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Burdock

Burdock
Burdock Root.JPG

Burdock is a staple and medicinal plant throughout Europe, Asia, and North America. Its roots are rich in antioxidants, fiber, and anti-inflammatory compounds.

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Burdock is also said to support the immune system and help the body get rid of toxins. It’s the main ingredient in Essiac.

Does the research back up its widespread use?

What Is Burdock Root?

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Burdock (Arctium lappa) is a hairy shrub that belongs to the daisy family, although its bluish-red prickly flowers look nothing like daisies. If you spot burdock, be careful not to brush against it—its furry flowerheads will firmly cling onto your clothes. That explains the expression “to stick like a burr.”

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Burdock’s well-developed root system makes up for its unsightly flowers. It has fleshy, yellowish roots that may reach 60 cm below ground.

Burdock root is a key part of Japanese and Chinese cuisine. People have also used it as a medicinal and table herb throughout Europe, Russia, North America, and Asia for hundreds of years (Moro & Clerici, 2021Chan et al., 2011)

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It goes by many names such as greater burdock, thorny burr, beggar’s buttons, gobo, happy major, lappa, love leaves, and niubang. Some of these refer to a similar plant species (common burdock or Arctium minus) (Gross et al., 1980).

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Many burdock subspecies exist. For example, purple burdock (A Iappa f . purpurascens) grows only in Quebec (Gross et al., 1980).

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The origins of burdock in North America

Nobody is certain about the geographical origin of burdock. Some scientists think it may be native to Japan. Others say it’s native to other parts of Asia or Europe. The official narrative claims it was brought to North America by early European settlers  (Moro & Clerici, 2021).

But burdock might even be from North America. There is evidence that native people used burdock before colonial times (Cao JianFeng et al., 2012Lewis & Lewis, 2003Drummond, 1904Gross et al., 1980).

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Wherever it came from, burdock is now widespread throughout the U.S. and Canada. Considered a “weed,” burdock can be spotted on many roadsides and vacant lots.

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Burdock Root Uses

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Traditional Use

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Burdock has been used in China for over 3,000 years. Its use is mentioned in the “bible” of Traditional Chinese medicine (TCM) called the Compendium of Materia Medica (Chan et al., 2011JianFeng et al., 2012).

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TCM practitioners believe burdock root helps cleanse toxins from the body. They also consider it a remedy for fertility, infections, sore throat, boils, rashes, and other skin problems (Chan et al., 2011Don & Yap, 2019).

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In Canada, burdock has been used for coughs, asthma, blood and skin diseases, rheumatism, and gout. It was also added to sarsaparilla, a popular saloon drink. Native Americans may have included the root in herbal preparations for women in labor. It’s also believed to be a diuretic and laxative (Gross et al., 1980Cao JianFeng et al., 2012Lewis & Lewis, 2003).

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The entire plant is edible. The Iroquois cooked young leaves as greens and prepared dried roots in soup. In Russia, the roots are roasted and served as a coffee substitute (Lee & Kim, 2017Kuhnlein & Turner, 2020Hutchens, 1992).

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Japanese chefs prepare the root as a side dish, while the Koreans like to drink it as tea (Silver & Krantz, 1931Lee & Kim, 2017)

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Although most medicinal preparations mention burdock root, the seeds are claimed to better flush fluids from the body. The fruit and leaves are said to be especially helpful for soothing the skin and mucous membranes (Lee & Kim, 2017).

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Despite such diverse use, most traditional indications for burdock haven’t yet been backed by clinical studies.

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Modern Use

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People nowadays use burdock by mouth for (Gao et al., 2018):

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  • Cold and flu

  • Immune support

  • Low appetite and anorexia

  • Gastrointestinal complaints

  • Fever

  • Diabetes

  • Heart disease (inducing high blood pressure and clogged arteries)

  • Inflammatory conditions (including gout, liver, bladder, joint, and colon inflammation)

  • Trimethylaminuria (TMAU)

  • Support to cancer therapy

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Burdock root is the main ingredient in Essiac, which also contains sheep sorrel, slippery elm bark, and Indian rhubarb.

Applied on the skin, burdock is used for (Gao et al., 2018)

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  • Aging skin

  • Dry skin

  • Inflammatory skin conditions (acne, psoriasis, eczema)

  • Vaginal inflammation

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As with traditional use, however, most modern uses of burdock root lack sufficient clinical research.

 

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How Does Burdock Root Work?

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Burdock root is considered to be a functional food. It’s rich in inulin and inulin-like prebiotic fiber, enzymes that help digest complex carbs, and antioxidants. Burdock root has stronger antioxidant activity than many vegetables and fruits. Plus, burdock extract is a more powerful antioxidant than vitamin C (Moro & Clerici, 2021Ferracane et al., 2010Yari et al, 2018).

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Active Compounds

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The main active compounds in burdock are arctigenin and arctiin. All parts of the plant contain them. Arctigenin is more active and is being investigated for its anti-inflammatory and potential anti-cancer properties (Gao et al., 2018).

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Burdock is also a source of (Moro & Clerici, 2021Jaiswal & Kuhnert, 2011Wu et al., 2014Zhang et al., 2019):

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  • Mucilage, which helps protect the gut lining

  • Over 15 chlorogenic acids, antioxidants that may help support normal blood pressure, blood sugar, and weight loss

  • Cinnarine, which may promote detox and reduce allergies

  • Quercetin, a well-researched plant antioxidant

  • Polysaccharides, which reduce inflammation and feed good gut bacteria

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The active compounds in burdock likely act in synergy (Moro & Clerici, 2021).

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The seeds also seem to be high in anti-inflammatory compounds while the leaves may be a better source of antimicrobials (Chan et al., 2011).

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Mechanism of Action

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Cell-based and animal experiments hint that arctigenin may work by blocking key inflammatory pathways and helping balance immune function (Gao et al., 2018).

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The downside is that arctigenin is quickly broken down by the liver and intestinal enzymes, which might limit its clinical benefits (Gao et al., 2018).

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In one cell-based study, arctigenin helped reduce the loss of gut lining cells. Scientists hypothesize it achieves health effects by (Wu et al., 2014Chan et al., 2010):

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  • Turning “off” major inflammatory genes and pathways (like COX-2, TNF-alpha, IL-6, NF-κB, and MAPK)

  • Reducing markers of oxidative stress (like malondialdehyde or MDA)

  • Boosting key antioxidant enzymes (like SOD and glutathione).

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This has yet to be confirmed in human studies.

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Burdock Root Benefits

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1) Inflammatory Conditions

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Most of burdock’s health benefits seem to rely on its anti-inflammatory potential, backed by a couple of clinical trials.

In one trial of 36 people with knee osteoarthritis, drinking 3 cups of burdock root tea per day reduced markers of inflammation and oxidative stress (CRP, IL-6, MDA). It also improved total antioxidant status and the levels of a key antioxidant enzyme called SOD (superoxide dismutase) (Maghsoumi-Norouzabad et al., 2014).

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Drinking burdock tea three times per day for about 26 months reduced symptom recurrence in patients with colon inflammation (colonic diverticulitis). Only 10.6% of those who drank burdock tea experienced recurrence, compared with 31.8% of those not taking the tea. The symptom-free duration was also increased by 14 months (Mizuki et al., 2019)

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Arctigenin in burdock may improve colon inflammation by balancing the immune system. It stops the body from making immune cells (Th1 and Th17) associated with autoimmunity and inflammation in test tubes (Wu et al., 2015).

