Botanical Medicine 3 By Monica Hsu Last updated, 2011 Female Reproductive Herbs: Phytoestrogenic Herbs • Medicago sativa (alfalfa) • Trifolium pratense (red clover) • Pueraria montana (kudzu) • Glycyrrhiza glabra (licorice) • Humulus lupulus (hops) Female Reproductive Herbs: Rebalance Hormones • Actaea racemosa (black cohosh, black snakeroot, Macrotys) (used to be Cimicifuga racemosa) • Angelica sinensis (dong quai, dan gui) • Vitex agnus-castus (chaste berry, monk’s pepper) Uterine Tonics • Mitchella repens (partridge berry) • Caulophyllum thalictroides (blue cohosh) • Dioscorea villosa (wild yam) • Rubus ideaus (raspberry, red raspberry leaf) • Chamaelirium luteum (aka Helonias, false unicorn root, fairy wand) • Aletris farinose (true unicorn root, blazing star) • Leonurus cardiaca (motherwort) Antispasmodics • Viburnum opulus (cramp bark) • Anemone pulsatilla (windflower, pasque flower) Hemostatics • Alchemilla vulgaris (lady’s mantle) • Capsella bursa-pastoris (shepherd’s purse) • Trillium spp. (T. pendulum, T. erectum, T. sessile) (bethroot, birthroot) • Erigeron / Cinnamon Compound Herbs for Low Libido • Tribulus terrestris (puncture vine) • Turnera diffusa (damiana) Herbs for Men’s Health • Vitex agnus-castus (chaste berry, monk’s pepper) • Turnera diffusa (damiana) • Serenoa repens (saw palmetto) • Urtica dioica (nettle, stinging nettle) • Cucurbita pepo (pumpkin) • Smilax officinalis (sarsaparilla) • Prunus africanum (pgeum, bitter almond) Urinary Herbs: Herbs that Nourish and Increase Function • Taraxacum officinale (dandelion) • Urtica dioica (stinging nettle) • Equisteum spp. (horsetail) • Petroselinum crispum (parsley) • Apium graveolens (celery) • Parietaria diffusa (pellitory-of-the-wall) Urinary Herbs: Herbs that Fight Infection and Increase Function • Arctostaphylos uva ursi (uva ursi, bearberry) • Juniperus communis (juniper) • Vaccinium macrocarpon (cranberry) • Chimaphila umbellata (pipsissewa) • Agropyron repens (aka Elymus repens) (quackgrass) • Barosma betulina (aka Agathosma betulina) (buchu) • Usnea barbata, Usnea plicata (old man’s beard, Spanish moss) • Thymus vulgaris (thyme) • Solidago canadensis (goldenrod) Urinary Herbs: Herbs that Soothe • Zea mays (aka Maydis stigmata) (corn silk) – cooling • Althea officinalis (marshmallow) Urinary Herbs: Herbs Helpful for Urinary Stones • Hydrangea arborescens (seven barks) • Collinsonia canadensis (stone root) • Eupatorium purpureum (gravel root, queen of the meadow) Urinary Herbs: Other Helpful Herbs • Achillea millefolium (yarrow) • Berberine containing plants Female Reproductive Herbs: Phytoestrogenic Herbs Medicago sativa (alfalfa) Fabaceae family Constituents Actions - Alkaloids - Nutritive tonic - Phytoestrogenic - Phytoestrogen compounds: - Anti-tumor isoflavones - Vit A, C, K - Ca, K, Fe, Mg - Saponins - Coumarins - Porphyrins Indications - Insufficient nutrition, tendency toward emaciation, organ weakness: high nutritional value (good source of vitamins and minerals) with tonifying property - Gynecologic conditions: isoflavones are estrogenic and antibacterial against gram-ve bacteria, also stimulate appetite and enhance overall nutrition - Restorative tonic: restore the strength and tone of the digestive, kidney, mammary, ovarian and uterine tissue by Monica Hsu Safety Parts Used - Drug interaction: - Aerial ↑ rate of metabolism of xenobiotics in liver, ↓ anticoagulant activity of warfarin due to high vit K content - Caution with SLE Trifolium pratense (red clover) Fabaceae family Constituents Actions Indications Safety - Very gentle herb for long-term use - A blood thinner: - Isoflavone - Alterative caution when taking - Phytoestrogenic - Alterative and nutritive properties (high mineral salt content) aglycones - Nutritive - “Cyst former”: ovarian cysts, dermoid cysts, sebaceous cysts, anticoagulant drugs - Flavonoids - Lymphatic uterine fibroids, fibrocystic breasts, etc. - Phenolic - Antispasmodic - ↑ lymph flow