Synopsis

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

Trichosanthes, particularly the root (Trichosanthes kirilowii or Trichosanthes cucumerina), has been traditionally used in Chinese and other Asian systems of medicine to address various bleeding disorders, including external bleeding. In Traditional Chinese Medicine (TCM), Trichosanthes root—known as "Tian Hua Fen"—is often included in herbal formulations for its purported ability to cool the blood, reduce heat, and stop bleeding. However, the primary traditional applications are more commonly related to internal bleeding (such as hemoptysis or blood in the stool) rather than external wounds. Some texts mention topical applications or poultices made from Trichosanthes for wounds, boils, or other skin conditions, with the intention of promoting healing and potentially reducing bleeding. Despite its long-standing use, there is limited direct scientific evidence supporting Trichosanthes’ efficacy in treating or supporting external bleeding specifically. Most scientific studies on Trichosanthes focus on its antitumor, immunomodulatory, antidiabetic, and anti-inflammatory properties, or on its use for internal bleeding and pulmonary conditions. There are few, if any, controlled clinical trials validating its direct hemostatic (blood-stopping) effect for external wounds. Therefore, the justification for its use in external bleeding is primarily traditional and rooted in historical texts, with only modest supporting evidence and little modern clinical validation.

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