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According to small clinical studies in women and children with vaginal inflammation (vaginitis), a solution containing burdock, chamomile, and aloe improves symptoms like itching, redness, swelling, and discharge (Guinot et al., 2019Garcia et al., 2018). 

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In another trial, a multi-ingredient supplement with burdock (Infla-Kine) reduced inflammatory markers and improved the quality of life in healthy volunteers over 4 weeks. The supplement also contained anti-inflammatory herbs like curcumin, so it’s uncertain if burdock contributed (Mikirova et al., 2017).

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All in all, human studies suggest that burdock may help reduce inflammation, but more clinical research is needed to assess its effectiveness.

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2) Stomach Ulcers & Infections

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  1. pylori infection is a major cause of stomach ulcers.

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A multi-ingredient supplement with 64% burdock improved H. pylori infection, inflammation, and ulcer wound healing in a placebo-controlled study of 36 people. This product also contained angelica, gromwell, and sesame oil—so the contribution of each herb is unknown (Yen et al., 2018).

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In test tubes, burdock stopped H. pylori from attaching to stomach cells and setting off an inflammatory response. In animals, burdock helped restore antioxidant enzymes, heal the stomach lining, and reduce ulcer size (Yen et al., 2018Silva et al., 2013).

The root extract also prevented stomach damage in animals by reducing excessive acid production and neutralizing harmful free radicals (Dos Santos et al., 2008).

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Plus, bitter compounds in burdock leaf extract killed bacteria and their sticky biofilms—a big cause of antibiotic resistance—in test tubes. For this reason, researchers think burdock leaves can be used to naturally preserve food (Lou et al., 2016Pirvu et al., 2017).

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Burdock root has been tested against the many bacteria and yeast in test tubes, including candida and hospital-dwelling superbugs. One study even claimed anti-HIV effects, but this hasn’t been confirmed (Rajasekharan et al., 2017Gentil et al., 2006Rajasekharan et al., 2015Schröder et al., 1990)

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To sum it up, limited evidence suggests that burdock may help protect the stomach lining from H. pylori infection and inflammation. Larger clinical studies are needed before it’s recommended.

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3) Skin & Hair Health

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Burdock is often added to facial creams to encourage skin rejuvenation. It may improve the appearance of aging skin by lowering inflammation and boosting collagen production. In one study, an emulsion with burdock fruit extract reduced wrinkles around the eyes better than placebo in women aged 39-65 (Knott et al., 2008).

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In a human study, homeopathic burdock taken by mouth improved acne. However, the study was small (34 people), used varying dilutions (which mostly don’t contain active substances), and lacked a placebo control (Miglani & Manchanda, 2014).

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One study protocol mentions burdock seed extract for the relief of dry skin and eczema, but no results have been published (Lee et al., 2013). 

Hair loss and baldness have been linked with inflammation and oxidative stress, pathways that burdock is purported to block. Burdock is a common ingredient in hair care products, but none of them have yet been tested in humans (Koriem et al., 2016Trüeb, 2009).

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4) Heart Health & Lipid Levels

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Folk healers say that burdock root is good for the circulatory system, but only one clinical study tested this benefit so far.

In the study, burdock root along with aquarobic exercise improved blood lipids in 40 elderly Korean women. It reduced total cholesterol, triglycerides, and “bad” LDL cholesterol, but it also lowered the “good” HDL cholesterol (Ha et al., 2018).

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Burdock improved lipid status in quails fed an unhealthy, high-fat diet. Its effects were similar to cholesterol medication (simvastatin), with the added perk of enhanced antioxidant status. Human studies haven’t yet compared burdock to any medication, though (Wang et al., 2016).

In one study on mice, burdock root improved heart function and helped prevent heart enlargement. An enlarged heart can be caused by heart disease and lead to serious complications (Li et al., 2017).

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Also, complex sugars from burdock root reduced platelet clumping and improved blood flow in rats. Excessive platelet clumping can result in heart attack, stroke, and even death (Qiu et al., 2020).

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5) Blood Sugar Control & Diabetes

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One review concluded that there is not enough clinical evidence to recommend burdock to people with diabetes. Animal studies have had promising results (Annunziata et al., 2019).

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Inulin, the main prebiotic fiber in burdock, supports healthy blood sugar levels. A recent analysis of 25 studies concluded that inulin helps improve insulin resistance, the hallmark of type 2 diabetes (Moro & Clerici, 2021Rao et al., 2019).

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One study conducted back in 1931 reported that batter prepared from dried burdock root prevents dangerous post-meal spikes in blood sugar in diabetic patients (Silver & Krantz, 1931).

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The same group reported that diabetic patients taking crackers with burdock root powder as a substitute for regular carbs needed lower insulin doses. As soon as burdock crackers were replaced with typical carbs, blood sugar spiked again (Silver & Krantz, 1931).

Burdock root extract lowered high blood sugar and liver markers and increased low insulin and leptin in mice with diabetes (Ahangarpour et al., 2017).

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It also reduced the weight of obese rats fed an unhealthy diet. It might work by reducing the activity of enzymes that produce fatty tissue (Hou et al., 2018Kuo et al., 2012).

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Burdock has anti-diabetic and anti-obesity potential, but clinical trials are needed to determine its effects in people. 

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6) Digestion & Gut Health

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Inulin prebiotic fiber in burdock root feeds good gut bacteria and encourages digestion. It stimulates the release of immune-balancing butyric acid in the colon. Plus, burdock root’s high mucilage content may help soothe the gut (Duke, 2002Watanabe et al., 2020).

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Inulin from burdock helped probiotic bacteria grow in test tubes. Also, dietary burdock inulin increased the number

of Bifidobacteria and Lactobacilli—the main good probiotic bacteria—in mice (Moro & Clerici, 2021Li et al., 2008).

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An imbalanced gut microbiome (dysbiosis) with low diversity has been linked with many diseases, including inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) (Kriss et al., 2019)

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Burdock root powder increased the gut microbiome diversity in mice better than pure inulin. Taking burdock in the evening vs. morning had a stronger effect (Watanabe et al., 2020).

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Arctigenin from burdock is being investigated for maintaining the integrity of the gut lining in IBD.  It might keep the junctions between gut cells strong by activating estrogen receptor beta (ERβ). Estrogenic activity is usually seen as “bad,” but ERβ is anti-inflammatory and a key target of new IBD therapies (Tao et al., 2020Saleiro et al., 2012).

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Polysaccharides from burdock are complex sugars that may help balance the gut and whole-body immune response. They act on cytokines, the main signalling molecules involved in an inflammatory response (Zhang et al., 2019).

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In a study on immune cells, a burdock polysaccharide called ALP-1 reduced proinflammatory cytokines and boosted an anti-inflammatory cytokine (IL-10). In mice, ALP-1 increased beneficial gut bacteria, reduced potentially harmful gut bacteria (Bacteroides), and enhanced the production of anti-inflammatory short chain fatty acids (SCFAs)  (Zhang et al., 2019).

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Burdock is also a herbal bitter. Bitters work by stimulating digestive juices and are traditionally used for low appetite, indigestion, bloating, and heartburn (McMullen et al., 2015).

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Burdock contains prebiotics and bitter compounds that support digestion and gut health. However, its effects on people with gut disorders have yet to be tested in human trials. 

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7) Immunity, Allergies & Autoimmunity

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Burdock root may help balance the immune system without stimulating it. An overactive immune response may cause either allergies or autoimmune disease. Herbal immune stimulants can worsen autoimmune diseases, according to research (Lee & Werth, 2004).

In animals, burdock root suppressed both allergic and autoimmune inflammation. In cells, burdock reduced histamine and other inflammatory compounds.  (Yang et al., 2016Li et al., 2016). 

