Chinese peony, White peony, Japanese peony, Garden peony, fragrant peony

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Chinese peony or common garden peony scientifically known as Paeonia lactiflora is a species of herbaceous perennial flowering plant in the Peony family Paeoniaceae. The plant is native to central and eastern Asia from eastern Tibet across northern China, Mongolia, Russia and eastern Siberia. Apart...

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Article Summary

Chinese peony or common garden peony scientifically known as Paeonia lactiflora is a species of herbaceous perennial flowering plant in the Peony family Paeoniaceae. The plant is native to central and eastern Asia from eastern Tibet across northern China, Mongolia, Russia and eastern Siberia. Apart from Chinese peony it is also known as Chinese peony, Common garden peony, White peony, Japanese peony, Garden peony, fragrant peony,...

Key Takeaways

  • This article explains White Peony Facts in simple medical language.
  • This article explains White peony Scientific Classification in simple medical language.
  • This article explains Health benefits of White peony in simple medical language.
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Definition

Chinese peony or common garden peony scientifically known as Paeonia lactiflora is a species of herbaceous perennial flowering plant in the Peony family Paeoniaceae. The plant is native to central and eastern Asia from eastern Tibet across northern China, Mongolia, Russia and eastern Siberia. Apart from Chinese peony it is also known as Chinese peony, Common garden peony, White peony, Japanese peony, Garden peony, fragrant peony, tree Peony, Coral Peony and common Peony. Genus name comes from the Greek name for Paeon, physician of the gods and reputed discoverer of the medicinal properties of plants in this genus. Specific epithet means with milk-white flowers.

Plant Description

White peony is a stout, herbaceous erect, perennial flowering plant that grows about 50–70 cm (20–28 in) tall and broad with thickened (1.3 cm diameter), tuberous root and glabrous branched stems. The plant is thrives best in a deep rich, well-drained and moist soil, preferably neutral or slightly alkaline in full sun or partial shade. It is lime tolerant. Plants grown on sandy soils are reported to produce more foliage and fewer flowers, while those growing on clayey soils take longer to become established but produce better blooms. The plant is classified as a late-blooming species, featuring flowers in mid- to late spring and continuing attractive foliage throughout the summer and early fall. Stems die to the ground after frost. It has been grown in China since the 7th century for appreciation of its ornamental flowers. It was introduced into North America in the 1800 s.

