Synopsis

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

White Peony (Paeonia lactiflora), known as Bai Shao in Traditional Chinese Medicine (TCM), has been used for centuries as a hemostatic and blood tonic herb. In traditional practice, it is commonly included in formulas aiming to stop various forms of bleeding, particularly when blood loss is associated with “Liver” disharmony or deficiency syndromes. Classic texts such as the Shennong Bencao Jing and later materia medica reference its use for conditions like abnormal uterine bleeding, bleeding due to trauma, or excessive menstrual flow, often in combination with other herbs to enhance efficacy. The rationale in TCM is that White Peony nourishes the blood, preserves yin, and helps to regulate the flow within the vessels, thereby preventing leakage or reckless movement of blood outside its normal pathways. From a biomedical perspective, there is limited direct scientific evidence supporting the efficacy of White Peony for treating external bleeding specifically. Some in vitro and animal studies suggest that its active constituents (such as paeoniflorin) possess anti-inflammatory and vasoprotective properties, but robust clinical trials on its hemostatic effects in humans are lacking. Thus, while White Peony's use for external bleeding is well-documented in traditional practice, scientific validation remains minimal. Its role in formulas for bleeding is primarily justified by historical and empirical use rather than modern clinical research.

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