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8) Cancer Research

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Burdock root in Essiac

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Essiac is a burdock-containing herbal formulation reported to be used by some cancer patients. No clinical studies on Essiac have yet been carried out.

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According to a study published in 2006, people use Essiac as an add-on to breast cancer treatment, for reducing the negative side effects of conventional breast cancer treatment, and as prevention in cancer survivors (Zick et al., 2006).

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The same study sent out a survey to 510 women who were diagnosed with breast cancer, 8% of which used Essiac. Women using Essiac reported beneficial effects. Yet, the study did not find a link between the use of Essiac and improvements in quality of life or mood. Well-controlled, clinical trials are needed (Zick et al., 2006)

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Burdock alone

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One study reported favorable outcomes of a specific burdock fruit extract called GBS-01 at high doses (12 g/day) in a pilot trial. The trial included 15 patients with advanced pancreatic cancer who didn’t respond to the standard chemo (gemcitabine). They describe a partial response in one patient and stable disease in four patients. Larger trials are needed (Ikeda et al., 2016).

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GBS-01 is high in arctigenin. Scientists hypothesize it might act by reducing the tolerance of cancer cells to glucose deprivation. In theory, this might make cancer cells die off quicker if starved of sugar. However, this hypothesis remains unproven for now (Ikeda et al., 2016).

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In one study, burdock extract injections enhanced survival and reduced inflammation and tumor growth in mice with melanoma (Nascimento et al., 2019).

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In other mice studies, high oral doses of arctigenin reduced prostate tumor growth by up to 70%. Yet, it’s important to have in mind that findings from animal studies can’t be applied to humans (Wang et al., 2018).

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In cells, arctigenin turned “off” cancer-promoting genes while making cancer cells more susceptible to chemotherapy medication (Wang et al., 2018Yao et al., 2011)

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Another burdock active compound called L-asparagine increased the effects of chemotherapy (cyclophosphane) that prevents the spread of cancer in animals. It also killed cancer cells in test tubes (Urazova et al., 2011).

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A Japanese research team found burdock extract the most active out of 364 herbal plant extracts screened using cancer and healthy cells. Arctigenin from burdock killed lung, liver, and stomach cancer cells and stopped them from dividing (Susanti et al., 2013).

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Other cellular studies investigated the mechanisms of burdock root extracts on blood, breast, and other cancer cells. Active compounds in burdock appear to act selectively on cancer cells without harming healthy cells in test tubes (Don & Yap, 2019Ghafari et al., 2017Susanti et al., 2013Wegiera et al., 2012Baba et al., 2018Lee et al., 2019)

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This tells us little about its effects in humans, though, as a compound may behave completely differently in humans than it does in test tubes.

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The bottom line

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Proponents claim burdock root supports the immune system and overall health. However, evidence is currently lacking to support its use—alone or in multi-ingredient herbals—for cancer prevention or treatment. Clinical studies are needed to assess its efficacy and safety in this population.

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9) Detox & Liver Health

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Burdock is purported to help the body detox toxins, drugs, and carcinogens. Only animal and cell-based studies have been carried out, so this benefit remains uncertain.

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In lab animals, burdock reduced inflammation from cigarette smoke exposure and liver-damaging chemicals. It also protected the liver against the heavy metal cadmium, acetaminophen, a toxic Chinese herb, and a diet high in unhealthy fats (Possebon et al., 2018Lin et al., 1996Predes et al., 2014El-Kott et al., 2015Zhou et al., 2020Romualdo et al., 2020).

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10) Libido & Fertility

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Anecdotes and traditional medicine say that burdock helps with libido and fertility, but no human studies exist.

In male rats, burdock root extract increased testosterone and enhanced sexual function and behavior. The extract also increased sperm viability in diabetic rats. Diabetes is a known cause of poor sperm quality and erectile dysfunction (JianFeng et al., 2012Ahangarpour et al., 2015).

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Burdock root extract also improved markers of reproductive and sexual function in healthy mice (increasing sperm count, testosterone, LH, and FSH) (Ahangarpour et al., 2015).

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In another rat study, burdock extract helped heal testicular damage caused by alcohol by acting as a strong antioxidant (Yari et al., 2018).

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11) Mood, Brain & Bone Health

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Evidence is lacking to support the use of burdock root for mood, brain, and bone health. The research is limited to animal and cellular studies.

Arctigenin from burdock reduced depression and anxiety in mice exposed to stress. It also improved memory and helped clear toxic beta-amyloid plaques from the brains of mice with Alzheimer’s disease. In brain cells, arctigenin reduced inflammation and injury (Du et al., 2019Zhu et al., 2013Song et al., 2016).

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Burdock root improved memory by blocking acetylcholinesterase (AChE) in mice. AChE is an enzyme that breaks down acetylcholine, the brain’s most powerful innate nootropic. By blocking AChE, burdock root may help boost acetylcholine (Lee et al., 2011).

Arctigenin from burdock root blocked the activity of bone-degrading cells in test tubes, but its effects on bone health remain unexplored (Wei et al., 2019)

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Precautions

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Disease and drug interactions are possible. Please consult your doctor before use,

Pregnant and breastfeeding women should avoid burdock root due to a lack of safety data.

 

In Summary

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Unfortunately, only 8 clinical trials have been conducted with burdock so far. Most burdock uses rely on animal and cellular studies and anecdotes. The published findings are promising, but more clinical trials are needed to assess its health benefits.

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Sheep Sorrel

Sheep Sorrel
sheep sorrel.JPG

Sheep sorrel is an herb with a long history of traditional indigenous use.

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Science reveals it’s a potent source of antioxidants, nutrients, and unique active compounds. It’s often described as the most important component of the original Essiac formula.

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Is this true? What does the science say? 

What Is Sheep Sorrel?

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Sheep sorrel (Rumex acetosa L.) a medicinal and culinary herb that belongs to the buckwheat family. The whole plant is edible. Other names it goes by are common sorrel, red sorrel, sour weed, and dock.

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Folk healers around the world have foraged and prepared the wild plant for millennia. They treasured the whole plant for its medicinal properties and prepared the leaves and aerial parts in salads and soups (Korpelainen & Pietiläinen, 2020Bello et al., 2019).

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Sheep sorrel has such a rich and long history of cultural use that even scientists describe it as underutilized by modern medicine (Bello et al., 2019).

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It grows worldwide and can adapt to diverse environments, but it favors the northern hemisphere. You can spot it on fields, meadows, and open woods.

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To the untrained eye, sheep sorrel can pass as “just another weed.” It’s not as exotic as other heavily commercialized plants, so its health-promoting potential gets neglected. The biggest danger that can come from this is its disappearance.

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Sheep sorrel is easy to forage or grow, and use as a functional food—especially in poor rural areas and harsh climates. It can also be made into tea, tinctures, and salves to support health.

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It is an incredibly adaptable wild edible with unique medicinal properties. It’s time to bring together the traditional and modern scientific knowledge about the benefits of this plant, many of which are still an active area of research.

 

Active Compounds in Sheep Sorrel Roots & Leaves

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Scientists have isolated over 70 active compounds from sheep sorrel. Each part of the plant has a characteristic imprint of these compounds. This is key to understanding its benefits! (Bello et al., 2019).

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Whole Plant

Some traditional texts mention using the whole herb. The whole plant extract contains the highest amount of:

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Roots

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Sheep sorrel roots are a source of:

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Leaves & Aerial Parts

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The aerial parts (leaves, flowers, fruits, stalks) are a concentrated source of:

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Sorrel leaves are a great source of nutrients but are also high in sour-tasting oxalic acid—an anti-nutrient that can be dangerous for people with kidney problems.  Cooking them destroys most of the oxalic acid, but raw leaves shouldn’t be used regularly (Tuazon-Nartea & Savage, 2013).