White Peony Facts

Name White Peony
Scientific Name Paeonia Lactiflora
Native Central and eastern Asia from eastern Tibet across northern China, Mongolia, Russia and eastern Siberia
Common Names Chinese peony, Common garden peony, White peony, Japanese peony, Garden peony, fragrant peony, tree Peony, Coral Peony, common Peony
Name in Other Languages Afrikaans: Pioen
Albanian: Bozhure
Arabic: Alfawania (الفاوانيا)
Armenian: Kajvard (քաջվարդ)
Azerbaijani: Pion
Basque: Peonia
Belarusian: Pivonia maločnakvietkavaja (Півоня малочнакветкавая), pivonya (півоня)
Bengali: Peony
Bosnian: Božur
Bulgarian: Bonžur (божур)
Catalan: Peònia de jardí, peònia
Cebuano: Peony
Chichewa: Peony
Chinese : Bái Shá, Jiu Chao Bai Shao, Moutan, Mu Dan Pi, Sháo, Shao Yao (芍药), mǔdān (牡丹)
Croatian: Božur
Czech : Pivoňka Bělokorá, pivoňka čínská, pivoňka
Danish : Silkepæon, pæon
Dutch: Chinese pioen, pioen
English: Chinese peony, Common garden peony, White peony, Japanese peony, Garden peony, fragrant peony,
Esperanto: Peonio
Estonian : Valgeõieline Pojeng, Pojeng
Filipino: Peoni
Finnish : Jalopioni, Kiinanpioni, pioni
French: Pivoine de Chine, pivoine
Galician: Peón
Georgian: Peoni (პეონი)
German : Garten-Pfingstrose, Weisse Pfingstrose, Chinesische Pfingstrose, Pfingstrose
Greek: Paionía (παιωνία)
Gujarati: Peony
Haitian Creole: Pivwan
Hausa: Peony
Hebrew: אדמונית עשבונית, אַדְמוֹנִית
Hindi: Gundali, Peony
Hmong: Peony
Hungarian: Illatos bazsarózsa, pünkösdi rózsa
Icelandic: Peony
Igbo: Peony
Indonesian: Peony
Irish: Peony
Italian: Peonia
Japanese : Shaku-Yaku (シャクヤク), botan (牡丹)
Javanese: Peony
Kannada: Peony
Kazakh: Pion (пион)
Khmer: Peony
Korean : Cham-Jag-Yak, Hambagggot, Ho-Jak- Yag, Jag-Yag, Min-Cham-Jag-Yak, jeogjagyag, molan (모란)
Latin: Aglaophotis
Lao: Peony
Latvian: Peonija
Lithuanian: Puikusis bijūnas, bijūnas
Macedonian: bozhur (божур)
Malagasy: Peony
Malay: Peony
Malayalam: Piyēāni (പിയോനി)
Maltese: Peony
Maori: Peony
Marathi: Peony
Mongolian: Tseene (Цээнэ)
Myanmar: Peonies
Nepali: Peony
Netherlands: Pioen, Chineese
Norwegian: Kinapeon
Persian: گل صدتومانی علفی, گل صد تومانی
Polish : Piwonia Chinska, piwonia
Portuguese: Peônia
Romanian: Bujor
Russian: Pion molochnotsvetkovyy (Пион молочноцветковый), pion belotsvetkovyy (пион белоцветковый), pion kitayskiy (пион китайский), pion yaponskiy (пион японский)
Serbian: Bozhur (божур)
Sesotho: Peony
Sinhala: Peony
Slovak: Pivonka čínska, pivonka
Slovenian : Potonika
Somali: Peony
Spanish: Peonía
Swahili: Peony
Swedish : Luktpion, pion
Tajik: Peony
Tamil: Piyōṉi (பியோனி)
Telugu: Peony
Thai: Pæa ceī yk (แปะเจียก), Dxk phī xoa ni (ดอกพีโอะนิ)
Turkish: Sakayık
Ukrainian: Pivoniya (півонія)
Urdu: Peony (میں)
Uzbek: Piongul
Vietnamese : Thuốc Ruoc, Mẫu Ðơn; Bạch Thược, Thược dược Trung Quốc, Hoa mẫu đơn
Welsh: Peony
Yiddish: Pyani (פּיאַני)
Yoruba: Peony
Zulu: Peony
Plant Growth Habit Stout, herbaceous erect, perennial flowering plant
Soil Thrives best in a deep rich, well-drained and moist soil, preferably neutral or slightly alkaline in full sun or partial shade. It is lime tolerant.
Plant Size 50–70 cm (20–28 in) tall and broad
Root Thickened tuberous roots
Leaf Alternate, basal leaves biternate; all leaflets decurrent at base, terminal leaflets 2 or 3 segmented, leaflets and segments up to 15, oblong–elliptic, oblique– ovate to lanceolate
Flower Flower buds appear in late spring (May in the Northern Hemisphere). They are large and round, opening into fragrant, cup- or bowl-shaped flowers 8–16 cm (3–6 in) in diameter, with 5–10 white, pink, or crimson petals and yellow stamens
Fruit Shape & Size Follicles oblong–ellipsoid, 2.53 by 1.21 cm in horizontal spreading clusters
Taste Pungent, Bitter, Sour, Sweet
Plant Parts Used Roots, Seeds
Health Benefits
  • Blood Tonic
  • Digestive and Intestinal Problems
  • Relieves Pain
  • Calms Mind
  • Induces Sleep
  • Strengthens bones
  • Heart Health
  • Curbs Cramping
  • Healthy Brain Function
  • Healing Powers
  • Reproductive Rescuer
  • Combat Stress
  • Strengthens bones
Other Facts
  • Peony is widely grown as an ornamental plant in gardens in the temperate areas, with several hundred selected cultivars.

