- •Contents
- •Preface to the Third Edition
- •About the Authors
- •How to Use Herbal Medicines
- •Introduction
- •General References
- •Agnus Castus
- •Agrimony
- •Alfalfa
- •Aloe Vera
- •Aloes
- •Angelica
- •Aniseed
- •Apricot
- •Arnica
- •Artichoke
- •Asafoetida
- •Avens
- •Bayberry
- •Bilberry
- •Bloodroot
- •Blue Flag
- •Bogbean
- •Boldo
- •Boneset
- •Borage
- •Broom
- •Buchu
- •Burdock
- •Burnet
- •Butterbur
- •Calamus
- •Calendula
- •Capsicum
- •Cascara
- •Cassia
- •Cat’s Claw
- •Celandine, Greater
- •Celery
- •Centaury
- •Cereus
- •Chamomile, German
- •Chamomile, Roman
- •Chaparral
- •Cinnamon
- •Clivers
- •Clove
- •Cohosh, Black
- •Cohosh, Blue
- •Cola
- •Coltsfoot
- •Comfrey
- •Corn Silk
- •Couchgrass
- •Cowslip
- •Cranberry
- •Damiana
- •Dandelion
- •Devil’s Claw
- •Drosera
- •Echinacea
- •Elder
- •Elecampane
- •Ephedra
- •Eucalyptus
- •Euphorbia
- •Evening Primrose
- •Eyebright
- •False Unicorn
- •Fenugreek
- •Feverfew
- •Figwort
- •Frangula
- •Fucus
- •Fumitory
- •Garlic
- •Gentian
- •Ginger
- •Ginkgo
- •Ginseng, Eleutherococcus
- •Ginseng, Panax
- •Golden Seal
- •Gravel Root
- •Ground Ivy
- •Guaiacum
- •Hawthorn
- •Holy Thistle
- •Hops
- •Horehound, Black
- •Horehound, White
- •Horse-chestnut
- •Horseradish
- •Hydrangea
- •Hydrocotyle
- •Ispaghula
- •Jamaica Dogwood
- •Java Tea
- •Juniper
- •Kava
- •Lady’s Slipper
- •Lemon Verbena
- •Liferoot
- •Lime Flower
- •Liquorice
- •Lobelia
- •Marshmallow
- •Meadowsweet
- •Melissa
- •Milk Thistle
- •Mistletoe
- •Motherwort
- •Myrrh
- •Nettle
- •Parsley
- •Parsley Piert
- •Passionflower
- •Pennyroyal
- •Pilewort
- •Plantain
- •Pleurisy Root
- •Pokeroot
- •Poplar
- •Prickly Ash, Northern
- •Prickly Ash, Southern
- •Pulsatilla
- •Quassia
- •Queen’s Delight
- •Raspberry
- •Red Clover
- •Rhodiola
- •Rhubarb
- •Rosemary
- •Sage
- •Sarsaparilla
- •Sassafras
- •Saw Palmetto
- •Scullcap
- •Senega
- •Senna
- •Shepherd’s Purse
- •Skunk Cabbage
- •Slippery Elm
- •Squill
- •St John’s Wort
- •Stone Root
- •Tansy
- •Thyme
- •Uva-Ursi
- •Valerian
- •Vervain
- •Wild Carrot
- •Wild Lettuce
- •Willow
- •Witch Hazel
- •Yarrow
- •Yellow Dock
- •Yucca
- •1 Potential Drug–Herb Interactions
- •4 Preparations Directory
- •5 Suppliers Directory
- •Index
Broom
B
Summary and Pharmaceutical Comment
The chemistry of broom is reasonably well documented. The pharmacological actions are primarily due to the alkaloid constituents. Sparteine, the major alkaloid component, is a cardiac depressant with actions similar to those of quinidine. Although these actions support some of the documented traditional herbal uses, there is a lack of rigorous clinical research assessing the effects of broom. The intended uses of broom are not suitable for self-medication.
Species (Family)
Cytisus scoparius (L.) Link
Synonym(s)
Hogweed, Sarothamnus scoparius (L.) Koch, Scoparius, Spartium scoparium L.
Part(s) Used
Flowerhead
Pharmacopoeial and Other Monographs
BHC 1992(G6)
BHP 1996(G9)
Martindale 35th edition(G85)
Legal Category (Licensed Products)
Broom is not included in the GSL.(G37)
Constituents
The following is compiled from several sources, including General References G2, G40, G41, G48, G62 and G64.