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Both the leaves and roots are high in many antioxidants. Antioxidants can scavenge and neutralize free radicals that cause oxidative stress, cellular damage, and DNA mutations (Lobo et al., 2010).

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In Essiac

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Despite popular claims, there is no direct evidence to claim that sheep sorrel is the most important ingredient in Rene Caisse’s original Essiac formula. It’s the second most predominant ingredient, after burdock root. 

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Some manufacturers claim that the “original” Essiac tea contains the whole sheep sorrel plant, including the root. However, evidence is also lacking to support this.

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Rene Caisse did refer to the importance of using the roots of one of the plants in Essiac. Based on archive documents, she was likely referring to burdock root (the main ingredient), not to sheep sorrel.

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In fact, a recent animal study used Essiac with aerial parts of sheep sorrel to demonstrate anti-leukemic activity in rats (Kabeel et al., 2018).

Learn more about the different properties and health benefits of sheep sorrel root and leaves in this post.

 

Sheep Sorrel Uses

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Overview

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Sheep sorrel has an incredible number of traditional and historical uses. It’s believed to help with scurvy, cancer, infections, jaundice, mild diabetes, skin, respiratory, gut, liver, gallbladder, heart, and inflammatory disorders. Clinical studies have yet to test its effects, so most of these uses remain unverified by modern science (Bello et al., 2019).

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Folk remedies from ancient times speak of sheep sorrel’s anti-inflammatory, antioxidant, diuretic, antimicrobial, anti-tumor, anti-nausea, heart-protective, diuretic, painkilling, antiviral, and antifungal properties (Korpelainen & Pietiläinen, 2020).

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Traditional & modern preparations

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The Iroquois and many other native people ate sheep sorrel’s sour-tasting leaves raw or occasionally cooked. Some strains of sheep sorrel are believed to be indigenous to Canada (Kuhnlein & Turner, 1991).

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People traditionally used water from boiled sorrel to wash chickenpox sores, boils, shingles-afflicted skin, poison ivy rashes, blisters, acne, and other skin sores. It is purported to reduce pain and itching and speed up the healing process (Korpelainen & Pietiläinen, 2020).

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Drinking sorrel water with a bit of honey was also believed to bring down a fever, clear sinus infections, and help recover from the cold and flu. It’s said to reduce pain and inflammation, encourage sweating, and help flush excess fluids from the body (Bello et al., 2019).

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The roasted seeds were eaten as a purported cure for dysentery (a type of infectious intestinal inflammation) (Mostafa et al., 2011).

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In the Czech Republic, sheep sorrel is said to be used to manage lumps and tumors. Folk healers of Eastern Europe consider it a “blood cleanser” (Bello et al., 2019).

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Products that contain sheep sorrel extracts have registered drug status in Europe and are used for acute and chronic viral respiratory infections (Derksen et al., 2014).

 

Benefits of Sheep Sorrel

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1) Source of Potent Antioxidants & Nutrients

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Sheep sorrel is packed with antioxidants and nutrients. Antioxidants can quench oxidative stress and contribute to good health. Oxidative stress is suspected to underlie aging and many diseases of the modern lifestyle, including cancer, diabetes, chronic inflammation, and neurodegenerative disorders (Isbilir et al., 2013).

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Sheep sorrel is among the plants with the highest quercetin content, according to the USDA Database for the Flavonoid Content of Selected Foods (Bhagwat et al., USDA).

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The database lists that 100g of fresh sheep sorrel contains 86.2 mg of quercetin. The typical quercetin dosage in supplements is 500 mg/day, which is impossible to achieve with most other foods (Bhagwat et al., USDALi et al., 2006).

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Quercetin is a strong antioxidant and natural antihistamine. According to limited research, it may help fight viruses, reduce inflammation, and support immune and heart health. It’s also being researched for preventing and inactivating cancer in cells, but its effects on people remain unexplored (Shoskes et al., 1999Zahedi et al., 2013Kowalski et al., 2005).

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Sheep sorrel is an exceptional source of vitamin C. The leaves contain 750 to 1200 mg/100 g, which is over 800% of the RDA (Atanassova et al., 2018).

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This explains why indigenous people used sheep sorrel leaves to prevent scurvy. Folk healers also gave it as therapeutic food for health conditions caused by vitamin C deficiency. Plus, the leaves are a good plant-based source of protein and contain all essential amino acids (Bello et al., 2019).

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It’s important to use wild-crafted sheep sorrel. One study discovered that wild sheep sorrel is much higher in the total amount and activity of antioxidant phenolics than the cultivated variety. Sheep sorrel’s antioxidants are also being researched against Alzheimer’s disease in test tubes (Isbilir et al., 2013Mantle et al., 2000).

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2) Alternative Cancer Therapy

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In Essiac
 

Sheep sorrel is the second most predominant herb in Essiac after burdock root (the other two being slippery elm bark and Indian rhubarb).

Some people use Essiac as an alternative cancer therapy. Clinical studies on Essiac haven’t yet been carried out. Only survey data, case studies, animal data, archive, and anecdotal and clinical information is available.

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One survey-based study looked at the use of Essiac in 510 breast cancer patients and survivors. Women using Essiac reported beneficial effects and few side effects. However, this study did not find a link between Essiac use and markers of quality of life or mood (Zick et al., 2006).

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In a recent study on mice with leukemia, a water extract containing the four Essiac herbs—including sorrel leaves not roots—reduced abnormal leukemia blood cells by two-thirds and helped the animals recover normal weight and blood counts (Kabeel et al., 2018).

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We don’t know how and if these findings would apply to leukemia patients without human studies.

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Find out the truth about the Essiac and cancer in this post. Read about using Essiac for reducing chemotherapy side effects here.

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Sheep sorrel alone

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In 1970, a scientist named Hartwell led a field study to discover that sheep sorrel and other sorrel species (Rumex) are traditionally used against various types of tumors and cancer in American indigenous medicine. This plant is cherished by indigenous folk healers who have knowledge about many recipes and formulations that use different plant parts (Hartwell, 1970).

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Almost two decades after Hartwell, a Japanese researcher found that a polysaccharide from sheep sorrel had the strongest antitumor activity out of 3 tested plants. It activated immune pathways involved in locating, engulfing, and removing cancerous cells (phagocytosis) in mice with bone cancer (Ito, 1986).

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Emodin from sheep sorrel root stopped four tumor cell lines from dividing and mutating in another study (Lee et al., 2005).

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In leukemia cells, sheep sorrel extract triggered cellular suicide or apoptosis. Cancer cells have a way to avoid apoptosis, which allows them to evade death and multiply in excess (Wegiera et al., 2012Wong, 2011)

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An analysis of sheep sorrel leaves suggests that this plant can be used as a source of nutrients that aid healthy weight gain, which is important for cancer patients (Ladeji & Okoye, 1993).

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However, modern science hasn’t tested sheep sorrel for cancer prevention or treatment in humans. It’s impossible to know how and if findings on cells and animals in the lab will translate to people.

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3) Against Ulcers, Inflammation & Fever

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Ulcers

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The hot water extract of sheep sorrel is a traditional remedy for stomach ulcers and stomach inflammation (gastritis).

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Sheep sorrel extract reduced stomach ulcers in mice. It helped soothe stomach inflammation, swelling, moderate bleeding, and loss of cells of the stomach lining (Bae et al., 2012).

