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Boldo

Boldo leaf is native to the Andean regions of Chile and Peru and is currently cultivated in Morocco for the distribution to North American and European markets. Boldo leaf has been used, medicinally, in South America in the treatment of liver ailments, such as hepatitis and jaundice. Historically, boldo has been used for a wide variety of disorders from intestinal problems to gonorrhea, but it has principally played a role in the treatment of disorders involving the liver, gallbladder, and gastrointestinal tract. The German Commission E has approved the use of boldo for the treatment of dyspepsia (discomfort of upper GI tract) as well as for stomach and intestinal cramps.
 
Browse Sections:
 Summary
 Other Names
 Description
 Traditional Internal Uses
 Indications
 Actions
 Constituents / Nutrients
 Pharmacological Summary
 Scientific Research / Actions
 Research
 Precautions / Contraindications
 Interaction with Medications
 Possible Side Effects
 Dosage
 References

Common Name
Boldo
 
Botanical Latin Name / Classification
Peumus boldus
 
Parts Used
Leaf
 
Other Names
Boldea fragrans, Boldea, Boldine, Boldus Boldus, Boldoa, Anas Keru, Lyons, Nulisa-t'ujsara, Wilun, Wiluna, Pillurina.

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Description
Boldo is a slow-growing, shrubby evergreen tree that grows 6-8 m in height and produces small, berry-like fruit. The plant's scented flowers are either male or female, and only one sex is found on any one plant; as such, male and female plants must be grown together for the plants to reproduce. Boldo is found in the Andean regions of Chile and Peru, and also is indigenous to parts of Morocco. It is cultivated in Italy, Brazil, and North Africa to meet the demand for its medicinal leaves in European and Canadian markets where it is widely used.

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Traditional Internal Uses
Explorers to South America observed natives using leaves as culinary spice, and also as a carminative agent with numerous therapeutic applications, including the treatment of gout and disorders of the liver, bladder, and prostate The South Americans also used boldo leaf to treat cystitis, gonorrhea, and bladder infections. In 1875, it was introduced to British and American pharmacists as a treatment for mild stomach, liver, and bladder discomforts, and also as a mild nervine, or sedative (Bastien, 1997).

Recent excavations of Monte Verde, an area in southern Chile, unearthed evidence of the medicinal use of 22 varieties of plants by people thought to have lived there more than 12,500 years ago. Among these plants is boldo, which archeologists found wrapped in seaweed. When chewed by individuals who had been severely injured or who required some kind of surgery, this combination of plants may have provided both painkilling and mind-altering properties.

Boldo's uses in other traditional medicine systems are well documented. Worldwide, the plant is used in homeopathy and herbal medicine in the treatment of digestive disorders, as a laxative, a diuretic, for liver problems and to increase the production of bile in the gallbladder. Scientists believe that boldine, the primary alkaloid present in boldo, is responsible for the plant's choloretic (bile stimulating) and diuretic actions.

The leaves of boldo are used against intestinal worms, and botanist Dr. James Duke reports its traditional use for urogenital inflammations, gonorrhea, syphilis, gout, jaundice, dyspepsia, rheumatism, head colds, and earaches. In conjunction with other herbs, such as cascara, rhubarb, and gentian, boldo has been reported to improve symptoms related to loss of appetite.

In Brazilian herbal medicine systems, boldo is used for a variety of disorders including hepatitis, liver congestion, constipation, flatulence, dizziness, stomach and intestinal cramps and pain, gallstones, insomnia, rheumatism, and a lack of appetite. Throughout the rest of South America, boldo is used for gonorrhea, as well as for liver, gallbladder, and digestive complaints.

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Indications
Primary Indications: Dyspepsia, Gastro Esophageal Reflux Disease (GERD), Gastrointestinal Disorders, Indigestion

Secondary Indications: Cystitis, Gallbladder Disorders, Gallstones, Gout, Jaundice, Liver Disorders

Other Indications: Cold, Common (Rhinovirus), Gonorrhea, Rheumatism, Syphilis

Primary Indications: Flatulence, Stomach / Intestinal Cramps

Other Indications: Appetite (Increased or Decreased), Earache, Insomnia

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Actions
Antiparasitic, Antiseptic, Carminative, Choleretic, Diuretic, Stomachic

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Constituents / Nutrients
Alkaloids

Isoquinoline-type. 0.25-0.7%. Pharmacopoeial standard not less than 0.1% alkaloid calculated as boldine. Boldine 0.06% (major, disputed), isoboldine, 6a,7-dehydroboldine, isocorydine, isocorydine-N-oxide, norisocorydine, laurolitsine, laurotetanine, N-methyllaurotetanine, reticuline (aporphines); (-)-pronuciferine (proaporphine) and sinoacutine (morphinandienone).(1-4)

Flavonoids

Flavonols (e.g. isorhamnetin) and their glycosides.(5,6)

Volatile Oils

2.5%. Some 38 components have been identified, including p-cymene 28.6%, ascaridole 16.1%, 1,8-cineole 16.0%, linalool 9.1%, terpinen-4-o1 2.6%, ŕ-terpineol 0.9%, fenchone 0.8% and terpinolene 0.4%.

