Synopsis

Source of validity: Traditional
Rating (out of 5): 3

Agrimonia pilosa, commonly known as hairy agrimony, has a long history of use in traditional medicine systems, particularly in East Asia. In Traditional Chinese Medicine (TCM), it is known as "Xian He Cao" and is prominently used to stop bleeding (hemostasis), both internally and externally. Historical texts and pharmacopeias document its application in treating wounds, cuts, and bleeding disorders by applying poultices or decoctions made from the aerial parts of the plant directly to the affected area. The presumed mechanism, according to traditional sources, is its astringent property, which helps contract tissues and reduce bleeding. While modern pharmacological studies have identified the presence of tannins, flavonoids, and other bioactive compounds in Agrimonia pilosa that could theoretically contribute to hemostatic activity, robust clinical trials validating its efficacy for external bleeding are lacking. However, in vitro and animal studies suggest some hemostatic effects, which partially align with traditional claims. The majority of the support for its use in stopping external bleeding remains rooted in centuries of traditional practice rather than contemporary scientific validation. Therefore, its use for this purpose is best characterized as "traditional" with moderate supporting evidence from historical use, but limited direct scientific confirmation.

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