in head and neck glycosides - Expectorant - Coumarins - Improve mental functioning - Sedative - Cyanogenic - Strong phytoestrogenic actions: for menopausal women - Blood thinner glycosides - Eliminative properties as a lymphatic and expectorant: utilized - Silica, calcium, in skin and joint diseases and other - Antitumor property mineral salts Parts Used - Flower head Pueraria montana (kudzu) - A pest plant, but one of the highest sources of phytoestrogens Glycyrrhiza glabra (licorice) - Grow well in the Northwest - Contain phytoestrogen - Can be used to improve the flavor of other phytoestrogens K+ - May raise blood pressure in those that are deficient Humulus lupulus (hops) Cannabinaceae family Constituents Actions - Bitter - Sedative substances - Hypnotic - Flavonoids - Phytoestogen - Essential oil - GI tonic - Aromatic bitter - Anaphrodisiac - Antimicrobial - Antispasmodic - Astringent Indications - Potent phytoestrogen - Calms restlessness and anxiety - Hypnotic and sedative: insomnia (put dry plants in pillow with lavender), especially with a racing mind - Can dose in the form of beer, it is complexed with B vitamins, particularly B-6 - Aromatase inhibitor: ↓ effect of androgens, useful for PCOS - Very bitter: useful for hypochlorhydria, IBS, “nervous bowels” - Promote lactation - Sexual anxiety in young people Safety - Contraindication: depression - Potentiate effects of alcohol and other sedatives Parts Used - Strobile (a cone-like structure) Female Reproductive Herbs: Rebalance Hormones by Monica Hsu Actaea racemosa (black cohosh, black snakeroot, Macrotys) (used to be Cimicifuga racemosa) Ranunculaceae family Constituents Actions Indications Safety Parts Used - Triterpene - Antispasmodic - Not just a women’s herb, also used for musculoskeletal issues with - Pregnancy - Root - Weakly estrogenic depression in both genders glycosides - May cause - Rhizome principally - Emmenagogue headaches - For men: low back pain, knee pain, ↓ libido, stress and tension xylosides - Antirheumatic - Hormonal imbalances accompanied by depression, aches, and - Isoflavones - Uterine tonic pains, esp. low back pain or headache associated with menses or - Alkaloids - Antiinflammatory immediately prior to menses - Menopause, menstrual irregularities, fibroids, ovarian cysts (by vasodilation and move stasis) - Ovarian neuralgia: an aching in the region of the ovaries - When the Actea picture is predominant, be sure to address any pelvis circulation issues that might exist - Mechanisms of action unclear: may or may not bind to estrogen receptors, may ↓ LH - Actea racemosa: official medicinal species – there are local species - Remifemin Most commonly encountered form of black cohosh For hot flashes and menopause Dose: 40 drops BID or 2 tablets BID (24.8-42.7 mg dried herb standardized to triterpene glycosides: 27-deoxyactein, 1 mg per tablet) Angelica sinensis (dong quai, dan gui) Apiaceae family Constituents Actions Indications - Volatile oil - Uterine stimulant - A blood mover and blood builder in Chinese medicine, a restorative - Furanocoumarin and tonifier herb for the vital energy for women: useful for hormone irregularities glycosides - Emmenagogue associated with scanty flow or short periods, anemia, adrenal - ↑ pelvic fatigue (exhausted), ↓ libido circulation - Avoid use with heavy menstrual bleeding (but ok to use if have anemia), when there are signs of heat (bright copious blood), hyperthyroidism, once pregnancy has been established - Tonic for women Safety Parts Used - Photosensitivity - Root - Avoid high dose when taking anticoagulants Vitex agnus-castus (chaste berry, monk’s pepper) Verbenaceae family Constituents Actions Indications Safety - Flavonoids - Pituitary tonic - Caution with - Used to balance libido, for late bloomers - Iridoid - Domanine agonist - Indicated if have disruption or suppression of the hypothalamicpregnancy glycosides - Galactagogue pituitary-adrenal axis (HPA axis): re-regulate