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The Medicinal Herb Info site was created to help educate visitors about the often forgotten wisdom of the old ways of treating illnesses. Many of today's drugs and medicines were originally derived from natural ingredients, combinations of plants and other items found in nature.

We are not suggesting that you ignore the help of trained medical professionals, simply that you have additional options available for treating illnesses. Often the most effective treatment involves a responsible blend of both modern and traditional treatments.

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White Peony Root

Scientific Names

White Peony

  • Paeonia lactiflora Pall
  • Radix Paeoniae Alba
  • Radix Paeoniae Lactiflorae

Common Names

  • White Peony Root
  • Bai Shao
  • Bai Shao Yao
  • Chinese Peony
  • Garden Peony
  • White Peony

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Parts Usually Used

white peony root

The dried root without bark. It is typically dug in summer or autumn from cultivated plants that are 4-5 years old, cleaned, boiled in water, then sun-dried and sliced.
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Description of Plant(s) and Culture

Paeonia lactiflora is a herbaceous perennial flowering plant in the family Paeoniaceae with fleshy roots and annual stems. It grows to about 60-100 cm tall with large compound leaves 20-40 cm long. The flower buds are large and round, opening into large flowers 8-16 cm in diameter, with 5-10 white, pink, or crimson petals and yellow stamens. The plant is native to east Asia and grows on dry open stony slopes, riverbanks, and sparse woodland edges.

For medicinal use, the roots are dug up, cleaned, and the bark and rootlets are removed. The peeled root is boiled in water for a short while and then dried in the sun. The resulting white root is known as White Peony Root (Bai Shao), as opposed to the unpeeled Red Peony Root (Chi Shao), which has different medicinal properties.
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Where Found

White peony is native to eastern Asia, including China, Mongolia, and Siberia. It is widely cultivated throughout China, with major production provinces being Zhejiang, Anhui, and Sichuan. Others include Shandong, Guizhou, Hunan, Hubei, Gansu, Shanxi, and Henan. The product from Zhejiang is regarded as the best quality, while Anhui province is the most productive.
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Medicinal Properties

White peony root possesses numerous therapeutic effects:

  • Blood-tonifying (builds and nourishes blood)
  • Liver-regulating (softens the liver, subdues liver yang)
  • Yin-preserving (restrains the yin, prevents leakage of fluids)
  • Analgesic (relieves pain)
  • Anti-spasmodic (relieves muscle spasms)
  • Anti-inflammatory
  • Immunomodulatory (regulates immune function)
  • Antioxidant
  • Estrogenic (contains phytoestrogens)
  • Anxiolytic (reduces anxiety)
  • Antidepressant
  • Hepatoprotective (liver protecting)
  • Vasodilatory (expands blood vessels)
  • Anti-thrombotic (prevents blood clots)
  • Anti-diabetic
  • Anti-tumor

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Biochemical Information

White peony root contains numerous active compounds:

  • 1. Monoterpene glycosides:
  • Paeoniflorin (most abundant, >90% of total glycosides)
  • Albiflorin
  • Oxypaeoniflorin
  • Benzoylpaeoniflorin
  • Oxybenzoylpaeoniflorin
  • Lactiflorin
  • Galloylpaeoniflorin
  • Paeoniflorigenone
  • 2. Polyphenolic compounds:
  • Gallic acid
  • Catechin
  • Methyl gallate
  • Galloylglucoses
  • 3. Other compounds:
  • Paeonol
  • Paeonin
  • Paeonolide
  • β-sitosterol
  • Volatile oils
  • Benzoic acid

Total Glucosides of Peony (TGP) is a water/ethanol extract of white peony root that contains more than 15 components, with paeoniflorin being the most abundant.
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Legends, Myths and Stories

White peony has a long history of use in traditional Chinese medicine, spanning more than 1,200 years. It was first mentioned in the Prescriptions for Fifty-two Ailments, which dates back to the Spring and Autumn Period (771-476 BC). The Treatise on Cold-Induced and Miscellaneous Diseases, written by Zhang Zhongjing at the end of the East Han dynasty (25-220 AD), mentions white peony extensively, though at that time there was no clear differentiation between white peony root and red peony root.

It wasn’t until the Northern Song Dynasty (960-1127 AD) that physicians began to distinguish between the efficacy of white peony root versus red peony root. During the Ming and Qing Dynasties (1368-1912 AD), the two were clearly described as separate medicines with different properties and uses.