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The alcohol extract had a stronger protective effect on mice than the water extract. It also neutralized damaging free radicals without harming healthy cells in test-tube experiments. Emodin from the root is suspected to carry this effect (Bae et al., 2012).

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Sorrel’s antiinflammatory potential may explain its use for reducing fever, but no scientific studies have yet investigated this.

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Gut Disorders

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A Pakistani field study noted that the whole sheep sorrel plant is traditionally used for jaundice, vomiting, and liver problems in rural northern parts of the country (Khan & Khatoon, 2008)

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Studies on tissues show that sheep sorrel might help with nausea and gut disorders like constipation and diarrhea by relaxing smooth muscles. Smooth muscles line the gut and their excessive contractions can cause pain and cramping (Hussain et al., 2015)

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Wounds, Skin Irritation & Diarrhea

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Sheep sorrel is traditionally used to stop excessive bleeding thanks to its tannin content. Witch hazel, another indigenous plant, also contains tannins and is used for similar purposes (Bicker et al., 2009Touriño et al., 2008).

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Tannins constrict body tissues, which also helps if there’s any inflammation, open wounds, swelling, or irritation. The same mechanism can reduce diarrhea, as tannins attract excess water and soothe irritated cells of the gut lining. The roots and aerial parts of sheep sorrel are used for this purpose (Bicker et al., 2009).

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4) Immune Health, Lung Health & Allergies

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Sheep sorrel is traditionally used as a lung and immune remedy. It’s high in quercetin, which is a known antioxidant immune balancer.

Quercetin stimulated a healthy immune response and reduced allergic and autoimmune reactions in cellular and animal experiments (Li et al. 2016).

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Research reveals that quercetin may lower inflammatory substances like histamine, leukotrienes, and prostaglandins. These substances can trigger and worsen allergies and histamine issues. It may also relax the airways, acting on similar pathways as asthma medications, according to tissue studies (David et al., 2016Townsend & Emala Sr, 2013Mlcek et al., 2016).

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In one clinical trial, a multi-herb product containing sheep sorrel improved symptoms of acute and chronic sinusitis like congestion and headache. This product also contained gentian root, European elderflower, verbena, and cowslip flower—so it’s uncertain how much each herb contributed to the effect (Neubauer & März, 1994).

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No studies have yet tested sheep sorrel alone in patients with allergic, autoimmune, or respiratory problems.

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5) Liver Protection & Detox

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Protecting the liver from toxins

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Liver damage can affect all other organs in the body. Sheep sorrel extract protected the livers of rats from toxic chemicals in one study. Plus, the extract helped reduce toxin damage to other organs. Antioxidants in sorrel are believed to help protect the liver by neutralizing the harmful effects of toxins (Alkushi, 2017).

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Removing excess fluids

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Sheep sorrel is traditionally used as a diuretic, but there is no mention of its diuretic effects in scientific studies.

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6) Fighting Viral, Bacterial & Fungal Infections

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Activity against viruses

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Sheep sorrel was active against the following viruses in test tubes:

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Its antioxidants are suspected to help stop viruses from attaching to and penetrating cells. Sheep sorrel might also help cells get rid of viruses that do enter, but studies so far have been limited (Gescher et al., 2011).

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Activity against bacteria and yeast

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Specific root extracts of various sorrel species that grow in Europe, including sheep sorrel, showed antibacterial activity in one study in test tubes (Orbán-Gyapai et al., 2017).

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Sheep sorrel was also active against a type of tropical candida yeast (Candida tropicalis) in one Brazilian study (Johann et al., 2010).

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7) Heart Health

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Sheep sorrel is traditionally believed to strengthen the heart, but the science on this benefit is extremely limited. Nutrients like potassium and vitamin C in sheep sorrel support heart health, but no human data on its effects are available (Atanassova et al., 2018).

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In one study, sheep sorrel reduced blood pressure in rats. It seems to work by helping relax overly stiff and contracted blood vessels. The water extract worked better than the alcohol extract in this case (Qamar et al., 2018).

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In cell experiments, sorrel whole plant extract reduced the excessive clumping of platelets that can clog arteries and cause heart disease. Plus, extract from the leaves boosted nitric oxide production, which relaxes blood vessels and improves blood flow (Jeong et al., 2020Sun et al., 2015).

 

Precautions & Side Effects

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Sheep sorrel is considered to be safe when used in food amounts. Larger amounts of raw sheep sorrel leaves may cause gut and kidney side effects due to high oxalate content. For this reason, sheep sorrel leaves should be used with caution in people with kidney disease.

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People who are allergic to sheep sorrel, other members of the buckwheat family, or weed pollen should avoid this herb.

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The high oxalate content in sheep sorrel leaves may also reduce the absorption of some minerals like zinc, calcium, iron, and others.

Drug and disease interactions with sheep sorrel are also possible. Please consult your doctor before use.

 

In Summary

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Although sheep sorrel has a rich history of use in traditional medicine, scientific studies on its benefits are still in the early stages.

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Researchers say this herb is underrated since it grows wild and is high in antioxidants and nutrients that support health. Limited evidence suggests that it may help balance the immune system, reduce inflammation and oxidative stress, and soothe ulcers and wounds.

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Animal and cellular studies point to its anticancer potential, but human studies are needed to determine how effective it is.

Slippery Elm/Slippery Elm Bark 

Slippery Elm
slippery elm.JPG

Slippery elm inner bark is a mucilage-rich Native American remedy for various inflammatory conditions.

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It’s believed to soothe a sore throat and irritated gut, help heal wounds, and encourage the healing of damaged mucous membranes. Yet, only a few small clinical trials on slippery elm have been carried out so far.

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How solid is the scientific evidence on its use?

What is Slippery Elm?

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Slippery elm (Ulmus rubra) is a tall tree that grows throughout parts of eastern and central Canada and the United States.

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In times of famine, people chewed on its sweet-tasting inner bark to quench thirst and hunger. Saliva or water mixed with mucilage hiding in the tree’s inner bark creates a slippery, wet feel—hence how slippery elm earned its name. It is also known under a host of other names, including Indian elm, moose elm, red elm, and sweet elm (Braun, 2006).

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Thanks to its polysaccharide-rich mucilage, slippery elm is among the best known herbal demulcents: remedies believed to soothe irritated tissue and coat and protect the digestive tract (Braun, 2006).

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The inner bark of slippery elm is usually dried and made into a fine powder that’s used for medicinal purposes. Traditional preparations also mention poultices for wounds, burns, and skin problems.

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Sadly, slippery elm is increasingly becoming an endangered species, although it can be sustainably harvested. During warm weather, its bark peels easily away from the tree trunk. Only small amounts should be collected to enable the bark to regrow and the tree to live.

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Be careful not to confuse slippery elm with American elm (Ulmus americana) or with other elm species that grow in different parts of the world.

 

Slippery Elm Uses (Traditional & Modern)

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Native Americans have used slippery elm as a traditional remedy for coughs, diarrhea, inflammation, swelling, and gastrointestinal tract diseases. A decoction of the bark was used as a laxative and to aid childbirth. Slippery elm is also believed to be a mild diuretic that may help soothe bladder and urinary tract inflammation. To date, there is no clinical evidence to support these claims (Watts, 2012).

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Allegedly, the same infusion of the inner bark is used in smaller amounts as a laxative and in larger amounts to soothe diarrhea. No studies have yet tested this either.