menstruation - Volatile oil - Emmenagogue Normal period thrown off due to stress - 3-ketosteroids - FSH antagonist To get the menses to return after getting off OCPs - LJ agonist Infertility after coming off OCPs - Prolactin Perimenopausal women who have been skipping periods or antagonist having too frequent periods - Hepatoprotective Superwoman who has irregular periods. Ex. running women. - Antiseptic They have to slow down, just giving the herb will not give - Anaphordisiac satisfactory results (when there is an Progesterone deficiency excess) - Inhibit prolactin synthesis and release in vitro (pituitary cell cultures) and in vivo by binding to dopamine receptors (D2) on pituitary gland ↓ prolactin ↑ corpus luteum growth, ↑ progesterone - Use of vitex when someone is currently on OCPs or HRT Trying to stimulate what you are suppressing with exogenous hormones don’t recommend using this herb at these times Parts Used - Berries Uterine Tonics by Monica Hsu Mitchella repens (partridge berry) Rubiaceae family Constituents Actions Indications Safety Parts Used - Tannins - Parturient - A gentle uterine tonic and partus prepator with antispasmodic and anti- Herba inflammatory properties - Saponins - Uterine tonic - Mitchella repens works by tonifying the mucus membrane layer of the female - Bitter principle - Partus reproductive tract rather than just the musculature. Rubus ideaus works on the - Alkaloids preparatory - Mucilage - Emmenagogue musculature. So the combination works well for gentle tonifying - Diuretic - Antispasmodic property is due to its effect on ↓ irritability of mucus membrane - Vaginal atrophy and discharge Caulophyllum thalictroides (blue cohosh) Berberidaceae family Constituents Actions Indications - More intense than Mitchella repens: a true emmenagogue / abortifacient - Alkaloid - Uterine tonic - Saponin - Emmenagogue - Oxytotic effect is due in part to the constituent caulosaponin glycosides - Oxytocic - Antispasmodic property used for menstrual cramping - Partus - Antiinflammatory property used for rheumatic pains preparatory - Antispasmodic - Antiinflammatory - Diuretic Dioscorea villosa (wild yam) Dioscoreaceae family Constituents Actions Indications - Steroidal - Antispasmodic - Does not contain or bioconvert progesterone saponins - Antiinflammatory - May influence progesterone production: controversial - Antirheumatic - Antispasmodic property, particularly for smooth muscle - Cholagogue Used for menstrual cramping (dose 3 days prior to period), spastic colon, - Diaphoretic prior to colonoscopy, biliary colic - Some vasodilatory effect: used in hypertension formula - Constituents include steroidal saponins, dioscin and diosgenin Used to make synthetic hormones in labs Have some cholesterol lowering effects Safety Parts Used - Root Safety Parts Used - Root Rubus ideaus (raspberry, red raspberry leaf) Rosaceae family Constituents Actions Indications Safety Parts Used - Tannins - Astringent - Classic uterine tonic - Leaves - Alkaloid: - Uterine tonic - Fragarine: an alkaloid, abundant in the leaf, has a specific relaxing and - Fruit fragrine - Facilitates tonifying action on the pelvic and uterine muscles - Minerals parturition - Extremely safe: used in all phases of the woman’s reproductive cycle, allowed without hesitation in the first trimester of pregnancy - Infertility, difficulty carrying - Makes an excellent tea - High mineral content - Note. strawberry leaves may be used interchangeably with Rubus ideaus Chamaelirium luteum (aka Helonias, false unicorn root, fairy wand) Liliaceae family Constituents Actions Indications Safety Parts Used - Steroidal - Uterine tonic - A premier uterine tonic & hormone balancing herb: ovarian amphoteric - Root sapponins - Much endangered species: rarely used - To “reestablish vigor”: when depletion in the system is secondary to overuse – useful for both genders - Prolapse & discharge from lack of tone, spermatorrhea, nocturnal