Attribution Statement: LactMed is a registered trademark of the U.S. Department of Health and Human Services.
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-.
Drug Levels and Effects
Summary of Use during Lactation
Vaccaria segetalis (cowherb seed) is a dry mature seed of Vaccaria hispanica seeds. The seeds are used in Chinese medicine (Wang Bu Liu Xing) to increase milk supply orally as a decoction.[1-4] The seeds contain vaccarin, which has a prolactin-like effect on the mammary epithelial cells and increase the number of prolactin receptors in animal studies, as well as quercetin and oleic acid.[4,5] Vaccaria seeds may also have mild estrogenic activity.[5] No well-performed clinical trials have been reported in English on the galactogogue effect of Vaccaria seeds taken orally in humans. It has reportedly been used frequently with Liquidambar formosana (Lu Lu Tong) as a galactogogue combination known as Wang Bu Liu Xing and Lu Lu Tong herb pair (WLHP).[4]
Vaccaria seeds are also topically applied with pressure to the earlobes in auricular therapy. Auricular therapy uses stimulation of acupoints on the ear corresponding to various anatomical sites and functions of the body for the diagnosis, treatment, and prevention of disease. Many studies applied Vaccaria seeds to press on ear acupoints. Two systematic reviews on auricular therapy to increase milk supply have come to differing conclusions. One review found a positive effect on milk production, onset of lactation, serum prolactin, breast fullness, neonate states, and frequency of newborn urination and defecation.[6] A more recent review found varying efficacy between studies and poor methodology that did not allow for a definitive conclusion on efficacy as a galactogogue.[7] No adverse effects were reported in any studies.
Drug Levels
Maternal Levels. Relevant published information was not found as of the revision date.
Infant Levels. Relevant published information was not found as of the revision date.
Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
Effects on Lactation and Breastmilk
In a randomized, nonblinded study of mothers who delivered a healthy infant at 37 weeks or beyond and expressed a desire to breastfeed, the Chinese herbal mixture Zengru Gao (n = 294) was compared to blank placebo (n = 294). Zengru Gao is composed of 8 herbs: Vaccaria seed, Medulla Tetrapanacis, Rehmanniae root, Angelica sinensis root, Paeoniae alba root, Ligusticum chuanxiong, Herba Leonuri (Motherwort Herb), and Trichosanthis root. The dose of Zengru Gao was 30 grams three times daily. On days 3 and 7, the group receiving Zengru Gao had more full and partial breastfeeding than those in the placebo group. In Zengru Gao group, 4 newborns had diarrhea, 3 newborns of allergies, 4 women of cough, 2 case of upper respiratory tract infections, 1 case of dry pharynx, and 1 case of neonatal hyperbilirubinemia. No complications were seen in the control group.[8]
A nonrandomized, nonblinded study of women who had undergone cesarean section compared those who received acupoint stimulation, breast massage and Vaccaria seed decoction twice daily for 7 days (n = 74) to those who received routine western medicine nursing intervention (instructing mothers to breastfeed, letting the baby contact and suck early after delivery, dietary guidance and psychological intervention, and instructing mothers to get more exercise). Serum prolactin was greater at 3 days postpartum in the acupoint group than the prenatal prolactin and at 1 day postpartum and in the control group. The acupoint group had a higher exclusive breastfeeding rate, higher milk yield at 48 hours postpartum, and milder breast tenderness than the control group. At 42 days postpartum the acupoint group had a greater infant weight than the control group.[9]
References
- 1.
- Zheng T, Chen W, Hu H, et al. The prevalence, perceptions and behaviors associated with traditional/complementary medicine use by breastfeeding women living in Macau: A cross-sectional survey study. BMC Complement Med Ther 2020;20:122. doi:10.1186/s12906-020-02921-8 [PMC free article: PMC7175520] [PubMed: 32316951] [CrossRef]
- 2.
- Chao J, Ko CY, Lin CY, et al. Ethnobotanical survey of natural galactagogues prescribed in traditional Chinese medicine pharmacies in Taiwan. Front Pharmacol 2021;11:625869. [PMC free article: PMC7928277] [PubMed: 33679390]
- 3.
- Sibeko L, Johns T. Global survey of medicinal plants during lactation and postpartum recovery: Evolutionary perspectives and contemporary health implications. J Ethnopharmacol 2021;270:113812. [PubMed: 33450288]
- 4.
- Liao CC, Chien CH, Hsu TJ, Li JM. Advancing breastfeeding promotion: Leveraging integrative natural galactagogues and unveiling their potential roles-Insights from a 19-year Taiwan nationwide registry to address lactation insufficiency in postpartum women. Front Nutr 2024;11:1293735. [PMC free article: PMC10869601] [PubMed: 38371501]
- 5.