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Recently, the antioxidants in the bark of slippery elm started being researched for improving symptoms of irritable bowel syndrome (IBS). The available studies are limited (Joo, 2014Watts, 2012)

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In the United States, slippery elm is marketed as a remedy for coughs and upper airway inflammatory conditions. It’s also popular among individuals with voice disorders. However, there’s not enough scientific evidence to support its use for any of these conditions (Watts, 2012)

Proponents claim that slippery elm may also help with psoriasis, syphilis, herpes, gout, upper respiratory tract infections, and even some types of cancer. Evidence is currently lacking to back up these claims.

 

Slippery Elm’s Active Compounds & How They Work

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The main active compound in slippery elm is mucilage, a mixture of simple (hexose, pentose) and complex sugars (polyuronides). These compounds form a strong, semi-solid matrix that holds in water without getting dissolved (Watts, 2012).

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For this reason, powder preparations of slippery elm can form a protective coating over tissues and mucous membranes of the mouth and throat when mixed with water.

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The mucilage in slippery elm also acts as dietary fiber (along with celluloses, lignin, and gums in the bark) that feeds good gut bacteria and supports digestive health. Plus, the inner bark contains some starch, which aids digestion too (Braun, 2006).

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The second most important compounds in slippery elm are tannins. Tannins are astringents, which means that they can help “shrink” tissues. This is useful in the case of wounds, diarrhea, and excessive bleeding. Tannins are also anti-inflammatory and antioxidant  (Watts, 2012Newall et al., 1996).

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Slippery elm contains up to 3% tannins. Another Essiac herb, sheep sorrel , is also high in tannins (Newall et al., 1996Tamayo et al., 2000).

In addition, scientists identified the following compounds in slippery elm (Watts, 2012Romm, 2010Anderson, 1934Braun, 2006Wijesundara & Rupasinghe, 2019):

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  • Flavonoids, antioxidants that support general health

  • Phytosterols, which may support cholesterol balance

  • Salicylic acid, an anti-inflammatory that’s also known as “nature’s aspirin”

  • Betulinic and ursolic acid, potential antiviral and anticancer compounds

  • Fatty acids with potential antibacterial, antifungal, and anti-inflammatory properties (capric, caprylic, oleic, and palmitic acid)

  • Minerals and vitamins (magnesium, iron, calcium, potassium, beta-carotene, and B vitamins)

 

Health Benefits of Slippery Elm

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No published clinical trials have yet investigated slippery elm, other than in combination with other herbs. The first two benefits rely on these small, low-quality clinical trials.

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The alleged benefits of slippery elm listed from number 3 onward lack human evidence. Findings rely on animal and cellular data that cannot be applied to people. Clinical research is needed.   

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All in all, there is not enough evidence to recommend slippery elm for any of the purported health benefits listed below until more research comes out.

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1) IBS

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A mixture of slippery elm and other ingredients (lactulose, oat bran, and licorice root) improved symptoms of constipation-predominant IBS in one pilot trial on 10 people after 5 weeks. The supplement improved stool frequency by 20% and stool consistency by 29%. It also reduced straining, stomach pain, and bloating (Hawrelak & Myers, 2010).

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A different slippery elm mixture (containing dried bilberries, cinnamon, and agrimony) reduced straining, stomach pain, bloating, and flatulence in 21 people with diarrhea-predominant IBS  after 5 weeks. However, it increased stool frequency by 9%—an unwanted effect in people with diarrhea (Hawrelak & Myers, 2010).

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It is unclear if these findings are due to slippery elm, other ingredients, or the combination. Larger studies are needed.

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2) Soothing Coughs & Sore Throats

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Lozenges containing slippery are popularly taken to relieve cough and sore throat. Some consider them a better option than typical herbal preparations as they provide sustained release of mucilage to the throat. However, clinical research is sparse.

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Slippery elm bark tea had a stronger throat-soothing effect than Lipton tea in one pilot study on 24 graduates with laryngitis or throat inflammation and voice problems. However, the results weren’t statistically significant (Watts, 2012).

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In another clinical trial with 60 people with a sore throat, tea made from slippery elm, licorice root, and marshmallow root reduced pain and eased swallowing better than the placebo. The effect lasted for about 30 minutes and it’s uncertain which herb had the strongest soothing action (BMJ, 2003).

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Scientists think that some compounds in slippery elm may help kill microbes, but this hasn’t been proven. In cells, slippery elm extract was active against a bacterium that causes sore throat (Streptococcus pyogenes) and its biofilms, a type of plaque that contributes to antibiotic resistance. However, other tested herbs like sage and purple coneflower had a stronger effect (Wijesundara & Rupasinghe, 2019).

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3) Healthy Gut Flora

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When mucilage from slippery elm is mixed with water, it swells. Human digestive enzymes can’t break down mucilage, but bowel flora can transform it into beneficial metabolites such as short-chain fatty acids (SCFA). SCFAs have anti-inflammatory properties and are also a source of nutrients and prebiotic fiber (Bone & Mills, 2013).

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According to some scientists, this may explain the traditional use of slippery elm bark as a food for people recovering from illness or medical treatment (Bone & Mills, 2013).

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In one small study on 12 healthy people, slippery elm (Peterson et al., 2018)

  • Increased beneficial gut bacteria (Bifidobacteria, Lactobacilli, and Bacteroides)

  • Reduced the harmful gut bacteria linked with disease, inflammation, and infection (Citrobacter, Pseudocitrobacter, Enterococcus, and Enterobacter)

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Additional research is needed.

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4) IBD

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Inflammatory bowel disease (IBD) is marked by dysbiosis and a lower diversity of beneficial gut bacteria. Theoretically, slippery elm might help by supporting a healthy gut flora and soothing gut inflammation, but it hasn’t been tested in clinical trials of IBD patients (Stojanov et al., 2020).

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Slippery elm had antioxidant effects in a study on colon tissue samples from people with IBD. The authors concluded that further research is needed to test whether slippery elm would have the same effects in animals and humans (Langmead et al., 2002).

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5) Heartburn & GERD

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Mucilage in slippery elm is believed to help with heartburn and gastroesophageal reflux disease (GERD) by coating the esophagus. This might protect the esophagus from the damaging effects of regurgitated stomach acid.

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Three case reports mention symptom improvement in people with GERD using slippery elm along with other herbs, minerals, and vitamins. Slippery elm was usually used as part of a complementary approach to help heal the damaged esophagus in addition to conventional treatment (Kines & Krupczak, 2016Elliot, 2016Martin & Seaman, 2015).

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Although sometimes useful, case studies are considered weak scientific evidence. Clinical trials would need to explore this potential benefit.

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6) Mouth & Stomach Ulcers

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Slippery elm is thought to help with mouth and stomach ulcers by creating a protective coating over damaged mucosa. In theory, it might act in part through the same mechanism as mentioned for GERD.

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Additionally, mucilage from slippery elm might stimulate nerve endings in the gut, triggering a reflex that increases the body’s own mucus production. Mucus helps protect the gut lining from ulcers caused by drugs or excess stomach acid (Newall et al., 1996).

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Despite interest in using slippery elm for mouth and stomach ulcers, there is still no reliable information about its clinical effects.

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7) Immune Support & Antioxidant Effects

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The immune and antioxidant effects of slippery elm are limited to cellular studies. Have in mind that it’s impossible to know if and how their findings would translate to animals and humans.

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In one cellular study, slippery elm prevented the formation of reactive species that can damage cells (Choi et al., 2002).

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In another cellular study, slippery elm neutralized free radicals that can cause inflammation, DNA damage, and cancerous mutations (Langmead, 2002).

