Yarrow: The Wound & Fever Herb
Achilles carried it onto the battlefield to stop bleeding. It does that — and the opposite. Yarrow moves stuck blood, breaks stuck fevers, and opens stuck pelvic circulation. The Western tradition calls it the master of blood for a reason.
Quick Facts
Achillea millefolium
Asteraceae
Aerial parts in flower (leaf + flower)
Warming then cooling, drying, bitter
Hemostatic, astringent, diaphoretic, anti-inflammatory, bitter
Bleeding, fevers, heavy menses, pelvic congestion
What It Is
Yarrow is a tough, fine-leaved perennial in the daisy family found wild on every continent except Antarctica — meadows, road cuts, old fields, high-altitude grasslands. The species name millefoliummeans "thousand-leaf," for the feathery, deeply divided foliage. The flat-topped clusters of small white (or pale pink) flowers bloom mid-summer.
The genus name Achillea comes from Achilles, who according to Homer used yarrow to staunch the wounds of his soldiers at Troy. Whether or not the story is literal, the use is real and runs unbroken from the Greeks through every European and indigenous American tradition to the present day.
How It Works
Yarrow has one of the longest active-constituent lists in the materia medica: achilleine, sesquiterpene lactones (achillin, leucodin), flavonoids (apigenin, luteolin), volatile oils with chamazulene, and tannins. The clinical breadth comes from this stack.
Three Mechanisms
The alkaloid achilleine is the active hemostatic compound. Applied topically to a cut, it accelerates platelet aggregation and clot formation. Taken internally, it does the same for heavy menses, nosebleeds, and minor GI bleeding — without preventing menstruation, only moderating excess.
Yarrow taken hot drives blood to the surface — warming cold extremities, moving stuck circulation, and inducing the sweat that breaks a fever. Unlike elderflower (purely cooling-diaphoretic), yarrow warms a person with chills and cold hands before opening the pores.
Chamazulene (the same blue compound found in chamomile and blue tansy) and apigenin reduce inflammation. Yarrow specifically moves congested pelvic circulation — stagnant venous blood, varicose veins, hemorrhoids, painful clotted menses — by combining circulatory stimulant and astringent actions.
The apparent paradox — stops bleeding and yet moves stagnant blood — resolves when you realize yarrow is not adding clotting factor or breaking clots. It is restoring normal tone. Where the system is hemorrhaging, it tightens. Where it is stuck, it opens.
Traditional Use
Yarrow has carried more folk names than almost any other Western herb: soldier's woundwort, nosebleed, staunchweed, herb militaris. Every name points to the same two uses — wounds and bleeding.
In the Eclectic tradition (Cook, Felter, Lloyd), yarrow was indicated for:
- •External bleeding — fresh leaf chewed or crushed, packed onto cuts and nosebleeds.
- •Heavy menstrual bleeding (menorrhagia) — tincture or tea, especially with clotting and pelvic congestion.
- •Acute fever with chills — the warming-diaphoretic stage when the person feels cold but the thermometer is rising.
- •The classic flu tea — equal parts yarrow, elderflower, peppermint.
- •Hemorrhoids and varicose veins — internally for tone, topically as compress or sitz bath.
- •Sluggish digestion and poor appetite — bitter action stimulates secretion.
- •Cold extremities and poor peripheral circulation — as a circulatory stimulant.
Matthew Wood treats yarrow as one of the great "master herbs" — adaptable to many tissue states, but always working on the flow of blood and heat through the body.
Dosing Protocol
Fresh Poultice (Bleeding)
Faster than any styptic in the field for minor cuts and nosebleeds.
- • Pick clean leaves, identify carefully (yarrow has toxic look-alikes — see cautions)
- • Chew or crush to a paste
- • Press directly into the wound or up the nostril
- • Hold pressure 3-5 minutes
- • For larger wounds, use a powdered dried yarrow as a styptic
Tea (Fever & Internal)
- • 1 tsp dried herb per cup of just-boiled water, covered
- • Steep 10-15 minutes
- • Drink hot for fever; warm or cool for digestive or menstrual use
- • Fever: 1 cup every 1-2 hours until sweating
- • Heavy menses: 1 cup 3-4x daily during flow
- • Strong bitter taste — pair with peppermint or elderflower
Tincture
- • 1:5 in 40-50% alcohol, or fresh plant 1:2
- • 2-4 mL, 3-4x daily acute
- • 1-2 mL, 2-3x daily maintenance for venous tone or menstrual support
Sitz Bath
- • 1 oz dried herb in 1 quart just-boiled water, steep 30 minutes
- • Strain into a sitz basin of warm water
- • Soak 15-20 minutes for hemorrhoids, postpartum perineal healing, varicosities
Contraindications & Cautions
- ⚠Pregnancy: Avoid. Yarrow is uterine stimulant and emmenagogue. Wait until postpartum bleeding is finishing before reintroducing.
- ⚠Asteraceae allergy: Same family as ragweed, daisy, chamomile. Skip if you have known reactions.
- ⚠Anticoagulants: Theoretical interaction with warfarin and other blood thinners. Discuss with prescriber.
- ⚠Identification: Wild yarrow can be confused with poison hemlock seedlings and water hemlock. Yarrow has finely divided ferny leaves and a distinctive sharp, slightly bitter smell when crushed. If unsure, do not harvest.
- ⚠Photosensitivity: Rare reports of skin sensitivity to sun after high internal doses. Reduce dose if it occurs.
- ⚠Large arterial bleeding: Yarrow is for minor wounds. Apply pressure and get to an ER for any wound that won't stop with 5-10 minutes of direct pressure.
Best Products
Frontier Co-op — Organic Yarrow Flowers
Bulk dried flowering tops. Strong aroma when fresh-opened bag, deep green-grey color.
Check Price on Amazon →Herb Pharm — Yarrow Liquid Extract
Fresh-plant tincture, fast for acute menstrual flooding and field first aid.
Check Price on Amazon →Mountain Rose Herbs — Yarrow Powder (via Amazon resellers)
Powdered yarrow for use as a styptic. Keep a small jar in the first-aid kit.
Check Price on Amazon →Related Ingredients
Elderflower
Other half of the flu trio. Cool-diaphoretic complement to yarrow's warming action.
VulneraryPlantain Leaf
Field first-aid partner. Yarrow stops the bleed, plantain pulls debris.
Uterine TonicMotherwort
Pair for heavy menses with anxiety and cramping.
CardiovascularHawthorn
Long-term circulatory tonic. Yarrow moves; hawthorn strengthens.