Paeonia officinalis

Made from the peony — the garden flower whose root is a genuine astringent drug of the old dispensaries and whose paeoniflorin is actively researched today, and the classical remedy of the anal fissure.

SourceButtercup familyRanunculaceae

The whole picture, in one breath

Think of the anus in torment: fissures that burn like fire with every stool and for hours after, offensive ulcerations about the anus, bleeding that smarts, a sensation of biting and burning between the stools, and the books' great anal remedy. The burning fissure: that is Paeonia.

The substance, in plain words

The peony is the garden flower of old physic gardens, its root an official astringent of the old dispensaries, prescribed for the same complaints the remedy serves. Its paeoniflorin is genuinely researched today for anti-inflammatory and immunomodulatory effects — the flower's chemistry is real, ancient and active.

The traditional picture Classical sources

The inner state

The body

Modalities (worse and better factors)

Worse from ⬇Better from ⬇
stool; night.rest; warmth.

Where it acts (organ affinities)

Anus (fissures, ulcers), rectum, veins of the region, general vitality.

Where the classical picture comes from

The physic-garden astringent's official career — the old answer to the same complaint — gave the proving its frame; Paeonia became the classical remedy of the anal fissure, its burning-fire detail recorded across a century of dispensary use.

The substance in real medicine Pharmacology

What this section is: the pharmacology and toxicology of the source substance. It is not clinical evidence that a homeopathic preparation of it treats any condition. What controlled trials do and do not show is set out on the Evidence page.

Peony root was a genuine, official astringent drug of the old dispensaries — the era's treatment for exactly these complaints — and its paeoniflorin is among traditional pharmacology's most-researched compounds, with real anti-inflammatory activity in modern studies. The fissure it portrayed is today managed with fibre, topical treatments and, when needed, surgery — the complaint is treatable and common.

Look-alikes (how the classical authors told it apart)

RemedyLooks similar because…Tells it apart because…
RatanhiaAnal fissuresRatanhia's fissures feel splintered, better warmth; Paeonia's burn like fire.
Aesculus hippocastanumAnal and rectalAesculus' is the purple, tender, backaching rectum; Paeonia's the burning fissure.
Nitricum acidumFissures, warts, bleedingNit-ac's fissures are splintered with warty bleeding; Paeonia's burn like fire.
Hamamelis virginianaBleeding anusHamamelis' bleeding is venous and passive; Paeonia's burns as it passes.
Safety. Anal bleeding or a persistent fissure needs medical assessment — rectal bleeding is always examined, never assumed.
Compiled by Dr. Sohil Momin, BHMS · Open Materia Medica