Use in Chinese medicine.

Seahorse populations have been endangered in recent years by overfishing. Therefore, seahorse fishing is strictly illegal. The seahorse is used in traditional Chinese herbology, and as many as 20 million seahorses may be caught each year and sold for this purpose. Medicinal seahorses are not readily bred in captivity as they are susceptible to disease and have somewhat different energetics than aquarium seahorses.

Import and export of seahorses has been controlled under CITES since May 15, 2004.

The problem may be exacerbated by the growth of pills and capsules as the preferred method of ingesting medication as they are cheaper and more available than traditional, individually tailored prescriptions of raw medicinals but the contents are harder to track. Seahorses once had to be of a certain size and quality before they were accepted by TCM practitioners and consumers. But declining availability of the preferred large, pale and smooth seahorses has been offset by the shift towards prepackaged medicines, which make it possible for TCM merchants to sell previously unused juvenile, spiny and dark-coloured animals. Today almost a third of the seahorses sold in China are prepackaged. This adds to the pressure on the species.