White peony Scientific Classification

Scientific Name: Paeonia lactiflora

Rank Scientific Name & (Common Name)
Kingdom Plantae (Plants)
Subkingdom Tracheobionta (Vascular plants)
Infrakingdom Streptophyta  (land plants)
Super Division Spermatophyta (Seed plants)
Division Magnoliophyta (Flowering plants)
Sub Division Spermatophytina  (spermatophytes, seed plants, phanérogames)
Class Magnoliopsida (Dicotyledons)
Sub-Class Dilleniidae
Super Order Saxifraganae
Order Dilleniales
Family Paeoniaceae (Peony family)
Genus Paeonia L. (peony)
Species Paeonia lactiflora Pall. (Chinese peony)
Synonyms
  • Paeonia albiflora Pall
  • Paeonia albiflora var. edulis (Salisb.) Pursh
  • Paeonia albiflora var. fragrans Sabine
  • Paeonia albiflora var. humei Sabine
  • Paeonia albiflora f. nuda Nakai
  • Paeonia albiflora f. pilifera Schipcz
  • Paeonia albiflora f. pilosella Nakai
  • Paeonia albiflora var. purpurea Korsh
  • Paeonia albiflora var. spontanea Makino
  • Paeonia albiflora var. trichocarpa Bunge
  • Paeonia albiflora var. whitleyi Sabine
  • Paeonia chinensis L. Vilmorin
  • Paeonia edulis Salisb
  • Paeonia edulis var. reevesiana Paxton
  • Paeonia edulis var. sinensis Sims
  • Paeonia fragrans (Sabine) Redouté
  • Paeonia humei (Sabine) Bailly
  • Paeonia lactea Pall
  • Paeonia lactiflora var. lactiflora
  • Paeonia lactiflora f. nuda (Nakai) Kitag
  • Paeonia lactiflora f. pilosella (Nakai) Kitag
  • Paeonia lactiflora var. trichocarpa (Bunge) Stern
  • Paeonia lactiflora var. villosa M.S.Yan & K.Sun
  • Paeonia lobata Pall
  • Paeonia makoya Marnock
  • Paeonia officinalis Thunb
  • Paeonia reevesiana (Paxton) Loudon
  • Paeonia sinensis Steud
  • Paeonia whitleyi (Sabine) auct
  • Paeonia yui W.P.Fang

Leaves

Leaves are alternate, basal leaves are biternate.  All leaflets are decurrent at base, terminal leaflets are 2 or 3 segmented, leaflets and segments up to 15, oblong–elliptic, oblique– ovate to lanceolate, 4.5–16 cm long and 1.5–4.8 cm wide, pilose beneath, margins rough–scabrous. Leaves may turn rusty orange in fall.

Flower

Flower buds appear in late spring (May in the Northern Hemisphere). They are large and round, opening into fragrant, cup- or bowl-shaped flowers 8–16 cm (3–6 in) in diameter, with 5–10 white, pink, or crimson petals and yellow stamens. Sepals are 3 or 4, broadly ovate or suborbicular, 1–1.5 cm long and 1–1.7 cm wide. Petals are 9–13, white, red or pink (in wild plants), or varying in color (in cultivated plants), obovate, 3.56 cm long, and 1.5–4.5 cm wide. Stamens are numerous, with yellow filaments and anthers. Pink or crimson petals typically feature a visible center boss of yellow stamens. Some double-flowered cultivars are available. The flowers of most cultivars are fragrant.

Fruits

Fertile flowers are followed by horizontally spreading oblong–ellipsoid, follicles that split open at maturity. They are about 2.53 cm long and 1.21.5 cm wide.

Types

There are several hundred selected cultivars in a range of colors, sizes and forms.  Many have double flowers, with the stamens modified into additional petals. There are many colors now available, from pure milk white, to pink, rose, and near red, along with single to fully double forms. They are prolific bloomers and have become the main source of peonies for the cut flower business.