emissions - To maintain a pregnancy threatened by miscarriage Aletris farinose (true unicorn root, blazing star) Liliaceae family Constituents Actions Indications Safety Parts Used - Bitter principle - Uterine tonic - Used as a substitute for Chamaelirium luteum, now endangered itself - Root - Resin - Ovarian tonic - When there is a pelvic heaviness, as if “everything is falling out” - Polysaccharides - Male - Also a digestive tonic reproductive - Some question if Aletris farinose actually is useful for the reproductive system, or if it became identified and confused with Chamaelirium luteum, which was tonic sometimes referred to as true unicorn root Leonurus cardiaca (motherwort) Lamiaceae family Constituents Actions Indications Safety Parts Used - Herba - Iridoid - Cardioprotective - Not a strong uterine tonic - Cardioregulating - Indicated when there are hormonal changes with weakness, anxiety, glycosides insomnia, and heart palpitations - Tannins - Antianginal - “Empty-nest syndrome”: perimenopausal women with preventricular - Alkaloids - Relaxant contractions (PVCs) or younger women who develop PVCs when their job - Bitter - Nervine becomes their whole life and they are afraid of failure (“what will I be if I don’t glycosides - Antispasmodic - Antihypertensive have this identity…?”) – can also be used for men who are experiencing these - Mild uterine change of life questions as well stimulant and - Bitterness from lack of appreciation is associated with the emotional picture: tonic herb tastes very bitter, and when you harvest it the seed pods “bite” you a bit - Used for hyperthyroidism with Lycopus and Lithosperma (the 3 “L”s) - Contain leonurine (an alkaloid): partly responsible for the relaxant effects - Can be used with Viburnum to ↓ hypertension in perimenopausal women Antispasmodics Viburnum opulus (cramp bark) Caprifoliaceae family Constituents Actions - Bitter - Spasmolytic compound - Sedative nervine - Glycoside - Astringent - Anti-asthmatic - Tonic - Diuretic - Alterative - Hypotensive - Carminative - Antiinflammatory Indications Safety - Used for both skeletal and smooth muscle spasms - Combine well with Dioscorea villosa - Mostly used in formulas for acute dysmenorrhea, during the time of pain or in anticipation of the pain - Prevent miscarriage - Topical for musculoskeletal pain, esp. if combined with lobelia oil and driven in with gentle heat (hydrocollator or heating pad) - ↓ hypertension: combine with Viscum, Achillea, Scutellaria, Tilia, Leonurus - Restore sympathetic and parasympathetic balance in voluntary and involuntary muscle spasms Anemone pulsatilla (windflower, pasque flower) Ranunculaceae family Constituents Actions Indications - Lactone - Nervine - Useful in very small amounts in dysmenorrhea or ovarian pain when glycoside in - Anti-spasmodic there is a lot of emotional drama with the pain (“hysteria”) fresh plant can - Alterative - Also for those who hold their tension, fear or sadness in their pelvis cause - Sedative - For women with a history of sexual abuse or shame that have blistering and - Analgesic reproductive or menstrual issues burning of skin - Antiinflammatory - Anyone with pain (both gender) associated with hysteria dried plant - Use small dose: a 1:10 tincture is generally used with a 0.9-3 ml does not have max per day this effect Parts Used - Dried bark cortex Safety Parts Used - Can have some - Herba irritating and toxic effects Hemostatics by Monica Hsu Alchemilla vulgaris (lady’s mantle) Rosaceae family Constituents Actions Indications Safety Parts Used - Tannins - Astringent - An herb of the alchemists: thought to have magical properties as - Tannin rich - Herba herbs are - Anti-hemorrhagic evidenced by the silver drops of water that collect on its leaves - Antiinflammatory - Uterine tonic property: useful in prolapse and repeated miscarriage contraindicated - Uterine tonic - Astringent property (high tannin content): help prevent or treat in