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Other studies explored different elm species. For example, Chinese elm bark was investigated  for its anti-inflammatory and antioxidant properties in cells. Japanese elm bark increased the immune response in animals. Slippery elm may not carry these effects (Cho et al., 1996Lee et al., 2007)

 

Cancer Research

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In Essiac

The original Essiac formula contains about 8% slippery elm inner bark. Read about Essiac and cancer in this post (coming soon). 

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Slippery Elm Alone

In cells, the inner bark of slippery elm reduced the production of an inflammatory compound called interleukin 8 (IL-8). IL-8 may be involved in the development of cancer (Wijesundara & Rupasinghe, 2019).

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Scientists hypothesize that compounds like oleanolic, ursolic, and betulinic acid in slippery elm inner bark may have anti-tumor potential. Future studies would need to investigate this (Braun, 2006).

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Allegedly, the mucilage in slippery elm is also said to help with appetite by sustaining the stomach lining in people undergoing chemotherapy. However, studies have not yet tested this claim either.

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If you want to learn more about herbs in Essiac and chemotherapy, read this post (coming soon) .

 

Precautions

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Slippery elm is considered to be safe when used by mouth or applied onto the skin and mucous membranes at the recommended doses.

Some people are allergic to slippery elm and may experience skin irritation.

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Drug interactions after oral use are possible. The mucilage in slippery elm may reduce the absorption of drugs. For this reason, some practitioners recommend taking slippery elm 2 hours before or after other herbs or medications.

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There is not enough safety information about the use of slippery elm in pregnant or breastfeeding women. Slippery elm may have been used in the past to induce abortions when inserted vaginally. According to historical records, it’s unlikely to have an abortive effect when taken by mouth. However, human data are lacking. 

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Be sure to consult your doctor before using slippery elm to avoid any potential disease, drug, or other unwanted interactions.

 

In Summary

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No clinical studies have yet investigated the effects of slippery elm alone on any purported health benefit.

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According to pilot trials using multi-ingredient formulations, slippery elm may ease the symptoms of constipation-predominant IBS.

Science has validated that slippery elm is a rich source of mucilage, tannins, and other potentially beneficial active compounds. It also contains antioxidants and nutrients that support general wellbeing.

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Limited evidence suggests that mucilage in slippery elm may help soothe a sore throat, irritated gut, and damaged stomach lining. Mucilage and fiber in slippery elm may also support a balanced gut microbiome. Overall, more research is needed.

Indian/Turkey Rhubarb Root

Rhubarb
indian rhubarb.JPG

Rhubarb root is among the most important traditional Chinese medicine herbs. It’s believed to encourage the cleansing and purging of toxins from the body.

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Western medicine is interested in its antioxidant, laxative, and anti-diarrheal compounds.

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What are its health benefits?

What is Rhubarb Root?

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Rhubarb is a culinary and medicinal herb native to Asia. Its tart-flavored, pink-green stalks are a popular ingredient in pies and jams. In fact, the roots and underground stalks (rhizome) are the only edible part of rhubarb, while its leaves are toxic due to extremely high oxalate levels (Barceloux, 2009).

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Rhubarb thrives in colder climates. It was likely brought to North America in the 18th century. Rhubarb was introduced to Europe a bit earlier and became a health fad of the time, being called the “All Bran of the Age of Reason” (Barceloux, 2009).

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In Traditional Chinese Medicine (TCM), the stalks and roots of rhubarb are described as purging and cleansing. Rhubarb is traditionally used to help the body flush accumulated toxins, clear heat, cool the blood, unblock meridians, and drain dampness (China Pharmacopoeia Committee, 2010Wen et al., 2018).

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These concepts may sound alien to Western medicine, but modern science confirms its purgative, anti-inflammatory, antioxidant, antimicrobial, and liver-protective potential (Yang et al., 2012Gao et al., 2013).

 

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Rhubarb Root Uses

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All in all, people use rhubarb for:

  • Digestive complaints (constipation, diarrhea, heartburn, stomach pain, gastrointestinal bleeding)

  • Symptoms of menopause

  • Menstrual cramps (dysmenorrhea)

  • Inflammation of the pancreas and other inflammatory conditions

  • Cold sores and canker sores (applied to the skin)

  • Immunosuppression (to boost the immune response)

  • High blood pressure

  • Fever

  • Complementing cancer treatment

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Rhubarb is also a minor component of Essiac (about 2% of the original Essiac formula is rhubarb root).

This post will focus on the potential antioxidant and anti-inflammatory whole-body health benefits of using rhubarb root by mouth. It won’t cover the research on topical rhubarb formulations.

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There is a decent amount of clinical studies on rhubarb but with major limitations. Some study findings have been mixed. Most studies were low-quality or published only in Chinese. Some studies had a small sample and used multi-ingredient supplements.

For this reason, more quality research is needed before rhubarb can be recommended for these uses.

 

Indian Rhubarb, Turkey Rhubarb, Chinese Rhubarb: What’s the Difference?

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Botanical Classification

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The two main types of medicinal rhubarb, which this article goes over, are (Barceloux, 2009):

  • Indian rhubarb (Rheum officinale Baillon), and

  • Turkey rhubarb (Rheum palmatum)

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Indian and Turkey rhubarb are closely related. Both seem to be referred to as Chinese rhubarb, which can cause confusion. Plus, Turkey rhubarb is sometimes called East Indian rhubarb or Russian rhubarb (Zhang et al., 2019).

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The confusion doesn’t end there. In Chinese medicinal material markets, dried roots and rhizomes of R. officinale are called “south rhubarb” and of R. palmatum “north rhubarb” (Wang et al., 2012).

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Aside from Indian and Turkey rhubarb, rhubarb’s plant genus (Rheum) also includes garden rhubarb and false rhubarb. Garden rhubarb doesn’t have medicinal value. False rhubarb root extract (ERr 731) is used for menopausal symptoms (Barceloux, 2009Heger et al., 2006).

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Which Is Better?

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Indian and Turkey rhubarb may differ in active compounds. Even the same type of rhubarb grown in Asia, Europe, and North America may have different active compounds (Barceloux, 2009).

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Few studies have investigated these differences. But keep in mind that the study findings using Indian rhubarb from southern China might not apply to Turkey rhubarb grown in northern Canada, and vice versa.

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Despite this, both Turkey and Indian rhubarb seem to have similar (if not identical) health properties, as testified by the widespread traditional use of both rhubarb types in Asia.

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Both Indian and Turkey rhubarb have been used in traditional Chinese medicine since the third millennium BC. Some even mention rhubarb as the most important Chinese medicinal herb (Barceloux, 2009Zhang et al., 2019).

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Essiac usually contains Indian rhubarb, although some products use Turkey rhubarb. There is no evidence to claim that Indian rhubarb is superior to Turkey rhubarb or the other way around. As with all high-quality plant supplements, the most important factors revolve around well-defined and ethical cultivation, harvesting, processing, testing, and packaging practices.

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Active Compounds

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Scientists have discovered about 200 compounds in rhubarb root and rhizome. Some actives that both Rheum palmatum and Rheum officinale likely contain include (Tang et al., 2007Song et al., 2019Wen et al., 2018Aichner & Ganzera, 2015Yang et al., 2012Gao et al., 2013Cao et al., 2017):

  • Emodin – a potential anti-tumor, antimicrobial, and anti-inflammatory compound (also found in sheep sorrel)

  • Chrysophanol – an anti-inflammatory and antiviral active

  • Rhein – another possible antitumor compound; also a laxative

  • Tannins – astringents or “shrinking” plant actives that help with bleeding and diarrhea

  • Sennosides A and B – actives with strong laxative and colon-cleansing action

  • Flavanols and flavans like kaempferol – antioxidants that help guard the body against oxidative stress

  • Stilbenes – liver-protectants that may also help balance cholesterol

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Rhubarb is also a herbal bitter, which explains its use as a stomach tonic. Indian rhubarb is typically described as more bitter than Turkey rhubarb. Herbal bitters help jumpstart digestion by stimulating the body’s own production of stomach acid and digestive enzymes. Burdock root  is another well-known herbal bitter (McMullen et al., 2015).