Other Constituents

Coumarin 0.5%, resin and tannin.

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Pharmacological Summary
The chemistry of boldo is well documented, and some pharmacological data are available. Clinical studies have described choleretic activity, although further well-designed studies are required to establish this. The reputed diuretic and mild urinary antiseptic properties of boldo are probably attributable to the irritant volatile oil. The Commission E approved boldo as treatment for mild dyspepsia and spastic gastrointestinal complaints.

Contemporary studies using laboratory animals suggest that boldo may reduce inflammation and fever (Backhouse et al., 1994). Recent studies in animals showed that certain components of boldo relax smooth muscle and prolong intestinal transit (Gotteland et al., 1995). Boldo may provide the liver with protection against harmful chemicals, appearing to maintain adequate liver enzyme levels in response to toxic agents (Lanhers et al., 1991). The therapeutic implications of these actions require further study, as do boldo's use in folk medicine as a sedative; mechanisms of action and scope of activity have not been determined in this regard.

As with many herbs that have diuretic action, it is unclear whether boldo's actions are truly diuretic (stimulating both fluid and electrolyte secretion), or whether they are in fact aquaretic (stimulating only fluid excretion), a distinction that hypertensive or edematous patients need to consider (Tyler, 1994).

Boldo's aromatic essential oil contains a toxic constituent, ascaridole, which is contained in some plants used by traditional healers to treat parasitic diseases (Montoya-Cabrera et al., 1996); Germany's Commission E approves only boldo formulas that do not contain ascaridole.

In view of the toxicity data and the irritant nature of the volatile oil, excessive use of boldo should be avoided. Boldo is not recommended for long-term use.

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Scientific Research and Pharmacologicial Actions
In Vitro and Animal Studies

Boldo has exhibited choleretic (highest activity in rats), diuretic, stomachic and cholagogic properties. The choleretic activity may be due to synergy between flavonoids and alkaloids. Experiments in rats have failed to demonstrate choleretic activity after oral administration of 400 or 800 mg/kg aqueous ethanolic extract, intraduodenal administration of 200 mg or 800 mg/kg, and intravenous administration of 32.5-130 mg/kg of a dry ethanolic extract.(7)

An aqueous ethanolic extract (equivalent to 0.5-1.0 mg/mL dried ethanolic extract) and also boldine (33 µg/mL) gave significant hepatoprotection against t-butyl hydroperoxide-induced hepatotoxicity in rat hepatocytes in vitro.(7) Boldine at a concentration of 0.015 mol/L inhibited microsomal lipid peroxidation in a rat liver preparation by 50%.(8) A dried aqueous ethanolic extract (0.06-0.115%) of boldine at a dose of 500 mg/kg gave 70% protection against carbon tetrachloride-induced hepatotoxicity in mice, and boldine alone (10 mg/kg) gave 49% protection.(7) An aqueous ethanolic extract of boldo at doses of 50 and 100 mg/kg administered intraperitoneally showed anti-inflammatory activity in the rat paw carrageenan-induced oedema test, whereas boldine alone appeared to be inactive.(7)

Boldine showed concentration-dependent relaxant activity on isolated rat ileum (EC50 1.7 x 10-4 mol/L), and acted as a competitive antagonist of acetylcholine and as a non-competitive antagonist of barium.(9) Boldine at low micromolar concentrations prevented oxidation in rat brain homogenate and lipid peroxidation of red cell plasma membranes, led to inactivation of lysozymes, indicating high reactivity of free radicals.(10)

Boldo essential oil contains terpinen-4-ol, the irritant and diuretic principle in juniper oil.

Clinical Studies

Boldo, in combination with cascara, rhubarb and gentian, has been reported to exhibit a beneficial effect on a variety of symptoms such as loss of appetite, digestion difficulties, constipation, flatulence and itching.(11,12) Rhubarb and gentian were found to be more effective with respect to appetite-loss related symptoms, and boldo and cascara more effective in constipation-related symptoms.

