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Paeonia lactiflora

Paeonia Lactiflora (White Peony Root)

Research reviewed: Up until 03/2026

Paeonia Lactiflora (White Peony Root) (Paeonia lactiflora) is a dietary supplement with 6 published peer-reviewed studies involving 320 participants, researched for PCOS & Hormonal Balance, Autoimmune Conditions, Anti-inflammatory and 1 more areas.

6
Studies
320
Participants
1991–2020
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

PCOS & Hormonal Balance

Moderate
2 studies 2 of 2 positive 57 participants

Autoimmune Conditions

Moderate
1 study 1 of 1 positive 120 participants

Anti-inflammatory

Moderate
2 studies 0 of 2 positive 0 participants

Fertility

Moderate
1 study 0 of 1 positive 34 participants

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

1/6
Randomised
1/6
Double-Blind
0/6
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2019)
0
Study 2 (2020)
57
Study 1 (2009)
120
Study 1 (2011)
0
Study 2 (2008)
0
Study 1 (1991)
34

Research Timeline

When the studies were published

1
1991
1
2008
1
2009
1
2011
1
2019
1
2020

All Studies

Detailed breakdown of each trial. Click to expand.

PCOS & Hormonal Balance

1

To investigate whether paeoniflorin extract (PFE) from Paeonia lactiflora reduces testosterone over-secretion in theca cells.

2019 ? participants In vitro PFE 0.1–10 μM in vitro
Human Study Positive

Study Type

In vitro mechanistic study

Purpose

To investigate whether paeoniflorin extract (PFE) from Paeonia lactiflora reduces testosterone over-secretion in theca cells.

Dose

PFE 0.1–10 μM in vitro

Participants

Primary murine theca cells

Duration

In vitro

Results

Paeoniflorin extract significantly reduced testosterone secretion from theca cells by downregulating CYP17A1 and CYP11A1 expression, providing scientific evidence for treating ovarian hyperandrogenism in PCOS.

How They Measured It

Testosterone production by theca cells, CYP17A1 and CYP11A1 gene expression

Read full study
2

To investigate whether Paeonia lactiflora extract improves ovarian function and oocyte quality in aged female mice.

2020 57 participants 8 weeks Paeonia lactiflora extract 200 mg/kg/day
Human Study Positive

Study Type

Animal study

Purpose

To investigate whether Paeonia lactiflora extract improves ovarian function and oocyte quality in aged female mice.

Dose

Paeonia lactiflora extract 200 mg/kg/day

Participants

Aged female C57BL/6 mice

Duration

8 weeks

Results

Paeonia lactiflora significantly improved ovarian reserve, oocyte quality and maturation rates in aged mice. Hormonal profiles (FSH, AMH) improved. Results suggest potential for improving fertility in older women.

How They Measured It

Ovarian morphology, oocyte count and quality, hormonal assays (FSH, AMH), fertilisation rates

Read full study

Autoimmune Conditions

1

To evaluate the efficacy of total glucosides of paeony (TGP) in patients with rheumatoid arthritis.

2009 120 participants 24 weeks 600 mg TGP three times daily
Human Study RCT Double-Blind Positive

Study Type

Randomised, double-blind, controlled

Purpose

To evaluate the efficacy of total glucosides of paeony (TGP) in patients with rheumatoid arthritis.

Dose

600 mg TGP three times daily

Participants

120 patients with active rheumatoid arthritis

Duration

24 weeks

Results

TGP addition to methotrexate significantly improved DAS-28 scores, reduced joint counts, and lowered inflammatory markers compared to methotrexate alone. Treatment was well tolerated.

How They Measured It

DAS-28, tender joint count, swollen joint count, CRP, ESR, HAQ

Read full study

Anti-inflammatory

1

To review the pharmacological properties of total glycosides of paeony (TGP) / paeoniflorin in inflammatory and autoimmune diseases.

2011 ? participants Various Various
Human Study Mixed

Study Type

Review

Purpose

To review the pharmacological properties of total glycosides of paeony (TGP) / paeoniflorin in inflammatory and autoimmune diseases.

Dose

Various

Participants

Review

Duration

Various

Results

TGP demonstrates anti-inflammatory effects through NF-κB inhibition, Treg enhancement, and cytokine modulation. Clinical evidence supports use in rheumatoid arthritis, SLE, and PCOS-related inflammation.

How They Measured It

Systematic review of pharmacological and clinical studies

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2

To investigate the molecular mechanisms of paeoniflorin's anti-inflammatory activity.

2008 ? participants N/A Paeoniflorin 1–100 μM
Human Study Positive

Study Type

In vitro study

Purpose

To investigate the molecular mechanisms of paeoniflorin's anti-inflammatory activity.

Dose

Paeoniflorin 1–100 μM

Participants

Human and murine macrophage cell lines

Duration

N/A

Results

Paeoniflorin significantly inhibited NF-κB activation and reduced TNF-α, IL-6, iNOS and COX-2 expression in stimulated macrophages, confirming its anti-inflammatory mechanism.

How They Measured It

NF-κB reporter assay, pro-inflammatory cytokines, iNOS and COX-2 expression

Read full study

Fertility

1

To evaluate the effects of a traditional Chinese formula containing Paeonia lactiflora and Glycyrrhiza on menstrual cycle and hormone levels in women with PCOS.

1991 34 participants 24 weeks Shakuyaku-kanzo-to (containing P. lactiflora and G. glabra)
Human Study Mixed

Study Type

Observational clinical study

Purpose

To evaluate the effects of a traditional Chinese formula containing Paeonia lactiflora and Glycyrrhiza on menstrual cycle and hormone levels in women with PCOS.

Dose

Shakuyaku-kanzo-to (containing P. lactiflora and G. glabra)

Participants

34 women with PCOS

Duration

24 weeks

Results

The combination formula normalised menstrual cycles in 78% of treated women, reduced LH/FSH ratio, and lowered testosterone levels. Results support traditional use for PCOS management.

How They Measured It

Menstrual cycle regularity, LH/FSH ratio, testosterone, oestradiol, prolactin

Read full study

Frequently Asked Questions

Common questions about Paeonia Lactiflora (White Peony Root) research

What does the research say about Paeonia Lactiflora (White Peony Root)?

There are currently 8 peer-reviewed studies on Paeonia Lactiflora (White Peony Root) (Paeonia lactiflora), involving 320 total participants. Research covers PCOS & hormonal balance, Autoimmune conditions, Anti-inflammatory and 1 more areas. The overall evidence strength is rated as Strong.

How strong is the evidence for Paeonia Lactiflora (White Peony Root)?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (6 human studies), and reported outcomes.

What health goals has Paeonia Lactiflora (White Peony Root) been studied for?

Paeonia Lactiflora (White Peony Root) has been researched for: PCOS & hormonal balance, Autoimmune conditions, Anti-inflammatory, Fertility. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Paeonia Lactiflora (White Peony Root) based on human trials?

Yes, 6 out of 8 studies are human trials. Human trials carry more weight in our evidence scoring system.