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Western Herbalism — Hemostatic / Diaphoretic

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.

9 min readUpdated May 2026

Quick Facts

Latin Name

Achillea millefolium

Family

Asteraceae

Part Used

Aerial parts in flower (leaf + flower)

Energetics

Warming then cooling, drying, bitter

Actions

Hemostatic, astringent, diaphoretic, anti-inflammatory, bitter

Best For

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

1.
Achilleine shortens clotting time

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.

2.
Diaphoresis that warms first, then cools

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.

3.
Anti-inflammatory + pelvic decongestant

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.

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Herb Pharm — Yarrow Liquid Extract

Fresh-plant tincture, fast for acute menstrual flooding and field first aid.

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Mountain Rose Herbs — Yarrow Powder (via Amazon resellers)

Powdered yarrow for use as a styptic. Keep a small jar in the first-aid kit.

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