constipation, - Emmmenagogue heavy menstrual bleeding (hemostatic), tonifying iron deficiency - Vulnerary - Some feel this herb is progestereogenic, but there’s no research anemia and - Diuretic malnutrition Capsella bursa-pastoris (shepherd’s purse) Cruciferae family Constituents Actions Indications - Flavonoids - Anti-hemorrhagic - A common weed in the Northwest, grows in everyone’s yards - Fumaric and - Urinary antiseptic - Used to stop acute menorrhagia or metrorrhagia bursic acids - Antipyretic - Useful in endometriosis - Uterine stimulant - Antiinflammatory property - Choline - Acetylcholine - Emmenagogue - Diuretic - Histamine - Tyramine bases - Oxalates - Vitamins - Minerals Safety - Parts Used - Aerial parts Trillium spp. (T. pendulum, T. erectum, T. sessile) (bethroot, birthroot) Liliaceae family Constituents Actions Indications - Steroidal - Uterine tonic - Somewhat endangered species saponins - Astringent - Used to stop acute menorrhagia and metrorrhagia - Tannins - Hemostatic Safety - Parts Used - Bulb - Rhizome Erigeron / Cinnamon Compound Constituents Actions Indications - Most reliable way to relieve acute, heavy bleeding (flooding) - Available from HerbPharm Safety - Parts Used - Safety - Parts Used - Safety - None Parts Used - Leaves - Flowers Herbs for Low Libido Tribulus terrestris (puncture vine) Zygophyllaceae family Constituents Actions Indications - Steroidal - ↑ blood flow to penis and clitoris saponin - ↑ serum testosterone, DHT, and DHEA: indicated for women or - Protodioscin men with low testosterone - For someone with depression and fatigue, no interest in sex Turnera diffusa (damiana) Turneraceae family Constituents Actions - Volatile oil - Nerve tonic and - Resin trophorestorative - Tannin - Anti-depressant - Bitter - Urinary antiseptic compound - Laxative (damianian) - Aphrodisiac - Flavonoids - Hydroquinone - Arbutin Indications - Used traditionally as an aphrodisiac - A gentle, but effective sexual tonic - Stimulating nervine: wake up feeling energize, but does not work if on a lot of other stimulants, help those that are depleted - Good for minor depression - Not too sustainable: native to southwest US in desert Herbs for Men’s Health by Monica Hsu Vitex agnus-castus (chaste berry, monk’s pepper) - For both genders - Good for balancing testosterone - See under “Female Reproductive Herbs: Rebalance Hormones” Turnera diffusa (damiana) - For both genders - See under “Herbs for Low Libido” Serenoa repens (saw palmetto) Arecaceae family Constituents Actions - Fatty acids - Inflammation - Sterols modulating - Flavonoids - Spasmolytic - Phytoestrogen - Testosterone inhibiting Indications - Prostate disorders: BPH, non-infectious prostitis - Urinary tract smooth muscle spasm - Diseases accompanied by excessive testosterone levels: androgenetic alopecia, PCOS - Incredibly sustainable - Very safe, considered as food Safety - None Parts Used - Berry (fruit) Urtica dioica (nettle, stinging nettle) Urticaceae family - See under “Urinary Herbs: Herbs that Nourish and Increase Function” Cucurbita pepo (pumpkin) Cucurbitaceae family Constituents Actions - ω-6 and ω-3 FAs - Antiparasitic - Inflammation - Amino acids modulating - Zinc Smilax officinalis (sarsaparilla) Smilacaceae family Constituents Actions - Steroidal saponins - Hormone - Flavonoids modulator - Safrole - Inflammation modulator - Alterative - Absorption enhancer - Emulsifier Indications Safety - BPH - Caution in patients with - GI parasites diverticulosis - Kidney stone - Seeds can be eaten raw or cooked, fully ripe, safe - Dose: 1 dose = 1 handful, 1-2 handfuls a day in conjunction with other antiparasitic remedies Parts Used - Seeds - Oil Indications Safety Parts Used - Many Smilax spp. growing in southeast US - Extremely safe - Bark of - Contain saponins: hormone modulator – useful for hormonal - Occasionally root imbalance, especially estrogen dominance or low testosterone nausea: take (often used primarily in