Red Peony Root for Cholestatic Hepatitis

red peony root hepatitis

Scientists find Red Peony root can treat a lethal form of hepatitis.

Research has confirmed that Red Peony, a traditional herb used for thousands of years for liver issues, can significantly help reverse symptoms of a sometimes lethal form of hepatitis called cholestatic hepatitis.

Large Red Peony review

Researchers from China’s Chengdu University of Traditional Chinese Medicine conducted an exhaustive review of scientific journals. The scientists found eleven randomized and placebo-controlled studies that tested a Traditional Chinese Medicine herb called Chi shao against cholestatic hepatitis.

Chi shao utilizes the root of the red peony plant (Paeonia lactiflora or Paeonia veitchii).

These studies included 1,275 patients with diagnosed cholestatic hepatitis. Among the studies, patients were given either the Chi shao or placebo, or the Chi shao or conventional drug treatments.

After calculating the effectiveness among all the studies, the research concluded that the red peony root was able to significantly reduce cholestatic hepatitis symptoms – determined by reducing symptoms such as jaundice and reducing levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin (TBIL) and direct bilirubin (DBIL).

The first two are liver enzymes that are typically found elevated among hepatitis patients. The remaining two bilirubin counts are related to the liver’s ability to conjugate bilirubin (from broken-down red blood cells) and excrete it through the bile to be eliminated through feces and some through urine.

When the liver is not working properly, cholestasis can form, which can block the flow of bile between the liver and the intestines. This leads to bilirubin being evacuated to the bloodstream, leading to jaundice.

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How is red peony used?

The research utilized large dosages of the red peony root. The various studies gave patients an average of 25 grams of red peony per day in the treatments. Typical therapeutic doses run from about 4 grams to 9 grams of the whole root – often made into a “soup” by putting the ground or chopped root into boiling water.

Sometimes the root is simply ground up and encapsulated, but putting with boiled water is the traditional use. This would be considered a hot water extract or infusion. TCM often refers to this as a “soup.”

The red peony root is bitter and has blood purifying properties. It has been known to benefit the liver for many years, and often used to detoxification and blood circulation problems in addition to liver disease or jaundice.

Most of the studies found the red peony to have excellent improvement of symptoms. In one study, for example, from China’s Hong’an County Hospital of Traditional Chinese Medicine, 45 hepatitis patients given the red peony twice a day with other Chinese herbs had a 93.4% effective rate while the 45 hepatitis patients given conventional treatment saw a 75% effective rate. That is an astounding effective rate for any medicine. Many herbal medicines have these sorts of effective rates.

Some of the other studies also gave other herbs along with the red peony. These included diammonium glycyrrhizinate – an glycyrrhizic acid extract of licorice root (Glycyrrhiza glabra). Some studies gave the peony treatment group vitamin C and vitamin K as well.

Chinese herbs can also treat liver disease according to other research.

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Traditional herbal liver treatment

Traditional Chinese medicine healers have utilized red peony for centuries for liver issues, and not just for cholestatic hepatitis. Like most herbs, it has a whole-body and whole-organ effect, so it can be applicable to other liver conditions as well.

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Scientific reference

Xiao Ma, Ji Wang, Xuan He, et al., “Large Dosage of Chishao in Formulae for Cholestatic Hepatitis: A Systematic Review and Meta-Analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2014, Article ID 328152, 10 pages, 2014. doi:10.1155/2014/328152


  • Case Adams, Naturopath

    California Naturopath, Ph.D. in Natural Health Sciences, Doctorate in Integrative Health Sciences, Board Certified Alternative Medicine Practitioner. Diplomas in Blood Chemistry, Clinical Nutritional Counseling, Homeopathy, Aromatherapy, Colon Hydrotherapy, certificates in Pain Management and Case Management/Contact Tracing. Has authored more than 30 books and hundreds of periodical articles on natural medicine. Recreational activities include surfing, sailing, running, biking, swimming, SUPing, hiking. Contact: case(at)caseadams(dot)com.

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