The name of the district was known to have been mentioned going back as far as the 15th century, it was Sikandar Lodi's personal physician Qulam Adam Mohammad Shahid Mirza mentioning that someone should be sent to Kabul in the land of Saphystan to bring Herbal medicine.
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Kohi Safi along with most of Eastern regions of Parwan region which was part of greater Kohistan region was also well known during Moghal era as the Saphystan land of Safi.