Can carbonized Sanguisorba (Di Yu Tan) treat uterine bleeding?
Nov 11, 2025
Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Under normal circumstances, Diyu Charcoal may have an auxiliary hemostatic effect for mild cases of uterine bleeding caused by blood heat syndrome, which typically presents as heavy menstrual flow with bright red blood. However, it is unlikely to be effective for other syndromes such as blood stasis or qi deficiency, or for conditions involving severe bleeding, complex etiologies (such as uterine fibroids or endometrial lesions). If there are any concerns, it is recommended to seek medical advice in advance. A detailed analysis is as follows:
Under normal circumstances, charred Sanguisorba (Di Yu Tan) may have an auxiliary hemostatic effect for mild uterine bleeding caused by blood heat. This type of bleeding is typically characterized by heavy menstrual flow with bright red color. However, if the condition belongs to other syndromes such as blood stasis or qi deficiency, or involves heavy bleeding and complex underlying causes, Di Yu Tan is unlikely to be effective. If in doubt, it is recommended to seek medical advice promptly. Detailed analysis is as follows:
If uterine bleeding presents as heavy menstruation with bright red, viscous blood, accompanied by symptoms of blood heat such as dry mouth and irritability, and there is no significant organic lesion and the condition is mild, Di Yu Tan—under professional guidance—may help reduce bleeding and alleviate symptoms due to its properties of cooling the blood and stopping bleeding. In such cases, it may serve as an adjunctive treatment.
However, if the uterine bleeding is due to blood stasis, characterized by clots in menstrual blood and abdominal pain, or due to qi deficiency, characterized by heavy pale-colored menstruation and fatigue, Di Yu Tan's medicinal properties do not match these patterns. Moreover, if the bleeding is excessive (more than 80 mL per day), prolonged in duration, or caused by conditions such as fibroids, polyps, or endocrine disorders, using Di Yu Tan alone is unlikely to control the condition and may delay proper treatment. Therefore, monotherapy with Di Yu Tan is not recommended in these situations.
After experiencing uterine bleeding, the underlying cause should first be clearly diagnosed; self-medication should be avoided. If this herb is to be used, it must be prescribed based on accurate syndrome differentiation by a qualified practitioner. During treatment, monitor the amount of bleeding closely. If bleeding does not decrease or is accompanied by dizziness or fatigue, prompt medical evaluation and standardized treatment are necessary.