The following cultivars have gained the Royal Horticultural Society’s Award of Garden Merit:

  • Bowl of Beauty (double, pink & cream)
  • Duchesse de Nemours (double white)
  • Felix Crousse (double deep pink)
  • Festiva maxima (double white)
  • Laura Dessert (double white)
  • Monsieur Jules Elie (double pink)
  • Sarah Bernhardt (double pink)
  • Whitleyi Major (single white, prominent stamens)

Health benefits of White peony

Bai shao or white peony was considered beneficial for hypertension, chest pain, muscle cramping and spasms, and fever. It was an important remedy for female reproductive conditions ranging from dysmenorrhea (painful menstruation) to irregular menses.  Below, we’ll evaluate White peony health benefits and some of White peony’s more common therapeutic uses.

1. Blood Tonic

Blood tonic is actually a traditional term for a concoction used for rheumatism, pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।" data-rx-term="arthritis" data-rx-definition="Arthritis means joint inflammation causing pain, swelling, stiffness, or reduced movement. সহজ বাংলা: জয়েন্টের প্রদাহ।">arthritis, autoimmune joint disease causing infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation, pain, and swelling. সহজ বাংলা: রোগপ্রতিরোধ ব্যবস্থার ভুল আক্রমণে জয়েন্টের প্রদাহ।" data-rx-term="rheumatoid arthritis" data-rx-definition="Rheumatoid arthritis is an autoimmune joint disease causing inflammation, pain, and swelling. সহজ বাংলা: রোগপ্রতিরোধ ব্যবস্থার ভুল আক্রমণে জয়েন্টের প্রদাহ।">rheumatoid arthritis, anemia, fatigue, gout, inflammation, allergic reactions, chronic fever, and unspecific nerve pain. Paeonia (root of White Peony) is a traditional blood tonic. It helps to decrease inflammation and shows antispasmodic properties and has shown to be soothing nerve pain. It is also used as a topical treatment for hemorrhoids.

2. Digestive and Intestinal Problems

Root of White Peony is traditionally used to support healthy digestion and address digestive disorders. It is considered in traditional systems as being useful for constipation and irritable bowel caused by infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation.

3. Heart Health

Antioxidants in peony tea also have benefits for the heart. Reducing bad cholesterol and lowering blood pressure in the body is one of the tasks that peony tea has to make your circulatory system strong and prevent your body from Health Risks of Cholesterol. Additionally, peony tea also has other antioxidant benefits, namely to protect your heart from blood clots that can cause heart problems and severe stroke. Therefore, it is strongly recommended that you drink one cup of peony tea in one day.

4. Healthy Brain Function

Paeonia is commonly used as a rejuvenator of the mind and a meditation support to increase clearness of thought. It is also frequently used to support the treatment of cognitive deficits and to improve learning and memory. Modern research exploring this traditional use has been exciting. Research has looked at unique neuro-protective qualities and cognitive-enhancing properties.

5. Healing Powers

Paeonia is appreciated for its healing and rejuvenating powers. Therapeutic uses include supporting the proper function of the colon, lungs, liver, and spleen. Benefits can include healthy circulation, healthy liver, healthy kidneys, healthy spleen, and a healthy nervous system.

6. Combat Stress

Paeonia is considered an adaptogenic herb. Adaptogens help the body combat the effects of stress and enable the body to function normally during distressing periods. Paeonia helps maintain the balance of the nerves when you’re under stress.

7. Immune System

Root of White Peony has a long tradition as a support to the immune system. This traditional use has been the subject of recent scientific research regarding its ability to promote a healthy immune response and modulate the immune system.

8. Reproductive Rescuer

An old Chinese proverb states, “A woman who regularly consumes white peony becomes as beautiful as the flower itself.” The components in white peony (especially when used in combination with other fertility herbs such as Bupleurum and Dang Gui) are very effective as a gentle, yet potent, treatment for chronic reproductive conditions and fertility issues.

9. Calms Mind, Induces Sleep

While the causes for insomnia and anxiety have many roots, they are sometimes triggered by deficiency in the blood. In a holistic TCM approach, white peony is often recommended (in combination with other herbs) to help nourish and regenerate the blood, which frees up the spirit, inducing a more restful sleep and relaxed mind.

10. Curbs Cramping

White peony is known to be an effective remedy for cramps and muscles spasms of the lower body. Aside from treating premenstrual cramping, it is also commonly used to reduce painful muscle spasms in the lower extremities.

