Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Blood Moving

Chì Sháo · Red Peony Root

Chì Sháo (赤芍, Red Peony Root) is a herb of Cool nature and Bitter flavor, in the “Blood Moving” category. Tradition uses it to cool blood and stop bleeding, Activate blood and disperse stasis, Reduce inflammation and pain.

赤芍 · Chì SháoUpdated on

Energetic profile

Pinyin name
Chì Sháo
Characters
赤芍
Botanical name
Paeonia lactiflora Pall.
Family
Paeoniaceae
Part used
Root
Nature
Cool
Flavor
Bitter
Meridians
Liver, Spleen
Category
Blood Moving
Toxicity
Non-toxic
Pregnancy
Avoid
Origin
China, Mongolia, Siberia

Actions according to tradition

  • Cool blood and stop bleeding
  • Activate blood and disperse stasis
  • Reduce inflammation and pain

Traditional uses

  • Heat in the blood with skin rashes and hemorrhages
  • Blood stasis with abdominal pain
  • Pain due to obstruction of the canals
  • Red and painful eyes due to liver heat
  • Appendicitis and intestinal abscess

Studied effects and current applications

  • Cools the heat in the blood level
  • Disperses blood stasis and relieves pain
  • Anti-inflammatory and antithrombotic properties
  • Reduces fever in febrile illnesses with heat in the blood
  • Hepatoprotector

Applications under investigation

  • Enfermedades cardiovasculares
  • Hepatitis and liver disease
  • Menstrual disorders due to blood stasis
  • Chronic inflammation
  • Autoimmune conditions with heat in the blood

An effect being investigated does not mean it has been proven in humans.

Contraindications and adverse effects

Absolute contraindications

  • Pregnancy
  • Active bleeding without blood stasis
  • Blood deficiency without stasis

Relative contraindications

  • Anticoagulants
  • Surgery (suspend 2 weeks before)
  • Spleen deficiency with diarrhea
Pregnancy
CONTRAINDICATED in pregnancy. It activates the blood and can cause abortion.
Breastfeeding
Use with caution during breastfeeding.
Children
Use with caution in children for hot blood conditions.
Older adults
Useful for elderly people with blood stasis. Caution with tendency to bleeding.

Possible adverse effects

  • Excessive bleeding at high doses
  • gastric upset

When to stop

  • Sangrado aumenta
  • Confirmed pregnancy
  • Before surgery

Interactions with medications

GroupDrugsSeverityEffect and recommendation
AnticoagulantsWarfarin, Aspirin, ClopidogrelModerateAdditive antiplatelet effect - increased risk of bleeding Monitor INR and bleeding time.
AINEIbuprofeno, NaproxenoMildComplementary anti-inflammatory effects Generally safe at normal doses.

With other herbs

  • mu_dan_pi Classic combination to cool the blood and inactivate heat in the blood

Reference dose

Decoction
6-12 g daily
Powder
2-4 g daily
Acute use
1-2 weeks
Chronic use
2-4 weeks
Maximum
With supervision in chronic use
Children
Use with caution in children.

Forms of preparation

Decoction

Boil 6-12g in 3 cups of water for 30-40 min. Drink warm twice a day.

Blood heat, blood stasis, red eyes

Powder

Take 2-4g in warm water.

Conveniencia

Approximate doses from the literature; they are not a prescription. Consult a professional.

Active compounds

Monoterpene (paeoniflorin) and phenolic (paeonol) glycosides

Paeoniflorina

Monoterpene glycoside · Anti-inflammatory, analgesic, antispasmodic

COX-2 and 5-LOX inhibition, GABA-A receptor modulation · 1.5-3.5% in dry root

Paeonol (2-hydroxy-4-methoxyacetophenone)

Phenylpropanoids · Anti-inflammatory, anticoagulant, analgesic

Inhibition of platelet aggregation, blockage of calcium channels · 0.5-2.0%

Albiflorin and oxipaeoniflorin

Monoterpene glycosides · Hepatoprotective, anti-inflammatory

Hepatocyte apoptosis inhibition, ALT/AST reduction · 0.3-1.0%

Gallicina and tannins

Hydrolyzable tannins · Astringent, antioxidant

Protein precipitation, free radical scavenging · 2-5%

Harvesting and processing

Harvest
Summer (June-August), 3-5 year old plants

Paeonia lactiflora roots with reddish skin (red cultivars). They are washed, the outer bark is removed and dried in the sun or with gentle heat. Different from Bai Shao (white) in color and more mobile-cold action.

Raw (赤芍 Chì Sháo)

Unpeeled or partially peeled root, sliced and dried. It is not boiled like Bai Shao to preserve more mobile action.

Formulas it appears in

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.