Di Yu (地榆; Dì Yú; Latin: Sanguisorba officinalis; English: garden burnet root) in the current pharmacopoeia is the dried root of a perennial herb of the rose family, dug up in spring before sprouting or in autumn after the stems and leaves wither, trimmed of rootlets and earth, and sun-dried; a charred version is also made, which astrings bleeding more strongly. It is bitter, sour, and astringent, cold in nature, enters the Liver and Large Intestine channels, and its core actions are to astringe and stop bleeding, and to resolve toxin and close sores. It usually goes into decoctions and external washes. The usual amount is 10–15 g. It needs no special preparation in a decoction and may be soaked and simmered with the other herbs. External use is a cooled decoction dabbed on as a wet compress for minor burns and weeping skin ulcers.
It is not Huai Hua. Pagoda tree flower is slightly cold and only bitter, cools blood and stops bleeding while clearing liver fire, suiting hemorrhoid bleeding paired with headache and red eyes, while Di Yu is bitter, sour, and astringent, holds the blood, and also closes skin sores and burns. It is not for cold-deficiency bleeding. Pale blood with cold limbs and loose stools, or a pale watery sore that will not close, is a poor match. Dysentery with pus and blood needs a clinic first. Use caution in pregnancy and with anticoagulant or iron medicines.
It is used most often for three patterns:
- Lower burner heat bleeding: bloody stool, hemorrhoid bleeding, uterine bleeding, blood in the urine
- Skin sores, weeping ulcers, and minor burns that heal slowly
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Damp-heat dysentery with abdominal pain, urgent stool, and pus and blood — seek care
Bitter, sour, and astringent, cold in nature, it is not a daily “bleeding and burn root” to keep using. Holding the blood on a cold-deficiency pattern locks in the cold and delays healing.
When damp-heat in the lower burner forces the blood out of its vessels, or heat-toxin rots the skin, bloody stool, hemorrhoid bleeding, weeping ulcers, and minor burns are common. Di Yu is bitter, sour, astringent, and cold. It astrings bleeding, clears toxin, and closes the sores, which is why it appears in Di Yu San (Sanguisorba Powder)–type formulas and Di Yu Shao Yao Tang (Sanguisorba and Peony Decoction)–type formulas. It holds more than it warms. A cold weak lower burner with pale blood and cold limbs, with no heat, gets worse the more it is added.
Di Yu is not a catch-all bleeding or burn root. In cold-deficiency bleeding or pale watery sores, in pregnancy, or with anticoagulant or iron medicines, using it alone is a poor match. Raw or charred, and whether it belongs in a formula, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.