They are different, they are two kinds of traditional Chinese medicine.

Red peony root:

1. Used for febrile diseases, heat entering the blood, fever, red tongue, rash on the body, and blood-heat disorder. With raw rehmannia, peony bark, etc.

2. Used for amenorrhea, bruises, sores, carbuncles, swollen poison and other symptoms of qi and blood stasis. With Chuanxiong, angelica, peach kernel, safflower, etc., it can be used for amenorrhea and injuries caused by falls; with angelica, honeysuckle, licorice, etc., it can be used for sores, carbuncles, and swollen diseases.

Red medicine:

Has inhibitory effects on Shigella dysenteriae, Vibrio cholerae, and Staphylococcus aureus