Two preparations containing extracts of boldo and cascara have been documented to increase biliary flow without altering the lithogenic index or bile composition.(13) Boldine may provide relief to patients with gallstones for whom surgery is not an option or drugs have not been effective. The choloretic action of boldine releases bile and its diuretic action increases fluid secretion, possibly cleansing sediment or bacteria from the biliary tract. Treatment of 12 human volunteers with boldo dry extract resulted in prolongation of intestinal transit time.

Ascaridole, a component of the volatile oil, previously found a clinical use as an anthelmintic agent.(14) However, this use has declined with the development of synthetic compounds with lower toxicity and a wider range of activity.

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Research
"Effect of Dry Boldo Extract on Oro-Cecal Intestinal Transit"
"Anti-Inflammatory and Antipyretic Effects of Boldine"
"Boldo: Hepatoprotective and Anti-Inflammatory Effects"

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Precautions / Contraindications
Excessive doses of boldo may cause renal irritation, because of the volatile oil, and should be avoided by individuals with an existing kidney disorder. Boldo is contraindicated in individuals with obstruction of bile duct or severe liver disease. For gallstone patients, it should only be used after consultation with a physician. Ascaridole is toxic and use of the oil is not recommended.

Avoid boldo if you have an obstruction of the bile duct or severe liver disease. In case of gallstones, it is to be used only after consultation with a physician.

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Interaction with Medications
None documented.

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Possible Side Effects
Boldo volatile oil is stated to be one of the most toxic oils. Application of the undiluted oil to the hairless backs of mice has an irritant effect.(15) The oil contains irritant terpenes, including terpinen-4-ol, the irritant principle in juniper oil.

An acute oral LD50 value for boldo oil has been given as 0.13 g/kg body weight in rats, with doses of 0.07 g/kg causing convulsions.(15) The acute dermal LD50 in rabbits has been reported as 0.625-1.25 g/kg.(15) No acute toxicity was observed in rats given oral doses of 3 g/kg of dry aqueous ethanolic extract. In mice, an aqueous ethanolic extract (1 : 1) had an LD50 of 6 g/kg (intraperitoneal administration). The LD50 values of total alkaloids and of boldine in mice were 420 and 250 mg/kg (intraperitoneal administration), respectively. Total alkaloids (intraperitoneal administration) given to dogs produced vomiting, diarrhoea and epileptic symptoms with a recovery after 50 minutes.

Boldine was not genotoxic as indicated by the SOS chromotest with Escherichia coli, or in the Ames test, and did not induce mutations in Saccharomyces cerevisiae.(16) Boldine did not induce an increase in the frequency of chromosome aberrations in human lymphocytes in vitro, or in mouse bone marrow cells in vivo. There were no signs of genotoxicity in mouse bone marrow, as assessed by the micro nucleus test.(16)

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Dosage
Dried Leaf: 60-200 mg or by infusion three times daily; 2-5 g as a tea.

Liquid Extract: 0.1-0.3 mL (1 : 1 in 45% alcohol) three times daily.

Tincture: 0.5-2.0 mL (1 : 10 in 60% alcohol) three times daily.

Note: Because of the ascaridole content, essential oil and distillates of boldo leaf should not be used.

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References
1. UrzŁa A, Acu¤a P. Alkaloids from the bark of Peumus boldus. Fitoterapia 1983; 4: 175-177.
2. UrzŁa A, Torres R. 6a,7-Dehydroboldine from the bark of Peumus boldus. J Nat Prod 1984; 47: 525-526.
3. Hughes DW et al. Alkaloids of Peumus boldus. Isolation of laurotetatine and laurolitsine. J Pharm Sci 1968; 57: 1619-1620.(PubMed)
4. Hughes DW et al. Alkaloids of Peumus boldus. Isolation of (+)-reticuline and isoboldine. J Pharm Sci 1968; 57: 1023-1025.(PubMed)
5. Bombardelli E et al. A new flavonol glycoside from Peumus boldus. Fitoterapia 1976; 46: 3-5.
6. Krug H, Borkowski B. Neue Flavonol-Glykoside aus den Bl„ttern von Peumus boldus Molina. Pharmazie 1965; 20: 692-698.(PubMed)
7. Lanhers MC et al. Hepatoprotective and anti-inflammatory effects of a traditional medicinal plant of Chile, Pneumus boldo. Planta Med 1991; 57:110-115(PubMed)
8. Cederbaum AI et al. Inhibition of rat liver microsomal lipid peroxidation by boldine. Biochem Pharmacol 1992; 44: 1765-1772.(PubMed)
9. Speisky H et al. Activity of boldine on rat ileum. Planta Med 1991; 57: 519-522.(PubMed)
10. Speisky H et al. Antioxidant properties of the alkaloid boldine in systems undergoing lipid peroxidation and enzyme inactivation. Biochem Pharmacol 1991; 41: 1575-1581.(PubMed)
11. Borgia M et al. Pharmacological activity of a herbs extract: A controlled clinical study. Curr Ther Res 1981; 29: 525-536.
12. Borgia M et al. Studio policentrico doppio-cieco doppio-controllato sull'attivit… terapeutica di una nota associazione di erbe medicamentose. Clin Ter 1985; 114: 401-409.(PubMed)
13. Salati R et al. Valutazione delle propriet… coleretiche di due preparati contenenti estratti di boldo e cascara. Minerva Dietol Gastroenterol 1984; 30: 269-272.(PubMed)
14. Wagner H, Wolff P, eds. New Natural Products and Plant Drugs with Pharmacological, Biological or Therapeutical Activity. Berlin: Springer-Verlag, 1977.
15. Boldo leaf oil. Food Chem Toxicol 1982; 20(B): 643.
16. Moreno PRH et al. Genotoxicity of the boldine aporphine alkaloid in prokaryotic and eukaryotic organisms. Mutat Res 1991; 260: 145-152.(PubMed)