11. Relieves Pain

White peony root contains paeoniflorin which has been shown in multiple studies to decrease pain, muscle spasm, neuropathic pain, and infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation. According to traditional Chinese medicine, the Liver controls the free flow of Qi throughout the body. Where Qi goes, Blood goes. Pain is caused by Qi and Blood stagnation. Thus, white peony root relieves pain and spasms largely by relieving Liver Qi Constriction.

12. Strengthens bones

Antioxidants in peony tea are also useful in reducing inflammatory problems that can cause bone diseases such as arthritis and pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।" data-rx-term="osteoarthritis" data-rx-definition="Osteoarthritis is wear-and-tear joint disease causing pain and stiffness. সহজ বাংলা: বয়স/ক্ষয়ের কারণে জয়েন্টের ব্যথা।">osteoarthritis. Consuming peony tea on a regular basis can strengthen bones.

13. Blood Pressure Support

White peony tea is thought to help improve the function of the arteries with its blood thinning properties. White peony tea is a great drink of choice to help control high blood pressure, as well as promote healthy blood vessels.

Traditional uses and benefits of White peony

  • Roots of P. suffruticosa, P. albiflora, P. lactiflora and P. obovata are the most important crude drugs in traditional Chinese medicine and have been used for over 1,500 years in Chinese medicine.
  • Dry roots of Paeonia lactiflora and dry root bark of P. suffruticosa are used under the traditional names of Radix Paeoniae and moutan cortex, respectively, traditional medicines in Korea, China and Japan.
  • Roots of P. suffruticosa, P. albiflora, P. lactiflora and P. obovata have been used as analgesic, sedative and inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।" data-rx-term="anti-inflammatory" data-rx-definition="Anti-inflammatory means reducing inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।">anti-inflammatory agents and as remedies for cardiovascular, extra vasated blood, stagnated blood and female genital disease.
  • Root of P. lactiflora is deemed as alterative, analgesic, anodyne, antibacterial, anti- inflammatory, antipyretic, antiseptic, antispasmodic, astringent, carminative, and diuretic, emmenogogue, anti-diabetic, expectorant, febrifuge, hypotensive, nervine, sedative and tonic.
  • Paeonia lactiflora root is categorized into Radix Paeoniae Alba and Radix Paeoniae Rubra in the Chinese pharmacopoeia and are popularly used in traditional Chinese medicine.
  • lactiflora is known most widely as one of the herbs used to make ‘Four Things Soup’, a woman’s tonic, and it is also a remedy for gynecological problems and for cramp, pain and giddiness.
  • Roots of Paeonia lactiflora are one of the most important crude drugs in Japan and China, being used in many traditional ‘Kampo’ formulas.
  • They are frequently used in ‘Kampo’ formulas, such as Tokishakuyakusan, Shimotsuto and Keishibukuryogan, for women’s hormone- related problems such as menopausal symptoms and menstrual problem.
  • Roots of Paeonia lactiflora are a crude drug that is used in Asia and Europe to improve blood flow.
  • Paeonia lactiflora root has been used frequently as an antipyretic and anti- inflammatory agent in traditional medicines of Korea, China and Japan.
  • Root of Paeonia lactiflora has been frequently used in traditional Chinese medicine as an anti-diabetic therapy to enhance blood circulation and dissipate stasis.
  • Decoction of the dried peony root without bark has been used in the treatment of rheumatoid arthritis, systemic lupus erythematous, hepatitis, dysmenorrhea, muscle cramping and spasms and fever for more than 1,200 years in China, Korea and Japan.
  • Chinese peony is used clinically to treat depression-like symptoms in Chinese medicine.
  • Paeoniflorin, the active ingredient of the root, is taken internally in the treatment of menstrual disorders, injuries, high blood pressure, premenstrual tension and liver disorders.
  • Paeoniflorin, isolated from peony root, has been used as a herbal medicine for more than 1,200 years in China, Korea and Japan for its anti-allergic, anti- inflammatory and immune-regulatory effects
  • Tea made from the dried crushed petals of various peony species including P. lactiflora has been used as a cough remedy and as a treatment for hemorrhoids and varicose veins.
  • White Peony root improves Digestive, Spleen and Liver function.
  • It is best used for Painful Menstruation and regulates irregular menses. It is good for female infertility and hormonal imbalances and averting miscarriages.
  • It activates Blood circulation, dispels coagulated blood and counteracts Anemia. It cools down the Blood and treats inflammatory conditions like Eczema, Heat rash and Fever.
  • It moves the Blood in the Pelvic area. It improves uterine stagnation. It prevents conditions as Uterine Fibroids, Endometriosis and PCOS.
  • White Peony root soothes the Liver, moderates acute reactions and relieves pain. It is useful in painful spasms.
  • It enriches yin and pacifies the Liver.
  • It treats Insomnia and Anxiety. It calms the mind and induces sleep.
  • It is used as Vaginal Steam Bath for Vulvar Varicosities (Varicose Veins in the Vulva).
  • White peony root treats excessive sweating caused due to cold and wind.
  • White peony is also helpful in reducing breathing problems and helps in increasing the efficiency of the respiratory system.
  • Peony tea helps in reducing blood sugar and reduces the symptoms of diabetes.

