herbals boldo

RECND351

Boldo

Scientific:Peumus boldus
Other:Boldo

Indications

Hepatobiliary
• biliary insufficiency
- cholelithiasis (gallstones) - primary use
- cholecystitis
- biliary dyskinesia

Gastrointestinal
• poor digestive tone
- lack of appetite
- dyspepsia
- hypochlorhydria

Dermatologic
• chronic skin conditions associated with poor digestion and elimination causing 'bad blood'
- hives
- psoriasis
- acne

Urinary
urinary tract infections (UTI)
• urethritis
nephrolithiasis

Infection
• bacterial
• fungal

Actions

alterative
bitter
stomachic
hepatic
cholagogue
choleretic
antimicrobial
antibacterial
antifungal
antiparasitic
• antileishmanial
antiinflammatory
hepatoprotective
• laxative (mild)
emmenagogue

Constituents

• Isoquinoline alkaloids (e.g. boldine)
• Essential oils (e.g. ascaridole, terpin-4-ol)

Posology

• Tincture (1:5 in 60% EtOH): 1-2 ml tid
• Infusion (herb): 1 tsp tid

Safety

Contraindications: Pregnancy and lactation (uterine stimulant); berberine is considered teratogenic. Kidney disease.

Caution: Gastritis, peptic ulcers.

Toxicity: Volatile oils are very toxic.

Long-term use: Hepatotoxicity; monitor liver function.

Liver toxicity: Consider monitoring liver function if used long-term or with pre-existing liver disease.

Drug-induced hepatitis: Reported cases (due to isoquinoline alkaloid exposure).

Gastritis, peptic ulcers: Stimulation of gastric secretions can irritate inflamed mucous membranes; concomitant ingestion of demulcent herbs can help prevent aggravation.

References

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Barnes J, Anderson LA, Phillipson JD. Herbal Medicines, 3rd ed. London: Pharmaceutical Press, 2007.

Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone, 2000.

Bone K. A Clinical Guide to Blending Liquid Herbs: Herbal Formulations for the Individual Patient. St Louis, MO: Churchill Livingstone, 2003.

Brinker F. The Toxicology of Botanical Medicines, 3rd ed. Sandy, Oregon: Eclectic Medical Publications, 2000.

Felter HW, Lloyd JU. King's American Dispensatory. 1898. http://www.ibiblio.org/herbmed/eclectic/kings/main.html. Accessed: August 19, 2006.

Hoffman D. Medical Herbalism. Rochester, Vermont: Healing Arts Press, 2003.

Weiss RF. Herbal Medicine. Beaconsfield, England: Beaconsfield Publishers Ltd, 1988.

Williamson EM, ed. Major Herbs of Ayurveda. Edinburgh: Churchill Livingstone, 2002

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