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Buckthorn (Alder)

Buckthorn, or alder, is a tall shrub native to northern Europe. The bark of alder buckthorn is removed, cut into small pieces, and dried for one year before being used medicinally.

Buckthorn has been used as a cathartic laxative in Northern and Central Europe for centuries. It is still widely used today for constipation and resulting conditions such as hemorrhoids and anal fissures. Buckthorn stimulates contractions of the colon (peristalsis) and increases water content during stool formation.

A closely related shrub, cascara sagrada, is more widely known in North America due to its origins and cultivation on the Pacific coast of Canada and the United States.
 
Browse Sections:
 Summary
 Other Names
 Description
 Traditional Internal Uses
 Indications
 Actions
 Constituents / Nutrients
 Pharmacological Summary
 Research
 Precautions / Contraindications
 Interaction with Medications
 Possible Side Effects
 Dosage
 References

Common Name
Buckthorn (Alder)
 
Botanical Latin Name / Classification
Rhamnus frangula
 
Parts Used
Dried bark of tree and branches.
 
Other Names
Alder, Arrow Wood, Black Alder, Frangula Bark, Persian Berries, Glossy Buckthorn, Black Dogwood.

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Description
Buckhorn (alder) is a tall shrub, or small tree (7-10 feet in height), native to northern Europe, northern Africa, and western Asia. The bark of alder buckthorn is removed, cut into small pieces, and dried for one year before being used medicinally. Fresh bark has an emetic or vomit-inducing property and is therefore not used.

Most medicinal preparations of buckthorn bark are made from the European buckthorn shrub, also known as black dogwood (Rhamnus frangula), which is native to Europe and western parts of Asia. The bark of the trunks and branches is dried and seasoned.

A species of buckthorn grown throughout northern California and British Columbia - California Buckthorn (Rhamnus pursiana), also known as cascara sagrada - has chemical and medicinal properties similar to the European buckthorn and is sometimes used in healing as well.

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Traditional Internal Uses
Buckthorn (alder) has been used as a cathartic laxative in northern and central Europe, including England, for centuries.1 Despite its decline in importance when the similar shrub Rhamnus purshiana or cascara sagrada discovered in America,2 alder buckthorn is still used, particularly in Europe.

Officially, buckthorn bark has been used medicinally since at least the 1600s, when it was listed in a primary medical reference called the London Pharmacopeia. Although most herbs have had a wide variety of traditional uses, later refined to a single or a few proven benefits, buckthorn bark throughout its history has been consistently used to relieve one ailment: constipation and its by-products (hemorrhoids and anal irritation).

There is documentation that buckthorn may have been used as early as the thirteenth century for its laxative effects. It is thought that Welsh physicans would prescribe buckthorn juice for constipation. In the late nineteenth century, buckthorn syrup was administered to children for its laxative effects. Today, many people still take herbal preparations of buckthorn for similar effects, and it is a commonly used laxative for dogs when combined with equal parts of castor oil.

Those who've recently undergone rectal surgery are sometimes prescribed formulations of buckthorn due to its stool softening abilities. It has also been used as a cleansing agent prior to diagnostic exams. In folk medicine, buckthorn is used as a diuretic to flush excess water from the body.

In addition to its medicinal uses, the bark and leaves provide a bright yellow-red dye that has been used for centuries to color textiles.

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Indications
Primary Indications: Constipation, Hemorrhoids, Anal Fissures

Primary Indications: Bloating, Flatulence

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Actions
Alterative (Restorative), Bitter Tonic, Cathartic, Diuretic, Eliminative, Hepatic, Laxative, Peristaltic, Purgative, Stool Softening

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Constituents / Nutrients
Alder buckthorn is high in anthraquinone glycosides. Resins, tannins, and lipids make up the bulk of the bark's other ingredients. Anthraquinone glycosides have a cathartic action, inducing the large intestine to increase its muscular contraction (peristalsis) and increasing water movement from the cells of the colon into the feces, resulting in strong, soft bowel movements.3 It takes six to ten hours for alder buckthorn to act after taking it by mouth.