Alkaloids Quinolizidine-type. 0.8–1.5%. Sparteine 0.3–0.8% (major component); minor alkaloids include cytisine (presence disputed), genisteine (d-a-isosparteine), lupanine, oxysparteine and sarothamine.
Figure 1 Selected constituents of broom.
Amines Epinine, hydroxytyramine and tyramine.
Flavonoids Scoparin and vitexin.
Other constituents Amino acids, bitter principles, carotenoids, fat, resin, sugars, tannin, wax and volatile oil.
Food Use
Broom is listed by the Council of Europe as a natural source of food flavouring (category N3). This category indicates that broom can be added to foodstuffs in the traditionally accepted manner, although there is insufficient information available for an adequate assessment of potential toxicity.(G16)
Herbal Use
Broom is stated to possess cardioactive, diuretic, peripheral vasoconstrictor and antihaemorrhagic properties. It has been used for cardiac dropsy, myocardial weakness, tachycardia, profuse menstruation and specifically for functional palpitation with lowered blood pressure.(G2, G7, G64) Broom is also reported to possess emetic and cathartic properties.(G41)
Figure 2 Broom (Cytisus scoparius).
Figure 3 Broom – dried drug substance (herb).
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Dosage
Dosages for oral administration (adults) for traditional uses recommended in older and contemporary standard herbal reference texts are given below.
Dried tops 1–2 g as a decoction.(G7)
Liquid extract 1–2 mL (1 : 1 in 25% alcohol).(G7)
Tincture 0.5–2.0 mL (1 : 5 in 45% alcohol).(G7)
Pharmacological Actions
The pharmacological actions of broom are primarily due to the alkaloid constituents.
In vitro and animal studies
Sparteine is reported to exhibit pharmacological actions similar to those of quinidine. Low doses administered to animals result in tachycardia, whereas high doses cause bradycardia and may lead to ventricular arrest. Sparteine has little effect on the central nervous system (CNS), but peripherally, paralyses motor nerve
terminals and sympathetic ganglia as a result of a curare-like action.(G44)
Clinical studies
None documented for broom. The major alkaloid constituent sparteine is known to decrease the irritability and conductivity of cardiac muscle and has been used to treat cardiac arrhythmias,(G44) restoring normal rhythm in previously arrhythmic
patients.(G2) Sparteine is reported to have a quinidine-like action rather than a digitalis-like action.(G2) Sparteine is also stated to be
a powerful oxytocic drug, which was once used to stimulate uterine contractions.
Broom |
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Side-effects, Toxicity
The alkaloid constituents in broom are toxic. Sparteine sulfate has |
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been reported to be a cardiac depressant and can also produce |
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respiratory arrest.(G86) Symptoms of poisoning are characterised |
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by tachycardia with circulatory collapse, nausea, diarrhoea, |
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vertigo and stupor. |
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Contra-indications, Warnings |
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Broom is stated to be inappropriate for non-professional use.(G49) |
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Its use is contra-indicated in individuals with high blood |
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pressure(G49) or a cardiac disorder, because of the alkaloid |
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constituents. |
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Drug interactions None documented. However, the potential for |
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preparations of broom to interact with other medicines adminis- |
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tered concurrently, particularly those with similar or opposing |
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effects, should be considered. |
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Pregnancy and lactation Sparteine is contra-indicated during |
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pregnancy; therefore, broom should not be used during pregnancy |
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in view of its sparteine content.(G42) Sparteine is stated to be a |
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powerful oxytocic drug and is cardiotoxic. Broom should not be |
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taken during lactation. |
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Preparations |
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Proprietary single-ingredient preparations |
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Germany: Spartiol. |
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Proprietary multi-ingredient preparations |
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France: Creme Rap. |
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Buchu
B
Summary and Pharmaceutical Comment
Limited chemical data are available for buchu. No scientific evidence was found to justify the herbal uses, although reputed diuretic and anti-inflammatory activities may be attributable to the irritant nature of the volatile oil and the flavonoid components, respectively. In view of the lack of documented toxicity data, together with the presence of pulegone in the volatile oil, excessive use of buchu should be avoided.
