Common Herbal Medications
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Herb
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Uses
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How it works
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Cautions
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Aloe vera
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Aloe vera
gel is used topically as a moisturizer, treating sunburn, psoriasis and
minor wounds.
A liquid
extract has strong laxative properties.
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The gel
(best obtained from a fresh plant but also available in commercial
packaging) encourages skin regeneration, increases blood flow and has
emollient properties. The
extract is a strong stimulant laxative.
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Generally
safe when used to treat skin disorders, except for occasional minor
irritation.
Causes
stomach irritation when taken orally as a laxative.
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Black
Cohosh
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Reduces
prementrual syndrome, painful menstruation and other symptoms of menopause
(such as hot flashes, night sweats and vaginal dryness).
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Functions
like an estrogen substitute and suppresses release of LH (luteinizing
hormone).
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Occasional
stomach pain. No long-term
studies. Limit use to six
months. May potentiate the
effects of CNS depressants and blood pressure medications.
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Capsicum
(chili/cayenne
pepper)
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Hot chili
and cayenne pepper extract. Applied
to skin to treat shingles, trigeminal neuralgia and arthritis.
Also used as a thermogenic (increase body temperature).
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Capsicum
is a counterirritant and decreases pain by depleting substance P, a neurotransmitter of pain stimuli.
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With
overuse, can result in prolonged insensitivity to pain.
Concentrated products can cause local irritation and burning.
Avoid contact with eyes, genitals and mucous membranes.
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Chamomile
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Chamomile,
a flowering plant that looks like a daisy, is prepared as a tea and used
as a mild sedative, relaxant and sleeping aid.
Also used for indigestion, itching and inflammation.
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Chamomile
is the most popular herbal tea on the market.
Active agents produce mild sedative and anti-inflammatory effects.
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A member
of the ragweed family and may cause allergic reactions. Separate drinking the tea from other medications by at
least two hours.
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Clove Oil
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Clove oil
(or eugenol) is used to treat teething pain and toothache.
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Eugenol is
a local anesthetic action.
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Use
sparingly in children. May
irritate mucous membranes.
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Cranberry
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Cranberries
and their juice are useful in preventing urinary tract infections (UTIs).
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The
effectiveness of cranberries does not relate to their acidifying the
urine, rather it prevents E. coli
bacteria from adhering to the interior of the urinary tract.
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Look for
100% cranberry juice, most “cocktail” products contain only 27%.
DO NOT use if patient has an active UTI, seek professional medical
attention.
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Dong quai
(or)
Dang qui
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An
“all-purpose” women’s tonic used to treat menstrual problems. Often referred to as “women’s ginseng”.
Extracts of the Angelica sinesis plant.
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Active
ingredients relieve menopause symptoms and painful or lacking menstration.
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Some plant
species are phototoxic and may cause photosensitivity or a rash.
DO NOT use if taking anticoagulants (warfarin).
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Echinacea
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The purple
cornflower appears to shorten the intensity and duration of colds and flus.
Works to boost the immune system.
Applied topically to speed minor wound healing.
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Not an
antibiotic, however echinacea helps the body fight off infection.
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DO NOT use
for prolonged periods of time. If
infection does not improve, seek professional medical assistance.
DO NOT use if you have an autoimmune disease (multiple sclerosis,
rheumatoid arthritis or HIV)
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Eucalyptus
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Eucalyptus
may be inhaled as vapors or applied directly to the chest wall to treat
congestion and to break up phlegm and mucous in the respiratory tract.
Also applied externally to treat arthritis symptoms.
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The active
ingredients in eucalyptus act as an expectorant to break up thick mucous
or phlegm. In arthritis,
eucalyptus is a mild blood vessel dilator, increasing blood flow to
joints.
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DO NOT
take eucalyptus internally, it can cause severe stomach upset.
DO NOT apply to the face or nose of young children, use jelly in
vaporizer.
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Feverfew
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Dried
feverfew leaves have been shown to reduce the frequency and severity of
migraine headaches. Also
reduces the occurrence of nausea and vomiting during migraine attacks.
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Acts as on
blood vessels in the central nervous system to make them less reactive to
certain substances. Also, may
be a serotonin antagonist.
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Most
commercial preparations are at too high of a concentration. Doses of 125 milligram of herb (250 micrograms of active
ingredient) are necessary. Chewing
raw leaves may cause mouth ulcers.
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Garlic
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Primary
use is to lower cholesterol and thereby inhibiting the formation of blood
clots or developing high blood pressure.
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Fresh
garlic must be used and crushed to convert the active ingredient, the
enzyme allicin. Capsules
contain this active ingredient.
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Excessive
use of garlic may result in heartburn, flatulence or other
gastrointestinal symptoms. Patients
may become odoriferous (smell like garlic).
DO NOT use if taking anticoagulants (warfarin).
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Ginger
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Time-honored
herb to relieve stomach upset, motion sickness and nausea.
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Fresh
ginger slices allowed to soak in water are the best dosage form. Promotes saliva and gastric juice secretion.