second half of menstrual cycle) with food - Chronic rheumatic diseases - Gout - Chronic skin diseases - Synergizer in formulas to improve absorption & mixing, emulsifier Prunus africanum (pgeum, bitter almond) Rosaceae family Constituents Actions Indications Safety - Lipid-soluble - Antiinflammatory - Not sustainable: only come from Cameroon Africa pentacyclic - Decongestant - How to harvest the bark: take branches that are fallen or small triterpenes strips that don’t damage the tree - Medicinal use similar to Serenoa repens, so don’t use it in the US - Sterolic triterpenes - FAs - Esters of ferulic acid Parts Used - Bark Urinary Herbs: Herbs that Nourish and Increase Function by Monica Hsu Taraxacum officinale (dandelion) Asteraceae family Constituents Actions Indications Safety - Sesquiterpene - Diuretic - Leaves are extremely nutritive (great food for the kidneys): - None + + lactone - Depurative contain high amounts of minerals (K , also some Na ), vit C - Saponins - Tonic (feeds the adrenals), β-carotene – these are also present in root - Minerals - Bitter - Root: cholagogue (strongly moves bile) + + - Leaves: K sparing diuretic herb (also spare some Na ) - Dependent edema, hypertension, CHF, rheumatic conditions with lots of heat and swelling joints, detox, any healing conditions Urtica dioica (stinging nettle) Urticaceae family Constituents Actions - Polysaccharides - Tonic - Lectins - Antiinflammatory - Flavonoid - Diuretic glycosides - Astringent - Caffeic malic - Expectorant acid - Anti-allergic - Minerals - Anti-rheumatic - Vitamins - Protein Indications Safety - Hypersensitivity - Specificity for urinary tract - Leaves: inflammation modulator – food & environmental allergies can develop Fresh leaf applied topically is a potent counterirritant Diuretic: aquaretic – lose water without losing minerals Nutritive (rich source of minerals): eaten as food – ex. steam fresh leaves, juice, tea - Seeds: kidney protective, diuretic - Root: used for BPH, even root can sting - Good for kidney stones and irritation by flushing the system - Good for musculoskeletal conditions such as lupus, rheumatoid arthritis (see flagellation of limbs), puffy and red joints - Sustainable, local - Herb can be freeze-dried - Tincture: use glycerite to maintain nutritive properties Equisteum spp. (horsetail) Equisetaceae family Constituents Actions Indications - Silica - Diuretic - Connective tissue tonic: used to strengthen hair and nails + - K salts - Connective - Good for someone that needs strength and structure, ↑ vitality - Flavonoids tissue tonic - Rich source of silica: silica is very important for kidney structure - Antiinflammatory Use water preparation to get silica out, not alcohol - Antimicrobial - Diuretic: aquaretic - Antiinflammatory, antimicrobial, anticancer properties - Rheumatic conditions, interstitial cystitis, bladder irritation, bed wetting, urinary prolapse - Use organic source because the plant concentrates whatever is in the soil (ex. heavy metals) Petroselinum crispum (parsley) Apiaceae family Constituents Actions Indications - Volatile oil - Stimulating - Leaves: diuretic, more nutritive - Flavonoids diuretic - Seeds: diuretic, but more irritating due to ↑ essential oil content - Vitamins - Carminative Used when a strong stimulus is needed for micturation - Minerals - Emmenagogue Note that Apiaceae family has ↑ essential oil content that act - Expectorant as stimulant diuretics (the oil is excreted by the kidneys) - Antiinflammatory - Root: diuretic, more cooling spasmolytic - Useful for bladder incontinence in perimenopause due to its - Vasodilatory diuretic and phytoestrogenic properties - Hypotensive - Incontinence due to inflammation of irritated tissue Apium graveolens (celery) Umbelliferaceae family Constituents Actions - Furanocoumarins - Diuretic - Phenylpropanoids - Inflammation modulating Indications - Celery acts similarly to, but less strongly, than parsley seed - Diuretic, inflammation