Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Peony (Paeonia spp.) has a long-standing history in traditional medicine systems, particularly in Traditional Chinese Medicine (TCM), where it is used to address various ailments, including bleeding. The most commonly used part is the root, especially of the species Paeonia lactiflora (Bai Shao) and Paeonia suffruticosa (Mu Dan Pi). In TCM, peony root is believed to "cool the blood," "dispel stasis," and "stop bleeding," making it a component of formulas intended for conditions such as uterine bleeding, blood in the stool, or bleeding due to heat in the blood. The traditional rationale is not based on direct hemostatic actions but on the herb's ability to correct underlying imbalances that manifest as bleeding. Scientific evidence supporting peony's efficacy for treating external bleeding is limited. Some laboratory studies have identified anti-inflammatory and vasoconstrictive properties in peony extracts, but there is little direct evidence from clinical trials or pharmacological studies specifically confirming peony's effectiveness in stopping external bleeding in humans. Most modern research focuses on peony's use in autoimmune and inflammatory conditions rather than as a hemostatic agent. In summary, the use of peony for external bleeding is supported primarily by traditional use, with a moderate but not robust level of historical evidence, and minimal direct scientific validation for this particular indication.

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