Our thanks to the following information resources: MedicinesComplete.com, American Botanical Council (Herbalgram.org), Rain-Tree.com.

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51 total products
Boldo   (Read all about Boldo.)

Botanical Latin Name: Peumus boldus
Plant Part: Leaf
Boldo - Health - Boldo Leaf Tea
Boldo - Health - Boldo Leaf Tea
25 tea bags
Used Medicinally by South Americans 12,500 Years Ago!

10.90 US
In Stock - Ships Today!
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Boldo - Health - Boldo Leaf Tea
Boldo - Health - Boldo Leaf Tea
50 tea bags
Widely Used for Treatment of Gallstones.

16.27 US
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Boldo - Health - Boldo Leaf Tea (Loose)
Boldo - Health - Boldo Leaf Tea (Loose)
4 oz / 114 g
Clinically Proven Digestive Tea!

10.35 US
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Boldo - Health - Boldo Leaf Tea (Loose)
Boldo - Health - Boldo Leaf Tea (Loose)
8 oz / 227 g
Approved by German E Commission for Spastic Garstrointestinal Complaints.

15.02 US
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Boldo - Health - Boldo Leaf Powder
Boldo - Health - Boldo Leaf Powder
4 oz / 114 g
Helps Reduce the Pain of Heartburn and a Compromised Digestive System.

19.92 US
In Stock - Ships Today!
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Boldo - Health - Boldo Leaf Powder
Boldo - Health - Boldo Leaf Powder
1 oz / 28 g
Prescribed for Liver Congestion and Hepatitis in Brazilian Medicine.

10.13 US
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Boldo - Health - Extra Strength Boldo Leaf 4:1 Extract Powder
Boldo - Health - Extra Strength Boldo Leaf 4:1 Extract Powder
4 oz / 114 g
Brazilian Herb Used Medicinally for Thousands of Years!

62.78 US
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Boldo - Health - Extra Strength Boldo Leaf 4:1 Extract Powder
Boldo - Health - Extra Strength Boldo Leaf 4:1 Extract Powder
1 oz / 28 g
Brazilian Herb Used Medicinally for Thousands of Years!

21.77 US
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Boldo - Health - Digestive Enzymes Complex Powder - Boldo, Goldenseal, Gentian and Alfalfa
Boldo - Health - Digestive Enzymes Complex Powder - Boldo, Goldenseal, Gentian and Alfalfa
4 oz / 114 g

30.80 US
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Boldo - Health - Digestive Enzymes Complex Powder - Boldo, Goldenseal, Gentian and Alfalfa
Boldo - Health - Digestive Enzymes Complex Powder - Boldo, Goldenseal, Gentian and Alfalfa
1 oz / 28 g

13.08 US
In Stock - Ships Today!
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Boldo - Health - Digestive Enzymes Complex Tea (Loose) - Boldo, Goldenseal, Gentian and Alfalfa
Boldo - Health - Digestive Enzymes Complex Tea (Loose) - Boldo, Goldenseal, Gentian and Alfalfa
4 oz / 114 g

22.77 US
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Boldo - Health - Digestive Enzymes Complex Tea (Loose) - Boldo, Goldenseal, Gentian and Alfalfa
Boldo - Health - Digestive Enzymes Complex Tea (Loose) - Boldo, Goldenseal, Gentian and Alfalfa
8 oz / 227 g

38.52 US
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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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