Herb

Di Yu

Sanguisorba root | 地榆

Also known as:

Sanguisorba Root , Bloodwort Root

Properties

Hemostatic herbs (止血药) · Slightly Cool

Parts Used

Root (根 gēn)

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Di Yu (Sanguisorba root) is a cooling, astringent herb best known for stopping bleeding, especially in the lower body such as rectal bleeding, hemorrhoids, and bloody stool. It is also widely used externally for burns, scalds, and eczema, where it reduces pain and promotes healing. Its cool and bitter nature makes it most suited for bleeding and skin conditions caused by excess Heat.

Herb Category*

Main Actions*

  • Cools the Blood and Stops Bleeding
  • Clears Heat and Resolves Toxicity
  • Promotes Tissue Regeneration and Heals Sores

How These Actions Work*

'Cools Blood and stops bleeding' means Di Yu clears Heat from the Blood level, which helps stop hemorrhaging caused by Heat driving Blood out of the vessels. Its cool, bitter, and astringent nature makes it descend and settle in the lower body, which is why it is especially effective for bleeding in the lower parts of the body: rectal bleeding, bloody dysentery, hemorrhoidal bleeding, and uterine bleeding. The bitter flavour clears Heat while the sour and astringent flavours contract the vessels and hold Blood in place.

'Clears Heat and resolves toxins' means Di Yu can address toxic Heat conditions, particularly in the intestines. This applies to conditions like bacterial dysentery and infected wounds where Heat and toxins cause inflammation and tissue damage. Its antimicrobial tannins contribute to this action in biomedical terms.

'Astringes sores and promotes healing' refers to Di Yu's external application for burns, scalds, eczema, and skin ulceration. When ground into fine powder and mixed with sesame oil, it forms a protective layer over burned or damaged skin that reduces fluid leakage, eases pain, and speeds healing. There is a well-known saying in Chinese medicine that translates roughly as: 'If you have Di Yu bark at home, you need not fear burns.' It is considered one of the most important herbs for treating thermal burns and scalds.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Di Yu is traditionally associated with these specific patterns.

The following describes this herb's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Di Yu addresses this pattern

Di Yu is bitter, sour, astringent, and slightly cool in nature, entering the Liver and Large Intestine channels. It directly clears Heat from the Blood level in the lower body. When Heat invades the Blood, it forces Blood to leave the vessels, causing bleeding. Di Yu's cool nature counteracts this Heat, its bitter flavour descends and drains Fire, and its sour and astringent flavours constrict the vessels to stop bleeding. This makes it one of the primary herbs for Blood Heat bleeding in the lower body.

A practitioner would look for one or more of these signs

Bleeding

Bright red blood in stool, especially before or after bowel movements

Hemorrhoids

Bleeding hemorrhoids with red blood

Bloody Stool

Blood mixed with stool from intestinal Heat

Postmenstrual Bleeding

Uterine bleeding due to Blood Heat

TCM Properties*

Temperature

Slightly Cool

Taste

Bitter (苦 kǔ), Sour (酸 suān), Astringent (涩 sè)

Channels Entered
Liver Large Intestine Stomach
Parts Used

Root (根 gēn)

This is partial information on the herb's TCM properties. More detailed information is available on the herb's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Treasure of the East

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Usage & Safety

How to use this herb and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This herb is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Processing Methods

Processing method

Stir-fry Di Yu slices over high heat (wu huo) until the surface is charred black and the interior is dark brown, then sprinkle with a small amount of water to extinguish sparks. Remove and allow to cool completely.

How it changes properties

Charring reduces the tannin content somewhat but increases the astringent, hemostatic effect. The cooling and Heat-clearing properties are weakened, while the ability to constrict bleeding vessels and stop hemorrhage is enhanced. The charred form is less cold than the raw herb, making it slightly more suitable for patients who are not strongly Heat-type. Experimental studies show charred Di Yu shortens bleeding time by roughly 45%, compared to about 32% for the raw form.

When to use this form

Use Di Yu Tan (charred form) when the primary goal is internal hemostasis, such as for persistent bloody stool, hemorrhoidal bleeding, or uterine bleeding. This is the standard form prescribed for internal use to stop bleeding.

Classical Incompatibilities

Di Yu does not appear in the Eighteen Incompatibilities (十八反) or Nineteen Mutual Fears (十九畏) lists. However, the classical Materia Medica notes that Di Yu 'fears' (恶) Mai Men Dong (麦门冬, Ophiopogon), meaning the two may reduce each other's effectiveness. This is a traditional 'mutual antagonism' (相恶) pairing rather than a true incompatibility, and some practitioners still combine them when clinically appropriate.

Special Populations

Pregnancy

Di Yu is generally used with caution during pregnancy. Its bitter, cold nature and Blood-cooling properties could theoretically affect the fetus or uterine Blood circulation, particularly if used at high doses or for extended periods. While it is not listed among the strongly prohibited substances in pregnancy, pregnant women should only use it under the guidance of a qualified practitioner and at the lowest effective dose. It is most likely to be encountered in pregnancy only when treating acute bleeding conditions where the clinical benefit outweighs the risk.

Breastfeeding

No specific safety concerns have been established for Di Yu during breastfeeding at standard doses. As a bitter, cold herb, it may theoretically reduce the quality or warmth of breast milk if taken in large amounts or for prolonged periods. Nursing mothers with a cold Spleen and Stomach constitution should be particularly cautious. Use at standard doses for short courses under practitioner guidance is generally considered acceptable.

Pediatric Use

Di Yu can be used in children but at appropriately reduced doses based on age and body weight. Classical paediatric formulas use it for conditions such as childhood dysentery and facial sores (e.g. washing with a decoction). For children under 6 years old, doses of roughly one-quarter to one-third of the adult dose are typical. For children aged 6-14, approximately half the adult dose is common. Due to its cold, bitter, and astringent nature, prolonged use should be avoided in children with weak digestion. External use (e.g. decoction wash for eczema or sores) is generally well tolerated in children.

Dietary Advice

While taking Di Yu, avoid excessive consumption of spicy, hot, or alcohol-containing foods and beverages, as these generate Heat in the Blood and work against the herb's cooling and hemostatic action. Cold and raw foods should also be moderated if the person has underlying Spleen weakness, as Di Yu's cold nature can compound digestive strain. Foods that support the Spleen and gently nourish Blood (such as cooked grains, congee, and mild soups) are generally appropriate companions to treatment with this herb.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.