modulator, renal detoxifier - Gout, UTI, kidney stone passage and prevention, hypertension - Arthritis Parts Used - Leaf - Root Parts Used - Leaf - Seed - Root Safety Parts Used - Entire plant - Do not use for above long term (maximum of 3-6 ground weeks): don’t want to overdose silica Safety - Seed should not be used during acute kidney conditions Parts Used - Aerial parts - Seeds - Root Safety Parts Used - Contraindication: - Seeds known allergy to any part of celery Parietaria diffusa (pellitory-of-the-wall) Urticaceae family Constituents Actions Indications - Flavonoids - Diuretic - "Silybum of the kidneys": kidney trophorestorative - Glucoproteins - Demulcent (protect and nourish kidneys), can use for long term - Bitter - Anti-lithic - Diuretic, demulcent, and laxative properties - Tannins - Good for diabetes, hypertension, acute UTI, kidney stones Safety - Parts Used - Aerial parts Urinary Herbs: Herbs that Fight Infection and Increase Function Arctostaphylos uva ursi (uva ursi, bearberry) Ericaceae family Constituents Actions Indications Safety Parts Used - Hydroquinone - Antibacterial - Can use cranberry or huckleberry leaves instead (same family) - Contraindication: - Leaves pregnancy glycosides - Astringent - Hydroquinone glycosides, quinones: antiseptic - Tannin - Antiinflammatory - Acute UTI: use no more than 3-14 days – use more only if patient - Flavonoids - Diuretic has high fever (104°F) and is peeing out blood - Resin - Tonic - Use after CHO or alcohol binge that results in alkaline urine - Acids - Oxytocic - Also can be used as a sitz bath for chronic UTI, birth recuperation - Allantoin (combine with goldenseal) - Volatile oil - All forms of preparation work well: standard extract, tincture, tea Juniperus communis (juniper) Cupressaceae family Constituents Actions - Volatile oil - Stimulating - Tannins diuretic - Antiseptic - Carminative - Antiinflammatory - Bitter Indications Safety - Stimulating diuretic: work by irritation - Do not use for - Great antiseptic due to high amount of essential oil long term (no - Antiinflammatory and bitter properties more than 2-4 - Musculoskeletal conditions: arthritis, rheumatic edema weeks) - Spring tonic to get kidney back in shape: start by eating 1 berry a - Overdose proteinuria day, then 2/day, 3/day … for 21 days, then ↓ 1 berry a day Vaccinium macrocarpon (cranberry) Ericaceae family Constituents Actions Indications - Hippuric acid - Bacteriostatic - ↓ ability of bacteria to adhere to tissues: used for UTI, oral - Proanthocyanadins infections - Vit C - Acute UTI: drink cranberry juice cocktail - Flavonoids Note: need to drink lots of cranberry juice to acidify urine - Combine with Arctostaphylos uva ursi: great for UTI - Possible interaction with Coumadin - Lose some constituents if harvested in water - Juice works just fine, but can use standardized extract Chimaphila umbellata (pipsissewa) Ericaceae family Constituents Actions Indications - Less tannins then Arctostaphylos uva ursi: less irritating - Arbutin - Astringent - Tannin - Alterative - Antiseptic, antibacterial, diuretic properties - Chimaphilin - Tonic - Used long term for kidney tonification - Diuretic - If a person gets stomach ache from drinking black tea, give this herb instead of Arctostaphylos uva ursi - Antiseptic Agropyron repens (aka Elymus repens) (quackgrass) Graminaceae family Constituents Actions Indications - Saponins - Diuretic - Saponins in GI tract: irritating laxative - Mucilage - Demulcent - Saponins in urinary tract: irritating/stimulating diuretics - Silicic acid and - Anti-microbial - Mucilage: soothing for urinary system silicates - Expectorant - Silica: for structural problems - Antimicrobial action: useful for UTI - Use when there is mucus in urine and frequent urination Parts Used - Berries Safety - None Parts Used - Fruit Safety - Parts Used - Leaves Safety - None Parts Used - Rhizome
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