Related to dang gui: Angelica sinensis, Dang shen, Bai Shao

dong quai

(don kwi) ,

Angelica sinensis

(trade name),

Chinese Angelica

(trade name),

Dang Gui

(trade name),

Danggui

(trade name),

Don Quai

(trade name),

Ligustilides

(trade name),

Phytoestrogen

(trade name),

Radix angelicae gigantis

(trade name),

Tang Kuei

(trade name),

Tan Kue Bai Zhi

(trade name)

Classification

Therapeutic: none assigned
Premenstrual syndromeVarious uses as a blood purifierTopically in combination with other ingredients for premature ejaculation

Action

May have vasodilating and antispasmodic properties.
Binds to estrogen receptors.

Therapeutic effects

Improved ejaculatory latency.

Pharmacokinetics

Absorption: Unknown.
Distribution: Unknown.
Metabolism and Excretion: Unknown.
Half-life: Unknown.

Time/action profile

ROUTEONSETPEAKDURATION
POunknownunknownunknown

Contraindications/Precautions

Contraindicated in: Allergy to carrot, celery, mugwort or other members of the Apiaceae family; Obstetric: Pregnancy and lactation.
Use Cautiously in: Hormone sensitive cancers and conditions (may exacerbate effects or stimulate growth of cancer cells); Protein S deficiency (↑ risk for thrombosis); Surgery (discontinue 2 weeks prior to procedure).

Adverse Reactions/Side Effects

Dermatologic

  • photosensitivity

Gastrointestinal

  • diarrhea

Miscellaneous

  • Some constituents are carcinogenic and mutagenic

Interactions

Alcohol -containing preparations may interact with disulfiram and metronidazole.Use of dong quai with anticoagulant and antiplatelet drugs, thrombolytics, NSAIDs, some cephalosporins, and valproates may increase risk of bleeding. Herbs with antiplatelet or anticoagulant properties may increase bleeding risk when combined with dong quai including:angelica, clove, danshen, garlic, ginger, ginkgo, panax ginseng, and willow.
Oral (Adults) Bulk herb—3–4.5 g per day in divided doses with meals; Extract—1 ml (20–40 drops) three times daily.

Availability

Bulk herb: OTC
Extract: OTC

Nursing implications

Nursing assessment

  • Assess pain and menstrual patterns prior to and following menstrual cycle to determine effectiveness of this herbal supplement.
  • Assess for pregnancy prior to recommending use of the herbal supplement and warn women not to take this herb if pregnancy is planned or suspected.
  • Assess for history of hormone sensitive cancers or conditions and warn against use.
  • Assess medication profile including prescription and over the counter use of products such as aspirin and ibuprofen based products to treat menstrual pain.

Potential Nursing Diagnoses

Acute pain (Indications)
Deficient knowledge, related to medication regimen (Patient/Family Teaching)

Implementation

  • Take with meals.

Patient/Family Teaching

  • Warn patients not to take this medication if pregnant or breastfeeding.
  • Inform patients to avoid use of aspirin or other NSAIDs concurrently because of the risk of bleeding.
  • Notify patients that there are no studies supporting the use of this herbal supplement for treatment of menopausal symptoms.
  • Tell patients to consult their health care professional if taking prescription medications before taking Dong Quai.
  • Discontinue the herbal supplement if diarrhea or excessive bleeding occurs and contact a health care provider if symptoms do not resolve.
  • Instruct patients that photosensitivity may occur and to wear sun screen and protective clothing if sun exposure is anticipated.

Evaluation/Desired Outcomes

  • Reduction in menstrual pain and cramping and regular periods with normal flow.

dong quai

, dang gui (dŏng kwī) [Chinese]
An herbal remedy from the East Asian perennial herb Angelica sinensis, promoted for its palliative effects on the symptoms of menopause. Formal studies of the herb show that it is ineffective in relieving hot flashes.

dang gui (täng kwē),

n Latin name:
Angelica polymorpha var.
sinensis; part used: roots; uses: menopause, PMS, menorrhagia, dysmenorrhea, neuralgia, headache, malaria, herpes infection, anemia, vitiligo; precautions: pregnancy, lactation, children, dang gui hypersensitivity, photosensitivity, bleeding disorders, acute illness, heavy menstrual flow. Also called
Chinese angelica, dong quai, dry kuei, tang-kuei, toki, and
women's ginseng.
References in periodicals archive ?
Licorice, dang gui, and blue cohosh showed clear evidence of binding to the estrogen receptor.
After adding extracts of dang gui to the animals' chow, however, the researchers discovered an increase in uterine weight.
Guo uses this combination to treat constipation in cancer patients, it is because Dang Gui supplements the blood, while Zi Wan descends the qi.
Yin Yang Huo (Herba Epimedii) Xian Mao (Rhizoma Curculiginis) Fu Zi (Radix Lateralis Praeparata Aconiti) Xiang Fu (Rhizoma Cyperi) Shan Zhu Yu (Fructus Corni) Tu Si Zi (Semen Cuscutae) Shan Yao (Radix Dioscoreae) Dang Gui (Radix Angelicae Sinensis), 15g each Du Zhong (Cortex Eucommiae) Lu Jiao Pian (Cornu Parvum Cervi), 10g each Dan Shen (Radix Salviae Miltiorrhizae) Fu Ling (Poria) Yi Mu Cao (Herba Leonuri) Suan Zao Ren (Semen Zizyphi Spinosae), 20g each
Chai Hu (Radix Bupleuri) Zhi Qiao (Fructus Aurantii) Dang Gui (Radix Angelicae Sinensis) Bai Shao (Radix Alba Paeoniae) Bai Zhu (Rhizoma Atractylodis Macrocephalae) Ci Ji Li (Fructus Tribuli) Yin Yang Huo (Herba Epimedii) Tu Si Zi (semen Cuscutae) Ji Nei Jin (Endothelium Corneum Gigeriae Galli) Ye Jiao Teng (Caulis Polygoni Multiflori), 15g each Fu Ling (Poria) Mai Ya (Fructus Germinatus Hordei) Dan Shen (Radix Salviae Miltiorrhoizae), 20g each Yu Jin (Tuber Curcumae), 10g
For shine, nourishment and health, run a hot bath and apply the satisfyingly gloopy Mulberry & Dang Gui Shine Wrap (pounds 4.