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Pharmacological Summary
Buckthorn bark contains compounds called anthraquinones, which have a strong purgative, laxative effect on the body. Because these compounds are powerful, before being processed into laxative products the bark is aged for a year, or heated and dried.

The compounds in buckthorn bark increase the colon's ability to spontaneously contract. They also reduce water absorption by the intestines, which means more liquid is left in the colon. This produces larger volume and softer stools, which in turn eases constipation.

Because buckthorn bark is an effective stool softener, it can make bowel movements more comfortable for people with hemorrhoids or anal fissures, or who are recovering from recto-anal surgery. Sometimes, buckthorn bark is also used to cleanse the colon in preparation for gastrointestinal diagnostic procedures.

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Research
"Invasive Buckthorn Reduces Forest Leaf Litter"

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Precautions / Contraindications
Buckthorn is contraindicated for the following conditions: Intestinal obstruction, acute intestinal inflammation, e.g., Crohn's disease, colitis ulcerosa, appendicitis, abdominal pain of unknown origin.

Children under 12 years of age; pregnancy.

Stimulating laxatives should not be used over an extended period (1 - 2 weeks) without medical advice.

Use of a stimulating laxative for longer than the recommended application can cause intestinal sluggishness.

The preparation should be used only if no effect can be obtained through change of diet or use of bulk-forming products.

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Interaction with Medications
None documented.

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Possible Side Effects
In single incidents, cramp-like discomforts of the gastrointestinal tract. These incidents require a dosage reduction.

With long-term use/abuse: disturbances of electrolyte balance, especially potassium deficiency, albuminuria and hematuria. Pigment implantation into the intestinal mucosa (pseudomelanosis coli) is harmless and usually reverses upon discontinuation of the drug. The potassium deficiency can lead to disorders of heart function and muscular weakness, especially with concurrent use of cardiac glycosides, diuretics and corticosteroids.

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Dosage
Dried Extract: Buckthorn is typically available in strengths that range from 100 mg to 500 mg, or even in smaller quantities like 25 mg or 50 mg if it is part of a blend.

Start with a low dosage to avoid cramping (one 100 mg - 200 mg capsule before bedtime) and adjust dosage to what is appropriate to your system.

For constipation: Take 15 to 30 drops liquid extract at bedtime OR 1 or 2 capsules at bedtime.

For hemorrhoids and anal fissures: Take 15 to 30 drops liquid extract at bedtime OR 1 or 2 capsules at bedtime.

It is important NOT to use fresh-cut buckthorn bark, which is far too powerful. Only the dried and aged preparations are recommended. These are typically made into a fluid extract.

The optimal dose is the smallest one that generates a softer stool.

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References
1. Lust J. The Herb Book. New York: Bantam Books, 1974:138-40.
2. Evans WC. Trease and Evans' Pharmacognosy, 13th ed. London: BailliŠre Tindall, 1989:408.
3. Blumenthal M, Busse WR, Goldberg A, et al, eds. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Austin: American Botanical Council and Boston: Integrative Medicine Communications, 1998:95-8.

Our thanks to the following information resources: WholeheatlthMD.com, Medicinescomplete.com, American Botanical Council (Herbalgram.org), VitaminsDiary.com, Vitacost.com.

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6 total products
Buckthorn (Alder)   (Read all about Buckthorn (Alder).)

Botanical Latin Name: Rhamnus frangula
Plant Part: Dried bark of tree and branches.
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Powder
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Powder
4 oz / 114 g

14.89 US
More Info
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Powder
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Powder
1 oz / 28 g

8.76 US
More Info
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea (Loose)
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea (Loose)
4 oz / 114 g

9.65 US
More Info
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea (Loose)
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea (Loose)
8 oz / 227 g

13.70 US
More Info
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea
25 tea bags

10.54 US
More Info
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea
Buckthorn (Alder) - Health - Senna Cleansing Formula - Senna, Fennel, Ginger and More - Tea
50 tea bags

15.60 US
More Info


These statements have not been evaluated by the Food and Drug Administration (FDA). Products are intended to support general well being and are not intended to treat, diagnose, mitigate, prevent, or cure any condition or disease. If conditions persist, please seek advice from your medical doctor.



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