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May
prolong bleeding, aggravate gallstones o cause heartburn. Generally considered safe.
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Ginkgo
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Used for
hundreds of years in Orient. Used
to improve short-term memory and concentration, especially in patients
with Alzheimer’s disease.
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It appears
that ginkgo enhances blood flow in the brain, as well as increasing the
brain’s tolerance to low levels of oxygen.
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Generally
considered safe. May cause
indigestion, headaches or allergic skin reactions.
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Ginseng
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Panax ginseng (Korean, Chinese, American
or Asian ginseng) has been used as a “cure-all” tonic for centuries.
Used to treat fatigue and also considered an aphrodisiac.
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Antifatigue
properties may be related to enhances muscle tissue use of glycogen, as
well as the transformation of fatty acids into energy.
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Generally
deemed safe. DOD NOT use if
patient has kidney failure or taking anticoagulants (warfarin) or digoxin.
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Kava Kava
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A South
Pacific plant extract that is made into a tonic.
A Pacific “moonshine” used to relieve anxiety, stress and
restlessness and helps with insomnia.
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The active
ingredients cause muscle relaxation.
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Interacts
with alcohol.
DO NOT drink with alcohilic beverages.
DO NOT take if pregnant or nursing.
DO NOT use for longer than three months.
May cause red skin and eye discoloration.
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Licorice
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Pure
licorice extract (not the common candy version), applied topically, is
useful in treating canker sores and fever blister/cold sore ulcers.
Taking orally licorice treats heartburn, ulcers and coughs (an
expectorant).
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Glycyrrhizin,
the active ingredient of licorice is 50 times sweeter than sugar.
It is converted into steroid-like compounds.
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Can effect
blood pressure, pregnancy and should NOT be used in patients taking
corticosteroid medications.
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Ma Huang (ephedra)
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Ma Huang
is used as a stimulant and increases heart rate.
Also used to treat asthma and cold symptoms.
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The
ephedra compounds relax the airways and increases heart rate and blood
pressure.
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DO NOT use
if patient has high blood pressure, glaucoma or prostate problems.
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Milk
Thistle
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Used as a
liver protectant and encourages the regeneration of liver cells.
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Milk
thistle seeds contain silymarin, which helps liver cells keep out poisons
and regenerate.
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No harmful
effects reported when taken at normal recommended doses (200 milligrams
extract or 140 milligrams of silymarin)
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Peppermint
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Peppermint
is used to treat indigestion and stomach upset.
The menthol extract of peppermint is useful in treating colds and
congestion. Applied
topically, menthol relieves pain.
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The active
ingredient (menthol) exerts an antispasmodic effect on the stomach,
increases bile flow, and has a cooling effect when inhaled or applied
topically.
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DO NOT use
in babies because it may cause choking effect from menthol.
DO NOT inhale for prolonged periods of time.
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Psyllium
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A natural
bulk-forming laxative.
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Psyllium
seeds contain soluble fiber that swells when put in contact with water,
thus adding bulk and lubrication to stool.
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Increased
flatulence is common.
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Saw
Palmetto
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The dwarf
palm (found and now protected from harvesting in Southeastern states)
extract is useful in treating Benign Prostatic Hypertrophy (BPH).
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Nonhormonal
agents in saw palmetto extract have antiandrogen and anti-inflammatory
activity.
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Generally
safe. Large doses may cause
diarrhea. Some experts feel
that men taking saw palmetto may experience altered PSA readings, used to
diagnose prostate cancer.
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Senna
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Used as a
stimulant laxative and for bowel cleansing.
Senna is safe for use in pregnancy and in the elderly.
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Produces
smooth muscle contractions of the intestines.
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May cause
abdominal cramping and dependency.
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St.
John’s Wort
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Used to
treat mild depression and anxiety. St
John’s Wort is used extensively in Germany as an anti-depressant.
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The active
ingredient hypericin may exert anti-depressant activity relating to
serotonin-like activity.
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May
produce sensitivity to sun light, especially in fair-skinned people.
DO NOT use with other antidepressants.
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Valerian
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A mild
tranquilizer and sleep aid.
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The dried
roots of valerian have antianxiety and mild hypnotic effects.
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Long-term
use may lead to headache, restlessness, insomnia and heart problems.
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Sources:
1.
Herbs of Choice; The Therapeutic Use of
Phytomedicinals, VE Tyler, Pharmaceutical Products Press, 1994.
2.
The New Age Herbalist,
Richard Mabey, Collier Books, 1988.
3.
Herbal Remedy Handbook,
5th Edition, 750th
Medical Squadron Pharmacy Services, Onizuka Air Station.
4.
The Complete German Commission E Monographs;
Therapeutic Guide to Herbal Medicines,
Mark Blumenthal, et al., The American Botanical Council, Integrative Medicine,
1998
Prepared by:
LCDR (sel) Edward T. Moldenhauer, MSC, USN
Naval School of Health Sciences
July 1999
Source:
Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington,
D.C., 20372-5300
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