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Health Benefits of Rhubarb Root

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1) Rich In Antioxidants & Beneficial Active Compounds

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Rhubarb is packed with polyphenol antioxidants like anthocyanins and proanthocyanidins, which give it its reddish-pink color. These antioxidants have potential anti-bacterial, anti-inflammatory, and antioxidant properties. Rhubarb also contains other anti-inflammatory compounds (Gao et al., 2013).

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Scientists believe that antioxidants in rhubarb may help scavenge harmful free radicals and reduce inflammatory molecules that are thought to be involved in aging and many chronic diseases including cancer, heart disease, and diabetes (Cai et al., 2004Zhang et al., 2015). 

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This might explain why some people think rhubarb root has a role in cancer prevention, though this hasn’t been proven. Head over to this article  to understand the science behind using Essiac, which contains rhubarb, as part of a cancer prevention strategy.

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2) Source of Nutrients

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According to the USDA database, rhubarb contains:

  • Vitamin K – important for blood clotting and bone health

  • Beta carotene – provitamin A, has antioxidant effects and supports immunity and eye health

  • Calcium – supports bone health

  • Vitamin C – key for strong immunity

  • Potassium – supports heart health

  • Folate – helps the body produce white and red blood cells and DNA

  • Magnesium – contributes to muscle and nerve health

  • Fiber – aids digestion and feeds good gut bacteria

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3) May Improve & Prevent Pancreas Inflammation

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According to 16 small clinical studies, rhubarb reduced hospital and ICU stay and overall symptoms in patients with pancreas inflammation (Hu et al., 2018Wan et al., 2014).

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Rhubarb also reduced disease severity, inflammation, and complications like sepsis, liver damage, and kidney failure in these patients. It was given via a gastric tube or enema, alongside conventional treatment (Hu et al., 2018Wan et al., 2014).

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In another clinical study, rhubarb helped prevent pancreas inflammation in high-risk patients undergoing a medical procedure (endoscopy) on the pancreas. More research is needed (Wang et al., 2017).

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4) May Help Sick Patients Tolerate Food Better

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Limited studies reveal that rhubarb may help protect the intestinal barrier, prevent gut bacteria from entering the bloodstream, and promote regular bowel movements (Zhang et al., 2018).

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Most critically ill patients struggle to keep any food down. They usually already have a damaged stomach and gut lining from chemotherapy, other medications, radiation, or the disease itself and suffer poor nutrient status. Altogether, these factors increase the risk of death (Gungabissoon et al., 2014).

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According to one clinical study on 368 patients, rhubarb might help critically ill patients with gastrointestinal injury tolerate food better, without serious adverse reactions. Rhubarb also lowered CRP, an inflammatory marker, and reduced ICU stay in these patients (Zhang et al., 2018).

This article  goes over the use of Essiac in addition to chemotherapy.

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5) May Reduce Stomach Bleeding

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One analysis of 14 preliminary clinical trials concluded that rhubarb powder and extract may help reduce stomach bleeding. In one trial, rhubarb reduced stomach bleeding and lowered the risk of recurrent bleeding by about 58% over 2 days (Liu et al., 2020).

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In another trial of 312 patients, Indian rhubarb (Rheum officinale) extract reduced bleeding from duodenal ulcers by ~91%, and Turkey rhubarb (Rheum palmatum) extract by ~94%. The authors concluded that both types of rhubarb were effective, but more research is needed (Zhou & Jiao, 1990).

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6) May Be Helpful in Kidney Failure

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Several small, low-quality clinical studies suggest that taking rhubarb as part of traditional Chinese medicine may improve kidney function in people with kidney failure. This was the case when rhubarb was used alone or in addition to the standard medication (captopril) (Zhang & Zhang, 1990Song et al., 2000Wang & Cheng, 1996Sun et al., 2000Sheng & Ge., 1994).

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However, the studies had a risk of bias, some used multi-ingredient supplements, and all were limited to the Chinese population. 

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7) May Help Detox Pesticides

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According to 12 small studies on nearly 900 people, crude rhubarb may reduce the symptoms and toxic effects of pesticide poisoning. Plus, two studies used rhubarb in combination with other herbs and holistic strategies to detox and reduce the effects of herbicide and pesticide poisoning (Wang & Pan, 2015Wang et al., 2015Yu et al., 2012).

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All studies were low-quality. Additional research is needed to verify their findings.

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8) May Support Digestion, Constipation & Diarrhea

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Rhubarb contains both laxative and antidiarrheal active compounds. However, few clinical studies have tested the digestive effects of Turkey or Indian rhubarb (Cao et al., 2017).

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Rhubarb improved gut health in one trial of 30 patients with severe burns. It likely encourages bowel movements by making the body release more digestive hormones and enzymes (Meng et al., 2011).

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A Chinese formulation with rhubarb improved gut function and recovery in another small trial of 89 critically ill children. Larger trials are required (Yu et al., 2002).

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9) May Help Fight Obesity & High Cholesterol

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Rhubarb stalks are high in fiber, which supports balanced cholesterol levels. In one study, powder from rhubarb stalks reduced high levels of total and “bad” LDL cholesterol (Goel et al., 1997).

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Rhubarb reduced weight and belly fat in two studies, used as part of Chinese herbal medicine. However, it didn’t have an effect on weight in two studies using different multi-ingredient herbal supplements (Zhou et al., 2014Tong et al., 2013Roberts et al., 2007Greenway et al., 2006).

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10) May Reduce the Risk of Sepsis

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An analysis of 15 small, low-quality clinical studies on close to 900 patients concluded that rhubarb may reduce the risk of dying from sepsis when added to standard treatment. Sepsis or blood poisoning is a life-threatening reaction to infection (Zhang et al., 2015).

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Animal studies reveal that rhubarb may also help prevent organ damage from sepsis thanks to its antioxidant and anti-inflammatory active compounds. This has yet to be tested clinically (Lai et al., 2015). 

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Precautions & Side Effects

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The roots and stalks (rhizome) of rhubarb are safe when used in food amounts or as recommended by the supplement manufacturer.

In clinical studies, rhubarb has been reported to cause cramping, gut discomfort, stomach pain, watery diarrhea, nausea, vomiting, and uterine contractions. Serious adverse effects were rare.

Some people may be allergic to rhubarb and develop a skin rash or severe allergic reaction.

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Chronic rhubarb use at high doses is not recommended as it might cause electrolyte and hormone imbalances (McGuffin, 1997).

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Due to its vitamin K content, rhubarb may interact with blood-thinning medication. Talk to your doctor before supplementing.

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Rhubarb leaves should not be used due to their high oxalate content, which can cause severe poisoning. The stalks and roots contain some oxalates, though far less than the leaves. People with kidney problems use rhubarb with caution and only in small amounts after consulting a healthcare professional.

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In Summary

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Many of the benefits of rhubarb are still uncertain due to a lack of high-quality studies.

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Rhubarb root and stalk are rich in antioxidants, nutrients, and anti-inflammatory compounds that may help reduce pancreas inflammation, stomach bleeding, and pesticide poisoning. Rhubarb may even improve symptoms and outcomes of serious illness.

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It’s likely safe when used as recommended. However, more research is needed to determine its health effects.

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