Ayurvedic Health benefits of White peony

  • Autism: Prepare a tea of White Peony roots. Have a cup once a day.
  • Menses Scanty: Take 1 tablespoon dried White Peony root and boil it for 10 min. drink this tea daily.
  • Endometriosis: Make a decoction of dried root of White Peony and have it 2 times in a day.
  • Heavy Menstrual Bleeding: Make a decoction of dried root of White Peony and have it 2 times in a day.
  • Uterine Fibroid: Take 2 times decoction prepared by dried White Peony roots.
  • PCOS: Make a White Peony root decoction and have a cup 2 times in a day.
  • Night Sweat: Take equal quantity of Rehmannia, Cornus Florida, White Peony, Yam Rhizome, Hoelen, Water Plantain, Anemarrhena and Phellodendron Amurense. Powder all ingredients together. Have one teaspoon with milk at night.
  • Avian Flu: Take 1 teaspoon each of Ephedra, Cinnamon, Ginger, Chinese Wild Ginger, Schisandra, White Peony, Pinellia and Licorice. Grind all the above herbs. Consume it with one glass of water.
  • Excessive sweating: Combining white peony with a cinnamon twig, oyster shell, and arborvitae seed is the perfect remedy for excessive sweating.

Culinary uses

  • Petals are edible and used in salad or floated in punches and lemonade.
  • Parboil the petals, add a little sugar and use them as a sweet treat.
  • Fallen petals are parboiled and sweetened as a tea-time delicacy in China.
  • Peony water was used for drinking in the middle ages.
  • Steenbergs dried peony flowers are beautiful rose pink-colored, natural flower that look great in salads or used in home baking or added as a flourish over fruit salads.
  • Slices of dried roots with bark removed are used for preparing health food an important ingredient in the common bupin mixture called the ‘Four Precious Tonifying Soup’ comprising roots of Paeonia lactiflora ‘bai-shao’, Rehmannia glutinosa, Ligusticum wallichii and Angelica sinensis and onions in China.
  • Roots are also cooked and eaten in a broth and stems eaten cooked.
  • Seeds are powdered and mixed with tea.

Precautions

  • High doses of white peony may cause side effects. It may cause some allergic effects like Skin rashes.
  • Avoid usage if you are pregnant or a nursing mother. It may cause complications.
  • Please avoid before and after any kind of surgery.
  • High doses may cause bleeding disorders. It may slow down the process of coagulation and lead to internal bleeding.
  • Do not take in liver disorders.
  • It may cause drowsiness.

 


References


Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Medicine doctor / pediatrician for children / qualified clinician
Tests to discuss with doctor
  • Temperature chart and hydration assessment
  • CBC with platelet count if fever persists or dengue/other infection is possible
  • Urine test, malaria/dengue tests, chest evaluation, or blood culture only when clinically indicated
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?
  • Do I need antibiotics, or is this more likely viral?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Chinese peony, White peony, Japanese peony, Garden peony, fragrant peony

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.