Species (Family)
Agathosma betulina (Berg.) Pillans (Rutaceae)
Synonym(s)
Barosma betulina, Folia Bucco, Hartogia betulina Berg., Round Buchu, Short Buchu
Part(s) Used
Leaf
Pharmacopoeial and Other Monographs
BHC 1992(G6)
BHP 1996(G9)
Martindale 35th edition(G85)
Figure 1 Selected constituents of buchu.
Legal Category (Licensed Products)
GSL(G37)
Constituents
The following is compiled from several sources, including General References G2, G22, G41 and G48.
Flavonoids Diosmetin, quercetin, diosmin, quercetin-3,7-diglu- coside, rutin.
Volatile oils 1.0–3.5%. Over 100 identified compounds, including diosphenol, limonene, menthone and pulegone as the major components.
Other constituents Mucilage, resin. Coumarins have been reported for many other Agathosma species.(1)
Food Use
Buchu is listed by the Council of Europe as a natural source of food flavouring (category N3). This category allows buchu to be added to foodstuffs in the traditionally accepted manner, although
there is insufficient information available for an adequate assessment of potential toxicity.(G16) In the USA, buchu volatile
oil is approved for food use with concentrations usually up to about 0.002% (15.4 ppm).(G16, G41)
Herbal Use
Buchu is stated to possess urinary antiseptic and diuretic properties. It has been used for cystitis, urethritis, prostatitis, and specifically for acute catarrhal cystitis.(G2, G7, G8, G64)
Figure 2 Buchu (Agathosma betulina).
100
Figure 3 Buchu – dried drug substance (leaf).
Dosage
Dosages for oral administration (adults) for traditional uses recommended in older standard reference texts are given below.
Dried leaf 1–2 g by infusion three times daily.(G6, G7)
Liquid extract 0.3–1.2 mL (1 : 1 in 90% alcohol).(G6, G7)
Tincture 2–4 mL (1 : 5 in 60% alcohol).(G6, G7)
Pharmacological Actions
In vitro and animal studies
None documented for buchu. Diosmin has documented antiinflammatory activity against carrageenan-induced rat paw oedema, at a dose of 600 mg/kg body weight.(2)
Clinical studies
None documented. Rigorous randomised controlled clinical trials assessing the effects of buchu are required.
Side-effects, Toxicity
None documented for buchu. The volatile oil contains pulegone, a known hepatotoxin (see Pennyroyal).(G20) The oil may cause
gastrointestinal and renal irritation.
Buchu |
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Contra-indications, Warnings
Excessive doses of buchu should not be taken in view of the |
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potential toxicity of the volatile oil. It has been stated that buchu |
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should be avoided in kidney infections, although the scientific |
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basis for this is not clear.(G42) |
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Drug interactions None documented. However, the potential for |
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preparations of buchu to interact with other medicines adminis- |
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tered concurrently, particularly those with similar or opposing |
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effects, should be considered. |
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Pregnancy and lactation The safety of buchu has not been |
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established. In view of this, together with the potential toxicity |
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and irritant action of the volatile oil, the use of buchu during |
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pregnancy and lactation should be avoided. |
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Preparations |
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Proprietary multi-ingredient preparations |
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Australia: Althaea Complex; Bioglan Cranbiotic Super; Cranberry Complex; Cranberry Complex; De Witts New Pills; Extralife Uri-Care; Fluid Loss; Medinat PMT-Eze; PMS Support; Serenoa Complex; Urinase; Uva-Ursi Complex.
Canada: Herbal Diuretic. Czech Republic: Epilobin. France:
Urophytum. New Zealand: De Witts Pills. South Africa: Borstol Cough Remedy; Doans Backache Pills; Docrub. Switzerland: Heparfelien; Urinex. UK: Antitis; Backache; Backache Relief; Buchu Backache Compound Tablets; De Witt's K & B Pills; Diuretabs; Fenneherb Cystaid; HRI Water Balance; Kas-Bah; Roberts Black Willow Compound Tablets; Skin Eruptions Mixture; Watershed. USA: Water Pill.
References
1 Campbell WE et al. Coumarins of the Rutoideae: tribe Diosmeae. Phytochemistry 1986; 25: 655–657.
2Farnsworth NR, Cordell GA. A review of some biologically active compounds isolated from plants as reported in the 1974–1975 literature. Lloydia 1976, 39: 420–455.