- Tian M, Huang Y, Wang X, et al. Vaccaria segetalis: A review of ethnomedicinal, phytochemical, pharmacological, and toxicological findings. Front Chem 2021;9:666280. [PMC free article: PMC8117358] [PubMed: 33996757]
- 6.
- Chen ML, Tan JY, Suen LK. Auricular therapy for lactation: A systematic review. Complement Ther Clin Pract 2017;29:169-84. [PubMed: 29122257]
- 7.
- Lee B, Kwon CY, Lee SH. Effectiveness and safety of auriculotherapy for breastfeeding: A systematic review. J Tradit Chin Med 2020;40:721-37. [PubMed: 33000573]
- 8.
- Wang S, Zhang C, Li C, et al. Efficacy of Chinese herbal medicine Zengru Gao to promote breastfeeding: A multicenter randomized controlled trial. BMC Complement Altern Med 2018;18:53. [PMC free article: PMC5801806] [PubMed: 29409494]
- 9.
- Zhan J, Huang N, Meng N, et al. Lactation prescription plus acupoint stimulation improves breastfeeding quality and alleviates breast tenderness in parturients undergoing cesarean section. Am J Transl Res 2023;15:539-47. [PMC free article: PMC9908465] [PubMed: 36777860]
Substance Identification
Substance Name
Vaccaria
Scientific Name
Vaccaria segetalis
Drug Class
Breast Feeding
Milk, Human
Complementary Therapies
Galactogogues
Phytotherapy
Plants, Medicinal
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.
- User and Medical Advice Disclaimer
- Drugs and Lactation Database (LactMed) - Record Format
- LactMed - Database Creation and Peer Review Process
- Fact Sheet. Drugs and Lactation Database (LactMed)
- Drugs and Lactation Database (LactMed) - Glossary
- LactMed Selected References
- Drugs and Lactation Database (LactMed) - About Dietary Supplements
- Breastfeeding Links
- Identification of multiple constituents from seed of Vaccaria segetalis with an adsorbent-separation strategy based on liquid chromatography coupled to quadrupole time-of-flight mass spectrometry.[Rapid Commun Mass Spectrom. 2014]Identification of multiple constituents from seed of Vaccaria segetalis with an adsorbent-separation strategy based on liquid chromatography coupled to quadrupole time-of-flight mass spectrometry.Qi P, Zhang F, Xue R, Li Z, Chen M, Sun Z, Zhu K, Huang C. Rapid Commun Mass Spectrom. 2014 Jun 15; 28(11):1243-57.
- Metabolism and tissue distribution study of Vaccaria seeds (Wang-Bu-Liu-Xing) in benign prostatic hyperplasia model rat: toward an in-depth study for its bioactive components.[J Pharm Biomed Anal. 2013]Metabolism and tissue distribution study of Vaccaria seeds (Wang-Bu-Liu-Xing) in benign prostatic hyperplasia model rat: toward an in-depth study for its bioactive components.Qi P, Li Z, Chen M, Sun Z, Huang C. J Pharm Biomed Anal. 2013 Nov; 85:218-30. Epub 2013 Aug 7.
- Review Vaccaria segetalis: A Review of Ethnomedicinal, Phytochemical, Pharmacological, and Toxicological Findings.[Front Chem. 2021]Review Vaccaria segetalis: A Review of Ethnomedicinal, Phytochemical, Pharmacological, and Toxicological Findings.Tian M, Huang Y, Wang X, Cao M, Zhao Z, Chen T, Yuan C, Wang N, Zhang B, Li C, et al. Front Chem. 2021; 9:666280. Epub 2021 Apr 29.
- Polysaccharides from Vaccaria segetalis seeds reduce urinary tract infections by inhibiting the adhesion and invasion abilities of uropathogenic Escherichia coli.[Front Cell Infect Microbiol. 2...]Polysaccharides from Vaccaria segetalis seeds reduce urinary tract infections by inhibiting the adhesion and invasion abilities of uropathogenic Escherichia coli.Yao R, Mao X, Xu Y, Qiu X, Zhou L, Wang Y, Pang B, Chen M, Cao S, Bao L, et al. Front Cell Infect Microbiol. 2022; 12:1004751. Epub 2022 Nov 23.
- Review [Processing techniques of Vaccaria segetalis].[Zhong Yao Cai. 2000]Review [Processing techniques of Vaccaria segetalis].Guo C, Su D, Wang L. Zhong Yao Cai. 2000 May; 23(5):301-3.
- Vaccaria - Drugs and Lactation Database (LactMed®)Vaccaria - Drugs and Lactation Database (LactMed®)
Your browsing activity is empty.
Activity recording is turned off.
See more...