White peony is considered a symbol of wealth, good fortune, and honor in Chinese culture. It is sometimes called the “king of flowers” and is associated with royalty, feminine beauty, and prosperity.
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Uses

White peony root is used for various medicinal purposes:

  • 1. Gynecological conditions:
  • Blood deficiency causing irregular menstruation
  • Menstrual pain (dysmenorrhea)
  • Abnormal uterine bleeding
  • Menopausal symptoms
  • Hormone imbalances
  • 2. Liver-related conditions:
  • Liver blood deficiency
  • Hyperactive liver yang (causing headaches, dizziness)
  • Liver qi stagnation (causing chest and flank pain)
  • Liver-wind disturbance (causing muscle spasms)
  • 3. Musculoskeletal issues:
  • Muscle cramps and spasms
  • Muscle weakness and pain
  • Tendon and ligament weakness
  • Restless leg syndrome
  • 4. Fluid balance issues:
  • Spontaneous sweating due to qi deficiency
  • Night sweating due to yin deficiency
  • 5. Mental-emotional conditions:
  • Anxiety
  • Depression
  • Restlessness
  • Irritability
  • 6. Autoimmune disorders:
  • Rheumatoid arthritis
  • Systemic lupus erythematosus
  • Sjögren’s syndrome
  • Psoriasis
  • 7. Pain relief:
  • Abdominal pain
  • Chest pain
  • Headaches
  • Muscular pain

In traditional Chinese herbalism, white peony root is often combined with other herbs in formulas such as:

  • Four Substances Decoction (Si Wu Tang) – for blood deficiency
  • Free and Easy Wanderer (Xiao Yao San) – for liver qi stagnation and blood deficiency
  • Peony and Licorice Decoction (Shao Yao Gan Cao Tang) – for muscle cramps and pain

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Formulas or Dosages

White peony root can be prepared and administered in various forms:

  • 1. Decoction:
  • Standard dose: 6-15g per day
  • For severe cases: up to 30g per day
  • Typically 2 cups daily while actively treating, then maintenance dose of a few cups weekly
  • 2. Powdered extract:
  • Follow manufacturer’s instructions, typically 1-3g daily
  • 3. Tincture:
  • 3-4 droppers 3 times daily for therapeutic effect
  • For acute scenarios (like muscle cramps): 1/2 oz of tincture in 4 oz of water
  • 4. Total Glucosides of Peony (TGP) capsules:
  • Used in clinical trials for autoimmune conditions
  • Typical dose: 0.6-1.8g daily

For different therapeutic effects:

  • Raw form is typically used for restraining yin and calming the liver
  • Wine-processed form is used for smoothing the liver, alleviating pain, nourishing blood, and regulating menstruation

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Nutrient Content

White peony root contains the following nutrients per 100g:

  • Paeoniflorin: ≥1.6%
  • Various vitamins and minerals including calcium, magnesium, potassium, iron, and zinc
  • Amino acids
  • Polysaccharides
  • Flavonoids
  • Organic acids

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How Sold

White peony root is commercially available in several forms:

  • Dried root slices or pieces for decoction
  • Powdered root
  • Powdered extracts
  • Tinctures
  • Capsules or tablets
  • Total Glucosides of Peony (TGP) capsules
  • As a component in traditional Chinese herbal formulas

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Warning

While white peony root is generally considered safe when used appropriately, there are some precautions to consider:

  • May cause gastrointestinal disturbances in some people, mostly mild diarrhea
  • Not recommended during pregnancy unless prescribed by a qualified practitioner
  • May interact with certain medications, especially blood thinners due to its blood-activating properties
  • Should be used cautiously with sedatives or antidepressants due to potential additive effects
  • Traditionally considered incompatible with the herb Li Lu (Veratrum nigrum)
  • Those with digestive weakness should use with caution
  • As with any herbal medicine, consult a healthcare professional before use, especially if you have existing health conditions or are taking medications

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Resource Links

Traditional Herbal Medicine Shows Promise for Guillain-Barré Syndrome Treatment

ScienceDirect – Radix Paeoniae Alba

National Library of Medicine – Efficacy, Chemical Constituents, and Pharmacological Actions of Radix Paeoniae Rubra and Radix Paeoniae Alba

National Library of Medicine – Radix Paeoniae Alba increases serum estrogen level and up-regulates estrogen receptor expression in uterus and vagina of immature/ovariectomized mice

Medicine – Uncovering the mechanism of Radix Paeoniae Alba in the treatment of restless legs syndrome based on network pharmacology and molecular docking

Asante Academy of Chinese Medicine – Bai Shao Yao (Radix Paeoniae Alba)

BMC Complementary Medicine and Therapies – Uncovering the mechanism of the effects of Paeoniae Radix Alba on iron-deficiency anaemia through a network pharmacology-based strategy

HealthLine – White Peony Root: Benefits and Uses

National Library of Medicine – Anti-Inflammatory and Immunomodulatory Effects of Paeonia Lactiflora Pall., a Traditional Chinese Herbal Medicine

Adiantum School of Plant Medicine – Medicinal Uses of White Peony Root (Bai Shao)

Chinese Herb List – Radix Paeoniae Alba

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